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If you are a doctor, please answer the medical questions based on the patient's description. | hi i have a friend who is on dyalasis and in need of a kidney transplant ... a good friend of hers offered and was matched perfectly except for one issue her freind has a low creatine level and they said that she may need both her kidneys to cop with it ...my question is this its two fold.. one .. are they merely beign over cautious in the donor matching process and two is there somehting that can be done medicinally to help her keep a constant level if she does donate the kidney ? | Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your questions are mainly in the interest of donor and recipient.First, understand that a donor is not a patient. At no cost, will a doctor harm a healthy person, volunteering to donate organ.1. Maximum caution will be taken, to keep a donor healthy, after surgery.2. If creatinine level is low in a potential donor, that person will never be considered for organ donation, as his/ her health will be compromised. Hope your doubts are cleared. You can send me a direct question, to me. Chat Doctor. Manga. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have a friend who is on dyalasis and in need of a kidney transplant ... a good friend of hers offered and was matched perfectly except for one issue her freind has a low creatine level and they said that she may need both her kidneys to cop with it ...my question is this its two fold.. one .. are they merely beign over cautious in the donor matching process and two is there somehting that can be done medicinally to help her keep a constant level if she does donate the kidney ?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your questions are mainly in the interest of donor and recipient.First, understand that a donor is not a patient. At no cost, will a doctor harm a healthy person, volunteering to donate organ.1. Maximum caution will be taken, to keep a donor healthy, after surgery.2. If creatinine level is low in a potential donor, that person will never be considered for organ donation, as his/ her health will be compromised. Hope your doubts are cleared. You can send me a direct question, to me. Chat Doctor. Manga."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my boyfriend has been having a skin problem for the last month. The only life change he has had is a job change in the last month. He works at Pep Boys now. He keeps getting huge really itchy lumps under his skin. They have appeared on his back, face, feet and arms. He can sooth them with a warm towel. They seem to itch more at night then during the day. He is awakened from the itchiness every night. Clothes seems to irritate them. They last for about three days and then go away leaving a red mark behind. More appear later around the same area the last one appeared in. He does not have any health insurance or the funds to go to the doctor right now. Can someone please give their professional opinion and help him. | HelloThanks for posting your query.It's very difficult to give an opinion just based on a description. It's important to see the lumps and then advise. However, from the history that you provided it could be urticaria or hives. The treatment would be taking an anti histamine like tablet Allegra once a day and tablet clarity once a day. He can apply cortisone cream mixed with newsprint cream on the lumps twice a day. He can try out the treatment for a week but if it doesn't help then he needs to consult a doctor who can examine him. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my boyfriend has been having a skin problem for the last month. The only life change he has had is a job change in the last month. He works at Pep Boys now. He keeps getting huge really itchy lumps under his skin. They have appeared on his back, face, feet and arms. He can sooth them with a warm towel. They seem to itch more at night then during the day. He is awakened from the itchiness every night. Clothes seems to irritate them. They last for about three days and then go away leaving a red mark behind. More appear later around the same area the last one appeared in. He does not have any health insurance or the funds to go to the doctor right now. Can someone please give their professional opinion and help him."
},
{
"from": "gpt",
"value": "Output: HelloThanks for posting your query.It's very difficult to give an opinion just based on a description. It's important to see the lumps and then advise. However, from the history that you provided it could be urticaria or hives. The treatment would be taking an anti histamine like tablet Allegra once a day and tablet clarity once a day. He can apply cortisone cream mixed with newsprint cream on the lumps twice a day. He can try out the treatment for a week but if it doesn't help then he needs to consult a doctor who can examine him. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 80 yr old father just had a minor procedure done to evacuate the blood due to a sub dual hematoma . He does not have a history of history of seizures. He has been prescribed eptoin , do not know the dosage, for a period of one year. Is this common? He also takes medicines for BP and adult onset diabetes . What is your advice? | Hi Rama S V, The Option has been prescribed in an attempt to prevent occurrence of seizures. It is not uncommon for this medication to be prescribed after neurosurgical operations. However, there is usually not an increased incidence of seizures following evacuation of chronic subdural hematoma. As far as your question regarding the duration of taking this medicine goes, there is no hard and fast rule and practices vary from giving it for a week or two to much longer periods. This is according to the preference of the treating physician and practices vary. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 80 yr old father just had a minor procedure done to evacuate the blood due to a sub dual hematoma . He does not have a history of history of seizures. He has been prescribed eptoin , do not know the dosage, for a period of one year. Is this common? He also takes medicines for BP and adult onset diabetes . What is your advice?"
},
{
"from": "gpt",
"value": "Output: Hi Rama S V, The Option has been prescribed in an attempt to prevent occurrence of seizures. It is not uncommon for this medication to be prescribed after neurosurgical operations. However, there is usually not an increased incidence of seizures following evacuation of chronic subdural hematoma. As far as your question regarding the duration of taking this medicine goes, there is no hard and fast rule and practices vary from giving it for a week or two to much longer periods. This is according to the preference of the treating physician and practices vary. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m 34yrs old 207lbs & 5ft 7in I m swelling in my ankles/feet/& legs again however feeling numbness/tingling/pins & needles in my left leg more then my right. Firstly is that bad - ie the pin & needle feeling in such a case or not - already plan to go to the ER was just looking up info til my ride gets here | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling and numbness along with sharp pain in my knees. Well there can be many reasons for symptoms you mention in query like osteoarthritis, rheumatoid arthritis, gout, ankylosing spondylitis or bakers cyst. I would suggest you to lose your weight by doing light exercises like yoga and altering your eating habits, apply warm compresses to knee and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper examination. Doctor may order CT scan along with MRI to confirm the diagnosis. Doctor may recommend surgical removal of cyst, prescribe antibiotics, anti-inflammatory or muscle relaxant. Doctor may also recommend physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 34yrs old 207lbs & 5ft 7in I m swelling in my ankles/feet/& legs again however feeling numbness/tingling/pins & needles in my left leg more then my right. Firstly is that bad - ie the pin & needle feeling in such a case or not - already plan to go to the ER was just looking up info til my ride gets here"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling and numbness along with sharp pain in my knees. Well there can be many reasons for symptoms you mention in query like osteoarthritis, rheumatoid arthritis, gout, ankylosing spondylitis or bakers cyst. I would suggest you to lose your weight by doing light exercises like yoga and altering your eating habits, apply warm compresses to knee and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper examination. Doctor may order CT scan along with MRI to confirm the diagnosis. Doctor may recommend surgical removal of cyst, prescribe antibiotics, anti-inflammatory or muscle relaxant. Doctor may also recommend physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my daughter is 2.5 yrs old and has eczema since a year. Gradually she lost appetite and now has also lost weight and very fuzzy in eating. Her itchy skin has become better after a routine skincare regime and utmost care in and out. Using cetaphil cream, sometimes also olive oil, on her skin and Vit D drops everyday. Its been a year since she slept full night (I think because of both her itchy skin and hunger). Would you please help a distressed child and an overly exhausted mother of two, by prescribing a good medicine? | Hi.I understood your problem. The concerning points in your child Chat Doctor. Probable diagnosis are1. Severe eczema2. Langerhans cell Pinocytosis (LCH) - diagnosis is considered when eczema does not respond to usual eczema therapy. Try following therapy1. At alga shampoo2 Disown cream twice a day for 1 month3. Cetaphil cream4. Ted bar soap follow above treatment regularly for 6 weeks. If not responded for above treatment, get skin biopsy. 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 2.5 yrs old and has eczema since a year. Gradually she lost appetite and now has also lost weight and very fuzzy in eating. Her itchy skin has become better after a routine skincare regime and utmost care in and out. Using cetaphil cream, sometimes also olive oil, on her skin and Vit D drops everyday. Its been a year since she slept full night (I think because of both her itchy skin and hunger). Would you please help a distressed child and an overly exhausted mother of two, by prescribing a good medicine?"
},
{
"from": "gpt",
"value": "Output: Hi.I understood your problem. The concerning points in your child Chat Doctor. Probable diagnosis are1. Severe eczema2. Langerhans cell Pinocytosis (LCH) - diagnosis is considered when eczema does not respond to usual eczema therapy. Try following therapy1. At alga shampoo2 Disown cream twice a day for 1 month3. Cetaphil cream4. Ted bar soap follow above treatment regularly for 6 weeks. If not responded for above treatment, get skin biopsy. Regards-"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, ive a very weird problem, i started masturbating at the age of 10-11. i started with my right hand, in starting it was all good then i started to get this numbness when i reach orgasm then i day i got a serious seizure my hand stuck n started twisting then i fainted..it happened twice in 2002...then i started masturbating with my left hand it was good but then the same thing happened & i got 2 seizures in 2010 dec & 2011 jan upon reaching orgasm. Now i use pillow coz i cnt masturbate with my hands anymore & due to that my both hands started shaking i cant hold anything for a long time & i get this weird numbness, the same numbness i get before seizure now ive hold something in my hand like towel or handkerchief to stop that numbness. I went to the doctor he asked me to get an EEG & ct scan but they found out noting so they came to conclusion that i have anxiety & now m taking medicine for that. I m also asthmatic & i do take inhalers sometimes. | Yah look like anxiety but cannot rule out any other possibility with this you are having asthma and allergies have many such patients who behave like this if food is causing problem like wheat or milk in your case fit for gluten or wheat as this starts like this as you rote and ultimately end u in asthma get blood test for specific antibodies for milk wheat potato and other common food you take eliminate, and you can be better in 3 months | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, ive a very weird problem, i started masturbating at the age of 10-11. i started with my right hand, in starting it was all good then i started to get this numbness when i reach orgasm then i day i got a serious seizure my hand stuck n started twisting then i fainted..it happened twice in 2002...then i started masturbating with my left hand it was good but then the same thing happened & i got 2 seizures in 2010 dec & 2011 jan upon reaching orgasm. Now i use pillow coz i cnt masturbate with my hands anymore & due to that my both hands started shaking i cant hold anything for a long time & i get this weird numbness, the same numbness i get before seizure now ive hold something in my hand like towel or handkerchief to stop that numbness. I went to the doctor he asked me to get an EEG & ct scan but they found out noting so they came to conclusion that i have anxiety & now m taking medicine for that. I m also asthmatic & i do take inhalers sometimes."
},
{
"from": "gpt",
"value": "Output: Yah look like anxiety but cannot rule out any other possibility with this you are having asthma and allergies have many such patients who behave like this if food is causing problem like wheat or milk in your case fit for gluten or wheat as this starts like this as you rote and ultimately end u in asthma get blood test for specific antibodies for milk wheat potato and other common food you take eliminate, and you can be better in 3 months"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, im 19 years .... i cannot retract my foreskin when penis is fully erect but i can do it in flaccid state. However,if id retract it every day for cleaning, that would cause fissures - the foreskin is sticking to the glans, so when it is retracted small pieces of the glans are tearing ... and it even got blood one time. Please tell me, should i do something different when i retract it ? Is it normal for foreskin to be sticked to the glans ? i am really afraid to retract it, i do it only 1 time per week maximum | Hi and. I think you are suffering from fibrosis, Mitosis is the inability to retract the foreskin behind the glans in males. Physiologic fibrosis is the normal condition in which child Chat Doctor. The inability of the foreskin to retract can lead to difficulty cleaning of the area which can cause Atlantis, there can be difficulty or painful urination, painful erection, or paraphimosis. Your doctor can diagnose fibrosis based on a thorough history and physical examination. Additional tests are usually not necessary. The first choice of treatment is usually a steroid ointment that is locally applied. This treatment has shown a success rate of over 70%. The ointment softens the foreskin and is applied for 4 to 6 weeks. Once full retraction is possible the ointment is discontinued. If the steroid treatment is not successful, a circumcision might be beneficial. When penis is fully erect the fore skin should retract without any problem, but in your case you have mentioned that you cannot retract it completely which is not normal. Please consult a surgeon, and he will examine you and may suggest a small surgical correction called Circumcision. After the surgery you will be discharged 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, im 19 years .... i cannot retract my foreskin when penis is fully erect but i can do it in flaccid state. However,if id retract it every day for cleaning, that would cause fissures - the foreskin is sticking to the glans, so when it is retracted small pieces of the glans are tearing ... and it even got blood one time. Please tell me, should i do something different when i retract it ? Is it normal for foreskin to be sticked to the glans ? i am really afraid to retract it, i do it only 1 time per week maximum"
},
{
"from": "gpt",
"value": "Output: Hi and. I think you are suffering from fibrosis, Mitosis is the inability to retract the foreskin behind the glans in males. Physiologic fibrosis is the normal condition in which child Chat Doctor. The inability of the foreskin to retract can lead to difficulty cleaning of the area which can cause Atlantis, there can be difficulty or painful urination, painful erection, or paraphimosis. Your doctor can diagnose fibrosis based on a thorough history and physical examination. Additional tests are usually not necessary. The first choice of treatment is usually a steroid ointment that is locally applied. This treatment has shown a success rate of over 70%. The ointment softens the foreskin and is applied for 4 to 6 weeks. Once full retraction is possible the ointment is discontinued. If the steroid treatment is not successful, a circumcision might be beneficial. When penis is fully erect the fore skin should retract without any problem, but in your case you have mentioned that you cannot retract it completely which is not normal. Please consult a surgeon, and he will examine you and may suggest a small surgical correction called Circumcision. After the surgery you will be discharged on the same day. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had stomach surgery for an ulcer in December 2011 I had hernia surgery in June of 2012. they had to cut out 6 to 8 of my Colene. My left calf swells up after being on my feet for a couple of hours. I had a leg ulcer on that same leg that has healed up. I also have severe itching on different parts of my body. if I take claritin allergy pills when it occurs the itching goes away. | LOT OF ANTIBIOTICS AND VITAMINS MAY HAVE CAUSE OF ALLERGY IN YOUR CASEY HAVE TO BUILD UP IMMUNE LEVEL TAKE SETTLING 1 TAB BD FOR 3 MONTHS3-4 GLASSES OF WARM WATER IN MORNING WHEN YOU WAKE AND REPEAT AT NIGHT WHEN YOU SLEEPS TOP ALL OILS MUSTARD, ALMONDS,COCONUT, GROUNDNUT AND SOYABEANSAPPLY OLIVE/AMLA MILFORD FOOD COOKING TAKE OLIVE OR SUNFLOWERAPPLY HISTOCALAMINE OVER BODY KE ALLEGRA 120 MGM WHEN REQUIREDTAKE FOOD WHICH BUILDS YOUR IMMUNITY YOU CAN CHECK IN YOU TAKE TAB QUINIDINE 150 MGM MORNING AS YOU HAD ULCER THIS WILL ALSO COVER THE ALLERGY PORTION | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had stomach surgery for an ulcer in December 2011 I had hernia surgery in June of 2012. they had to cut out 6 to 8 of my Colene. My left calf swells up after being on my feet for a couple of hours. I had a leg ulcer on that same leg that has healed up. I also have severe itching on different parts of my body. if I take claritin allergy pills when it occurs the itching goes away."
},
{
"from": "gpt",
"value": "Output: LOT OF ANTIBIOTICS AND VITAMINS MAY HAVE CAUSE OF ALLERGY IN YOUR CASEY HAVE TO BUILD UP IMMUNE LEVEL TAKE SETTLING 1 TAB BD FOR 3 MONTHS3-4 GLASSES OF WARM WATER IN MORNING WHEN YOU WAKE AND REPEAT AT NIGHT WHEN YOU SLEEPS TOP ALL OILS MUSTARD, ALMONDS,COCONUT, GROUNDNUT AND SOYABEANSAPPLY OLIVE/AMLA MILFORD FOOD COOKING TAKE OLIVE OR SUNFLOWERAPPLY HISTOCALAMINE OVER BODY KE ALLEGRA 120 MGM WHEN REQUIREDTAKE FOOD WHICH BUILDS YOUR IMMUNITY YOU CAN CHECK IN YOU TAKE TAB QUINIDINE 150 MGM MORNING AS YOU HAD ULCER THIS WILL ALSO COVER THE ALLERGY PORTION"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My index finger is beyond itchy & swollen. Burns when it touches water or scratch it. Hurts to bend or the knucle. I dont know why its doing this. Started last night. Im freaking out. Been having horrible allergies & bites all over past 2 weeks too. I sprayed my bed for bed bugs but this finger thing never happened. First time! | Hello, It is likely that you are suffering from a generalized acute urticaria and angioedema episode. If there is no fever, abdominal pain or breathing trouble then the situation is not that serious, but apart from long acting antihistamines like Allegra, you will need corticosteroids to overcome this acute episode. Please see your doctor regarding this prescription. There are certain Chat Doctor. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My index finger is beyond itchy & swollen. Burns when it touches water or scratch it. Hurts to bend or the knucle. I dont know why its doing this. Started last night. Im freaking out. Been having horrible allergies & bites all over past 2 weeks too. I sprayed my bed for bed bugs but this finger thing never happened. First time!"
},
{
"from": "gpt",
"value": "Output: Hello, It is likely that you are suffering from a generalized acute urticaria and angioedema episode. If there is no fever, abdominal pain or breathing trouble then the situation is not that serious, but apart from long acting antihistamines like Allegra, you will need corticosteroids to overcome this acute episode. Please see your doctor regarding this prescription. There are certain Chat Doctor. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 39 year old mother of two aged 5 and 15 years. I have a receding chin which was a major cause of concern for me affecting my confidence level. However, now Im planning to go for a genioplasty augmentation in two months time. What I would like to know is that at my age will the healing be much slower ?? Will I ever get back my lost sensation ? Please help since my family is against me going for it now. Please also let me know what are the other risks involved in sliding genioplasty at my age. Thankyou. | Hi, If you are otherwise healthy, then there should not be any issues with bone healing even at 39. The sliding angioplasty will be fixed with plates and screws to help keep it in place till the healing occurs. Another simpler option if you are only looking at cosmetic augmentation is to go with a Chin augmentation using implants. This would be a simpler option in the sense that there is no bone cutting involved. You can meet your local plastic surgeon to learn more about it. All the best for your procedure. Chat Doctor. Cosmesisindia.com | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 39 year old mother of two aged 5 and 15 years. I have a receding chin which was a major cause of concern for me affecting my confidence level. However, now Im planning to go for a genioplasty augmentation in two months time. What I would like to know is that at my age will the healing be much slower ?? Will I ever get back my lost sensation ? Please help since my family is against me going for it now. Please also let me know what are the other risks involved in sliding genioplasty at my age. Thankyou."
},
{
"from": "gpt",
"value": "Output: Hi, If you are otherwise healthy, then there should not be any issues with bone healing even at 39. The sliding angioplasty will be fixed with plates and screws to help keep it in place till the healing occurs. Another simpler option if you are only looking at cosmetic augmentation is to go with a Chin augmentation using implants. This would be a simpler option in the sense that there is no bone cutting involved. You can meet your local plastic surgeon to learn more about it. All the best for your procedure. Chat Doctor. Cosmesisindia.com"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi im 18yrs old and a boy, i have a question why would i have difficulty in maitaining a erective during intercoarse but not during oral. I have had my blood tested and i was told my level are in normal range what does that even mean?What kind of dr would i see? | Hello share your concern When you are getting adequate erection during oral sex than there should not be any organic lesions you need not to worry should make your act more conducive to vaginal sex rather than oral. Assume and maintain good and comfortable position during sex. If it doesn't improve than you should see a psychologist for further evaluation and course of action. Hope this answers your question Best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im 18yrs old and a boy, i have a question why would i have difficulty in maitaining a erective during intercoarse but not during oral. I have had my blood tested and i was told my level are in normal range what does that even mean?What kind of dr would i see?"
},
{
"from": "gpt",
"value": "Output: Hello share your concern When you are getting adequate erection during oral sex than there should not be any organic lesions you need not to worry should make your act more conducive to vaginal sex rather than oral. Assume and maintain good and comfortable position during sex. If it doesn't improve than you should see a psychologist for further evaluation and course of action. Hope this answers your question Best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a cough and mucus/flem issue from my nose and lungs for two months now. It has really started to hurt, it gets worse at night and once I start coughing it is hard to stop. I don t smoke and I m not around smoke. I sound like a smoker and would blame it on that or second hand if I was exposed to it, however, I m not. It is slowly worsening but my tissue use has slowed down. Do I have cancer | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). By your symptoms and history, possibility of asthma or bronchitis is high. Chest x-ray is needed to rule out lung infection and lung cancer. PFT is needed for the diagnosis of asthma or bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines Chat Doctor. Don't worry, you will be alright. Consult pulmonologist and first diagnose yourself and then start appropriate treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a cough and mucus/flem issue from my nose and lungs for two months now. It has really started to hurt, it gets worse at night and once I start coughing it is hard to stop. I don t smoke and I m not around smoke. I sound like a smoker and would blame it on that or second hand if I was exposed to it, however, I m not. It is slowly worsening but my tissue use has slowed down. Do I have cancer"
},
{
"from": "gpt",
"value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). By your symptoms and history, possibility of asthma or bronchitis is high. Chest x-ray is needed to rule out lung infection and lung cancer. PFT is needed for the diagnosis of asthma or bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines Chat Doctor. Don't worry, you will be alright. Consult pulmonologist and first diagnose yourself and then start appropriate treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im a 42 year old Male, I recently was diagnoised with a UTI, after a 2 weeks of antibiotics, i still have a buring sensation in my penis and it continues to throb all day. I went back to the Doctor and they said it could possibly be a prostate infection, and gave me 4 extra days of antibiotics, i seemed to be getting better but now after two weeks the burning is back | Hi, It seems that you might be having some chronic infection in your urinary tract or prostate. As antibiotic has poor action there might be having bacteria resistant to this medicine. Go for urine check up and culture sensitivity test. This will give specific bacteria causing this infection and specific antibiotic medicine working against these bacteria. After report go for antibiotic medicine course for long time to get permanent cure. Take plenty of water to flush out infection. Ok and take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im a 42 year old Male, I recently was diagnoised with a UTI, after a 2 weeks of antibiotics, i still have a buring sensation in my penis and it continues to throb all day. I went back to the Doctor and they said it could possibly be a prostate infection, and gave me 4 extra days of antibiotics, i seemed to be getting better but now after two weeks the burning is back"
},
{
"from": "gpt",
"value": "Output: Hi, It seems that you might be having some chronic infection in your urinary tract or prostate. As antibiotic has poor action there might be having bacteria resistant to this medicine. Go for urine check up and culture sensitivity test. This will give specific bacteria causing this infection and specific antibiotic medicine working against these bacteria. After report go for antibiotic medicine course for long time to get permanent cure. Take plenty of water to flush out infection. Ok and take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Yes and thank you.My sister has had a tummy tuck,several years now,and an emergency surgrey in N.M.,for removal of an overy,after they got in they couldnt find one overy,explored a bit,had to go thru several layers of adhesions.The 40 min.surgrey turned into 4 hrs.Wow,did we freak!ok,now after this she has constant smelly drainage from her belly button and pain in her lower intestines,pain when having bowel movements,pain in her belly button,around and below it.She has been to consult,after consult and a couple more surgires to pinpoint the problem,to no avail ,I am worrried,she is my only sister and very dear to me,im scrared for her. | Hi. Thanks for your query and an elucidated history. Smelly discharge from the belly button and pain is suggestive of the following things | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yes and thank you.My sister has had a tummy tuck,several years now,and an emergency surgrey in N.M.,for removal of an overy,after they got in they couldnt find one overy,explored a bit,had to go thru several layers of adhesions.The 40 min.surgrey turned into 4 hrs.Wow,did we freak!ok,now after this she has constant smelly drainage from her belly button and pain in her lower intestines,pain when having bowel movements,pain in her belly button,around and below it.She has been to consult,after consult and a couple more surgires to pinpoint the problem,to no avail ,I am worrried,she is my only sister and very dear to me,im scrared for her."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. Smelly discharge from the belly button and pain is suggestive of the following things"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | The last three months I was doing IUI treatment which I did 2 cycles but both were negative. In 2015 I did IUI and first try came back positive. So my question is does my age and overweight have to do anything with not be able to get pregnant this time or do I need to take medication to balance out my hormonals? Right now my wieght is 235 age 30 about to turn 31. In 2015 I weight 215 and was 29. | Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. You are right in judging that increased weight can be on of the factors that can affect reproductive hormone system. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep-fried foods and bakery products in the diet. Please check height for weight, body mass index should be around 23. To know about the ovarian status, FSH LH AMH and prolactin levels should be done on day 2 of the cycle. Post menstrual HSGHysterosalpingography, will be of help to know about the patency of the Fallopian tubes. 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: The last three months I was doing IUI treatment which I did 2 cycles but both were negative. In 2015 I did IUI and first try came back positive. So my question is does my age and overweight have to do anything with not be able to get pregnant this time or do I need to take medication to balance out my hormonals? Right now my wieght is 235 age 30 about to turn 31. In 2015 I weight 215 and was 29."
},
{
"from": "gpt",
"value": "Output: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. You are right in judging that increased weight can be on of the factors that can affect reproductive hormone system. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep-fried foods and bakery products in the diet. Please check height for weight, body mass index should be around 23. To know about the ovarian status, FSH LH AMH and prolactin levels should be done on day 2 of the cycle. Post menstrual HSGHysterosalpingography, will be of help to know about the patency of the Fallopian tubes. I hope this answer helps you. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a red hard lump under the skin on my calf about half way down. it has been here for a couple of weeks. it started small as a red mark. I thought it was a bug bite when it happened. now it has grown is red, sore and warm to the touch ad much larger. it is larger than the size of a silver dollar. any ideas?? should i see a doctpr? | Hi. Thanks for your query. This is certainly suggestive of a spreading infection or reaction. You should consult a Doctor to make sure a diagnosis by clinical examination. You may need prescription based antibiotics, anti-inflammatory medicines and steroid if your Doctor feels so.They are of the calf is nasty in healing pattern and behavior, so better to be more careful. Let us not take this as a simple boil or insect bite. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a red hard lump under the skin on my calf about half way down. it has been here for a couple of weeks. it started small as a red mark. I thought it was a bug bite when it happened. now it has grown is red, sore and warm to the touch ad much larger. it is larger than the size of a silver dollar. any ideas?? should i see a doctpr?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. This is certainly suggestive of a spreading infection or reaction. You should consult a Doctor to make sure a diagnosis by clinical examination. You may need prescription based antibiotics, anti-inflammatory medicines and steroid if your Doctor feels so.They are of the calf is nasty in healing pattern and behavior, so better to be more careful. Let us not take this as a simple boil or insect bite."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im having really bad chest pains to the left side right under my breast, and also having shortness of breath. It hurts for me to breath in, kinda feels like someone is squeezing my heart. Any idea what could be wrong or how i can get rid of the feeling? | Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of heart disease (angina, Coronary artery disease - CAD, congestive heart failure - CHF). 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. Sometimes anxiety and panic disorder can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im having really bad chest pains to the left side right under my breast, and also having shortness of breath. It hurts for me to breath in, kinda feels like someone is squeezing my heart. Any idea what could be wrong or how i can get rid of the feeling?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of heart disease (angina, Coronary artery disease - CAD, congestive heart failure - CHF). 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. Sometimes anxiety and panic disorder can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these but first rule out 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. | My period was a week late in February and then two weeks later I was having brown blood spotting, and sometimes is was a pinkish red. This lasted for about a week. Im starting to have headaches, be really tired all of the time, and my lower back hurts. Ive been feeling really nauseous the last couple of days and have a heightend sense of smell. I dont know if these may be pregnancy signs or not tho. Do you think you could help clarify for me? | Hello, I have gone through your query and understood the concern. If you have always been regular with your cycles and are sexually active, you need to exclude/confirm pregnancy in the current scenario. An estimation of the serum beta-ChatDoctor titles along with a trans-vaginal sonogram is the best way out to clarify the situation. Your symptoms can happen with a very early pregnancy, but a proper confirmation is necessary. If positive, this spotting should be monitored, the viability of the pregnancy assessed and further management given. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My period was a week late in February and then two weeks later I was having brown blood spotting, and sometimes is was a pinkish red. This lasted for about a week. Im starting to have headaches, be really tired all of the time, and my lower back hurts. Ive been feeling really nauseous the last couple of days and have a heightend sense of smell. I dont know if these may be pregnancy signs or not tho. Do you think you could help clarify for me?"
},
{
"from": "gpt",
"value": "Output: Hello, I have gone through your query and understood the concern. If you have always been regular with your cycles and are sexually active, you need to exclude/confirm pregnancy in the current scenario. An estimation of the serum beta-ChatDoctor titles along with a trans-vaginal sonogram is the best way out to clarify the situation. Your symptoms can happen with a very early pregnancy, but a proper confirmation is necessary. If positive, this spotting should be monitored, the viability of the pregnancy assessed and further management given. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have this weird whooshing feeling in my left temple. Like, a little bit of pressure all the time, but every once in a while it speeds up to a whoosh like bugs or something are crawling outwards from the temple. It doesn t hurt, it just feels really weird. If it s just stress or anxiety then so be it. Just concerned it might be something more. | Hello The symptoms you have described like whooshing feeling in left temporal region and pressure are not typical symptoms of anxiety. They may occur due to other illness, it may be Migraine like headache, due to some somatic symptoms of depression, High Blood pressure, anemia etc. I would advise you to please mention your symptoms in detail or visit a good Psychiatrist for proper evaluation of symptoms. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have this weird whooshing feeling in my left temple. Like, a little bit of pressure all the time, but every once in a while it speeds up to a whoosh like bugs or something are crawling outwards from the temple. It doesn t hurt, it just feels really weird. If it s just stress or anxiety then so be it. Just concerned it might be something more."
},
{
"from": "gpt",
"value": "Output: Hello The symptoms you have described like whooshing feeling in left temporal region and pressure are not typical symptoms of anxiety. They may occur due to other illness, it may be Migraine like headache, due to some somatic symptoms of depression, High Blood pressure, anemia etc. I would advise you to please mention your symptoms in detail or visit a good Psychiatrist for proper evaluation of symptoms. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi igot bit by something around my ankle 3 days ago within a half hour the next day it started to get this dark red mark I went to my DR Friday he put me on antiobodics today it seems worst my dr said to watch for sepsises what is it and when should I go back to dr or er | Hello, welcome to Chat Doctor, Sepsis is a condition in which your body, in order to fight an infection, starts an inflammatory response throughout your body. This body response can harm your other organs like kidneys etc. In order to say if you have got sepsis, you must have 2 or 3 of the following symptoms-Fever 101 F or more-Heart rate greater than 90 a min-Respiratory rate greater than 20 a min-Probable infection Please take your antibiotics, Always do a culture and sensitivity test before starting antibiotics. Hope I have answered your question. WISH YOU BEST OF HEALTH! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi igot bit by something around my ankle 3 days ago within a half hour the next day it started to get this dark red mark I went to my DR Friday he put me on antiobodics today it seems worst my dr said to watch for sepsises what is it and when should I go back to dr or er"
},
{
"from": "gpt",
"value": "Output: Hello, welcome to Chat Doctor, Sepsis is a condition in which your body, in order to fight an infection, starts an inflammatory response throughout your body. This body response can harm your other organs like kidneys etc. In order to say if you have got sepsis, you must have 2 or 3 of the following symptoms-Fever 101 F or more-Heart rate greater than 90 a min-Respiratory rate greater than 20 a min-Probable infection Please take your antibiotics, Always do a culture and sensitivity test before starting antibiotics. Hope I have answered your question. WISH YOU BEST OF HEALTH!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a severe sneezing problem and i use to have continuous 20-30 time ........i have checked with doctors earlier n they said allergic problem......bt i didnt get any proper medicine. at the same time i got severe pain in my head n not able to concentrate....... my back also pains at the same time...... earlier i had pneumonia attack twice ....... n nowadays even eating fruits cause me sneezing...........plz advice me whts to do | Hi, Thanks for posting your query. With the available described symptoms, there appears to possibility of allergic Rhinitis. Persistent sneezing with associated headache suggests the diagnosis. You should consult with internal medicine specialist/ ENT surgeon and should go for thorough check up. You should go for chest x-ray, erythrocyte sedimentation rate and complete blood count. As such there appears to the least correlation between present symptoms and past history of pneumonia. You should take montelukast with levocetrizine, Milton for relief of your symptoms. Sneezing relief also cures headache. You should also use Elastane nasal spray. Take steam inhalation for better relief. 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 severe sneezing problem and i use to have continuous 20-30 time ........i have checked with doctors earlier n they said allergic problem......bt i didnt get any proper medicine. at the same time i got severe pain in my head n not able to concentrate....... my back also pains at the same time...... earlier i had pneumonia attack twice ....... n nowadays even eating fruits cause me sneezing...........plz advice me whts to do"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting your query. With the available described symptoms, there appears to possibility of allergic Rhinitis. Persistent sneezing with associated headache suggests the diagnosis. You should consult with internal medicine specialist/ ENT surgeon and should go for thorough check up. You should go for chest x-ray, erythrocyte sedimentation rate and complete blood count. As such there appears to the least correlation between present symptoms and past history of pneumonia. You should take montelukast with levocetrizine, Milton for relief of your symptoms. Sneezing relief also cures headache. You should also use Elastane nasal spray. Take steam inhalation for better relief. Take care,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 7 year old son has had a constant virus since the middle of January. It consists of severe headache, fever (100-102), sore throat, vomiting and fatigue. He has seen his pediatrician multiple times and has been tested for strep each time. The strep test has been negative each time. He recently had blood tests conducted and all of the results came back normal. The symptoms seem to get better after 4-5 days and then 2 weeks later he has them all over again. I am extremely concerned and not sure what more to do. | HI...by what you quote I feel that your son might be having a recurrent viral illness. To relieve your distress I will tell you how a viral illness behaves. So that you will be in a better position to understand. 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 7 year old son has had a constant virus since the middle of January. It consists of severe headache, fever (100-102), sore throat, vomiting and fatigue. He has seen his pediatrician multiple times and has been tested for strep each time. The strep test has been negative each time. He recently had blood tests conducted and all of the results came back normal. The symptoms seem to get better after 4-5 days and then 2 weeks later he has them all over again. I am extremely concerned and not sure what more to do."
},
{
"from": "gpt",
"value": "Output: HI...by what you quote I feel that your son might be having a recurrent viral illness. To relieve your distress I will tell you how a viral illness behaves. So that you will be in a better position to understand. 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. | 1. I have notice a pea size lump that has traveled in both legs notice mostly in my groin and thigh at different times. IS this a clout???? I am also a heart patient with a stent in my main artery. Cardiac cath last performed last year stenos is constantly showing 40 percent. 2. How relevant is this or how dangerous.???? 3. I have also been having random chest spasms when sleep sitting driving eating not necessary when active is there any correlation and how do I treat the spasms?????? I never got an answer from you all on a previous query | Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in depth. I feel concerned about the worry you expressed. In my opinion-1-the lump in your groin and thigh in both lower limbs-doesnt appear to b a clot. To opine on it more info is needed about it.2-As such this fear is irrelevant and it's not a moving clot-as thought by you.3-The spasms you get need to be consulted from your cardiologists who put the stent. In my opinion if appears more of neurosis or anxiety related-as they are all over and untimely. Treatment-would be-a-Consult your cardiologist at earliest.b-Tb-Ranx -500\u00a0mg if the spasms or the discomfort recurs and for the time being Only.Don't use after consulting your Cardiologist-as its temporary advise. Hope this would help your query. Wellcome for more queries to Chat Doctor. Have a good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 1. I have notice a pea size lump that has traveled in both legs notice mostly in my groin and thigh at different times. IS this a clout???? I am also a heart patient with a stent in my main artery. Cardiac cath last performed last year stenos is constantly showing 40 percent. 2. How relevant is this or how dangerous.???? 3. I have also been having random chest spasms when sleep sitting driving eating not necessary when active is there any correlation and how do I treat the spasms?????? I never got an answer from you all on a previous query"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in depth. I feel concerned about the worry you expressed. In my opinion-1-the lump in your groin and thigh in both lower limbs-doesnt appear to b a clot. To opine on it more info is needed about it.2-As such this fear is irrelevant and it's not a moving clot-as thought by you.3-The spasms you get need to be consulted from your cardiologists who put the stent. In my opinion if appears more of neurosis or anxiety related-as they are all over and untimely. Treatment-would be-a-Consult your cardiologist at earliest.b-Tb-Ranx -500\\u00a0mg if the spasms or the discomfort recurs and for the time being Only.Don't use after consulting your Cardiologist-as its temporary advise. Hope this would help your query. Wellcome for more queries to Chat Doctor. Have a good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 2-3mm right disc herniation at L3-L4 level related to proximal desending right sided nerve root what is done for this. also multilevel lumbar spondylitic changes lateral disc herniation. Lateral herniation at L2 L3 YYYY@YYYY mullti level spondylitic changes an disc bulging at other levels Female 54 years old | Thank you for contacting Chat Doctor. The report describes multi-level disc prolapse with nerve root compression and spondylitic changes. Treatment depends on symptoms and examination findings. In the initial phase, physiotherapy is very useful. This includes back extension exercises, traction and use of treatments like IT, ultrasound to relieve pain. You can get more details after contacting your physiotherapist. If the patient has pain, neuropathic pain medications are useful. This includes pregabalin, gabapentin, amitriptyline, etc. These are prescription medications and your GP/neurologist can prescribe them. In about 10% of cases, surgery may be required. Surgery is required in patients where medical treatment has failed or if there is severe leg pain, or as decided on the basis of clinical examination. 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: 2-3mm right disc herniation at L3-L4 level related to proximal desending right sided nerve root what is done for this. also multilevel lumbar spondylitic changes lateral disc herniation. Lateral herniation at L2 L3 YYYY@YYYY mullti level spondylitic changes an disc bulging at other levels Female 54 years old"
},
{
"from": "gpt",
"value": "Output: Thank you for contacting Chat Doctor. The report describes multi-level disc prolapse with nerve root compression and spondylitic changes. Treatment depends on symptoms and examination findings. In the initial phase, physiotherapy is very useful. This includes back extension exercises, traction and use of treatments like IT, ultrasound to relieve pain. You can get more details after contacting your physiotherapist. If the patient has pain, neuropathic pain medications are useful. This includes pregabalin, gabapentin, amitriptyline, etc. These are prescription medications and your GP/neurologist can prescribe them. In about 10% of cases, surgery may be required. Surgery is required in patients where medical treatment has failed or if there is severe leg pain, or as decided on the basis of clinical examination. Best wishes, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir, I have been suffering from TB. I have gone through Pre Employment Medical Test Ffor middle east. The medical center had given me UNFIT report due to Spot on Lungs (Fibrotic Shadow) I s there any medicine to vanish this spot by treatment. Best Regards | Thanks for your question on Chat Doctor. Sorry to say, but there are no medicines available to remove these scars. Scar tissue is dead tissue and so harmless that's why medicines are not available as it is not a disease. It is due to heal process. In lung tissue any insult like infection, trauma can produce healing by either fibrosis or calcification. And these gives' appearance of scar tissue on chest x-ray. And this will remain as it is throughout the life. One thing you can do. Get done CT THORAX and bronchoscopy with BAD (BronchoAlveolar Lavage) analysis for TB. If both these are negative than you can assure medical center that you are not having active TB, the scar tissue is old lesion only. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir, I have been suffering from TB. I have gone through Pre Employment Medical Test Ffor middle east. The medical center had given me UNFIT report due to Spot on Lungs (Fibrotic Shadow) I s there any medicine to vanish this spot by treatment. Best Regards"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. Sorry to say, but there are no medicines available to remove these scars. Scar tissue is dead tissue and so harmless that's why medicines are not available as it is not a disease. It is due to heal process. In lung tissue any insult like infection, trauma can produce healing by either fibrosis or calcification. And these gives' appearance of scar tissue on chest x-ray. And this will remain as it is throughout the life. One thing you can do. Get done CT THORAX and bronchoscopy with BAD (BronchoAlveolar Lavage) analysis for TB. If both these are negative than you can assure medical center that you are not having active TB, the scar tissue is old lesion only."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have recently noticed what appears to be a discharge from my penis, its black and looks like it consists of filament like material. I had a urethoplasty 9 years ago with no problems since. I do have a bladder diverticulum that Ive had for about 15 years (this apparantly caused the stricture or vice versa). Anyway, back to the discharge, it is painless, no pain upon urination, no erection problems. The amount of discharge is minute and occurs about once every three days. It is relegated to the head of the penis, usually around the opening. Due to my urological history, I am followed pretty closely. An MRI done about three weeks ago showed no abnormalities. Any ideas? I am not currently sexually active since I broke up with my girlfriend about a year ago; we were both monogamous and we were together for about 10 years. | Hi, Welcome to Chat Doctor forum. You had arthroplasty 9 years ago. You also had diverticula of bladder, and stricture urethra 15 years back. Now you have got pain less, color less discharge, which is sticky. It may not have any relation with the previous incidents. As you describe it appears to be the physiological, discharge of the prostate gland which usually comes before the semen comes, as you are lack of sex it might be appearing like this. Wishing for a quick and complete recovery. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have recently noticed what appears to be a discharge from my penis, its black and looks like it consists of filament like material. I had a urethoplasty 9 years ago with no problems since. I do have a bladder diverticulum that Ive had for about 15 years (this apparantly caused the stricture or vice versa). Anyway, back to the discharge, it is painless, no pain upon urination, no erection problems. The amount of discharge is minute and occurs about once every three days. It is relegated to the head of the penis, usually around the opening. Due to my urological history, I am followed pretty closely. An MRI done about three weeks ago showed no abnormalities. Any ideas? I am not currently sexually active since I broke up with my girlfriend about a year ago; we were both monogamous and we were together for about 10 years."
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. You had arthroplasty 9 years ago. You also had diverticula of bladder, and stricture urethra 15 years back. Now you have got pain less, color less discharge, which is sticky. It may not have any relation with the previous incidents. As you describe it appears to be the physiological, discharge of the prostate gland which usually comes before the semen comes, as you are lack of sex it might be appearing like this. Wishing for a quick and complete recovery. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a roomate that must have everything in order in the dining room and kitchen, if there are papers or anything on the dining table she must remove it, she has to have nothing out of place out of the ordinary, things cannot be left on the kitchen counter, sink etc. is this a form of OCD? | Degree understand your concerns went through your details. I suggest you not to worry much. Obsessive compulsive disorder is being compulsive towards something obsessive. Obsessive thinking leads to compulsive behavior. You shall get every symptom's if you look up in google. But Don't get carried away. Differential diagnosis is very much important in psychology. Only an experienced psychologist / psychiatrist can diagnose correctly and therefore, I request you to consult a psychologist / psychiatrist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a roomate that must have everything in order in the dining room and kitchen, if there are papers or anything on the dining table she must remove it, she has to have nothing out of place out of the ordinary, things cannot be left on the kitchen counter, sink etc. is this a form of OCD?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Obsessive compulsive disorder is being compulsive towards something obsessive. Obsessive thinking leads to compulsive behavior. You shall get every symptom's if you look up in google. But Don't get carried away. Differential diagnosis is very much important in psychology. Only an experienced psychologist / psychiatrist can diagnose correctly and therefore, I request you to consult a psychologist / psychiatrist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a chronic infection of Staph Aureus in my lower spine for which I have been treated since 2010. In the past three months I have developed pain in both jaws as well as teeth. It started as an occasional occurance, and is now nearly constant. It is a sharp piercing pain. Could it be related to my infection? I hate to bother my infectious disease doc as he is so busy, but it feels too widespread for my dentist. Suggestions? Advice? Thank you. | It could be related to spread of the Staph aureus, in which case I am sure your infectious disease doctor would want to know about it. But I recommend you do check first with your dentist, as it could be something else. You could have temporomandibular joint syn Chat Doctor. This can cause pain in teeth and jaws. The dentist can get a panning x-ray view of your jaws and all your teeth and see if this is a possibility. Treatment would be quite different, as this is not an infection. A dentist could also check for other conditions that could be causing the pain. I suggest you start there before assuming this is spread of the staph. 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 a chronic infection of Staph Aureus in my lower spine for which I have been treated since 2010. In the past three months I have developed pain in both jaws as well as teeth. It started as an occasional occurance, and is now nearly constant. It is a sharp piercing pain. Could it be related to my infection? I hate to bother my infectious disease doc as he is so busy, but it feels too widespread for my dentist. Suggestions? Advice? Thank you."
},
{
"from": "gpt",
"value": "Output: It could be related to spread of the Staph aureus, in which case I am sure your infectious disease doctor would want to know about it. But I recommend you do check first with your dentist, as it could be something else. You could have temporomandibular joint syn Chat Doctor. This can cause pain in teeth and jaws. The dentist can get a panning x-ray view of your jaws and all your teeth and see if this is a possibility. Treatment would be quite different, as this is not an infection. A dentist could also check for other conditions that could be causing the pain. I suggest you start there before assuming this is spread of the staph. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I feel like Im pregnant. I had sex 1 weeks ago but I have some symptoms. I cant tell my mom & I need some home remedies to abort the child. Im on birth control but I was taking it 3 hours apart everyday & you arent supposed to do that. No condom was used | Headfirst of all Purchase a Urine Pregnancy Test kit and confirm the pregnancy, or lac of thereafter. For all you know, you might not be pregnant at all. That is after you have missed your period. Best time to test for pregnancy is 3 weeks after an unprotected sex for best and accurate results. Secondly, abortion is no joke to be done at home using home remedies. There are certain protocols to be followed. If you find the result positive then approach a Gynecologist for help. There are pills available, but this can not be purchased/ consumed without a doctors' guidance. Follow what he/she advises you to. Thirdly, Try to relax. Stress delays period. Try to ensure discipline in your contraceptive practice to avoid such stress. Hope this was helpful. Warm Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I feel like Im pregnant. I had sex 1 weeks ago but I have some symptoms. I cant tell my mom & I need some home remedies to abort the child. Im on birth control but I was taking it 3 hours apart everyday & you arent supposed to do that. No condom was used"
},
{
"from": "gpt",
"value": "Output: Headfirst of all Purchase a Urine Pregnancy Test kit and confirm the pregnancy, or lac of thereafter. For all you know, you might not be pregnant at all. That is after you have missed your period. Best time to test for pregnancy is 3 weeks after an unprotected sex for best and accurate results. Secondly, abortion is no joke to be done at home using home remedies. There are certain protocols to be followed. If you find the result positive then approach a Gynecologist for help. There are pills available, but this can not be purchased/ consumed without a doctors' guidance. Follow what he/she advises you to. Thirdly, Try to relax. Stress delays period. Try to ensure discipline in your contraceptive practice to avoid such stress. Hope this was helpful. Warm Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI I have a small, hard lump slightly of centre at the end of my sterum, If i look down while breathing out and pulling my tummy in its quite obvious, its noticeable. Its not attached to skin by seems to be on the process thing where last ribs meet. | Thanks for your question on Chat Doctor. By your description and history, I think you are talking about typhoid process. It is terminal part of sternum and in some individual, it is separate bone and can give feeling of hard lump on touch. So mostly it is typhoid process of sternum. So no need to worry much for this as it is a normal thing. But better to rule out other things by ultrasound examination of local part. If ultrasound is normal then no need to worry about this thing. It is normal typhoid process. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI I have a small, hard lump slightly of centre at the end of my sterum, If i look down while breathing out and pulling my tummy in its quite obvious, its noticeable. Its not attached to skin by seems to be on the process thing where last ribs meet."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. By your description and history, I think you are talking about typhoid process. It is terminal part of sternum and in some individual, it is separate bone and can give feeling of hard lump on touch. So mostly it is typhoid process of sternum. So no need to worry much for this as it is a normal thing. But better to rule out other things by ultrasound examination of local part. If ultrasound is normal then no need to worry about this thing. It is normal typhoid process."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Yesterday I was thrown off my horse into a hard wall and fell underneath the horse. He stood on me multiple times (have pretty hoof print bruises). I didn t know until about 4hrs later when I took my boots off that he had also stood on the side of my ankle. The swelling and bruising is relatively bad. I can t see any bone of my ankle due to swelling. There is still heat almost 24hrs later and I can still kind of move my ankle but cannot touch it and even my pants hurt if they brush. I can walk still so can t imagine its more than a surface injury but is there anything I can do to aid in a speedy recovery? | Hi there. Thanks for your question at Chat Doctor. Rest, Analgesics, Ice and bandage application usually help relieve the pain and swelling associated with ankle injuries.However, if the pain still persists 48 hours after injury, which gets aggravated on standing or walking, it needs further evaluation. I would suggest you to be seen by a physician in person since your pain still persists. Based on the examination an X-ray may be required to rule out fractures. It is also top to be noted that a severe soft tissue injury (ligaments and muscles) can cause pain as severe as pain associated with a fracture. Hope this helps. All the best. Regards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Yesterday I was thrown off my horse into a hard wall and fell underneath the horse. He stood on me multiple times (have pretty hoof print bruises). I didn t know until about 4hrs later when I took my boots off that he had also stood on the side of my ankle. The swelling and bruising is relatively bad. I can t see any bone of my ankle due to swelling. There is still heat almost 24hrs later and I can still kind of move my ankle but cannot touch it and even my pants hurt if they brush. I can walk still so can t imagine its more than a surface injury but is there anything I can do to aid in a speedy recovery?"
},
{
"from": "gpt",
"value": "Output: Hi there. Thanks for your question at Chat Doctor. Rest, Analgesics, Ice and bandage application usually help relieve the pain and swelling associated with ankle injuries.However, if the pain still persists 48 hours after injury, which gets aggravated on standing or walking, it needs further evaluation. I would suggest you to be seen by a physician in person since your pain still persists. Based on the examination an X-ray may be required to rule out fractures. It is also top to be noted that a severe soft tissue injury (ligaments and muscles) can cause pain as severe as pain associated with a fracture. Hope this helps. All the best. Regards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | ive been to the doctors today to tell them that i dont really think that the antidepressant mirtazapine is helping me....it does keep me calm but ive been getting restless legs and a little agitated..but i found out to today that i need other medication i take increased which has made me a little worried and now im wondering whether coming off of it is the best course of action after all..should i wait a little while longer???? | 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. If mirtazapine is not helping you then the other options are Escitalopram or venlafaxine etc. 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: ive been to the doctors today to tell them that i dont really think that the antidepressant mirtazapine is helping me....it does keep me calm but ive been getting restless legs and a little agitated..but i found out to today that i need other medication i take increased which has made me a little worried and now im wondering whether coming off of it is the best course of action after all..should i wait a little while longer????"
},
{
"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. If mirtazapine is not helping you then the other options are Escitalopram or venlafaxine etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi im parul suffering endometrosis. i have no child.i tryed two time IUI but it failed. so sugest me how much possible to pregnency | Endometriosis is commonly seen during the reproductive years, endometriosis occurs in roughly 5-10% of women. Symptoms may depend on the site of active endometriosis. It's main but not universal symptom is pelvic pain in various manifestations. Endometriosis is a common finding in women with infertility. Consult infertility specialist, if possible go for IVF, depending on your age & pocket. Disclaimer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im parul suffering endometrosis. i have no child.i tryed two time IUI but it failed. so sugest me how much possible to pregnency"
},
{
"from": "gpt",
"value": "Output: Endometriosis is commonly seen during the reproductive years, endometriosis occurs in roughly 5-10% of women. Symptoms may depend on the site of active endometriosis. It's main but not universal symptom is pelvic pain in various manifestations. Endometriosis is a common finding in women with infertility. Consult infertility specialist, if possible go for IVF, depending on your age & pocket. Disclaimer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | SINCE LAST 5 MONTHS, I HAVE BEEN DETECTED FOR PUSS CELLS IN URINE.I HAVE BEEN TREATED WITH TOP MOST ANTIBIOTICS( IV) AT YASHODA SUPER SPECIALITY HOSPITAL HYDERABAD FOR ABOUT 14 DAYS. PUSS CELLS NUMBERS HAS COME DOWN FROM 60 TO 12. AND AGAIN THE PUSS CELLS INCREASED TREMONDESLY. LATER ON TRIED FOR HOMEOPATHY MEDICINES FOR A MONTH. AGAIN MY PUSS CELLS HAS COME DOWN TO 8.BUT I WAS CONTINOUSLY GETTING FEVER, BACK PAIN & VOMMITING.AND BODY WEIGHT IS COMMING DOWN. I LOST ALMOST 20 KGS BODY WEIGHT.RECENTLY I APPROACHED PRAMILA HOSPITAL HYDERABAD FOR MY AILMENT. AFTER PATHOLOGICAL TEST / SCANNING ETC I WAS TOLD THAT I NEED TO UNDER GO PROSTATE SURGERY AS URINE IS GETTING RETAINED IN THE PROSTATE. FINALLY I GOT MY PROSTATE OPERATED ON 04.10.2010. AND THE ORAL TREATMENT IS CONTINED SINCE THEN.BUT STILL NOW MY PUSS CELL COUNT IS AROUND 60.AND SERUM CREATININE IS 3.1.WHEN I ASK MY DOCTOR ABOUT PUSS CELL COUNT, HE SAYS IT MAY BE THERE FOR ANY PERIOD IN FUTURE AND NOT TO WORRY.ABOUT SERUM CREATININE, HE SAYS ONCE THE PUSS CELL COMES DOWN THE CREATININE SHALL COME DOWN AND NOT TO WORRY.MY WORRY IS THAT I AM GETTING FREQUENT FEVERS & CHILLS AND UNABLE TO CONSUME FOOD.PLS ADVICE THE BEST IN THIS REGARDREGARDSB G SRIDHAR0000 YYYY@YYYY | Hello, thanks for using Chat Doctor.I had gone through all the data posted. First thing is what was your urine culture report. Because antibiotics have to be tailored against the organism. We generally start on broad spectrum and change to specific antibiotics once we get culture report. Second is if pus cells are present is it genital Tuberculosis. Sterile Syria where urine culture may be sterile but pus cells Wii be present continouslyfor this we need to do AFB stain in urine in morning concentrated sample Kindly update me all your reports so that I can give more opinion on your problem. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: SINCE LAST 5 MONTHS, I HAVE BEEN DETECTED FOR PUSS CELLS IN URINE.I HAVE BEEN TREATED WITH TOP MOST ANTIBIOTICS( IV) AT YASHODA SUPER SPECIALITY HOSPITAL HYDERABAD FOR ABOUT 14 DAYS. PUSS CELLS NUMBERS HAS COME DOWN FROM 60 TO 12. AND AGAIN THE PUSS CELLS INCREASED TREMONDESLY. LATER ON TRIED FOR HOMEOPATHY MEDICINES FOR A MONTH. AGAIN MY PUSS CELLS HAS COME DOWN TO 8.BUT I WAS CONTINOUSLY GETTING FEVER, BACK PAIN & VOMMITING.AND BODY WEIGHT IS COMMING DOWN. I LOST ALMOST 20 KGS BODY WEIGHT.RECENTLY I APPROACHED PRAMILA HOSPITAL HYDERABAD FOR MY AILMENT. AFTER PATHOLOGICAL TEST / SCANNING ETC I WAS TOLD THAT I NEED TO UNDER GO PROSTATE SURGERY AS URINE IS GETTING RETAINED IN THE PROSTATE. FINALLY I GOT MY PROSTATE OPERATED ON 04.10.2010. AND THE ORAL TREATMENT IS CONTINED SINCE THEN.BUT STILL NOW MY PUSS CELL COUNT IS AROUND 60.AND SERUM CREATININE IS 3.1.WHEN I ASK MY DOCTOR ABOUT PUSS CELL COUNT, HE SAYS IT MAY BE THERE FOR ANY PERIOD IN FUTURE AND NOT TO WORRY.ABOUT SERUM CREATININE, HE SAYS ONCE THE PUSS CELL COMES DOWN THE CREATININE SHALL COME DOWN AND NOT TO WORRY.MY WORRY IS THAT I AM GETTING FREQUENT FEVERS & CHILLS AND UNABLE TO CONSUME FOOD.PLS ADVICE THE BEST IN THIS REGARDREGARDSB G SRIDHAR0000 YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hello, thanks for using Chat Doctor.I had gone through all the data posted. First thing is what was your urine culture report. Because antibiotics have to be tailored against the organism. We generally start on broad spectrum and change to specific antibiotics once we get culture report. Second is if pus cells are present is it genital Tuberculosis. Sterile Syria where urine culture may be sterile but pus cells Wii be present continouslyfor this we need to do AFB stain in urine in morning concentrated sample Kindly update me all your reports so that I can give more opinion on your problem. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello im 14 years old and ever since i was in grade 3 i have been getting sharp chest pains near my heart.it hurts so much that when i get them i have 2 freeze and try 2 breathe. they last up to 5 minutes long and i usually get them 2-3 times a week. Today iv had 4 very painful ones and im getting scared! i need help! | Thanks for your question on Chat Doctor. I can understand your concern. Teenagers are more prone for anxiety and panic disorder. Your symptoms are more suggestive of panic disorder and anxiety. But better to get done ECG and 2d echo first to rule out cardiac cause for symptoms. If both are normal then no need to worry about heart diseases. 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. Avoid stress and tension, be relaxed and calm. 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: Hello im 14 years old and ever since i was in grade 3 i have been getting sharp chest pains near my heart.it hurts so much that when i get them i have 2 freeze and try 2 breathe. they last up to 5 minutes long and i usually get them 2-3 times a week. Today iv had 4 very painful ones and im getting scared! i need help!"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Teenagers are more prone for anxiety and panic disorder. Your symptoms are more suggestive of panic disorder and anxiety. But better to get done ECG and 2d echo first to rule out cardiac cause for symptoms. If both are normal then no need to worry about heart diseases. 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. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son went camping last weekend, waking with chafed swollen lips, and itchy roof of mouth. I gave him Benadryl, and hydrocortisone for his lips. This helped, but did not take it completely away. Same symptoms persisting this morning. What should I do? | Hello. Thank you for asking at Chat Doctor. It seems your son has got angioedema involving lips. This is a swelling involving deeper tissues than skin, and usually it takes a few days to disappear. I would suggest you to give your son an oral antihistamine & montelukast daily for 3-7 days depending upon response. Hope this will help you. Wish your son a fast recovery and best of the health. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son went camping last weekend, waking with chafed swollen lips, and itchy roof of mouth. I gave him Benadryl, and hydrocortisone for his lips. This helped, but did not take it completely away. Same symptoms persisting this morning. What should I do?"
},
{
"from": "gpt",
"value": "Output: Hello. Thank you for asking at Chat Doctor. It seems your son has got angioedema involving lips. This is a swelling involving deeper tissues than skin, and usually it takes a few days to disappear. I would suggest you to give your son an oral antihistamine & montelukast daily for 3-7 days depending upon response. Hope this will help you. Wish your son a fast recovery and best of the health. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i just got word of my 85 yr old mother falling and xrays show a broken hip.. i am a ways away, have sisters and brother following her to hospital.. being transferred for surgery.. she is type 2 diabetic. on blood pressure meds.. had a stroke with little effects about 15 yrs ago.. concerned about anesthesia... she stays quite active.. just concerned... | Hello dear, I can understand your concern regarding your mother. I will say you have patience, it usually takes much more time to heal in elderly patients. Since your mother is known case of diabetes type 2, it will furthermore slow the healing process. As per Anesthesia is concerned, I think her anesthetist must know about her history, they will manage it well.please rate my answer if you found it helpful. Best wishes for your mother s health. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i just got word of my 85 yr old mother falling and xrays show a broken hip.. i am a ways away, have sisters and brother following her to hospital.. being transferred for surgery.. she is type 2 diabetic. on blood pressure meds.. had a stroke with little effects about 15 yrs ago.. concerned about anesthesia... she stays quite active.. just concerned..."
},
{
"from": "gpt",
"value": "Output: Hello dear, I can understand your concern regarding your mother. I will say you have patience, it usually takes much more time to heal in elderly patients. Since your mother is known case of diabetes type 2, it will furthermore slow the healing process. As per Anesthesia is concerned, I think her anesthetist must know about her history, they will manage it well.please rate my answer if you found it helpful. Best wishes for your mother s health. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Two weeks back i was detected ITP and doctor started wylosone 45mg. My question is I feel always tired and fatigue since before starting medicine and still now. Why? I not able to walk more distance my breathing started fasting. I not feel still any better health after starting steroid. Why? Is tiredness is the part of ITP? | Hello dear thanks for your query at ChatDoctortiredness is not part of ITP. It could be due to steroids. Steroids can cause tiredness and restless less. But your saying tiredness is before starting steroid, other causes should be ruled out.important because I would consider here is anemia, it can cause fatigue, restlessness, and breathing problems. Get one complete blood picture to rule out any anemia. If symptoms are increasing, difficulty in breathing please consult doctor for further investigation and management. Do not stop steroid abruptly for any reason regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Two weeks back i was detected ITP and doctor started wylosone 45mg. My question is I feel always tired and fatigue since before starting medicine and still now. Why? I not able to walk more distance my breathing started fasting. I not feel still any better health after starting steroid. Why? Is tiredness is the part of ITP?"
},
{
"from": "gpt",
"value": "Output: Hello dear thanks for your query at ChatDoctortiredness is not part of ITP. It could be due to steroids. Steroids can cause tiredness and restless less. But your saying tiredness is before starting steroid, other causes should be ruled out.important because I would consider here is anemia, it can cause fatigue, restlessness, and breathing problems. Get one complete blood picture to rule out any anemia. If symptoms are increasing, difficulty in breathing please consult doctor for further investigation and management. Do not stop steroid abruptly for any reason regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi my 11 year old is suffering from asthema and a constant allergic cough which has been diagnosed as sysptom of respiratory obstruction. he was on a regime of Levolin and budecort. but now the doctor has put him on Foracort. it dosent seem to be helping much. should I switch back | Hi I have read your question and understand your concerns. Thank you for posting in Chat Doctor. Levolin contains albuterol that is short-acting bronchodilator but has rapid mechanism of action, while Decor contains budesonide that is a steroid. Your doctor has put him on Forecourt that contains Budesonide and Forometrol (that is a long acting bronchodilator). So instead of using two inhalers, a patient can use single one that comes in combination. If Forecourt doesn't help much you can use Leveling and Decor. I suggest my patients Tablet Montelukast (chewable) 5\u00a0mg at nighttime as well. Wish your kid good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my 11 year old is suffering from asthema and a constant allergic cough which has been diagnosed as sysptom of respiratory obstruction. he was on a regime of Levolin and budecort. but now the doctor has put him on Foracort. it dosent seem to be helping much. should I switch back"
},
{
"from": "gpt",
"value": "Output: Hi I have read your question and understand your concerns. Thank you for posting in Chat Doctor. Levolin contains albuterol that is short-acting bronchodilator but has rapid mechanism of action, while Decor contains budesonide that is a steroid. Your doctor has put him on Forecourt that contains Budesonide and Forometrol (that is a long acting bronchodilator). So instead of using two inhalers, a patient can use single one that comes in combination. If Forecourt doesn't help much you can use Leveling and Decor. I suggest my patients Tablet Montelukast (chewable) 5\\u00a0mg at nighttime as well. Wish your kid good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am sufferring from low sperm count and we had 6 IUI and 1 IVF using my sperm which got unsuccessful. Now we are trying from donor sperm and my wife had gone 3 IUI but all are ended with negative results. As per doctors, she is perfectly fine and all test results are normal imcluding HSG. What may be the problem and what could be helpful in this case? | Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft Chat Doctor. Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape. Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & camphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am sufferring from low sperm count and we had 6 IUI and 1 IVF using my sperm which got unsuccessful. Now we are trying from donor sperm and my wife had gone 3 IUI but all are ended with negative results. As per doctors, she is perfectly fine and all test results are normal imcluding HSG. What may be the problem and what could be helpful in this case?"
},
{
"from": "gpt",
"value": "Output: Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft Chat Doctor. Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape. Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & camphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. 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 been experiencing some moderate to severe pain that radiates from my right side of my upper back (shoulder blade) upper arm, under my arm and to my chest area. The pain is a stinging, pain that has not stopped since it started about 4 days ago. It feels like pins and needles at times, but it hurts to the touch almost like sciatica but in my upper right arm, chest and back. | Hi I am Chat Doctor. . In my opinion it may be a kind of muscular spasm due to heavy lifting, vigorous movements or even wrong sleeping postures. You may begin with avoiding such movements, overstretching and extending your elbow sometimes an arm sling is helpful. Usually it resolves simultaneously within the first week but may extend to 2 weeks according to the trauma or injury severity. For my patients I recommend NSAIDs painkillers like Advil tab when needed, hot massages with topical gels will be ok if not you may need MRI to exclude any kind of nervous injury in your spine or shoulder for proper evaluation and treatment. Please consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been experiencing some moderate to severe pain that radiates from my right side of my upper back (shoulder blade) upper arm, under my arm and to my chest area. The pain is a stinging, pain that has not stopped since it started about 4 days ago. It feels like pins and needles at times, but it hurts to the touch almost like sciatica but in my upper right arm, chest and back."
},
{
"from": "gpt",
"value": "Output: Hi I am Chat Doctor. . In my opinion it may be a kind of muscular spasm due to heavy lifting, vigorous movements or even wrong sleeping postures. You may begin with avoiding such movements, overstretching and extending your elbow sometimes an arm sling is helpful. Usually it resolves simultaneously within the first week but may extend to 2 weeks according to the trauma or injury severity. For my patients I recommend NSAIDs painkillers like Advil tab when needed, hot massages with topical gels will be ok if not you may need MRI to exclude any kind of nervous injury in your spine or shoulder for proper evaluation and treatment. Please consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi dr. im 30 years old and my husband and i have been ttc for 1 year.we did all the tests required & everything is so fine , sperm count,quality & quantity, ovulation prolactine ,lh ....etc ,everything was fine.my doctor prescribed me clomid 50mg & progynova 2mg,so i was wondering if this might increase my chance of conceiving and if so how long does it take? | Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your problem is that you have failed to conceive. But all the reports are within normal limit. So, what will you do now? 1. first, do not worry at all. Do some aerobics to keep your mind fresh. 2. Try for pregnancy within 10 to 18th days of a menstrual cycle. The first day of the last menstrual period should be taken as day zero. 3. Take the medicines prescribed. They will definitely help. It may take some time like 3 to 4 months. 4. Use ovulation kit to detect the day of ovulation. Then try to have sex on and after that day most importantly. 5. After conceiving, you have to take progesterone group of Chat Doctor. So, consult with your gynecologist about the points I have mentioned. Hope this becomes helpful. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dr. im 30 years old and my husband and i have been ttc for 1 year.we did all the tests required & everything is so fine , sperm count,quality & quantity, ovulation prolactine ,lh ....etc ,everything was fine.my doctor prescribed me clomid 50mg & progynova 2mg,so i was wondering if this might increase my chance of conceiving and if so how long does it take?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your problem is that you have failed to conceive. But all the reports are within normal limit. So, what will you do now? 1. first, do not worry at all. Do some aerobics to keep your mind fresh. 2. Try for pregnancy within 10 to 18th days of a menstrual cycle. The first day of the last menstrual period should be taken as day zero. 3. Take the medicines prescribed. They will definitely help. It may take some time like 3 to 4 months. 4. Use ovulation kit to detect the day of ovulation. Then try to have sex on and after that day most importantly. 5. After conceiving, you have to take progesterone group of Chat Doctor. So, consult with your gynecologist about the points I have mentioned. Hope this becomes helpful. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed with shingles. I only had 3 sores. It was a very mild case. I dont know if they will come back. Can I do anything to stop them from coming back like vitamins? I have had itching and small sores on my leg. I dont know if it is shingles. | Hi, Welcome to Chat Doctor. There is a vaccine available to prevent recurrence of shingles. Recurrence of shingles is common when there is fall in immunity levels like in illness, stressful conditions. So I suggest you replenish your immune system with a balanced diet and regular exercise. Your present sores have to be examined by your treating doctor to confirm shingles. You can discuss the option of vaccine also with him. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosed with shingles. I only had 3 sores. It was a very mild case. I dont know if they will come back. Can I do anything to stop them from coming back like vitamins? I have had itching and small sores on my leg. I dont know if it is shingles."
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. There is a vaccine available to prevent recurrence of shingles. Recurrence of shingles is common when there is fall in immunity levels like in illness, stressful conditions. So I suggest you replenish your immune system with a balanced diet and regular exercise. Your present sores have to be examined by your treating doctor to confirm shingles. You can discuss the option of vaccine also with him. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Lately I have been experiencing feverish conditions. The inside of my body feels like a high fever but my skin feels just warmer than normal. I took my temp and it was 101.9. I have several other symptoms including extreme lethargy ( have trouble stating awake all day), confusion, forgetfulness and the one that bothers me the most is the dizziness. When my eyes move, I feel like there are tails following slowly behind. I had a hysterectomy in 1996. Thought that I was B12 Deficient, but did labs and it came back 904. My RBC Folate Result was elevated to 1022. Have any ideas? | Hi I did review your condition. High red blood cell folate is seen in few conditions like obesity, vitamin B12 deficiency, blind loop syn Chat Doctor. I would advise you to consult a doctor and get yourself analyzed for the fever and confusion that you have been having. The best initial tests would be complete blood count, liver function tests, kidney function test, and thyroid function tests as well as serum electrolytes. Then we will probably know the cause of your fever or at least know in which direction to move forward. I hope this helps Wish you a very healthy life ahead. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Lately I have been experiencing feverish conditions. The inside of my body feels like a high fever but my skin feels just warmer than normal. I took my temp and it was 101.9. I have several other symptoms including extreme lethargy ( have trouble stating awake all day), confusion, forgetfulness and the one that bothers me the most is the dizziness. When my eyes move, I feel like there are tails following slowly behind. I had a hysterectomy in 1996. Thought that I was B12 Deficient, but did labs and it came back 904. My RBC Folate Result was elevated to 1022. Have any ideas?"
},
{
"from": "gpt",
"value": "Output: Hi I did review your condition. High red blood cell folate is seen in few conditions like obesity, vitamin B12 deficiency, blind loop syn Chat Doctor. I would advise you to consult a doctor and get yourself analyzed for the fever and confusion that you have been having. The best initial tests would be complete blood count, liver function tests, kidney function test, and thyroid function tests as well as serum electrolytes. Then we will probably know the cause of your fever or at least know in which direction to move forward. I hope this helps Wish you a very healthy life ahead."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I hit my top of head 2 weeks ago. I had concussion symptoms of headache, being nauseous and dizzy and loss of concentration. I have been getting better but last night my arms started hurting. They feel heavy and sometimes a burning sensation. Other times a sharp pain. What could it be? | Your age please? The symptoms you have described, could be due to raised intracranial tension. I think you should consult a neurologist/euro surgeon. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100\u00a0mg +Paracetamol 350\u00a0mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.--. Do mild exercises --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (Through this platform.) Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I hit my top of head 2 weeks ago. I had concussion symptoms of headache, being nauseous and dizzy and loss of concentration. I have been getting better but last night my arms started hurting. They feel heavy and sometimes a burning sensation. Other times a sharp pain. What could it be?"
},
{
"from": "gpt",
"value": "Output: Your age please? The symptoms you have described, could be due to raised intracranial tension. I think you should consult a neurologist/euro surgeon. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100\\u00a0mg +Paracetamol 350\\u00a0mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.--. Do mild exercises --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (Through this platform.) Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Whenever I bleed, like a cut on the leg, anything that touches the place thats bleeding, like long pants, blankets, etc, the blood will sort of \"grow onto\" whatevers touching it, when i seperate them it feels like pulling of a scab and can be painful, Im just wondering if this is normal | Hi, Thank you for your query. I can understand your concerns. It seems that you are suffering from mild variants of Bleeding disorders. You need to undergo FBC (Full blood count), peripheral blood smear examination, platelet count, Bleeding time, Whole blood clotting time and a coagulation screen Activated partial thromboplastin time (APT)Prothrombin time (PT)These initial tests can be done in any good primary laboratory. If coagulation screen is abnormal pointing towards coagulation disorder you may have to undergo in special hematology laboratory-Specific factor assays - factors VIII or IX ; factor VIII and WWF in FWD.if these tests are all normal, then -tests for deficiencies of clotting factors other than VIII, FIX, and FBI, which are rare Bleeding Disorders but can cause relatively minor problems as you have mentioned, though often remains asymptomatic. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Whenever I bleed, like a cut on the leg, anything that touches the place thats bleeding, like long pants, blankets, etc, the blood will sort of \\\"grow onto\\\" whatevers touching it, when i seperate them it feels like pulling of a scab and can be painful, Im just wondering if this is normal"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your query. I can understand your concerns. It seems that you are suffering from mild variants of Bleeding disorders. You need to undergo FBC (Full blood count), peripheral blood smear examination, platelet count, Bleeding time, Whole blood clotting time and a coagulation screen Activated partial thromboplastin time (APT)Prothrombin time (PT)These initial tests can be done in any good primary laboratory. If coagulation screen is abnormal pointing towards coagulation disorder you may have to undergo in special hematology laboratory-Specific factor assays - factors VIII or IX ; factor VIII and WWF in FWD.if these tests are all normal, then -tests for deficiencies of clotting factors other than VIII, FIX, and FBI, which are rare Bleeding Disorders but can cause relatively minor problems as you have mentioned, though often remains asymptomatic. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My friend (aged 43),(mother died of breast cancer aged 57), has been diagnosed with rectal cancer, (located15cm within her rectum), that has been within her body for 12/18 months, key hole surgery has been ruled out and she is waiting for a CT scan to find out if this has spread. It is seen to be an infected area as opposed to a tumerous mass, but it is a rather large area thats involved. Can you tell me if this in your opinion, can be surgically removed without leaving her with a stoma or if it can be cured with radiotherapy and chemotharapy? RegardsAnita | A rectal tumor which is located 15\u00a0cm from anal verge in the rectum can be removed surgically with an anterior resection without the need of a permanent stoma. Other factors have to be considered prior to this surgery including | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend (aged 43),(mother died of breast cancer aged 57), has been diagnosed with rectal cancer, (located15cm within her rectum), that has been within her body for 12/18 months, key hole surgery has been ruled out and she is waiting for a CT scan to find out if this has spread. It is seen to be an infected area as opposed to a tumerous mass, but it is a rather large area thats involved. Can you tell me if this in your opinion, can be surgically removed without leaving her with a stoma or if it can be cured with radiotherapy and chemotharapy? RegardsAnita"
},
{
"from": "gpt",
"value": "Output: A rectal tumor which is located 15\\u00a0cm from anal verge in the rectum can be removed surgically with an anterior resection without the need of a permanent stoma. Other factors have to be considered prior to this surgery including"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good day Doctors,My mother, aged 54 years, was recently diagnosed with Atrial Septal Defect(ASD) - 12mm hole. She hasnt been facing any severe symptoms even now except that she feels shortness of breath while climbing the stairs. A local doctor has put her on Ecosprin 150 mg at the rate of 1 tablet in the night. Kindly suggest me whether I need to go for further treatment at the moment. | Thanks for your question on Chat Doctor. I can understand your concern. Your mother is having shortness of breath on exertion (climbing stairs). And in ASD patient, this can be the early sign of heart failure. Esprit is antiplatelet. It is for prevention of blood clots. It has no role in heart failure. So you should definitely consult her to cardiologist and get clinical examination, blood pressure monitoring and 2d echo to rule out heart failure. She might be improved with diuretics and other cardiac supportive Chat Doctor. No harm in continuing Esprit but it won't relieve her symptom of breathlessness on exertion. Diuretics and other cardiac supportive | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good day Doctors,My mother, aged 54 years, was recently diagnosed with Atrial Septal Defect(ASD) - 12mm hole. She hasnt been facing any severe symptoms even now except that she feels shortness of breath while climbing the stairs. A local doctor has put her on Ecosprin 150 mg at the rate of 1 tablet in the night. Kindly suggest me whether I need to go for further treatment at the moment."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Your mother is having shortness of breath on exertion (climbing stairs). And in ASD patient, this can be the early sign of heart failure. Esprit is antiplatelet. It is for prevention of blood clots. It has no role in heart failure. So you should definitely consult her to cardiologist and get clinical examination, blood pressure monitoring and 2d echo to rule out heart failure. She might be improved with diuretics and other cardiac supportive Chat Doctor. No harm in continuing Esprit but it won't relieve her symptom of breathlessness on exertion. Diuretics and other cardiac supportive"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m 33 years old and I m an African American, and I have tingles in my left side of my head and also the left side of my face. It sometimes feels like an electric shock, due to this I can no longer put my face in water. And the most time it most bothers me is when I chew my food and today I yawned and my left side of my face tingled really bad. But it hurts when it happens sometimes I cry, because it hurts so bad. Can you please tell me what this is ? | Hi, Thank you for using Chat Doctor. I can understand your concern for this pain. Are you able to demarcate the pain site sharply ? If yes then most probable cause of your pain in trigeminal neuralgia. The nature of pain is mostly electric shock or needle prick, and the triggering event is same as you describe in most of the patient. The pain is in the course of the trigeminal nerve which is a fifth nerve in brain. The episode of pain is preventable. Carbamazepine is the first line treatment for this kind of condition. Hope you find this helpful. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 33 years old and I m an African American, and I have tingles in my left side of my head and also the left side of my face. It sometimes feels like an electric shock, due to this I can no longer put my face in water. And the most time it most bothers me is when I chew my food and today I yawned and my left side of my face tingled really bad. But it hurts when it happens sometimes I cry, because it hurts so bad. Can you please tell me what this is ?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for using Chat Doctor. I can understand your concern for this pain. Are you able to demarcate the pain site sharply ? If yes then most probable cause of your pain in trigeminal neuralgia. The nature of pain is mostly electric shock or needle prick, and the triggering event is same as you describe in most of the patient. The pain is in the course of the trigeminal nerve which is a fifth nerve in brain. The episode of pain is preventable. Carbamazepine is the first line treatment for this kind of condition. Hope you find this helpful. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have this dull nagging pain in my chest and then it goes to my left sholder and left arm, i have had 2 stress test in the past and have had nemrous EKGs and all are normal but i am really worried about this, its been about a month and it happens every day, what could this be? i do have anxitey, could this be stress and should i be concerned? | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart related pain because you are having negative stress tests and ECG s. Yes excessive, uncontrolled anxiety, stress etc. can cause similar kind of chest and shoulder pain. So better to 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. Counselling is very important along with | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have this dull nagging pain in my chest and then it goes to my left sholder and left arm, i have had 2 stress test in the past and have had nemrous EKGs and all are normal but i am really worried about this, its been about a month and it happens every day, what could this be? i do have anxitey, could this be stress and should i be concerned?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart related pain because you are having negative stress tests and ECG s. Yes excessive, uncontrolled anxiety, stress etc. can cause similar kind of chest and shoulder pain. So better to 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. Counselling is very important along with"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,Doctor,There is a problem in my wife abdomen, as in 2009 jan got baby by operation(2nd baby 2nd operation), and after 3 month at left upper abdomen there is reddish circle araised with some bulge with pain, doctor told this may be hernia or infection and they done the operation in september 2009, but the thing is not corrected till now , Yet the problem is that white trans parent color liquid is coming from the point of operation there is a hole of 2 cm is not closed and there is a some hardness is the inside the sotmach back to the operation place | HI. Thanks for your query and an elucidated history. This is a book-picture of a few conditions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,Doctor,There is a problem in my wife abdomen, as in 2009 jan got baby by operation(2nd baby 2nd operation), and after 3 month at left upper abdomen there is reddish circle araised with some bulge with pain, doctor told this may be hernia or infection and they done the operation in september 2009, but the thing is not corrected till now , Yet the problem is that white trans parent color liquid is coming from the point of operation there is a hole of 2 cm is not closed and there is a some hardness is the inside the sotmach back to the operation place"
},
{
"from": "gpt",
"value": "Output: HI. Thanks for your query and an elucidated history. This is a book-picture of a few conditions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been sick to my stomach and my head feels full like I want to throw up for a couple of weeks now. It started when i started having pain between my shoulder blades. I do have high blood pressure but it is controlled by medication. And this past weekend, i went to sneeze and i had a jarring pain through my shoulder blades and into my neck. I went to the doctor and he said i pulled a muscle. But I am still nauseated and my head feels heavier than it should. | Hello! I understand your concern. In my opinion this may be something more serious than a muscular contraction. The pain you are having, and the gradual increase mean that something is happening in this region. It may be a cervical or thoracic disc bulge, a spinal tumor or an infection located in your column or UN the surrounding tissues. The headache and nausea may be signs of an infection. Have had fever during these days? I would recommend you to go to the doctor, have a physical examination, a routine blood test for infection, a service- thoracic x-ray, followed by a service- thoracic CT scan.Finally, if this diagnosis ate ruled out further exams may be needed for gastrointestinal or heart problems. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been sick to my stomach and my head feels full like I want to throw up for a couple of weeks now. It started when i started having pain between my shoulder blades. I do have high blood pressure but it is controlled by medication. And this past weekend, i went to sneeze and i had a jarring pain through my shoulder blades and into my neck. I went to the doctor and he said i pulled a muscle. But I am still nauseated and my head feels heavier than it should."
},
{
"from": "gpt",
"value": "Output: Hello! I understand your concern. In my opinion this may be something more serious than a muscular contraction. The pain you are having, and the gradual increase mean that something is happening in this region. It may be a cervical or thoracic disc bulge, a spinal tumor or an infection located in your column or UN the surrounding tissues. The headache and nausea may be signs of an infection. Have had fever during these days? I would recommend you to go to the doctor, have a physical examination, a routine blood test for infection, a service- thoracic x-ray, followed by a service- thoracic CT scan.Finally, if this diagnosis ate ruled out further exams may be needed for gastrointestinal or heart problems. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | literally a week ago i woke up and the right side of my inguinal area i noticed two lumps the same size. i looked it up and it seems to be swollen lymph nodes maybe. then monday i started to have spotting. i don t have a normal diet. i am a very small skinny girl and i stress a lot and have bad anxiety. i freaked out about swelling quite a bit. could the swelling be causing me to spot or is it my stress and diet ? i am sexually active and i am on birth control. we use triple the protection. i got 2/3 of my cervical cancer shots. i just need advice i am freaking out. does something serious grow over night like that ? | Welcome to Chat Doctor. Thank you for posting your question. Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps. Do not neglect your diet. Have regular diets. You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day, it can be anything like you read a good story book, or you helped someone in the street, cooked a delicious dish just anything. For the lump, I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup. Have a nice day. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: literally a week ago i woke up and the right side of my inguinal area i noticed two lumps the same size. i looked it up and it seems to be swollen lymph nodes maybe. then monday i started to have spotting. i don t have a normal diet. i am a very small skinny girl and i stress a lot and have bad anxiety. i freaked out about swelling quite a bit. could the swelling be causing me to spot or is it my stress and diet ? i am sexually active and i am on birth control. we use triple the protection. i got 2/3 of my cervical cancer shots. i just need advice i am freaking out. does something serious grow over night like that ?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor. Thank you for posting your question. Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps. Do not neglect your diet. Have regular diets. You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day, it can be anything like you read a good story book, or you helped someone in the street, cooked a delicious dish just anything. For the lump, I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup. Have a nice day. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi .... i am a 23 yr old woman....i am suffering from moderate acne from the last 5 years. I have tried a lot of treatments. Recently, I visited a dermatologist and she prescribed Skin O2 capsules. Does this have any side effect if I continue this capsule for a long time? | Hi, Skin-O2 capsule is a nutritional supplement containing multivitamins and essential trace elements required for normal growth of skin and hairs. Generally it is well tolerated however it may cause stomach upset, nausea, metallic taste which usually subside over period of time. Other side effects that may occur on prolonged use include dyspepsia, belching, and constipation. Continue to take as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi .... i am a 23 yr old woman....i am suffering from moderate acne from the last 5 years. I have tried a lot of treatments. Recently, I visited a dermatologist and she prescribed Skin O2 capsules. Does this have any side effect if I continue this capsule for a long time?"
},
{
"from": "gpt",
"value": "Output: Hi, Skin-O2 capsule is a nutritional supplement containing multivitamins and essential trace elements required for normal growth of skin and hairs. Generally it is well tolerated however it may cause stomach upset, nausea, metallic taste which usually subside over period of time. Other side effects that may occur on prolonged use include dyspepsia, belching, and constipation. Continue to take as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, recently I went to a trampoline park and as I jumped I feel a great pain all round my chest and upper torso including my back, since then in certain positions I have had pain in my upper back and chest - please not that I have a pigeon chest. Thanks | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more because your pain is associated with movements. But better to rule out heart and lung related causes first because you are having pigeon chest. So get done ECG to rule out cardiac diseases. Get done chest x-ray to rule out Pulmonary causes. If both these are normal then no need to worry about major diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller and muscle relaxant 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: Hello, recently I went to a trampoline park and as I jumped I feel a great pain all round my chest and upper torso including my back, since then in certain positions I have had pain in my upper back and chest - please not that I have a pigeon chest. Thanks"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more because your pain is associated with movements. But better to rule out heart and lung related causes first because you are having pigeon chest. So get done ECG to rule out cardiac diseases. Get done chest x-ray to rule out Pulmonary causes. If both these are normal then no need to worry about major diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller and muscle relaxant 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 think I might have OCD, but I am not sure. I was reading about it because I was worried about a friend, but then I read that tapping or counting numbers was a sign of it. For a while now, I have been repeating words in my mind, and each syllable gets a finger. Then I tap on my fingers what I just heard. I can t skip over fingers, and it has to end on a pinky or thumb. Am I OCD? | Hi, Thanks for using Chat Doctor .OCD comprise obsessions and compulsions. Obsessions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I think I might have OCD, but I am not sure. I was reading about it because I was worried about a friend, but then I read that tapping or counting numbers was a sign of it. For a while now, I have been repeating words in my mind, and each syllable gets a finger. Then I tap on my fingers what I just heard. I can t skip over fingers, and it has to end on a pinky or thumb. Am I OCD?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for using Chat Doctor .OCD comprise obsessions and compulsions. Obsessions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive severe toothache in one of my molars the pain increases as I lie down to sleep. Ive been taking 625 mg amoxicillin clavulanic acid tablet twice daily for 4 days but the infection doesnt seem to go. Ive tried taking paracetamol+ibuprofen/Ketorolac/zerodol but nothing helps. the only relief is keeping ice cold water in my mouth. Please help! | Hello | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive severe toothache in one of my molars the pain increases as I lie down to sleep. Ive been taking 625 mg amoxicillin clavulanic acid tablet twice daily for 4 days but the infection doesnt seem to go. Ive tried taking paracetamol+ibuprofen/Ketorolac/zerodol but nothing helps. the only relief is keeping ice cold water in my mouth. Please help!"
},
{
"from": "gpt",
"value": "Output: Hello"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has cirrhosis,diabetes & hepatic encephalopathy. He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent? Does this mean his liver is worse & not processing the lactulose? | Hi, Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in cirrhotic patients and can be prevented by measures like avoiding constipation, monitoring the electrolytes level and avoiding low potassium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleeding by applying band ligation to the dilated veins in the esophagus (Varices) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has cirrhosis,diabetes & hepatic encephalopathy. He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent? Does this mean his liver is worse & not processing the lactulose?"
},
{
"from": "gpt",
"value": "Output: Hi, Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in cirrhotic patients and can be prevented by measures like avoiding constipation, monitoring the electrolytes level and avoiding low potassium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleeding by applying band ligation to the dilated veins in the esophagus (Varices)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I m 19 yrs female and I have had veneers on two if my teeth for about a year now. Two months ago the veneer where my tooth was shaven down started hurting. I would get up at night in pain. I thought my gums probably were receding due to excessive over brushing so I started using garlic to kill any bacteria and to seal the gum line. Now my gums look like they re peeling. They look blistered. I think it s due to the garlic and constantly placing it on the gum above the tooth. There is no pain throbbing on and off but my gums look terrible. | Hello and welcome to Chat Doctor forum, i would like to inform you that when veneers are placed, oral hygiene maintenance is very important, in your case it seems, gums are inflamed and are receding. I recommend use of antibacterial mouth wash(2 times/day), kindly see your dentist soon to avoid infection from spreading to the adjacent tissues, avoid applying garlic or any other topical agent until prescribed by a doctor.I hope I answered your query.I 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: Hi I m 19 yrs female and I have had veneers on two if my teeth for about a year now. Two months ago the veneer where my tooth was shaven down started hurting. I would get up at night in pain. I thought my gums probably were receding due to excessive over brushing so I started using garlic to kill any bacteria and to seal the gum line. Now my gums look like they re peeling. They look blistered. I think it s due to the garlic and constantly placing it on the gum above the tooth. There is no pain throbbing on and off but my gums look terrible."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor forum, i would like to inform you that when veneers are placed, oral hygiene maintenance is very important, in your case it seems, gums are inflamed and are receding. I recommend use of antibacterial mouth wash(2 times/day), kindly see your dentist soon to avoid infection from spreading to the adjacent tissues, avoid applying garlic or any other topical agent until prescribed by a doctor.I hope I answered your query.I wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi m a 35 yr old female . my recent blood test showd that sgpt is 111 n cholestrol is 233 . my bad cholestrol is also high. i underwent ultrasound n it showed a fatty liver . dr has put me on tablets to bring down cholestrol n sgpt. i would very much like to know what eating habit wil help me to bring down my sgpt to normal, because all d time im feeling nausea . kindly advice me on wat to eat n wat not to eat. | Welcome to Chat Doctor If other causes for Hepatitis (liver inflammation) have been ruled out and the only evident cause for it seems to be the extra deposition of fat in the liver, then diet high in saturated fats should be avoided. Such a diet would include butter, Ghee and milk with cream etc. You should go for diet rich in unsaturated fats specially one that contains omega 3. Besides this exercise and weight loss would be a crucial thing to go for. Hope This was helpful Please ask for further queries if you have any. Otherwise, please remember to leave a positive rating. 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: Hi m a 35 yr old female . my recent blood test showd that sgpt is 111 n cholestrol is 233 . my bad cholestrol is also high. i underwent ultrasound n it showed a fatty liver . dr has put me on tablets to bring down cholestrol n sgpt. i would very much like to know what eating habit wil help me to bring down my sgpt to normal, because all d time im feeling nausea . kindly advice me on wat to eat n wat not to eat."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor If other causes for Hepatitis (liver inflammation) have been ruled out and the only evident cause for it seems to be the extra deposition of fat in the liver, then diet high in saturated fats should be avoided. Such a diet would include butter, Ghee and milk with cream etc. You should go for diet rich in unsaturated fats specially one that contains omega 3. Besides this exercise and weight loss would be a crucial thing to go for. Hope This was helpful Please ask for further queries if you have any. Otherwise, please remember to leave a positive rating. Best Wishes Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, i am a 27 year old female, healthy, with a history of no major medical problems. twice in the past couple months, a large lump has appeared on my forearm (once on the outside of the right arm, and then on the inside of my left arm) which is then surrounded by a huge bruise within several hours. both times, this occured without any trauma to the affected area. any ideas why this is happening? thanks! | Hello hope the answer helps you. As you mention that without prior trauma noticed bruised lumps in arm twice. I think a detailed history as for any bleeding diaeresis as baleen, hematochazia needs to be sought, but otherwise you are healthy fit person and any bleeding disease in family and not on any anticoagulants then better you sit and wait to see it resolved out as not associated with fever to clue anywhere. If still happens again in future then needs consultation | [
{
"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 27 year old female, healthy, with a history of no major medical problems. twice in the past couple months, a large lump has appeared on my forearm (once on the outside of the right arm, and then on the inside of my left arm) which is then surrounded by a huge bruise within several hours. both times, this occured without any trauma to the affected area. any ideas why this is happening? thanks!"
},
{
"from": "gpt",
"value": "Output: Hello hope the answer helps you. As you mention that without prior trauma noticed bruised lumps in arm twice. I think a detailed history as for any bleeding diaeresis as baleen, hematochazia needs to be sought, but otherwise you are healthy fit person and any bleeding disease in family and not on any anticoagulants then better you sit and wait to see it resolved out as not associated with fever to clue anywhere. If still happens again in future then needs consultation"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my ecg is normal and i am healthy (162cm/61kg) and i walk a lot. in a master health check up, i was shocked to know that my chol level is 322/HDL-40/LDL-196/TG-406 but my ECG was normal. Please let me know if it is very harmful and do i have to take static tablet? | Hello, I understand your worries. But hopefully, the situation is reversible. Your Total cholesterol and the remaining variables are abnormal which puts you at a risk of developing cardiovascular diseases. Having a normal weight does not mean you are not your lipids and cholesterol are going to be normal. I advise you to eat more of vegetables, nuts, whole grains. Avoid junk fatty foods and smoking. You have to see your G. P probably you will undergo more test and will decide if you need statins. Best regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my ecg is normal and i am healthy (162cm/61kg) and i walk a lot. in a master health check up, i was shocked to know that my chol level is 322/HDL-40/LDL-196/TG-406 but my ECG was normal. Please let me know if it is very harmful and do i have to take static tablet?"
},
{
"from": "gpt",
"value": "Output: Hello, I understand your worries. But hopefully, the situation is reversible. Your Total cholesterol and the remaining variables are abnormal which puts you at a risk of developing cardiovascular diseases. Having a normal weight does not mean you are not your lipids and cholesterol are going to be normal. I advise you to eat more of vegetables, nuts, whole grains. Avoid junk fatty foods and smoking. You have to see your G. P probably you will undergo more test and will decide if you need statins. Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am a 16 y/o male and I recently found a tiny bump just inside my scrotum on the surface of my left testicle. It feels similar to a scab. It does not really hurt or bother me as of now but if I mess with it I feel like I was hit in the groin. I m worried about what this is and am looking for information and advice. Thank you. | Howell come to ChatDoctorThis could be warts, just keep this under observation for any changes if ever happens, and if you found anything like this then this need to be examined clinically because skin lesion always demand the observation and this is the only way to diagnose the lesion, now for the lesion that you have just no need to worry about this, chances of vanish this bump could be enough, 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 am a 16 y/o male and I recently found a tiny bump just inside my scrotum on the surface of my left testicle. It feels similar to a scab. It does not really hurt or bother me as of now but if I mess with it I feel like I was hit in the groin. I m worried about what this is and am looking for information and advice. Thank you."
},
{
"from": "gpt",
"value": "Output: Howell come to ChatDoctorThis could be warts, just keep this under observation for any changes if ever happens, and if you found anything like this then this need to be examined clinically because skin lesion always demand the observation and this is the only way to diagnose the lesion, now for the lesion that you have just no need to worry about this, chances of vanish this bump could be enough, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell down the stairs this morning. I landed on my shin bone. Its has been hurting since. I even had a difficult time drivin to work this morning and can not put much weight on it. However it is only red and not wry bruised or swollen. The skin is actually numb to the touch. Is this something I should be concerned about or just ice and take Advil? | This is a common problem after a trauma to the shin-bone. Though you may not see bruising there is probably bruising deep under the skin. This is a self limiting problem and will gradually go away. It may take a few weeks and don't be surprised if you do see bruising later along the foot. You can continue to treat it with Advil. Ice may also help reduce some pain. Hope I have answered your query. If you have any further questions I will be happy to help | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell down the stairs this morning. I landed on my shin bone. Its has been hurting since. I even had a difficult time drivin to work this morning and can not put much weight on it. However it is only red and not wry bruised or swollen. The skin is actually numb to the touch. Is this something I should be concerned about or just ice and take Advil?"
},
{
"from": "gpt",
"value": "Output: This is a common problem after a trauma to the shin-bone. Though you may not see bruising there is probably bruising deep under the skin. This is a self limiting problem and will gradually go away. It may take a few weeks and don't be surprised if you do see bruising later along the foot. You can continue to treat it with Advil. Ice may also help reduce some pain. Hope I have answered your query. If you have any further questions I will be happy to help"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir iam from kuwait for the past 12 years iam here but iam from kerala my marriage did on 2009 december my wife recently came in kuwait for 3 month visit visa when i was trying to sex with her my penis is not errecting we are very worry my age is 35 wife age is 25 sir we need one baby please advice me | HelloThanks for writing to ChatDoctorTrue erectile dysfunction is unlikely in your age. Your problem may be due to stress or overexcited stage. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things. If symptoms persists then you need proper evaluation. Hope I have answered your query. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir iam from kuwait for the past 12 years iam here but iam from kerala my marriage did on 2009 december my wife recently came in kuwait for 3 month visit visa when i was trying to sex with her my penis is not errecting we are very worry my age is 35 wife age is 25 sir we need one baby please advice me"
},
{
"from": "gpt",
"value": "Output: HelloThanks for writing to ChatDoctorTrue erectile dysfunction is unlikely in your age. Your problem may be due to stress or overexcited stage. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things. If symptoms persists then you need proper evaluation. Hope I have answered your query. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi..work up 2 mornings ago with a painful lump more so than a pimple inside my instead behind the skin that seperatrs the nostrils so its hard to see what it looks like. Anyway this pain is ridiculous. My nose is very red and swollen. Whenever i bend forward they blood rushes to my nose causing a thumping beating pain. What is this from and when will it go away??? | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have boil in the nostril at the tip of the nose internally. It would go if you take proper treatment with Er Surgeon or Ent-SurgeonConsult Er Ent-Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews 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: Hi..work up 2 mornings ago with a painful lump more so than a pimple inside my instead behind the skin that seperatrs the nostrils so its hard to see what it looks like. Anyway this pain is ridiculous. My nose is very red and swollen. Whenever i bend forward they blood rushes to my nose causing a thumping beating pain. What is this from and when will it go away???"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have boil in the nostril at the tip of the nose internally. It would go if you take proper treatment with Er Surgeon or Ent-SurgeonConsult Er Ent-Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews 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. | hi... im married for 4 yrs, trying to conceive, doc advised ccq50 along with progynova 2mg and duphaston10mg. But i hv found that progynova drugs have side effec ts like breast cancer, it also suggests not to take them during pregnancy .... im confused, plz help. | Hello, Progynova replaces the hormone estradiol that the body no longer makes and prevents or relieves symptoms such as hot flushes, sweats, sleep disturbances, depressive moods, irritability, dizziness, headaches as well as vaginal Chat Doctor. If considered necessary, Progynova 2 mg should be used. Once treatment is established the lowest effective dose necessary for relief of symptoms should be used. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi... im married for 4 yrs, trying to conceive, doc advised ccq50 along with progynova 2mg and duphaston10mg. But i hv found that progynova drugs have side effec ts like breast cancer, it also suggests not to take them during pregnancy .... im confused, plz help."
},
{
"from": "gpt",
"value": "Output: Hello, Progynova replaces the hormone estradiol that the body no longer makes and prevents or relieves symptoms such as hot flushes, sweats, sleep disturbances, depressive moods, irritability, dizziness, headaches as well as vaginal Chat Doctor. If considered necessary, Progynova 2 mg should be used. Once treatment is established the lowest effective dose necessary for relief of symptoms should be used. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have smoked cigarettes for years and now when I smoke I get headaches, throat pain, swelling in the throat, acid reflux, makes me very tired. I stopped smoking for a few days and felt better. I have been smoking again and the problems are back. I know I need to see a Dr. My question is do I already have cancer if I have symptoms like this from smoking? | Hello & Welcome to Chat Doctor, I had gone through your case and I found it might be due to over smoking which create gastritis due to which all symptoms you have mentioned is occur. For conformation of cancer you need to go for further investigation like biopsy of throat scrap and Ct Of Abdomen. But I am sure this will be only gastritis. Better for you to quit the smoking. Take antacid, multivitamin and proper regular diet to improve your fitness. Hope my answer will be effective for you. Thanks & regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have smoked cigarettes for years and now when I smoke I get headaches, throat pain, swelling in the throat, acid reflux, makes me very tired. I stopped smoking for a few days and felt better. I have been smoking again and the problems are back. I know I need to see a Dr. My question is do I already have cancer if I have symptoms like this from smoking?"
},
{
"from": "gpt",
"value": "Output: Hello & Welcome to Chat Doctor, I had gone through your case and I found it might be due to over smoking which create gastritis due to which all symptoms you have mentioned is occur. For conformation of cancer you need to go for further investigation like biopsy of throat scrap and Ct Of Abdomen. But I am sure this will be only gastritis. Better for you to quit the smoking. Take antacid, multivitamin and proper regular diet to improve your fitness. Hope my answer will be effective for you. Thanks & regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump on the lower left side of my head. It hurts a little and the tenderness is now moving up behind my ear. It is also a little numb where it is tender. I was sick for about a week and a half and my cold is now almost gone. Should I be worried? | Hello! Thank you for the query. If this lump has appeared during the sickness, most probably it is a lymph node. Please note that lymph nodes get enlarged due to infection as a part of autoimmune response. Such node is usually movable and rounded. It should not be a reason to concern. Such lump can be also an abscess caused by sebaceous cyst infection. This condition appears in the area where there was a lump before. Redness, pain and swelling of this area should be present. In case of abscess you need to consult a surgeon and have it incised. If it's a lymph node you may wait and see how it will be acting. Hope this will help. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a lump on the lower left side of my head. It hurts a little and the tenderness is now moving up behind my ear. It is also a little numb where it is tender. I was sick for about a week and a half and my cold is now almost gone. Should I be worried?"
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. If this lump has appeared during the sickness, most probably it is a lymph node. Please note that lymph nodes get enlarged due to infection as a part of autoimmune response. Such node is usually movable and rounded. It should not be a reason to concern. Such lump can be also an abscess caused by sebaceous cyst infection. This condition appears in the area where there was a lump before. Redness, pain and swelling of this area should be present. In case of abscess you need to consult a surgeon and have it incised. If it's a lymph node you may wait and see how it will be acting. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, I have a blisters- small but nothing like I ever had before on my gums, just 1 blister above one of the large front teeth- so on the gumline above the tooth- not idea what it is and its been there for a few weeks- has not gotten any bigger. no idea what it might be...? | Thanks for your query, I have gone through your query, the blister above the gum line could be a pus discharging sinus tract or periapical abscess which is pointing out as pus discharging sinus tract. Consult your oral physician and get a radiograph done in relation to the front teeth and rule out tooth infection. If there is tooth infection treat it. You might need a course of antibiotics. 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: hi, I have a blisters- small but nothing like I ever had before on my gums, just 1 blister above one of the large front teeth- so on the gumline above the tooth- not idea what it is and its been there for a few weeks- has not gotten any bigger. no idea what it might be...?"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query, the blister above the gum line could be a pus discharging sinus tract or periapical abscess which is pointing out as pus discharging sinus tract. Consult your oral physician and get a radiograph done in relation to the front teeth and rule out tooth infection. If there is tooth infection treat it. You might need a course of antibiotics. 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. | Hi Doctor, my son is four and half year old. he seems to have developed a kind of allergy (sneezing, itchy eyes) after a viral fever infection. now if i give him fluzet syrup just 5ml. a day, he will be fine for 2 days. should i take him to pedeatrition or an ent specialist? | Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, my son is four and half year old. he seems to have developed a kind of allergy (sneezing, itchy eyes) after a viral fever infection. now if i give him fluzet syrup just 5ml. a day, he will be fine for 2 days. should i take him to pedeatrition or an ent specialist?"
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son (2 months old) have heart murmur as follows mild AR,mild LVE(gud bv function) and mild TR (rusp24+rap) Aortic auns 8.5 mm DOB | Hello There After going through your medical query I understand your concern and I would like to tell you that some murmurs in child are Normal and gets fine on its own, but you need to follow up with pediatric cardiologist from time to time evaluation. If he is facing any discomfort like breathing difficulties then consult a pediatric cardiologist immediately. Hopefully this information will guide you properly. Kind Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son (2 months old) have heart murmur as follows mild AR,mild LVE(gud bv function) and mild TR (rusp24+rap) Aortic auns 8.5 mm DOB"
},
{
"from": "gpt",
"value": "Output: Hello There After going through your medical query I understand your concern and I would like to tell you that some murmurs in child are Normal and gets fine on its own, but you need to follow up with pediatric cardiologist from time to time evaluation. If he is facing any discomfort like breathing difficulties then consult a pediatric cardiologist immediately. Hopefully this information will guide you properly. Kind Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, my niece is 30 years old and just had a seizure yesterday. Prior to the seizure she had symptoms that consist of becoming very hot and having a memory or flashback. When the episode was over she was white as a ghost and couldn t recall the flashback. This happened 5 times before the seizure. Then it happened again while in the hospital AFTER her seizure. An MRI was taken and we won t hear results until Friday, but I m so disturbed by this and wondered if you had any thoughts...Thank you! | Thanks for asking at Chat Doctor. I read your question and I understand your concern. Seizure with aura and postictal state is mostly idiopathic in nature. MRI is done to ruled out serious problems like brain tumor and others like Basal ganglia calcification in case of parathyroid problems. Other tests are also done like serum calcium, renal function tests, serum magnesium and random blood sugar. Once all the investigations turned out to be normal then she doesn't need treatment for seizures until she suffered second attack of seizure. Hope it helps best. Don't forget to rate this answer and close the discussion at Chat Doctor. Take your best care. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, my niece is 30 years old and just had a seizure yesterday. Prior to the seizure she had symptoms that consist of becoming very hot and having a memory or flashback. When the episode was over she was white as a ghost and couldn t recall the flashback. This happened 5 times before the seizure. Then it happened again while in the hospital AFTER her seizure. An MRI was taken and we won t hear results until Friday, but I m so disturbed by this and wondered if you had any thoughts...Thank you!"
},
{
"from": "gpt",
"value": "Output: Thanks for asking at Chat Doctor. I read your question and I understand your concern. Seizure with aura and postictal state is mostly idiopathic in nature. MRI is done to ruled out serious problems like brain tumor and others like Basal ganglia calcification in case of parathyroid problems. Other tests are also done like serum calcium, renal function tests, serum magnesium and random blood sugar. Once all the investigations turned out to be normal then she doesn't need treatment for seizures until she suffered second attack of seizure. Hope it helps best. Don't forget to rate this answer and close the discussion at Chat Doctor. Take your best care. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Could you please tell me the prognosis of Liver Cancer. ? My friend has just been diagnosed with it and the tumours are on the blood vessels. She attended for Radioactive injections yesterday and will and will be told the results today.She has been told that they are malignant but they don t know where the Prmary is as the only tumours to show up on the MRI scan were on the Liver. Appreciate any information. Thank you. | Thanks for your question on Chat Doctor. Liver is the most common site for metastases. The reason for this is reach blood supply of liver and suitable environment for tumor growth. And to find liver metastases is an accidental thing. After this we need to search for primary. For this PET scan is best. So the radioactive injections you are talking about must be PET SCAN only. This will tell you the primary site of tumor. Possible primary sites are1. Lungs2. Kidneys3. Intestines etc. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Could you please tell me the prognosis of Liver Cancer. ? My friend has just been diagnosed with it and the tumours are on the blood vessels. She attended for Radioactive injections yesterday and will and will be told the results today.She has been told that they are malignant but they don t know where the Prmary is as the only tumours to show up on the MRI scan were on the Liver. Appreciate any information. Thank you."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. Liver is the most common site for metastases. The reason for this is reach blood supply of liver and suitable environment for tumor growth. And to find liver metastases is an accidental thing. After this we need to search for primary. For this PET scan is best. So the radioactive injections you are talking about must be PET SCAN only. This will tell you the primary site of tumor. Possible primary sites are1. Lungs2. Kidneys3. Intestines etc."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My boyfriend & I have a horrible cold. Hes had it for 9 days I had it for 4. It started out with a bad headache which hasent gone away for my boyfriend yet. I had pins & needles in my arms & legs with weakness the 1st day. High fever, horrible sore throat which hasent gone away for eith of us. Swollen, painful lymph nodes, chills. Nasy....just fell horrible. It wont go away with any medicine we take. I dont have a clue if its flu, menegitis, mono??? | Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint the symptoms of high fever, headache, cold and swollen lymph nodes seems to be due to Influenza commonly known as Flu and is a viral infection. As your boyfriend had the infection, you have communicated the same from him. As the viral infection runs its course, and it will get resolved gradually on its own, so as of now you can start taking supportive treatment like antibiotics like Augmenting or Azithromycin to prevent bacterial infection secondarily. Take anti-inflammatory painkillers like Ibuprofen. Take Tylenol for reducing fever. Take decongestants like Pseudopod Chat Doctor. . Do saline nasal irrigation. Avoid chilled foods. Do steam inhalations, warm saline gargles and use a humidifier in your room. Sip on plenty of warm water. In case of no improvement in 5 days consult an Otolaryngologies and get evaluated. Hope this information helps. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My boyfriend & I have a horrible cold. Hes had it for 9 days I had it for 4. It started out with a bad headache which hasent gone away for my boyfriend yet. I had pins & needles in my arms & legs with weakness the 1st day. High fever, horrible sore throat which hasent gone away for eith of us. Swollen, painful lymph nodes, chills. Nasy....just fell horrible. It wont go away with any medicine we take. I dont have a clue if its flu, menegitis, mono???"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint the symptoms of high fever, headache, cold and swollen lymph nodes seems to be due to Influenza commonly known as Flu and is a viral infection. As your boyfriend had the infection, you have communicated the same from him. As the viral infection runs its course, and it will get resolved gradually on its own, so as of now you can start taking supportive treatment like antibiotics like Augmenting or Azithromycin to prevent bacterial infection secondarily. Take anti-inflammatory painkillers like Ibuprofen. Take Tylenol for reducing fever. Take decongestants like Pseudopod Chat Doctor. . Do saline nasal irrigation. Avoid chilled foods. Do steam inhalations, warm saline gargles and use a humidifier in your room. Sip on plenty of warm water. In case of no improvement in 5 days consult an Otolaryngologies and get evaluated. Hope this information helps. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi,i m 39 years with primary infertility with 13 years of married life..now i m diagnosed with left fallopian tube blockage by fibroid agglutination after HSG and diagnostic laproscopy ,,,cannulation donebut unsuccessful..no TB and carcinoma...right tube is normal..polypoid endometrium at anterior and posterior wall of uterus mainly on posterior wall....blood reports r normal n my husband reports r also normal......should i go for ivf??????i want ur good advice plzzzzzzzzzzzz | Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You are 39 years old, case of infertility, married for 13 years. You had left fallopian tube blockage by fibroid agglutination. Confirmed by H.S.G., and diagnostic laparoscopy. Polypoid endometrium at ant, and posterior wall of uterus. Blood tests and your husbands reports are normal. Right Fallopian tube is normal. As it is I.V.F. may not suit you due to endometrium. As the right tube is patient, after treatment of endometrium and your doctor says normal you can try normal way. I advise you to avoid sex in first 10 days, compulsorily have sex in 11th to 20th days of the cycle. Have sex in female down position and stay lying for some time after sex. Wishing for a good luck. Best regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,i m 39 years with primary infertility with 13 years of married life..now i m diagnosed with left fallopian tube blockage by fibroid agglutination after HSG and diagnostic laproscopy ,,,cannulation donebut unsuccessful..no TB and carcinoma...right tube is normal..polypoid endometrium at anterior and posterior wall of uterus mainly on posterior wall....blood reports r normal n my husband reports r also normal......should i go for ivf??????i want ur good advice plzzzzzzzzzzzz"
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You are 39 years old, case of infertility, married for 13 years. You had left fallopian tube blockage by fibroid agglutination. Confirmed by H.S.G., and diagnostic laparoscopy. Polypoid endometrium at ant, and posterior wall of uterus. Blood tests and your husbands reports are normal. Right Fallopian tube is normal. As it is I.V.F. may not suit you due to endometrium. As the right tube is patient, after treatment of endometrium and your doctor says normal you can try normal way. I advise you to avoid sex in first 10 days, compulsorily have sex in 11th to 20th days of the cycle. Have sex in female down position and stay lying for some time after sex. Wishing for a good luck. Best regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump about ten inches below my right arm pit,my grandson was in my arms jumping he kicked me thier the next day I noticed it to be sore and it was bruised.that was about two weeks ago.but tonight I noticed thier was a lump,I don t know If It was thier before or after he kicked me,the lump Is not sore or does not move. thanks | Hi ! Good evening. I am Chat Doctor answering your query. As per the history of trauma, it could be a hematoma (collection of blood) in the maxilla at the site of trauma. This should get absorbed of its own in due course. If it does not, or if it increases, I would get you assessed by a general surgeon, who might go for a mammography of bilateral breasts followed by a FNAC (fine needle aspiration cytology) and possibly a biopsy of the lesion. Further management would depend on the clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a lump about ten inches below my right arm pit,my grandson was in my arms jumping he kicked me thier the next day I noticed it to be sore and it was bruised.that was about two weeks ago.but tonight I noticed thier was a lump,I don t know If It was thier before or after he kicked me,the lump Is not sore or does not move. thanks"
},
{
"from": "gpt",
"value": "Output: Hi ! Good evening. I am Chat Doctor answering your query. As per the history of trauma, it could be a hematoma (collection of blood) in the maxilla at the site of trauma. This should get absorbed of its own in due course. If it does not, or if it increases, I would get you assessed by a general surgeon, who might go for a mammography of bilateral breasts followed by a FNAC (fine needle aspiration cytology) and possibly a biopsy of the lesion. Further management would depend on the clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is 6 months pregnant with her 3rd child, the youngest being born April 4th 2016. She is type o- blood type. Yesterday when she stood up she had a sharp pain in lower part of her stomach, so intense that she had to sit back down immediately and wait for the pain to stop (about 5 minutes). Just now when she went to the bathroom she had blood when she urinated. More than a spotting. Now she had blood during her last pregnancy but not this heavy. Should we head to the hospital now? Or what do you recommend? | Hi, I guess your concern is spotting, and you should go to hospital now. Visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. Firstly let us focus on your pain in lower part of stomach plus spotting followed by bleeding. These are the warning signs that there might be some problem in placenta (placenta connect the baby to the womb of the mother). Some problem of the placenta has caused this warning scenario in your daughter. For this you need to see the above said specialist as fast as possible. Secondly I would like to focus on childbirth spacing, that is if minimum gap between two babies is not adequate then this kind of scenario may happen-PRETERM Labor (not a good time to discuss in detail about it). In short, I can say that womb of the mother will not be fully ready/ has full strength to grow a new baby if proper spacing between babies or pregnancy is not there. I would like to suggest that you rush to visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. I hope the information is useful, informative and helpful to solve your daughters problems. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is 6 months pregnant with her 3rd child, the youngest being born April 4th 2016. She is type o- blood type. Yesterday when she stood up she had a sharp pain in lower part of her stomach, so intense that she had to sit back down immediately and wait for the pain to stop (about 5 minutes). Just now when she went to the bathroom she had blood when she urinated. More than a spotting. Now she had blood during her last pregnancy but not this heavy. Should we head to the hospital now? Or what do you recommend?"
},
{
"from": "gpt",
"value": "Output: Hi, I guess your concern is spotting, and you should go to hospital now. Visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. Firstly let us focus on your pain in lower part of stomach plus spotting followed by bleeding. These are the warning signs that there might be some problem in placenta (placenta connect the baby to the womb of the mother). Some problem of the placenta has caused this warning scenario in your daughter. For this you need to see the above said specialist as fast as possible. Secondly I would like to focus on childbirth spacing, that is if minimum gap between two babies is not adequate then this kind of scenario may happen-PRETERM Labor (not a good time to discuss in detail about it). In short, I can say that womb of the mother will not be fully ready/ has full strength to grow a new baby if proper spacing between babies or pregnancy is not there. I would like to suggest that you rush to visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. I hope the information is useful, informative and helpful to solve your daughters problems. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i m regularly having chest pain on left side dizziness, light headed, shoulder pain some time back pain many a time feels like having heart attack, regularly since three months daily, igot normal ecg, 2d-echo. Echo stress test and nomal lipid profile. Please help me know how to get out of these pain | Hello, I have gone through your query. Thanks for using Chat Doctor. Your chest pain appears to be Non-cardiac in origin since your echo and stress tests are normal. It may be Acid reflux. It may be atypical dyspepsia due to gall stones. I suggest you to try omeprazole 20 Mg with Risperidone medicine. If you feel better with this take it for 4 to 6 weeks.Otherwise, you need to consult a astrophysical for further work up. My best wishes Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i m regularly having chest pain on left side dizziness, light headed, shoulder pain some time back pain many a time feels like having heart attack, regularly since three months daily, igot normal ecg, 2d-echo. Echo stress test and nomal lipid profile. Please help me know how to get out of these pain"
},
{
"from": "gpt",
"value": "Output: Hello, I have gone through your query. Thanks for using Chat Doctor. Your chest pain appears to be Non-cardiac in origin since your echo and stress tests are normal. It may be Acid reflux. It may be atypical dyspepsia due to gall stones. I suggest you to try omeprazole 20 Mg with Risperidone medicine. If you feel better with this take it for 4 to 6 weeks.Otherwise, you need to consult a astrophysical for further work up. My best wishes Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I m a 20 years old girl. One day more than a week ago I believe I sat too long on a bicycle with a very hard seat and after I started feeling a bit pain on the tailbone area. But I didn t pay much attention to it and I continued using the bike maybe twice more. But 2 days ago I was in a lot of pain and when I checked it out in the mirror I saw that I had a bump on the right cheek of the butt (above the anus, near the tailbone area). Its not much red or irritated but it seems swollen and like the size of an almond and it does not look like it has created pus. Yesterday I started using Advil for the pain and it was effective, then the pharmacist gave me Eudorlin which I tried but it had no effect whatsoever for the pain. So today after a night with no sleep I went back to Advil. I m really nervous cause I can barely walk, I can t sit, and I m not at all comfortable laying down, (so I m not getting much sleep ). Right now I am not in the position to go to the doctor so I really hope you can help Sorry for the long post. | Hi, i appreciate your concern.it seems you have coccyxdynia, due to injury on hard seat while cycling. There seems to be injury to last fragment of tailbone, causing irritation and swelling.i usually advice my patients to take site bat hie sitting in lukewarm water in a wide stencil, for 5-7 days, take some safe painkiller, use sponge cushion for sitting, apply locally painkiller creams, use anesthetic cream/gel in anus to help to pass feces. Get an x-ray done for pelvic area after consulting or tho expert. Thanks I will be happy to answer further any query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. I m a 20 years old girl. One day more than a week ago I believe I sat too long on a bicycle with a very hard seat and after I started feeling a bit pain on the tailbone area. But I didn t pay much attention to it and I continued using the bike maybe twice more. But 2 days ago I was in a lot of pain and when I checked it out in the mirror I saw that I had a bump on the right cheek of the butt (above the anus, near the tailbone area). Its not much red or irritated but it seems swollen and like the size of an almond and it does not look like it has created pus. Yesterday I started using Advil for the pain and it was effective, then the pharmacist gave me Eudorlin which I tried but it had no effect whatsoever for the pain. So today after a night with no sleep I went back to Advil. I m really nervous cause I can barely walk, I can t sit, and I m not at all comfortable laying down, (so I m not getting much sleep ). Right now I am not in the position to go to the doctor so I really hope you can help Sorry for the long post."
},
{
"from": "gpt",
"value": "Output: Hi, i appreciate your concern.it seems you have coccyxdynia, due to injury on hard seat while cycling. There seems to be injury to last fragment of tailbone, causing irritation and swelling.i usually advice my patients to take site bat hie sitting in lukewarm water in a wide stencil, for 5-7 days, take some safe painkiller, use sponge cushion for sitting, apply locally painkiller creams, use anesthetic cream/gel in anus to help to pass feces. Get an x-ray done for pelvic area after consulting or tho expert. Thanks I will be happy to answer further any query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have smoked in the past but quit last year when I found out I was pregnant. Ive had a few a day for a couple of weeks the past 2 weeks as I recently lost my dad but stopped again 4 days ago. Im still coughing and wheezing though especially night times and at times feel a bit short of breath. | Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Since you have started smoking again, this might trigger either bronchitis or infection in the lungs and caused you symptoms. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these. Better not to start smoking once you have left. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have smoked in the past but quit last year when I found out I was pregnant. Ive had a few a day for a couple of weeks the past 2 weeks as I recently lost my dad but stopped again 4 days ago. Im still coughing and wheezing though especially night times and at times feel a bit short of breath."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Since you have started smoking again, this might trigger either bronchitis or infection in the lungs and caused you symptoms. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these. Better not to start smoking once you have left."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been going through some tough times and haven t been eating right, I also haven t been sleeping right and now i smell blood and have a light pain in my forhead near my nose. I ve been feeling weak as well, I ve been feeling like this for a week now. Do you know what it may be? | Hi, I am sorry you are feeling like this. There are a few possibilities to explain your symptoms1. Sinusitis | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been going through some tough times and haven t been eating right, I also haven t been sleeping right and now i smell blood and have a light pain in my forhead near my nose. I ve been feeling weak as well, I ve been feeling like this for a week now. Do you know what it may be?"
},
{
"from": "gpt",
"value": "Output: Hi, I am sorry you are feeling like this. There are a few possibilities to explain your symptoms1. Sinusitis"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 3 month year old son had his blood work done because he was losing weight and having trouble pooping. He was pooping every 2 to 3 days; once a day. Well, he was loosing weight because he had reflux. He had an X ray and he does not have pyloric disease. The doctor put him on Zantec and he is not throwing up. But, he had high liver enzymes when his blood was taken along with a high platelet count. Well, he got his blood work repeated and it went down and he s gaining weight now. But his platelet is still high. But, the doctor said since it s by it self not to worry, buy I am worried. What could be wrong with my 3 month old son? He passed his newborn screening and has no medical issues except reflux. | Hi, dairy have gone through your question. I can understand your concern. He may have reactive thrombocytes. It is very common after infection. If all other things are normal then high platelet count is not a problem. No need to worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 3 month year old son had his blood work done because he was losing weight and having trouble pooping. He was pooping every 2 to 3 days; once a day. Well, he was loosing weight because he had reflux. He had an X ray and he does not have pyloric disease. The doctor put him on Zantec and he is not throwing up. But, he had high liver enzymes when his blood was taken along with a high platelet count. Well, he got his blood work repeated and it went down and he s gaining weight now. But his platelet is still high. But, the doctor said since it s by it self not to worry, buy I am worried. What could be wrong with my 3 month old son? He passed his newborn screening and has no medical issues except reflux."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. He may have reactive thrombocytes. It is very common after infection. If all other things are normal then high platelet count is not a problem. No need to worry about that. Just be relaxed. 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. | What causes the sensation of water droplets splashing on the back of my leg as I am walking? As if I walked in a puddle and water flicked up and touched the lower calf? My leg is absolutely not wet; just a peculiar focal sensation. It lasts a couple of minutes and then stops. Duration | Hello, Your symptoms could be related to a pinched nerve (probably caused by a bulging disk in the lumbar vertebral column). For this reason, I would recommend consulting with a neurologist for a physical exam, a lumbar spine CT scan or MRI study. Nerve conduction studies may be needed too. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What causes the sensation of water droplets splashing on the back of my leg as I am walking? As if I walked in a puddle and water flicked up and touched the lower calf? My leg is absolutely not wet; just a peculiar focal sensation. It lasts a couple of minutes and then stops. Duration"
},
{
"from": "gpt",
"value": "Output: Hello, Your symptoms could be related to a pinched nerve (probably caused by a bulging disk in the lumbar vertebral column). For this reason, I would recommend consulting with a neurologist for a physical exam, a lumbar spine CT scan or MRI study. Nerve conduction studies may be needed too. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. My son who is one year old, weight is 11 kg, is suffering from DNS, his right side of nose is completely blocked and water comes from his mouth, eyes and nose. While sleeping he experiences difficulty in breathing and voice comes from his chest. what is the treatment, can we get DNS operation for him, as he is just one year old? Are there any other method to open the nose say fitting a pipe in the nose etc? should I consult ENT specialist or paediatric specialist? | Hi, thank you for choosing Chat Doctor. It is very uncommon to have severe DNS at this age, it tends to improve as they grow old. But as he is having difficulty breathing contact an ENT specialist as they will evaluate the degree of obstruction and advise simple airways to open his nose till they grow old. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. My son who is one year old, weight is 11 kg, is suffering from DNS, his right side of nose is completely blocked and water comes from his mouth, eyes and nose. While sleeping he experiences difficulty in breathing and voice comes from his chest. what is the treatment, can we get DNS operation for him, as he is just one year old? Are there any other method to open the nose say fitting a pipe in the nose etc? should I consult ENT specialist or paediatric specialist?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for choosing Chat Doctor. It is very uncommon to have severe DNS at this age, it tends to improve as they grow old. But as he is having difficulty breathing contact an ENT specialist as they will evaluate the degree of obstruction and advise simple airways to open his nose till they grow old. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I woke up this morning with pain and stiffness in my neck, up sort of high near my ear lobe. It doesn t hurt in a normal posture, or if I tilt my head to the left, foward, or back. When I try to tilt my head to the right, it becomes very painful, and aside from pain it is very difficult to tilt it far, like something is stopping it. | Hello, It sounds more of a spasmodic Neck. This situation arises when there is an abnormal position acquired during the sleep and the bone of the cervical spine gets locked. You do not have to consume any medication but use the hot water fermentation to release the stiffness in the neck muscles which will allow the facet joints to get unlocked. Rest assured, you will be fine in 2-3 days of time along with hot water fermentation and simple neck rotation. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I woke up this morning with pain and stiffness in my neck, up sort of high near my ear lobe. It doesn t hurt in a normal posture, or if I tilt my head to the left, foward, or back. When I try to tilt my head to the right, it becomes very painful, and aside from pain it is very difficult to tilt it far, like something is stopping it."
},
{
"from": "gpt",
"value": "Output: Hello, It sounds more of a spasmodic Neck. This situation arises when there is an abnormal position acquired during the sleep and the bone of the cervical spine gets locked. You do not have to consume any medication but use the hot water fermentation to release the stiffness in the neck muscles which will allow the facet joints to get unlocked. Rest assured, you will be fine in 2-3 days of time along with hot water fermentation and simple neck rotation. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor , may i ask what does it means .....when after doing a blood test ( live blood analysis ) dark field method , my blood cells are clumping in nature.............im worried that that may mean that serious ailments are in-coming ? Thank You Doctor !!! | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that it is the protective mechanism of the body. It is nothing to worry about as it is present in all the individuals, even in me. Whenever blood comes out of the body it gets clotted because of injury associated factor. Only anticoagulant will help prevent blood clotting. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor , may i ask what does it means .....when after doing a blood test ( live blood analysis ) dark field method , my blood cells are clumping in nature.............im worried that that may mean that serious ailments are in-coming ? Thank You Doctor !!!"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that it is the protective mechanism of the body. It is nothing to worry about as it is present in all the individuals, even in me. Whenever blood comes out of the body it gets clotted because of injury associated factor. Only anticoagulant will help prevent blood clotting. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have saracodism (lung) now I have lumps starting at the elbow going up the arm. My arm aches at night so bad I wake up rubbing it lightly. Both hands hurt and when I get up I can barely open and bend them. Is it all related to sarcoidosis or something else. Im scared. | Welcome to Chat Doctor. 1. In the symptoms and history suggest possible cause for the above symptoms are enlarged lymph nodes.2. In this case you need to get a thorough study about the lung infection and its extensions. As lymph nodes enlargement is due to presence of any infection / inflammation or malignancies.3. The other possible cause could be dilated and tortious veins and suspicious of thrombosis - which need an upper limb vascular Doppler study. 4. In this case you need to workup with the issues with ultrasound, CT chest to evaluate the cause.5. Suggest you to see your treating doctor / GP and request for further investigations and treatment. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have saracodism (lung) now I have lumps starting at the elbow going up the arm. My arm aches at night so bad I wake up rubbing it lightly. Both hands hurt and when I get up I can barely open and bend them. Is it all related to sarcoidosis or something else. Im scared."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor. 1. In the symptoms and history suggest possible cause for the above symptoms are enlarged lymph nodes.2. In this case you need to get a thorough study about the lung infection and its extensions. As lymph nodes enlargement is due to presence of any infection / inflammation or malignancies.3. The other possible cause could be dilated and tortious veins and suspicious of thrombosis - which need an upper limb vascular Doppler study. 4. In this case you need to workup with the issues with ultrasound, CT chest to evaluate the cause.5. Suggest you to see your treating doctor / GP and request for further investigations and treatment. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain | HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain"
},
{
"from": "gpt",
"value": "Output: HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | How can I tell the difference between toe nail fungus and a bruised toe nail?I went to get a pedicure and I asked the lady if I had toe nail fungus and she said it was just bruised but it s been there awhile and it looks a lot like fungus. It s yellowish at the end of my nail and it s all under it. I can dig some if it out but it hurts really bad. So what do you think it is?? | HI, thanks for using Chat Doctor If the changes have been present for a long time then it is more likely that it is a fungal infection of the nail. Bruising should not take weeks or months to resolve. Fungal toenail infection require treatment with oral antifungals. Examples are itraconazole, terminating and fluconazole. These require a prescription and normally have to be used for up to 3 months. 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: How can I tell the difference between toe nail fungus and a bruised toe nail?I went to get a pedicure and I asked the lady if I had toe nail fungus and she said it was just bruised but it s been there awhile and it looks a lot like fungus. It s yellowish at the end of my nail and it s all under it. I can dig some if it out but it hurts really bad. So what do you think it is??"
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor If the changes have been present for a long time then it is more likely that it is a fungal infection of the nail. Bruising should not take weeks or months to resolve. Fungal toenail infection require treatment with oral antifungals. Examples are itraconazole, terminating and fluconazole. These require a prescription and normally have to be used for up to 3 months. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am a 19 year old female. I found a fairly large lump in my right breast that has been there for over a year. It has grown alot, im not exactly sure how much, since I last saw my endocrine doctor. I also have hypothyroidism and have been on synthroind 75 and sometimes up to 100 mcg. The lump in my right breast is very hard and it is tender to touch. I have very small breasts so it is hard to tell if it is completly mobile or if it is the surrounding tissue moving around too. The right breast has dark blue veins surrounding my areola, while my other breast has none. And the nipple is a little larger too. Sorry to get really personal. Thank you for your answer and your time. | Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Fibroadenosis with ? Adenoid. Investigate it with Mammogram and USG to fix the diagnosis. Get USG guided FNAC Biopsy. Treatment-Continue treatment for Hypothyroid. Take treatment for Fibroadenosis-with Painkillers/Oral-Pills to correct Hormone imbalance at this age /IF Homeopath is done -Surgical Excision of this Benign Breast Tumor is advisable in your case for the large size. Else fibroadenomas is benign and not hurting. Engorged Veins -would go off on its own. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am a 19 year old female. I found a fairly large lump in my right breast that has been there for over a year. It has grown alot, im not exactly sure how much, since I last saw my endocrine doctor. I also have hypothyroidism and have been on synthroind 75 and sometimes up to 100 mcg. The lump in my right breast is very hard and it is tender to touch. I have very small breasts so it is hard to tell if it is completly mobile or if it is the surrounding tissue moving around too. The right breast has dark blue veins surrounding my areola, while my other breast has none. And the nipple is a little larger too. Sorry to get really personal. Thank you for your answer and your time."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Fibroadenosis with ? Adenoid. Investigate it with Mammogram and USG to fix the diagnosis. Get USG guided FNAC Biopsy. Treatment-Continue treatment for Hypothyroid. Take treatment for Fibroadenosis-with Painkillers/Oral-Pills to correct Hormone imbalance at this age /IF Homeopath is done -Surgical Excision of this Benign Breast Tumor is advisable in your case for the large size. Else fibroadenomas is benign and not hurting. Engorged Veins -would go off on its own. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 19 year old female with Ehlers-Danlos Syndrome. At work I am standing up for several hours and I get bad foot pain. Today, when taking off my shoes, I noticed a dark, fresh bruise and a lot of swelling in a ring around the bone on the inside of my ankle. I didn t notice any acute injuries like a sprain or dislocation. Any ideas on what the bloody discoloration is from and how to treat it? | Hello, I have studied your case and I think that it is most probably ecchymosis. This is discoloration due to accumulation of blood around ankle joint. This can occur due to prolong standing and tight shoes. As you are saying that you did not notice any injury so most probably it was a trivial incident. I would suggest you to follow these steps.1. Hot water fomentation.2. Antibiotics to prevent infection.3. Compression bandage I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 19 year old female with Ehlers-Danlos Syndrome. At work I am standing up for several hours and I get bad foot pain. Today, when taking off my shoes, I noticed a dark, fresh bruise and a lot of swelling in a ring around the bone on the inside of my ankle. I didn t notice any acute injuries like a sprain or dislocation. Any ideas on what the bloody discoloration is from and how to treat it?"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case and I think that it is most probably ecchymosis. This is discoloration due to accumulation of blood around ankle joint. This can occur due to prolong standing and tight shoes. As you are saying that you did not notice any injury so most probably it was a trivial incident. I would suggest you to follow these steps.1. Hot water fomentation.2. Antibiotics to prevent infection.3. Compression bandage I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir, My father is 77 yrs. And a widower. He has been suffering from excessive/compulsive sexual desires, resulting in him asking our maids for sex or he is also showing pornograpChatDoctoraterial to kids even. No amount of persuasion has worked. We have been suggested by a relative to take him to a mental/psychiatric hospital for proper treatment. Please advise. Regards PB | Hi Pankaj, Welcome to Chat Doctor, and thanks for your question... Firstly, the symptoms which your father is having definitely requires immediate attention. The reason is not only could he get himself into trouble, but he also poses a serious threat to others around him. Secondly, such recent changes in behavior or personality can often be a consequence of a brain pathology, and thus needs prompt evaluation. Disorders involving the frontal lobe of the brain, like frontal lobe dementia, vascular problems, etc. are typically known to cause such kind of disinhibited behavior. So, I would strongly advise you to take him to a psychiatrist, who would be able to assess him further and initiate appropriate management. There are medication which can suppress such disinhibited and abnormal behavior, but he needs a thorough and proper evaluation before that. Therefore, please do not delay further and take him to a psychiatrist ASAP. All the best. - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir, My father is 77 yrs. And a widower. He has been suffering from excessive/compulsive sexual desires, resulting in him asking our maids for sex or he is also showing pornograpChatDoctoraterial to kids even. No amount of persuasion has worked. We have been suggested by a relative to take him to a mental/psychiatric hospital for proper treatment. Please advise. Regards PB"
},
{
"from": "gpt",
"value": "Output: Hi Pankaj, Welcome to Chat Doctor, and thanks for your question... Firstly, the symptoms which your father is having definitely requires immediate attention. The reason is not only could he get himself into trouble, but he also poses a serious threat to others around him. Secondly, such recent changes in behavior or personality can often be a consequence of a brain pathology, and thus needs prompt evaluation. Disorders involving the frontal lobe of the brain, like frontal lobe dementia, vascular problems, etc. are typically known to cause such kind of disinhibited behavior. So, I would strongly advise you to take him to a psychiatrist, who would be able to assess him further and initiate appropriate management. There are medication which can suppress such disinhibited and abnormal behavior, but he needs a thorough and proper evaluation before that. Therefore, please do not delay further and take him to a psychiatrist ASAP. All the best. -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | what does tingling in left arm from elbow to hand, especially in small finger and ring finger, accompanied by same occasional feeling in left heal and tingling under left nipple extending around to back mean? have had this with some dizziness for almost 24 hours? | Hi, I had gone through your question and understand your concerns I were your treating doctor, I think that you suffer from peripheral neuritis especially the ulnar nerve as it supplies the ulnar aspect of the forearm to the little finger and this could be confirmed by doing EMG. Heel problem has no relation to the hand problem as it may be caused by planter fasciitis. I advise you to receive neurotics and anti-inflammatory and to treat the cause of neuritis | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what does tingling in left arm from elbow to hand, especially in small finger and ring finger, accompanied by same occasional feeling in left heal and tingling under left nipple extending around to back mean? have had this with some dizziness for almost 24 hours?"
},
{
"from": "gpt",
"value": "Output: Hi, I had gone through your question and understand your concerns I were your treating doctor, I think that you suffer from peripheral neuritis especially the ulnar nerve as it supplies the ulnar aspect of the forearm to the little finger and this could be confirmed by doing EMG. Heel problem has no relation to the hand problem as it may be caused by planter fasciitis. I advise you to receive neurotics and anti-inflammatory and to treat the cause of neuritis"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell and hit my upper right side ribs & breast very hard on the corner of a box base of bed, a couple of hours ago. Very large bruise on outer side of breast & pain in ribs under right side of breast when I move or take a deep breath. Should I go for an xray? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in breast and ribs after injury. Well there can be many treatment options for broken rib. Pain associated with a broken rib usually occurs or worsens when you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell and hit my upper right side ribs & breast very hard on the corner of a box base of bed, a couple of hours ago. Very large bruise on outer side of breast & pain in ribs under right side of breast when I move or take a deep breath. Should I go for an xray?"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in breast and ribs after injury. Well there can be many treatment options for broken rib. Pain associated with a broken rib usually occurs or worsens when you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have an abscess on my gum. It had a white head in it. Looks to have busted. But nothing is really coming out just has white stuff in the middle of it. Ive rinsed with warm salt water, peroxyl, and mouthwash. Is there anything else I can do? Im not sure what medications I can take because I am 12 weeks pregnant. | Hello and welcome to Chat Doctor forum. I would like to inform you that a gum access needs to be Chat Doctor. In your case only your concerned gynecologist can prescribe you with the antibiotics, or your Dennis will have to speak to your gynecologist before prescribing any medication. For now I will advise you to see your dentist first. Continue with warm saline rinses, avoid hot compresses on the swelling if present. In fact, you can apply cold compresses on the swelling. I hope I answered your query. 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: I have an abscess on my gum. It had a white head in it. Looks to have busted. But nothing is really coming out just has white stuff in the middle of it. Ive rinsed with warm salt water, peroxyl, and mouthwash. Is there anything else I can do? Im not sure what medications I can take because I am 12 weeks pregnant."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor forum. I would like to inform you that a gum access needs to be Chat Doctor. In your case only your concerned gynecologist can prescribe you with the antibiotics, or your Dennis will have to speak to your gynecologist before prescribing any medication. For now I will advise you to see your dentist first. Continue with warm saline rinses, avoid hot compresses on the swelling if present. In fact, you can apply cold compresses on the swelling. I hope I answered your query. I wish you good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Are there any natural foods that I can eat that may help me fight off an infection? I have a brownish discharge from my penis. It drips a bit in my pants but when i feel it I try to help it come out my pushing. If I leave it it because hard or pasty . I have minor pain when I urinate. | Welcome, Discharge of brown color from penis can be due to herpes infection or any other venereal diseases. In rare cases it can be due to Atlantis or epididymitis. More over painful micturition strongly indicate infection. Since how many days this problem arise?? U should have a check for microbiological examination of that discharge. Result of that test can identify the organism which can be treated by proper antibiotic Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Are there any natural foods that I can eat that may help me fight off an infection? I have a brownish discharge from my penis. It drips a bit in my pants but when i feel it I try to help it come out my pushing. If I leave it it because hard or pasty . I have minor pain when I urinate."
},
{
"from": "gpt",
"value": "Output: Welcome, Discharge of brown color from penis can be due to herpes infection or any other venereal diseases. In rare cases it can be due to Atlantis or epididymitis. More over painful micturition strongly indicate infection. Since how many days this problem arise?? U should have a check for microbiological examination of that discharge. Result of that test can identify the organism which can be treated by proper antibiotic Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...Hi, I fractured my ankle 14 months ago and now I have a fairly big hard lump on the fracture site. It seems to getting bigger all the time. Is that calcuim deposits and will it cause problems? | Hi, Dear,Good Afternoon, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump on ankle-is as follows-It could be-? Peritonitis with Abscess-with Acute on Chronic ? Osteomyelitis OR could be Chronic Abscess of the subcutaneous Tissue, of the ankle. -Treatment-I would suggest -is as follows-a-Consult ER Orthopedic and ER Surgeon who would check clinically and would do Dry of the part and fix its diagnosis.b-Antibiotics -appropriately under doctors guidancec-Tab-Voltarend-If no relief -Surgical Chat Doctor. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...Hi, I fractured my ankle 14 months ago and now I have a fairly big hard lump on the fracture site. It seems to getting bigger all the time. Is that calcuim deposits and will it cause problems?"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Good Afternoon, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump on ankle-is as follows-It could be-? Peritonitis with Abscess-with Acute on Chronic ? Osteomyelitis OR could be Chronic Abscess of the subcutaneous Tissue, of the ankle. -Treatment-I would suggest -is as follows-a-Consult ER Orthopedic and ER Surgeon who would check clinically and would do Dry of the part and fix its diagnosis.b-Antibiotics -appropriately under doctors guidancec-Tab-Voltarend-If no relief -Surgical Chat Doctor. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My mother who is aged 56 years fell down at home 10 days back and was unable to get get up. Then we took her to doctor and doctor took x-ray & informed there is a small disc jerk and told her to take 3 days bed rest. as informed my mother was in bed rest for 3 days and she was in normal condition but 3 days back again she is suffering from severe back pain, the doctor whom we consulted earlier is not in station now. Please let me know is this a bad sign of having back pain again and Doctor details whom we should consult. | Hello, I have studied your case. Due to compression of nerve root there can be pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My mother who is aged 56 years fell down at home 10 days back and was unable to get get up. Then we took her to doctor and doctor took x-ray & informed there is a small disc jerk and told her to take 3 days bed rest. as informed my mother was in bed rest for 3 days and she was in normal condition but 3 days back again she is suffering from severe back pain, the doctor whom we consulted earlier is not in station now. Please let me know is this a bad sign of having back pain again and Doctor details whom we should consult."
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. Due to compression of nerve root there can be pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i m 23 yrs old girl suffering from androgenic alopecia and i have pollycystic ovaries.i am lossing my hairs in front and nothing is of help plyssssssssssss sugeest me wat to doalso do sugest me medicines and shampoo oil to help to regrow my hair.. | Hello, I have gone through your query and would recommend you to apply minoxidil 2 per cent lotion on the affected areas of the scalp twice daily and take hair supplement containing tablets once daily. This needs to be continued for 4-5 months to see significant results. Also, consult an endocrinologist and take treatment for POD. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i m 23 yrs old girl suffering from androgenic alopecia and i have pollycystic ovaries.i am lossing my hairs in front and nothing is of help plyssssssssssss sugeest me wat to doalso do sugest me medicines and shampoo oil to help to regrow my hair.."
},
{
"from": "gpt",
"value": "Output: Hello, I have gone through your query and would recommend you to apply minoxidil 2 per cent lotion on the affected areas of the scalp twice daily and take hair supplement containing tablets once daily. This needs to be continued for 4-5 months to see significant results. Also, consult an endocrinologist and take treatment for POD. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
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