instruction
stringclasses 1
value | input
stringlengths 0
11.2k
| output
stringlengths 2
3.3k
| conversations
listlengths 2
2
|
|---|---|---|---|
If you are a doctor, please answer the medical questions based on the patient's description. | Gud day, my ob prescribed me daphne contra. Pill because iam still breastfeeding, I am new in using a pill I started the 1st tab 8 days ago,my ob told me that I will not have a period for the whole 28 days of taking the pill,and yet I have a bleeding this early in the morning, is it ok? Is it just a side effect, Im quite worried because she told me I wont hav my period. Pls answer me it makes me paranoid, my 2nd baby is just 4 months old. I dont want to be preg. Again. | Hi, Thank you for choosing Chat Doctor. Daphne is progesterone only pill, which is safe during breastfeeding. About your irregular bleeding, it's better to confirm if you are pregnant or not. Kindly consult your obey specialist. In case of any doubt, I will be available for follow-ups. If you like my answer kindly rate my answer and write a review as well. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Gud day, my ob prescribed me daphne contra. Pill because iam still breastfeeding, I am new in using a pill I started the 1st tab 8 days ago,my ob told me that I will not have a period for the whole 28 days of taking the pill,and yet I have a bleeding this early in the morning, is it ok? Is it just a side effect, Im quite worried because she told me I wont hav my period. Pls answer me it makes me paranoid, my 2nd baby is just 4 months old. I dont want to be preg. Again."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for choosing Chat Doctor. Daphne is progesterone only pill, which is safe during breastfeeding. About your irregular bleeding, it's better to confirm if you are pregnant or not. Kindly consult your obey specialist. In case of any doubt, I will be available for follow-ups. If you like my answer kindly rate my answer and write a review as well. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have IBS for last 5 years, could you please suggest me what can I do. I am not taking medicenes now. I thinking of curing it by myself. I am taking nutrilite fiber product just to have my needed fiber content in my body. Pls suggest me some ways. | HAI, I appreciate your concern. Follow the below-mentioned advise. Allowed food | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have IBS for last 5 years, could you please suggest me what can I do. I am not taking medicenes now. I thinking of curing it by myself. I am taking nutrilite fiber product just to have my needed fiber content in my body. Pls suggest me some ways."
},
{
"from": "gpt",
"value": "Output: HAI, I appreciate your concern. Follow the below-mentioned advise. Allowed food"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m so paranoid of having cancer, I m to embarrased to see me doctor to check my testicles, iv always got stomach pains, but I has a blood test not long ago and they found I had iron defficiency anaemia, would the blood test show up if I did have cancer? | Thanks for your question on Chat Doctor. There are certain tumor markers which is present in excess can suggest possibility of malignancy. Tumor markers are substances secreted by tumor cells. So can give us clue about malignancy. They can not replace biopsy and histopathological examination. Routinely tested tumor markers are1. CA 1252. Beta ChatDoctor3. Alpha photo protein (AFP)4. PSA (Prostate Specific Antigen) etc. So if you are having testicular cancer than these markers will rise in blood. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m so paranoid of having cancer, I m to embarrased to see me doctor to check my testicles, iv always got stomach pains, but I has a blood test not long ago and they found I had iron defficiency anaemia, would the blood test show up if I did have cancer?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. There are certain tumor markers which is present in excess can suggest possibility of malignancy. Tumor markers are substances secreted by tumor cells. So can give us clue about malignancy. They can not replace biopsy and histopathological examination. Routinely tested tumor markers are1. CA 1252. Beta ChatDoctor3. Alpha photo protein (AFP)4. PSA (Prostate Specific Antigen) etc. So if you are having testicular cancer than these markers will rise in blood."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im 29 almost 30years old 5 9 im 160 lbs.barely i was 210lbs. 11 to 13 weeks ago.My diet was consisting of the worst things u wouldnt eat to lose weight and i been having horrible headaches everyday almost.I have situs inversus and dextrocardia and its full mirror image.I been feeling drained or fatiged and short of breath and my blood pressure is hyperstage 2.I am diagnosed chronic anxiety i take 3 .5mg klonopin a day I also take enderall 2 40mg a day for bloodpressure and my rapid heart beat without my meds my pulse relaxed is an average of 114 sometimes more.Im 29 and my back kills me in the same spot almost same time of the day but only on work days doest hurt on my day off.Both my legs hurt me from my knee about to a foot up my thigh and its a concentrated pain that feels like the bottom sections of my thigh bones hurt at night in bed cant get to sleep with constant hurting in my legs.Also I have bad issues with coughing up mucous i cant remember the last time i had a dry cough but the dr said its bronchitus.Also been feeling confused and forgetful.I feel anxious and jittery most of the time and my hands and feet stay swetty and cold from my chronic anxiety unless i take my meds then im ok with the anxiety part.Why am i falling apart so young i feel 50 I get up and mope like a elderly man till i get a few steps going then im ok.I stay with colds and staff and its just been really bad lately i dont really leave out the house anymore I just wanna feel normal whats wrong with me PLEASE tell me!! | Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety a Depression are known to create physical fatigue and mental fatigue. Your anxiety could be based on your health conditions, and you must have been briefed by your doctors. Please talk to them, Once the physical symptoms are taken care of by doctors, you should not worry much about them. Engage yourself in activities which are creative and encourage you to think positive. Exercises are also a known way to ease anxiety. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have lifestyle changes, Yoga and meditation to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information. 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: Im 29 almost 30years old 5 9 im 160 lbs.barely i was 210lbs. 11 to 13 weeks ago.My diet was consisting of the worst things u wouldnt eat to lose weight and i been having horrible headaches everyday almost.I have situs inversus and dextrocardia and its full mirror image.I been feeling drained or fatiged and short of breath and my blood pressure is hyperstage 2.I am diagnosed chronic anxiety i take 3 .5mg klonopin a day I also take enderall 2 40mg a day for bloodpressure and my rapid heart beat without my meds my pulse relaxed is an average of 114 sometimes more.Im 29 and my back kills me in the same spot almost same time of the day but only on work days doest hurt on my day off.Both my legs hurt me from my knee about to a foot up my thigh and its a concentrated pain that feels like the bottom sections of my thigh bones hurt at night in bed cant get to sleep with constant hurting in my legs.Also I have bad issues with coughing up mucous i cant remember the last time i had a dry cough but the dr said its bronchitus.Also been feeling confused and forgetful.I feel anxious and jittery most of the time and my hands and feet stay swetty and cold from my chronic anxiety unless i take my meds then im ok with the anxiety part.Why am i falling apart so young i feel 50 I get up and mope like a elderly man till i get a few steps going then im ok.I stay with colds and staff and its just been really bad lately i dont really leave out the house anymore I just wanna feel normal whats wrong with me PLEASE tell me!!"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety a Depression are known to create physical fatigue and mental fatigue. Your anxiety could be based on your health conditions, and you must have been briefed by your doctors. Please talk to them, Once the physical symptoms are taken care of by doctors, you should not worry much about them. Engage yourself in activities which are creative and encourage you to think positive. Exercises are also a known way to ease anxiety. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have lifestyle changes, Yoga and meditation to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information. 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 am 19 i weigh 168 ,i have a lump on my left thigh , i have had a xray a ultra sound and a mri yesterday the result for the mri have not came back but the doctors said ithat it was a mass in my muscel. it does not hurt. im very worried . could you please tell me what it could be | Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some malignant tumor like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then IOUs should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 19 i weigh 168 ,i have a lump on my left thigh , i have had a xray a ultra sound and a mri yesterday the result for the mri have not came back but the doctors said ithat it was a mass in my muscel. it does not hurt. im very worried . could you please tell me what it could be"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some malignant tumor like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then IOUs should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I noticed numerous welts on the legs of my 12 month son. It appears as though he got pinched by toys. They are slightly raised appearing to be white/ skin color. They will appear then quickly disappear. I thought maybe he was having an allergic reaction to something he had eaten, but these episodes are happening at anytime in the day. Any ideas on what it could be? | HI...this doesn't look like food allergy. This looks like urticaria. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I noticed numerous welts on the legs of my 12 month son. It appears as though he got pinched by toys. They are slightly raised appearing to be white/ skin color. They will appear then quickly disappear. I thought maybe he was having an allergic reaction to something he had eaten, but these episodes are happening at anytime in the day. Any ideas on what it could be?"
},
{
"from": "gpt",
"value": "Output: HI...this doesn't look like food allergy. This looks like urticaria. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Have tendonitis in right ankle and wearing airboot for the past 4 weeks after PRP Injection. Have severe pain in left foot below the last finger for past 3 months. Doc says I have stress frature and suggested elevating the foot and icing. Didn t talk about any followup or treatment. what should i do? | Hi you had tendinitis in your (R) ankle and have stress fracture in (L) foot. Stress Fracture occurs when uneven and unnatural pressure is applied on the foot for a prolonged period of time. It also indicates weakness in the bones. In my opinion it is unlikely to be related to Tendinitis in other ankle. I would suggest immobilization for 3 weeks and if required take calcium and it D3 supplementation. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Have tendonitis in right ankle and wearing airboot for the past 4 weeks after PRP Injection. Have severe pain in left foot below the last finger for past 3 months. Doc says I have stress frature and suggested elevating the foot and icing. Didn t talk about any followup or treatment. what should i do?"
},
{
"from": "gpt",
"value": "Output: Hi you had tendinitis in your (R) ankle and have stress fracture in (L) foot. Stress Fracture occurs when uneven and unnatural pressure is applied on the foot for a prolonged period of time. It also indicates weakness in the bones. In my opinion it is unlikely to be related to Tendinitis in other ankle. I would suggest immobilization for 3 weeks and if required take calcium and it D3 supplementation."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have had two implanons in the past 5 years, one after the other in which time i have not had a period at all. yesterday i started bleeding quite heavily, recently i have been a bit stressed and my eating and sleeping patterns have not been regular. is this a normal side effect? does the bleeding mean the implanon has stopped working? x | Hello, I have gone through your query and understood the concern. Irregularities of the menstrual pattern are usually seen during the first 6-12 months of use of the implant. As you are used to the implant, the most likely cause for this heavy bleeding could be a hormone disruption often caused by stress and weight changes. Please see an expert for proper evaluation. You may need styptics to control the bleeding. Also, coagulation profiles have to be done to see if there is any coagulation defect that has developed as a side effect of the hormone. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i have had two implanons in the past 5 years, one after the other in which time i have not had a period at all. yesterday i started bleeding quite heavily, recently i have been a bit stressed and my eating and sleeping patterns have not been regular. is this a normal side effect? does the bleeding mean the implanon has stopped working? x"
},
{
"from": "gpt",
"value": "Output: Hello, I have gone through your query and understood the concern. Irregularities of the menstrual pattern are usually seen during the first 6-12 months of use of the implant. As you are used to the implant, the most likely cause for this heavy bleeding could be a hormone disruption often caused by stress and weight changes. Please see an expert for proper evaluation. You may need styptics to control the bleeding. Also, coagulation profiles have to be done to see if there is any coagulation defect that has developed as a side effect of the hormone. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dr. , I have a lump (feels hard) on my inner arm the same side where I had cancer lump under armpit couple years ago. Should I be worried? THey only removed one sentinel lymph node and was negative. I wonder if there should be more lymph node removed and tested. Tanya | Hi Tanya ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a complete physical examination I would advise you for a FNAC (fine needle aspiration cytology) of the hard lump you mentioned on your inner arm. If it was inconclusive, then an excision biopsy with a reasonable margin of healthy skin would come into picture. Further management would depend on the report of the histopathology, and physical examination of the adjoining areas including the area of the original malignancy. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr. , I have a lump (feels hard) on my inner arm the same side where I had cancer lump under armpit couple years ago. Should I be worried? THey only removed one sentinel lymph node and was negative. I wonder if there should be more lymph node removed and tested. Tanya"
},
{
"from": "gpt",
"value": "Output: Hi Tanya ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a complete physical examination I would advise you for a FNAC (fine needle aspiration cytology) of the hard lump you mentioned on your inner arm. If it was inconclusive, then an excision biopsy with a reasonable margin of healthy skin would come into picture. Further management would depend on the report of the histopathology, and physical examination of the adjoining areas including the area of the original malignancy. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A while back ago i suffered from heart failure... i was wondering because then as well as now my right leg gives out on me it feels weak and the moment i put pressure on it... it gives out... can you tell me whats going on? Or atleast help me in figureing it out? | Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your right leg symptoms do not seem to be related to heart failure, unless your feet are swollen. Only in case of swollen feet, the discomfort could be related to heart failure (considering the fact that it leads to increase fluid retention). If the problem persists, I recommend consulting with your attending physician and performing some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A while back ago i suffered from heart failure... i was wondering because then as well as now my right leg gives out on me it feels weak and the moment i put pressure on it... it gives out... can you tell me whats going on? Or atleast help me in figureing it out?"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your right leg symptoms do not seem to be related to heart failure, unless your feet are swollen. Only in case of swollen feet, the discomfort could be related to heart failure (considering the fact that it leads to increase fluid retention). If the problem persists, I recommend consulting with your attending physician and performing some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had sudden chest pain this morning. It has fluctuated in intensity and I have no other symptom. Im eating just fine and can do everything I normally do except a complete gym workout. It seems to hurt more when i bend down. Should i go to the emergency room or wait to make a doctor appointment? | HelloSudden chest pain may be due to many causes like acidity, cardio-pulmonary causes, muculoskeletal causes etc. It is always safe to exclude cardio-pulmonary causes in chest pain. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. Empirically you can take pantoprazole 40 mg half hour before breakfast in the morning for four weeks. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had sudden chest pain this morning. It has fluctuated in intensity and I have no other symptom. Im eating just fine and can do everything I normally do except a complete gym workout. It seems to hurt more when i bend down. Should i go to the emergency room or wait to make a doctor appointment?"
},
{
"from": "gpt",
"value": "Output: HelloSudden chest pain may be due to many causes like acidity, cardio-pulmonary causes, muculoskeletal causes etc. It is always safe to exclude cardio-pulmonary causes in chest pain. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. Empirically you can take pantoprazole 40 mg half hour before breakfast in the morning for four weeks. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, today I was working a peice of machinery when I was pulling on a torque bar when it slipped and pushed he back of my hand into a metal corner on the machine. It instantly turned purple at the slight gash and is swollen and numb around the area. what should I do | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If you are able to move the hand, possibly there is no fracture.2. Some amount of swelling and pain is going to be there due to tissue injury. It will reduce within 1-2 days. You can keep ice pack. Will help you with pain and swelling.3. Take NSAID painkillers for pain. If you are unable to move the hand and even if slight movement causes severe pain, you need to get an x-ray done to rule out any fracture. At present, avoid any movement and give the hand, rest. Hope it helps. Any further queries, happy to help again. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, today I was working a peice of machinery when I was pulling on a torque bar when it slipped and pushed he back of my hand into a metal corner on the machine. It instantly turned purple at the slight gash and is swollen and numb around the area. what should I do"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If you are able to move the hand, possibly there is no fracture.2. Some amount of swelling and pain is going to be there due to tissue injury. It will reduce within 1-2 days. You can keep ice pack. Will help you with pain and swelling.3. Take NSAID painkillers for pain. If you are unable to move the hand and even if slight movement causes severe pain, you need to get an x-ray done to rule out any fracture. At present, avoid any movement and give the hand, rest. Hope it helps. Any further queries, happy to help again."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have a small lump in my throat that has been there for 5weeks now i have had antibotics to see if it could be my glands but the lump is still there. its not painfull or afects me when eating but i just need to no could it be cancer or could i be over reacting | Hi, dear. I have gone through your question. I can understand your concern. If it is inside your throat then it may be granular pharyngitis or something like that. If it is in neck region then you should go for fine needle aspiration cytology to check whether it is being lesioned or malignant. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have a small lump in my throat that has been there for 5weeks now i have had antibotics to see if it could be my glands but the lump is still there. its not painfull or afects me when eating but i just need to no could it be cancer or could i be over reacting"
},
{
"from": "gpt",
"value": "Output: Hi, dear. I have gone through your question. I can understand your concern. If it is inside your throat then it may be granular pharyngitis or something like that. If it is in neck region then you should go for fine needle aspiration cytology to check whether it is being lesioned or malignant. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 7 weeks pregnant . Doc has prescribed dubagest 100 and duphaston for a month. This is my second pregnancy and i hav no problems like bleeding etc. Is it necessary to take these tablets for such a long period? my first ultrasound was also normal. | Hello dear, I understand your concern. In my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. Progesterone hormone is very important hormone in the maintained of pregnancy. Even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. So discuss regarding that with your doctor. Nothing to worry as the medications are not associated with any harmful effects to the fetus. Avoid physical stress and take healthy nutritional diet and take good rest. Avoid intercourse during the first trimester up to 12 weeks of pregnancy. Nothing to worry as such. Hope this helps. Best regards.... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 7 weeks pregnant . Doc has prescribed dubagest 100 and duphaston for a month. This is my second pregnancy and i hav no problems like bleeding etc. Is it necessary to take these tablets for such a long period? my first ultrasound was also normal."
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. In my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. Progesterone hormone is very important hormone in the maintained of pregnancy. Even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. So discuss regarding that with your doctor. Nothing to worry as the medications are not associated with any harmful effects to the fetus. Avoid physical stress and take healthy nutritional diet and take good rest. Avoid intercourse during the first trimester up to 12 weeks of pregnancy. Nothing to worry as such. Hope this helps. Best regards...."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Two weeks ago I had horrible diarrhea and stomach cramps. Then a week ago I noticed a white discharge from my penis and maybe some blood in my urine and an odor. I went to the ER they gave me antibiotics but the cultures all came back negative. What could this be? | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Two weeks ago I had horrible diarrhea and stomach cramps. Then a week ago I noticed a white discharge from my penis and maybe some blood in my urine and an odor. I went to the ER they gave me antibiotics but the cultures all came back negative. What could this be?"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have recently read that shortness of breath and chest pain can be a symptom of a thoracic bulging disk, but also have seen other medics say this does not cause shortness of breath so which is it? I ve already had 2 emergency spinal surgeries in l2 & l4 area and have a disc that feels like it s popping between my shoulder blades regularly and I m recently becoming more and more short of breath even while lying down. I have a diagnosis of fibromyalgia and I am very fatigued all the time. Chest X-ray and ECG normal today as are blood work. | Thanks for your question on Chat Doctor. I can understand your concern. No, bulging of Thoracic intervertebral disc can not cause breathlessness. Since your chest x-ray and ECG are normal, no need to worry about lung infection or heart diseases. Bronchitis can cause similar symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). If PFT is suggestive of bronchitis then you need inhaled bronchodilators and inhaled corticosteroid (ICS) for breathlessness. If PFT is normal then no need to worry about bronchitis. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have recently read that shortness of breath and chest pain can be a symptom of a thoracic bulging disk, but also have seen other medics say this does not cause shortness of breath so which is it? I ve already had 2 emergency spinal surgeries in l2 & l4 area and have a disc that feels like it s popping between my shoulder blades regularly and I m recently becoming more and more short of breath even while lying down. I have a diagnosis of fibromyalgia and I am very fatigued all the time. Chest X-ray and ECG normal today as are blood work."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No, bulging of Thoracic intervertebral disc can not cause breathlessness. Since your chest x-ray and ECG are normal, no need to worry about lung infection or heart diseases. Bronchitis can cause similar symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). If PFT is suggestive of bronchitis then you need inhaled bronchodilators and inhaled corticosteroid (ICS) for breathlessness. If PFT is normal then no need to worry about bronchitis. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my 3 years old daughter has cough for the last one month, which gets severs in the night. We have allergy history in the family. One year back we gave her myteka for 2 months on the advice of peaditrician. She got well. Can we again give her the same medicine. Whether this medicine has any side effects. | Hi, Myteka is a leukotriene receptor antagonist commonly prescribed to treat seasonal allergy and also to prevent bronchial asthma. Its common side effects include stomach upset, headache, dizziness, liver dysfunction, upper respiratory infection and running nose. If your daughter is having breathing problem with cough this medication may be given however other causes of cough such as infection should be ruled out. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my 3 years old daughter has cough for the last one month, which gets severs in the night. We have allergy history in the family. One year back we gave her myteka for 2 months on the advice of peaditrician. She got well. Can we again give her the same medicine. Whether this medicine has any side effects."
},
{
"from": "gpt",
"value": "Output: Hi, Myteka is a leukotriene receptor antagonist commonly prescribed to treat seasonal allergy and also to prevent bronchial asthma. Its common side effects include stomach upset, headache, dizziness, liver dysfunction, upper respiratory infection and running nose. If your daughter is having breathing problem with cough this medication may be given however other causes of cough such as infection should be ruled out. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a small fracture in the dominate toe of my left foot that has not completely healed yet which would not be so much of a problem as far as pain but I am currently in the throes for the third day now with an arthritic gout attack done that I am currently treating with colchicine to lower the uric acid in my blood stream. At times I am able to keep the pain under control through the use of Ibuprofen, Naproxen and colchicine and at times an addition of a mild narcotic. I am unable to see my primary care provider until Monday 5/4/2014. Until I can see my primary care provider I am in need of a mild narcotic preferabley one not containing either Tylenol, Ibuprofen or Naproxen as I have those on hand now. I would require a minimum amount of approximate qty. 8 tabs of 5mg Oxycodone or 4 tablets of the 10mg would suffice until I can get into see my regular Dr. On 5/4/2014 | Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. YOU CAN SPLINT THE TOE TILL THEN, KEEP THE LIMB ELEVATED, ICE PACKING WILL HELP.ADD CALCIUM TABLETS AND HEMOLYTIC ENZYMES Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a small fracture in the dominate toe of my left foot that has not completely healed yet which would not be so much of a problem as far as pain but I am currently in the throes for the third day now with an arthritic gout attack done that I am currently treating with colchicine to lower the uric acid in my blood stream. At times I am able to keep the pain under control through the use of Ibuprofen, Naproxen and colchicine and at times an addition of a mild narcotic. I am unable to see my primary care provider until Monday 5/4/2014. Until I can see my primary care provider I am in need of a mild narcotic preferabley one not containing either Tylenol, Ibuprofen or Naproxen as I have those on hand now. I would require a minimum amount of approximate qty. 8 tabs of 5mg Oxycodone or 4 tablets of the 10mg would suffice until I can get into see my regular Dr. On 5/4/2014"
},
{
"from": "gpt",
"value": "Output: Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. YOU CAN SPLINT THE TOE TILL THEN, KEEP THE LIMB ELEVATED, ICE PACKING WILL HELP.ADD CALCIUM TABLETS AND HEMOLYTIC ENZYMES Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 50 years old I have Motor neuron disease, osteoarthritis,asthma,eczema, hayfever, and have had problems with my gallbladder and stones in the laast few months, I am due to have the gall bladder removed soon,,,but my problem at the moment is that I have swollen ankles that are very uncomfortable, I am on water retention tablets but they dont seem to be helping remove the swelling,,help please | Howell come to ChatDoctorI really appreciate your concern, with the chronic illness hypovitaminosis and anemia likely to develops and these could be the reason of ankle swelling if the diuretic fails to work then this may not be renal pathology related swelling, circulatory disturbances could be the another cause, try to keep the leg in elevated position, hope this information helps, take care and have a nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 50 years old I have Motor neuron disease, osteoarthritis,asthma,eczema, hayfever, and have had problems with my gallbladder and stones in the laast few months, I am due to have the gall bladder removed soon,,,but my problem at the moment is that I have swollen ankles that are very uncomfortable, I am on water retention tablets but they dont seem to be helping remove the swelling,,help please"
},
{
"from": "gpt",
"value": "Output: Howell come to ChatDoctorI really appreciate your concern, with the chronic illness hypovitaminosis and anemia likely to develops and these could be the reason of ankle swelling if the diuretic fails to work then this may not be renal pathology related swelling, circulatory disturbances could be the another cause, try to keep the leg in elevated position, hope this information helps, take care and have a nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was told that I had black spots on my cervix resembling a mole. After the exam the dr set up a skin check- is there a connection between skin cancer and cervical cancer. Should I stop worrying about it? Does it really take longer than a week to get Pap smear results? | Thanks for your question on Chat Doctor. There is no direct connection between skin cancer and cervical cancer. But if moles are present on skin and cervical mucosa then if in future malignant melanoma can affect both. But possibility of this is very, very rare. So no need to worry much for this. And PAP smear is routine OLD (Out patient department) procedure. It will take maximum 1-2 days for report to come. More than a week time is too much for pap smear report. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was told that I had black spots on my cervix resembling a mole. After the exam the dr set up a skin check- is there a connection between skin cancer and cervical cancer. Should I stop worrying about it? Does it really take longer than a week to get Pap smear results?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. There is no direct connection between skin cancer and cervical cancer. But if moles are present on skin and cervical mucosa then if in future malignant melanoma can affect both. But possibility of this is very, very rare. So no need to worry much for this. And PAP smear is routine OLD (Out patient department) procedure. It will take maximum 1-2 days for report to come. More than a week time is too much for pap smear report."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my boyfriend has congestive heart failure and he is peeing very little he also has stomach aches and has a history of drinking alcohol sometimes his sex drive is not there we barely have sex cause of his breathing and he has a history of asthma do you know what can be going on | Hi, A history of congestive heart failure with a recent onset of a decrease in urine volume needs to be evaluated as this can be what we call \"Cardio renal syn Chat Doctor. His stomach aches can be related to many factors which may include the liver (as in congestive nephropathy in heart failure) or a problem in the kidneys causing too many levels of toxins not being excreted in the urine (uremia). I would suggest a consult at the Emergency Room to check for his present status, appropriate diagnosis of the present condition, and to check for any co-existing problems, like infections which can further aggravate heart failure, if not treated promptly. This may require hospitalization for observation and definitive treatment. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello my boyfriend has congestive heart failure and he is peeing very little he also has stomach aches and has a history of drinking alcohol sometimes his sex drive is not there we barely have sex cause of his breathing and he has a history of asthma do you know what can be going on"
},
{
"from": "gpt",
"value": "Output: Hi, A history of congestive heart failure with a recent onset of a decrease in urine volume needs to be evaluated as this can be what we call \\\"Cardio renal syn Chat Doctor. His stomach aches can be related to many factors which may include the liver (as in congestive nephropathy in heart failure) or a problem in the kidneys causing too many levels of toxins not being excreted in the urine (uremia). I would suggest a consult at the Emergency Room to check for his present status, appropriate diagnosis of the present condition, and to check for any co-existing problems, like infections which can further aggravate heart failure, if not treated promptly. This may require hospitalization for observation and definitive treatment. 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 having pain in lower abdominal region, not left or right, but a band across, for 4 days. Bowel movements are regular but have noticed pink urine. Also very bloated. Some intermittent nausea. I thought it might be a diverticula flareup since I have that problem but the pink urine is disturbing. What could be causing this pain? | Hi. Thanks for your query. It is possible that the diverticulitis have flared up, the part is in contact with the urinary bladder in the pelvis giving rise to pink urine - this may basically be cystitis giving hematuria. In such a situation where you know you had diverticulitis, the best way is to go for CT scan first to see if there is flare-up or not. Also go for the routine lab-work. Urine for routine, microscopy, culture and sensitivity. Cystourethroscopy will help to substantiate the diagnosis. Get started with the medical management in the form of antibiotics and supportive medicines. Rest of the treatment will depend upon the findings and proper diagnosis. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been having pain in lower abdominal region, not left or right, but a band across, for 4 days. Bowel movements are regular but have noticed pink urine. Also very bloated. Some intermittent nausea. I thought it might be a diverticula flareup since I have that problem but the pink urine is disturbing. What could be causing this pain?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. It is possible that the diverticulitis have flared up, the part is in contact with the urinary bladder in the pelvis giving rise to pink urine - this may basically be cystitis giving hematuria. In such a situation where you know you had diverticulitis, the best way is to go for CT scan first to see if there is flare-up or not. Also go for the routine lab-work. Urine for routine, microscopy, culture and sensitivity. Cystourethroscopy will help to substantiate the diagnosis. Get started with the medical management in the form of antibiotics and supportive medicines. Rest of the treatment will depend upon the findings and proper diagnosis."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I would like ta know why my left kidney scar is bleeding after over 10 years? My name is jacob bullock 24yr old male, I hd an operation in 2000 on my (left) kidney as result of a stab wound to (my) left kidney. I had to have reconstruction surgery on my kidney. Well, I went thrw physicl therapy nd pain management, the whole thing like i was supposed to. Well, the problem is i can t figure out why after about 2 years of healing , my scar started ta bleed,in 2002, i didnt really thnk too much about it but then bout three years ago (2008) it startd hurin an it jus kept gettin worst but tha MRI didnt show nothin an i cudnt do anything cuz i didnt have any type of insurance, i still dont ...so my question ta you is | Bleeding scar. How does the scar look-is it read or almost white.? Did it get bruised or hurt any time.? Has there been any discharge from it off and on.? Are you extremely hairy? These are pertinent queries related to your scar. It would be best to see your operating surgeon and let him assess the scar or show to a Plastic Surgeon who understand scars well. Keep me informed of your progress. [email protected] Website | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I would like ta know why my left kidney scar is bleeding after over 10 years? My name is jacob bullock 24yr old male, I hd an operation in 2000 on my (left) kidney as result of a stab wound to (my) left kidney. I had to have reconstruction surgery on my kidney. Well, I went thrw physicl therapy nd pain management, the whole thing like i was supposed to. Well, the problem is i can t figure out why after about 2 years of healing , my scar started ta bleed,in 2002, i didnt really thnk too much about it but then bout three years ago (2008) it startd hurin an it jus kept gettin worst but tha MRI didnt show nothin an i cudnt do anything cuz i didnt have any type of insurance, i still dont ...so my question ta you is"
},
{
"from": "gpt",
"value": "Output: Bleeding scar. How does the scar look-is it read or almost white.? Did it get bruised or hurt any time.? Has there been any discharge from it off and on.? Are you extremely hairy? These are pertinent queries related to your scar. It would be best to see your operating surgeon and let him assess the scar or show to a Plastic Surgeon who understand scars well. Keep me informed of your progress. [email protected] Website"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, on the bottom set of my braces, the wire has slipped out of one sides bracket causing the other side of the bottom to hurt. I discovered the wire has slipped one side causing the other side to dig into my gum. The wire is now in my gum causing me aches and an inflamed gum. Help? | Thanks for your query, I have gone through your query. The pain in the gums is because of the trauma caused by the wire poking into the gums. Immediately consult your orthodontist or a dental surgeon and get it corrected by placing back the wire to its position. If I am your treating doctor I would have corrected the wire first and put you on topical anesthetics like 2% lidocaine gel, apply 4-5times daily till the lesion or wound heals. 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: Hello, on the bottom set of my braces, the wire has slipped out of one sides bracket causing the other side of the bottom to hurt. I discovered the wire has slipped one side causing the other side to dig into my gum. The wire is now in my gum causing me aches and an inflamed gum. Help?"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain in the gums is because of the trauma caused by the wire poking into the gums. Immediately consult your orthodontist or a dental surgeon and get it corrected by placing back the wire to its position. If I am your treating doctor I would have corrected the wire first and put you on topical anesthetics like 2% lidocaine gel, apply 4-5times daily till the lesion or wound heals. I hope my answer will help you, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor, Alcohol, Atrial Fibrillation & Life after... I get blotted, noxious after drinking only one glass of white wine. Although I do not drink much, I ve had a couple episodes of atrial fibrillation in the past 2 to 3 years. These episodes were serious enough for me to be kept in the ICU of the hospitals I went to. Both lasted for 48 hours+ followed by a couple of days of watch time. Ever since the second episodes, I was prescribed to take Rytmonorm 150 coupled with Coraspin 300 to avoid any blood clots. After 2 years on the treatment, I ve hoped that my heart would be clear of the problem and tried to get off of the medicine. Within 24 hours, my heart started to beat erratically, enough so that I immediately reached for the pills... Along with my heart beating awkwardly, I ve noticed an almost instant pain in my head coupled with a slight but persistent confusion... I have repeatedly told about the combination of effects to a few doctors only to be dismissed at once as there doesn t seem to be any correlation with the heart/brain (as per the doc s opinions)... I have gotten a check-up with my cardiologist a couple of weeks ago and he recommends that I stay on the medication (one of my valve (top?) is 4cm wide whereas it should be at maximum 3.8cm (from memory, and I can t remember what was what exactly). Also, there was another measure from the ECG of 450ms or such between beat... Where it should stay under 450 or 430... Again, I do not recall the exact lingo... My question is simple. Are there any known adverse effect to taking a medication such as Rytmonorm, does it affect the initial problem (atrial fibrillation)? Is there any way to remedy the problem without resorting to ablation (which has a low success rate) or cut through the electrical system (old style)... I really would like to get off the medication. Thank you for your time and feedback on this case. Best Regards, Frederic | Hello, Ritmonorm is for rhythm control that means if you have had episodes of atrial fibrillation that have been resolve in sinus rhythm you must take these medicines, to stay in sinus rhythm and to prevent episodes of atrial fibrillation. If you were my patient, I would consider an anticoagulation treatment (Carlo), because of your atrium diameter. One side effect of Ritmonorm is an elongation of qt SEG on ECG. So if I were you, I would continue using Ritmonorm. 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: Dear Doctor, Alcohol, Atrial Fibrillation & Life after... I get blotted, noxious after drinking only one glass of white wine. Although I do not drink much, I ve had a couple episodes of atrial fibrillation in the past 2 to 3 years. These episodes were serious enough for me to be kept in the ICU of the hospitals I went to. Both lasted for 48 hours+ followed by a couple of days of watch time. Ever since the second episodes, I was prescribed to take Rytmonorm 150 coupled with Coraspin 300 to avoid any blood clots. After 2 years on the treatment, I ve hoped that my heart would be clear of the problem and tried to get off of the medicine. Within 24 hours, my heart started to beat erratically, enough so that I immediately reached for the pills... Along with my heart beating awkwardly, I ve noticed an almost instant pain in my head coupled with a slight but persistent confusion... I have repeatedly told about the combination of effects to a few doctors only to be dismissed at once as there doesn t seem to be any correlation with the heart/brain (as per the doc s opinions)... I have gotten a check-up with my cardiologist a couple of weeks ago and he recommends that I stay on the medication (one of my valve (top?) is 4cm wide whereas it should be at maximum 3.8cm (from memory, and I can t remember what was what exactly). Also, there was another measure from the ECG of 450ms or such between beat... Where it should stay under 450 or 430... Again, I do not recall the exact lingo... My question is simple. Are there any known adverse effect to taking a medication such as Rytmonorm, does it affect the initial problem (atrial fibrillation)? Is there any way to remedy the problem without resorting to ablation (which has a low success rate) or cut through the electrical system (old style)... I really would like to get off the medication. Thank you for your time and feedback on this case. Best Regards, Frederic"
},
{
"from": "gpt",
"value": "Output: Hello, Ritmonorm is for rhythm control that means if you have had episodes of atrial fibrillation that have been resolve in sinus rhythm you must take these medicines, to stay in sinus rhythm and to prevent episodes of atrial fibrillation. If you were my patient, I would consider an anticoagulation treatment (Carlo), because of your atrium diameter. One side effect of Ritmonorm is an elongation of qt SEG on ECG. So if I were you, I would continue using Ritmonorm. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother is currently on dobutamine and levophed for congestive heart failure. We want to be able to at least get her off of the levophed. The doctors are trying midodrine which has allowed us to lower the dosage of the levophed some, but not entirely. What other options are there? | Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Devoted is actually one of the last resorts a doctor has in case of heart failure, when heart gets too weak to pump enough one needs it, there are not many options which can be as efficient as devoted, but you can discuss with your doctors about digoxin, but usually patients on devoted are hard to switch to digoxin as digoxin is less potent and has more side effects. The only way your mother can get of devoted is only if she gets out of failure chronically by use of diuretics beta blockers ACE inhibitors etc., if here ejection fraction is too low, and she is in ongoing failure than isotopes are only choice. I hope this answered your question, If you have more queries I am happy to answer you. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother is currently on dobutamine and levophed for congestive heart failure. We want to be able to at least get her off of the levophed. The doctors are trying midodrine which has allowed us to lower the dosage of the levophed some, but not entirely. What other options are there?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Devoted is actually one of the last resorts a doctor has in case of heart failure, when heart gets too weak to pump enough one needs it, there are not many options which can be as efficient as devoted, but you can discuss with your doctors about digoxin, but usually patients on devoted are hard to switch to digoxin as digoxin is less potent and has more side effects. The only way your mother can get of devoted is only if she gets out of failure chronically by use of diuretics beta blockers ACE inhibitors etc., if here ejection fraction is too low, and she is in ongoing failure than isotopes are only choice. I hope this answered your question, If you have more queries I am happy to answer you. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fractured my my right wrist (undisplaced distal radius) on the 28th September 2011 and was put in plaster, they removed the cast on the 28th October after four and a half weeks. I am still in pain and feel that my fracture has not completley healed, I did express I was in pain the day it was taken off I am very concerned.I have pain accros the index finger area and the bone of my thumb is tender Please can you advise me. Thank you | Hello, After removal of plaster, every fracture needs physiotherapy for some days for smooth functioning of muscles and ligaments. If you are still having pain at your wrist after 6 months of fracture then you should check first for complete union of fracture. This can be checked by having an X-ray of affected part. At present, I shall advise you for physiotherapy and taking calcium supplement for relief. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fractured my my right wrist (undisplaced distal radius) on the 28th September 2011 and was put in plaster, they removed the cast on the 28th October after four and a half weeks. I am still in pain and feel that my fracture has not completley healed, I did express I was in pain the day it was taken off I am very concerned.I have pain accros the index finger area and the bone of my thumb is tender Please can you advise me. Thank you"
},
{
"from": "gpt",
"value": "Output: Hello, After removal of plaster, every fracture needs physiotherapy for some days for smooth functioning of muscles and ligaments. If you are still having pain at your wrist after 6 months of fracture then you should check first for complete union of fracture. This can be checked by having an X-ray of affected part. At present, I shall advise you for physiotherapy and taking calcium supplement for relief. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir,we are trying from last 2 years , we went through all tests for pregnancy. came to know through HSG one tube was blocked and other is working fine. Dr. suggested for Hysterolaparoscopy and its cost around 30k in noida.Can anyone help me with my queries..1. Has anyone done this and got pregnant later?2. If my block is removed in laparoscopy (Hopefully i can get pregnant naturally) 3.what are the precaution we have to take?4. is one tube is not sufficient for get natural pregnant?5.what about the success rate of this surgery and side effects?Please help me... Im in a lot of confusion. Should I go for this??? | Hi, I guess your concern is about getting pregnant with one fallopian tube or if not then what its treatment. Let us discuss your queries on by one | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir,we are trying from last 2 years , we went through all tests for pregnancy. came to know through HSG one tube was blocked and other is working fine. Dr. suggested for Hysterolaparoscopy and its cost around 30k in noida.Can anyone help me with my queries..1. Has anyone done this and got pregnant later?2. If my block is removed in laparoscopy (Hopefully i can get pregnant naturally) 3.what are the precaution we have to take?4. is one tube is not sufficient for get natural pregnant?5.what about the success rate of this surgery and side effects?Please help me... Im in a lot of confusion. Should I go for this???"
},
{
"from": "gpt",
"value": "Output: Hi, I guess your concern is about getting pregnant with one fallopian tube or if not then what its treatment. Let us discuss your queries on by one"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a professional gardener in my mid fifties and I suffer with hayfever. This year I have had swollen glands in my neck, the first one was on my left side and came up at the beginning of April, however this seems to be spreading to the one above. I also have swollen glands where my neck meets my shoulder. In the past week a gland has become enlarged on the righthand side of my neck. All are tender when touched. I have been to my GP and have had a series of blood tests whicChatDoctore back as normal. He also sent me for a chest xray and this also came back as okay. He seems to think it is something to do with my hayfever and the fact that I work outside 5-6hrs a day. I would just like confirmation that this could be the case or should I insist on further tests. I seem to have a mild sore throat and a cough but these symptons are definitely worse some days than others and I think are most certainly related to the gardening. I do not have any other symptons such as night sweats, tiredness, loss of weight etc | Hi thanks for contacting Chat Doctor... Here you have hay fever that is allergic rhinitis like condition to allergen... Try to avoid exposure to pollen, dust and pollutants... Take antihistamines Chat Doctor. ... Decongestent oxymetazoline spray can be taken. Here as you have swollen glands to relieve inflammation short term steroid can be used like methyl prednisolone. Do FNAC from swollen gland .... Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a professional gardener in my mid fifties and I suffer with hayfever. This year I have had swollen glands in my neck, the first one was on my left side and came up at the beginning of April, however this seems to be spreading to the one above. I also have swollen glands where my neck meets my shoulder. In the past week a gland has become enlarged on the righthand side of my neck. All are tender when touched. I have been to my GP and have had a series of blood tests whicChatDoctore back as normal. He also sent me for a chest xray and this also came back as okay. He seems to think it is something to do with my hayfever and the fact that I work outside 5-6hrs a day. I would just like confirmation that this could be the case or should I insist on further tests. I seem to have a mild sore throat and a cough but these symptons are definitely worse some days than others and I think are most certainly related to the gardening. I do not have any other symptons such as night sweats, tiredness, loss of weight etc"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... Here you have hay fever that is allergic rhinitis like condition to allergen... Try to avoid exposure to pollen, dust and pollutants... Take antihistamines Chat Doctor. ... Decongestent oxymetazoline spray can be taken. Here as you have swollen glands to relieve inflammation short term steroid can be used like methyl prednisolone. Do FNAC from swollen gland .... Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, yesterday my leg fell in between a tail lift & mini bus & within minutes a bruise appeared on inner lower leg & swelling around the bruise. I then got pain on my inner upper leg with no visible signs of an injury. I am in quite a lot of pain. What is your advice? | Hi, It appears like you had internal bleeding and now a clot/hematoma has been formed at the injury site. There is no need to worry as it will heal by itself (resolve). You need to take painkillers such as Diclofenac sodium to get relief from pain. Also, if any abrasions/bruise is seen on your leg, get a TT injection (tetanus), if you haven't had one in the past 5 years. The wound should heal in around 5-7 days, failing which you may visit your treating doctor. Hope this information helps. Feel free to ask if you have any doubts. With warm regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, yesterday my leg fell in between a tail lift & mini bus & within minutes a bruise appeared on inner lower leg & swelling around the bruise. I then got pain on my inner upper leg with no visible signs of an injury. I am in quite a lot of pain. What is your advice?"
},
{
"from": "gpt",
"value": "Output: Hi, It appears like you had internal bleeding and now a clot/hematoma has been formed at the injury site. There is no need to worry as it will heal by itself (resolve). You need to take painkillers such as Diclofenac sodium to get relief from pain. Also, if any abrasions/bruise is seen on your leg, get a TT injection (tetanus), if you haven't had one in the past 5 years. The wound should heal in around 5-7 days, failing which you may visit your treating doctor. Hope this information helps. Feel free to ask if you have any doubts. With warm regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a 10 yr old boy, normally very very healthy. He and a friend went fishing in the creek and now he is sick. sore throat, headache, stuffy nose, stomach ache, stiff neck fever 101-103. Went to urgent care said dont know what is wrong. did a strep test came back normal, checked for mono came back normal. he has been sick like this since monday and not getting any better. Have given him tylenol for headache and fever. | Hellothank you for contacting ChatDoctoryour son might be infected with acute pharyngitis, tonsillitis or adenoids. Means infection in throat or tonsils with bacteria or virus. Give him plenty of fluids. Light diet with sprouted pulses. Give him vegetable and fruit juice. Do gargles with a warm water 3-4 times a day. Give paracetamol for fever and headache in half strength. Please consult your clinician for antibiotics 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 a 10 yr old boy, normally very very healthy. He and a friend went fishing in the creek and now he is sick. sore throat, headache, stuffy nose, stomach ache, stiff neck fever 101-103. Went to urgent care said dont know what is wrong. did a strep test came back normal, checked for mono came back normal. he has been sick like this since monday and not getting any better. Have given him tylenol for headache and fever."
},
{
"from": "gpt",
"value": "Output: Hellothank you for contacting ChatDoctoryour son might be infected with acute pharyngitis, tonsillitis or adenoids. Means infection in throat or tonsils with bacteria or virus. Give him plenty of fluids. Light diet with sprouted pulses. Give him vegetable and fruit juice. Do gargles with a warm water 3-4 times a day. Give paracetamol for fever and headache in half strength. Please consult your clinician for antibiotics thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor, recently i came to know that i have pco and my gynecologist prescribed my husband to have a semen analysis. we took the semen sample in a plastic pot bought from a pharmacy. we went to a reputed hospital in my city which is only 5 min distance from our house. but the doctors there said that the semen should be ejaculated there in the hospital and they rejected to take our sample. i want to know that is there any legal problem to take the sample bought from home and why they rejected? | Good day, and thank you for being with Chat Doctor !!! Semen samples should be collected in the hospital premises not due to legal concerns but because of quality and accuracy concerns. We take note of the time when the semen liquefies and how long they stay alive with effective propulsion. This is needed to properly evaluate the sample and for your urologist to be able to have the most accurate data to be interpreted. I am sorry to hear that the hospital that you went to wasn't able to properly explain why an outside sample cannot be allowed. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor, recently i came to know that i have pco and my gynecologist prescribed my husband to have a semen analysis. we took the semen sample in a plastic pot bought from a pharmacy. we went to a reputed hospital in my city which is only 5 min distance from our house. but the doctors there said that the semen should be ejaculated there in the hospital and they rejected to take our sample. i want to know that is there any legal problem to take the sample bought from home and why they rejected?"
},
{
"from": "gpt",
"value": "Output: Good day, and thank you for being with Chat Doctor !!! Semen samples should be collected in the hospital premises not due to legal concerns but because of quality and accuracy concerns. We take note of the time when the semen liquefies and how long they stay alive with effective propulsion. This is needed to properly evaluate the sample and for your urologist to be able to have the most accurate data to be interpreted. I am sorry to hear that the hospital that you went to wasn't able to properly explain why an outside sample cannot be allowed."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A friend of mine is treated with topirol 50mg and tryptomer 25mg for the past 9 months. she feels drowsy, uneasy. doctor has given this for her headache and earache also doctor told her it is for treating the excess blood flow to the brain.....can u explain | Hello! Welcome on Chat Doctor ! Based on your friend history of headache and this therapy, I would explain that your friend may suffer from migraines. This therapy is specific for the prevention and chronic management of migraine attacks. The increased Chat Doctor. For this reason, I would recommend discussing with his doctor on the possibility of stopping gradually Cryptomeria and switching to Prozac or Sertraline. Besides, I would recommend increasing the dose of Topical up to 100\u00a0mg daily if tolerated. Hope you will find this answer helpful! Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A friend of mine is treated with topirol 50mg and tryptomer 25mg for the past 9 months. she feels drowsy, uneasy. doctor has given this for her headache and earache also doctor told her it is for treating the excess blood flow to the brain.....can u explain"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor ! Based on your friend history of headache and this therapy, I would explain that your friend may suffer from migraines. This therapy is specific for the prevention and chronic management of migraine attacks. The increased Chat Doctor. For this reason, I would recommend discussing with his doctor on the possibility of stopping gradually Cryptomeria and switching to Prozac or Sertraline. Besides, I would recommend increasing the dose of Topical up to 100\\u00a0mg daily if tolerated. Hope you will find this answer helpful! Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 2 years old has an ear infection we start the augmentin es since one week he is feeling better but I didn t refrigerate the augmentin its a week now my son have a skin rash all over his body and the medecine is yellow he got flu again with fever and he vomit once this morning what to do | Hi, Thank you for asking question on Chat Doctor. Middle ear infection will not clear easily. Avoid head bath, bathing in swimming pools, rivers and ponds. Avoid colds because cold will exaggerate middle ear infection. Augmentin may sometimes give rise to rash. Cetzine syrup once daily will reduce rash. Take treatment immediately Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 2 years old has an ear infection we start the augmentin es since one week he is feeling better but I didn t refrigerate the augmentin its a week now my son have a skin rash all over his body and the medecine is yellow he got flu again with fever and he vomit once this morning what to do"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for asking question on Chat Doctor. Middle ear infection will not clear easily. Avoid head bath, bathing in swimming pools, rivers and ponds. Avoid colds because cold will exaggerate middle ear infection. Augmentin may sometimes give rise to rash. Cetzine syrup once daily will reduce rash. Take treatment immediately Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I completed a pack of minigynon on saturday. Havent started a new one decided to let my period run its course. I just had unprotected sex with my boyfriend and he came in me. Can i start a new pack of pill starting off with two and i wont get pregnant | Hello misunderstand your concerned you have finished the whole pack of minion (regularly without missing the tablet) then you are completely protected. No need to start new pack till the period will come. You have to start new pack from the first day of next cycle. But if you missed one or two pills, and you are irregular in taking the pill then you have to take emergency contraceptive pill to prevent the pregnancy. So no need to start pill before the period come as you have taken microgynon regularly. But if period will delay by 10-12 days from normal expected period then you have to go for pregnancy test to confirm pregnancy. If you will pregnant then still you can terminate the pregnancy by using abortion pill under the advice of gynecologist up to 9 weeks of pregnancy. Hope this may help you 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 completed a pack of minigynon on saturday. Havent started a new one decided to let my period run its course. I just had unprotected sex with my boyfriend and he came in me. Can i start a new pack of pill starting off with two and i wont get pregnant"
},
{
"from": "gpt",
"value": "Output: Hello misunderstand your concerned you have finished the whole pack of minion (regularly without missing the tablet) then you are completely protected. No need to start new pack till the period will come. You have to start new pack from the first day of next cycle. But if you missed one or two pills, and you are irregular in taking the pill then you have to take emergency contraceptive pill to prevent the pregnancy. So no need to start pill before the period come as you have taken microgynon regularly. But if period will delay by 10-12 days from normal expected period then you have to go for pregnancy test to confirm pregnancy. If you will pregnant then still you can terminate the pregnancy by using abortion pill under the advice of gynecologist up to 9 weeks of pregnancy. Hope this may help you Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 71 years old and my blood pressure has been droping to 115/7 or 20/75. What is to low or to high for me at my age? I feel great. and I am not sick. I take 10/40 blood pressure med and 25Mg of Levothyroxine has been taking it for one year now.Let me know what is to high and low for me concerning blood pressure.mamahrodgers2@gmail | Hello What you had mentioned asymptomatic. So the readings which you have mentioned are likely a false reading and machine error. Because it's possible for any person to have such low BP without any symptoms. One would have dizziness syncope etc. So I think no need to worry about it especially of you are not having any symptoms. And recheck the BP with arm lying relaxed and straight. There should not be a bend at elbow which may falsely lower the BP. Hope this helps you and get back if you have any doubts. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 71 years old and my blood pressure has been droping to 115/7 or 20/75. What is to low or to high for me at my age? I feel great. and I am not sick. I take 10/40 blood pressure med and 25Mg of Levothyroxine has been taking it for one year now.Let me know what is to high and low for me concerning blood pressure.mamahrodgers2@gmail"
},
{
"from": "gpt",
"value": "Output: Hello What you had mentioned asymptomatic. So the readings which you have mentioned are likely a false reading and machine error. Because it's possible for any person to have such low BP without any symptoms. One would have dizziness syncope etc. So I think no need to worry about it especially of you are not having any symptoms. And recheck the BP with arm lying relaxed and straight. There should not be a bend at elbow which may falsely lower the BP. Hope this helps you and get back if you have any doubts. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi am having stomach pain under my breast that is upper abdominal area. When I dont eat am started with pain and after having food it disappear. I started taking pantacid and am not ok.is it necessary to take endoscopy. I did not visited gastroligest simply to a mbbs .pls suggest me and is any thing is wrong | Hello dear, The symptoms as mentioned in your post is attributed to Acid Peptic Disease. It is caused due to erosion of gastric/ duodenal mucosa secondary to increased acid production in the stomach. Presence of pain during empty stomach, which relieves on medication is characteristic of a Duodenal ulcer. Investigation like Upper GI endoscopy will be helpful in determining the location & severity of the ulcers. Kindly get it done. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi am having stomach pain under my breast that is upper abdominal area. When I dont eat am started with pain and after having food it disappear. I started taking pantacid and am not ok.is it necessary to take endoscopy. I did not visited gastroligest simply to a mbbs .pls suggest me and is any thing is wrong"
},
{
"from": "gpt",
"value": "Output: Hello dear, The symptoms as mentioned in your post is attributed to Acid Peptic Disease. It is caused due to erosion of gastric/ duodenal mucosa secondary to increased acid production in the stomach. Presence of pain during empty stomach, which relieves on medication is characteristic of a Duodenal ulcer. Investigation like Upper GI endoscopy will be helpful in determining the location & severity of the ulcers. Kindly get it done. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a single inflamed bump on the shaft of my penis. I popped it thinking it might just be a pimple and some solid stuff came out and then it bled alot for something so small. What could this be, i have never popped a pimple with such solid stuff in it before? | HelloThanks for query. Based on the facts that you have posted I would say that you have infected Sebaceous Cyst on the shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Take broad spectrum antibiotic like Augmenting along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. If it persists even after taking medications for a week you will need to consult qualified General Surgeon for clinical evaluation and further treatment. You may need to get it excised in Toto (Completely along with the sac). | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a single inflamed bump on the shaft of my penis. I popped it thinking it might just be a pimple and some solid stuff came out and then it bled alot for something so small. What could this be, i have never popped a pimple with such solid stuff in it before?"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Based on the facts that you have posted I would say that you have infected Sebaceous Cyst on the shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Take broad spectrum antibiotic like Augmenting along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. If it persists even after taking medications for a week you will need to consult qualified General Surgeon for clinical evaluation and further treatment. You may need to get it excised in Toto (Completely along with the sac)."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | In the last two weeks I ve had a CT scan, Brain MRI, 3 treatments of Solu Medrol. On Wed of this week I had a spinal tap, so of course I m sore and tired and today (Friday) I went in for Spinal MRI. They tried it twice and each time it started I got very cold and clamy. I felt like I was going to vomit. They discontinued the MRI since my body couldn t take anymore. I wasn t stressed about the MRI today, so I don t think it was due to anxiety. I had MRI last week of my brain and I was completely fine. After today s attempt at getting the spine MRI, I went to my car to leave and I ended up vomiting. I ve felt nauseated all day and now I m burning up with fever. Should I be worried? If I m still feverish tomorrow, should I see a Dr.? Thank you for your advice | I read your question carefully, and I understand your concern. It is puzzling though, I have never encountered any report of such effects of MRI and furthermore there is no reason for the MRI to cause any of those symptoms, it's a harmless exam, doesn't carry any sort of radiation. So I think it must be a coincidence you must have some infection causing the fever, nausea and vomiting which is manifesting its symptoms. I hope to have been of help. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: In the last two weeks I ve had a CT scan, Brain MRI, 3 treatments of Solu Medrol. On Wed of this week I had a spinal tap, so of course I m sore and tired and today (Friday) I went in for Spinal MRI. They tried it twice and each time it started I got very cold and clamy. I felt like I was going to vomit. They discontinued the MRI since my body couldn t take anymore. I wasn t stressed about the MRI today, so I don t think it was due to anxiety. I had MRI last week of my brain and I was completely fine. After today s attempt at getting the spine MRI, I went to my car to leave and I ended up vomiting. I ve felt nauseated all day and now I m burning up with fever. Should I be worried? If I m still feverish tomorrow, should I see a Dr.? Thank you for your advice"
},
{
"from": "gpt",
"value": "Output: I read your question carefully, and I understand your concern. It is puzzling though, I have never encountered any report of such effects of MRI and furthermore there is no reason for the MRI to cause any of those symptoms, it's a harmless exam, doesn't carry any sort of radiation. So I think it must be a coincidence you must have some infection causing the fever, nausea and vomiting which is manifesting its symptoms. I hope to have been of help."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain in my right side of lower chest which subsidesfor some time after urination. I am 45 years old male with a weight of 72 Kgs my hight is 5 feet 4 inches . I underwent a hernia surgery 4 years back it was on the right abdomen. Now I feel for hernia on my left abdoman also. | Hi welcome to Chat Doctor ... You can have abdominal because that can lead referred chest pain on right side like kidney problem, gall stone, colitis, recurrence of hernia etc.... For that I will suggest investigating with USG abdomen with full bladder.... Second it might be bronchitis like condition of lung... For which chest x-ray taken for further work up.... According to report and examination, cause confirmed and then treated accordingly.... For left side hernia you are suspecting examination done .... You have to cough and look for bulge in that left side for rule out hernia... If no above causes found than there might be muscular pain... For which broken needed To Take care Advise | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain in my right side of lower chest which subsidesfor some time after urination. I am 45 years old male with a weight of 72 Kgs my hight is 5 feet 4 inches . I underwent a hernia surgery 4 years back it was on the right abdomen. Now I feel for hernia on my left abdoman also."
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor ... You can have abdominal because that can lead referred chest pain on right side like kidney problem, gall stone, colitis, recurrence of hernia etc.... For that I will suggest investigating with USG abdomen with full bladder.... Second it might be bronchitis like condition of lung... For which chest x-ray taken for further work up.... According to report and examination, cause confirmed and then treated accordingly.... For left side hernia you are suspecting examination done .... You have to cough and look for bulge in that left side for rule out hernia... If no above causes found than there might be muscular pain... For which broken needed To Take care Advise"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello DoctorThis is regarding my father aged 72 yrs. He was diagonised with Hep C three years ago when he was hospitalised for bleedign esophageal varices. Since then he is stable and his liver function is more or less satisfactory. He is a diabetic and hypertensive with BP in the range of 130 / 70 and sugars around 85 fasting and 190 PP. His creatinine and BUN were all normal till the test done around 15 days back. His latest values are creatinine at 1.54 (Normal 04-1.4) and BUN at 12 (normal 7-20). His urine does not show any proteins, or any blood cells etc. He has no problems whatsoever in urination. Does this indicate any kind or kidney dysfunctinon sir. Is it a cause for worry | Hello Welcome to Chat Doctor, thanks for posting your query. I read your question completely, and I am of the opinion that, you need not worry. Reports of Great 1.5 is slightly on a higher side, but that should not worry you. His age is 70 plus, so there is a good chance that he may be having prostate related BPH. It's basically a hyperplasia of prostate and due to which his great may be little on a higher side. If possible get an Abdominal scan done to see renal status. Also, to look for prostate size and architecture. And, I am very happy with his sugar controls. Age 72 and FBS 85 is excellent. I congratulate you on that. So to summarize, do not worry. He's healthy and hopefully happy. His all tests are normal. If possible get a scan done as I've mentioned. Or else, we can still wait. Apart from this, any other queries you can always get back to me. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello DoctorThis is regarding my father aged 72 yrs. He was diagonised with Hep C three years ago when he was hospitalised for bleedign esophageal varices. Since then he is stable and his liver function is more or less satisfactory. He is a diabetic and hypertensive with BP in the range of 130 / 70 and sugars around 85 fasting and 190 PP. His creatinine and BUN were all normal till the test done around 15 days back. His latest values are creatinine at 1.54 (Normal 04-1.4) and BUN at 12 (normal 7-20). His urine does not show any proteins, or any blood cells etc. He has no problems whatsoever in urination. Does this indicate any kind or kidney dysfunctinon sir. Is it a cause for worry"
},
{
"from": "gpt",
"value": "Output: Hello Welcome to Chat Doctor, thanks for posting your query. I read your question completely, and I am of the opinion that, you need not worry. Reports of Great 1.5 is slightly on a higher side, but that should not worry you. His age is 70 plus, so there is a good chance that he may be having prostate related BPH. It's basically a hyperplasia of prostate and due to which his great may be little on a higher side. If possible get an Abdominal scan done to see renal status. Also, to look for prostate size and architecture. And, I am very happy with his sugar controls. Age 72 and FBS 85 is excellent. I congratulate you on that. So to summarize, do not worry. He's healthy and hopefully happy. His all tests are normal. If possible get a scan done as I've mentioned. Or else, we can still wait. Apart from this, any other queries you can always get back to me. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI MY PAED IS BUSY IN A DELIVERY, PLEASE CAN YOU HELP ME WITH AN ANSWER, MY 2 YEAR OLD DAUGHTER HAS A URINARY INFECTION, THEY HAVE TESTED A SAMPLE OF HER URINE, AND THE RESULTS SHOW BACTERIA IS GROWING, WHAT DOES IS THIS MEAN, AND HOW SERIOUS IS IT? THANKS | Hello, The presence of bacteria in urine in a baby girl might mean two things | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI MY PAED IS BUSY IN A DELIVERY, PLEASE CAN YOU HELP ME WITH AN ANSWER, MY 2 YEAR OLD DAUGHTER HAS A URINARY INFECTION, THEY HAVE TESTED A SAMPLE OF HER URINE, AND THE RESULTS SHOW BACTERIA IS GROWING, WHAT DOES IS THIS MEAN, AND HOW SERIOUS IS IT? THANKS"
},
{
"from": "gpt",
"value": "Output: Hello, The presence of bacteria in urine in a baby girl might mean two things"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hey, I fell and got a mensicus tear in my left knee. Since then im on crutches because of a ligament aswell.since that day I lost feeling in my left hands small finger and half of my ring finger and that part of the palm aswell. The feeling has changed to pins and needles to the point of pain, the doctor took a xray of my neck and said one of the vertabraes have a little swelling around it but it should go away quick and cant be that bad. It has been a while now and I am 17 so cant just go to another doctor and our medical aid is depleted. I have to drink zytomyl which is a antidepressent of 20 mg daily ,4 * 30mg ritalin(generic methylphentidate), purbac,topiramate which is like epilum used to control intense migrain I hardly have ever since. Any advice please just as prove maybe even for my mom, it went from funny to realy cant handle. Thank you | Hello, I have studied your case. Due to compression of cervical nerve root there is pain in neck and upper back. I will advise you to MRI cervical spine for better diagnosis. For 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. MRI knee will help in knee meniscus injury severity.arthroscopy repair will help you. 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: Hey, I fell and got a mensicus tear in my left knee. Since then im on crutches because of a ligament aswell.since that day I lost feeling in my left hands small finger and half of my ring finger and that part of the palm aswell. The feeling has changed to pins and needles to the point of pain, the doctor took a xray of my neck and said one of the vertabraes have a little swelling around it but it should go away quick and cant be that bad. It has been a while now and I am 17 so cant just go to another doctor and our medical aid is depleted. I have to drink zytomyl which is a antidepressent of 20 mg daily ,4 * 30mg ritalin(generic methylphentidate), purbac,topiramate which is like epilum used to control intense migrain I hardly have ever since. Any advice please just as prove maybe even for my mom, it went from funny to realy cant handle. Thank you"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. Due to compression of cervical nerve root there is pain in neck and upper back. I will advise you to MRI cervical spine for better diagnosis. For 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. MRI knee will help in knee meniscus injury severity.arthroscopy repair will help you. 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, Im 27 yrs old, M, .. Morning when i get up my calves near the leg gets caught very badly. i don t know how to explain .. whether its a cramp or something, but the pain is like a killing pain,.. I feel m gonna die in few mins.. I also sweat while that happens.. After few streches it ll be back to normal.. Please help me out.. | Hi, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles. Chat Doctor. A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear.3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.4. Stay properly HY | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im 27 yrs old, M, .. Morning when i get up my calves near the leg gets caught very badly. i don t know how to explain .. whether its a cramp or something, but the pain is like a killing pain,.. I feel m gonna die in few mins.. I also sweat while that happens.. After few streches it ll be back to normal.. Please help me out.."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles. Chat Doctor. A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear.3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.4. Stay properly HY"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been feeling as my entire chest is being squeezed in and having pains in my left chest also have been feeling light headed. this has been happening for the past 6 months. I have been under moderate to heavy stress is this a heart issue or something else? | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, your symptoms can be due to heart related diseases. Coronary artery disease, heart failure etc. cause chest tightness, pressure and squeezing type of chest pain. So better to get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are also having stressful life. So possibility of stress and anxiety can also there. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright, but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been feeling as my entire chest is being squeezed in and having pains in my left chest also have been feeling light headed. this has been happening for the past 6 months. I have been under moderate to heavy stress is this a heart issue or something else?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, your symptoms can be due to heart related diseases. Coronary artery disease, heart failure etc. cause chest tightness, pressure and squeezing type of chest pain. So better to get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are also having stressful life. So possibility of stress and anxiety can also there. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright, but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I went to the Hostpial about six months ago and they found a lump on the left side of my tail bone and it only hurts every once in awhile they said they think it s a fatty tumor but not sure and wouldn t give me an mri.today it s hurting again and I live in a very small town now.inwas just wondering if it could be s.a.?and should I be worried about the placement? | I welcome you to Chat Doctor for your health concerns am Chat Doctor and I will look into your problem I have gone through your question and understood your concerns. There is lump near your tail bone, and it is painless most of the time. It appears to be colonial cyst with differential diagnosis of lipoma as well, at present nothing is required except observation. There are chances of it to get infected, then it will result in colonial abscess. Timely Chat Doctor. At the moment observe this lump and keep the area | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to the Hostpial about six months ago and they found a lump on the left side of my tail bone and it only hurts every once in awhile they said they think it s a fatty tumor but not sure and wouldn t give me an mri.today it s hurting again and I live in a very small town now.inwas just wondering if it could be s.a.?and should I be worried about the placement?"
},
{
"from": "gpt",
"value": "Output: I welcome you to Chat Doctor for your health concerns am Chat Doctor and I will look into your problem I have gone through your question and understood your concerns. There is lump near your tail bone, and it is painless most of the time. It appears to be colonial cyst with differential diagnosis of lipoma as well, at present nothing is required except observation. There are chances of it to get infected, then it will result in colonial abscess. Timely Chat Doctor. At the moment observe this lump and keep the area"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My two index fingers (especially left) have bumps and are turning. They also burn occasionally (middle finger on left hand also). I know It would be called arthritis, however I believe there must be something restricting circulation in some other part of my body Shoulder? hip? causing problem in fingers Anything I can do? Thank you? YYYY@YYYY | Dear patient You have got arthritis of hand joints and this has no relation to circulation. This happens due to inflammatory reaction to synovial of joints especially small joints which leads to joint destruction and deformities. This needs to be investigated with X-ray of both hands anteroposterior and lateral views. Visit radiology center nearby you and get it done. You need to consult expert rheumatologist with X-ray report. All the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My two index fingers (especially left) have bumps and are turning. They also burn occasionally (middle finger on left hand also). I know It would be called arthritis, however I believe there must be something restricting circulation in some other part of my body Shoulder? hip? causing problem in fingers Anything I can do? Thank you? YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Dear patient You have got arthritis of hand joints and this has no relation to circulation. This happens due to inflammatory reaction to synovial of joints especially small joints which leads to joint destruction and deformities. This needs to be investigated with X-ray of both hands anteroposterior and lateral views. Visit radiology center nearby you and get it done. You need to consult expert rheumatologist with X-ray report. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having pain in my heel when I walk and slight swelling in my left leg. I have been taking ibuprophen and taking foot soaks with epsom salts and warm water. I have psoriasis. The symptoms started approximately two weeks ago. Any clue as to what it might be? | Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having pain in my heel when I walk and slight swelling in my left leg. I have been taking ibuprophen and taking foot soaks with epsom salts and warm water. I have psoriasis. The symptoms started approximately two weeks ago. Any clue as to what it might be?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated | Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. 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 got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. 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. | The problem is that when I go to bed and lie down I start to have a tightness in my chest and become breathless if I get back up and sit up it improves last night it was several hours before I could return to bed. My health history is I have had three heart attacks and have a triple a | I would request you to visit your cardiologist. The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and It's unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity. If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimization of treatment. Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 liter a day. Regards Chat Doctor. For further assistance you may contact me on Chat Doctor through Http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The problem is that when I go to bed and lie down I start to have a tightness in my chest and become breathless if I get back up and sit up it improves last night it was several hours before I could return to bed. My health history is I have had three heart attacks and have a triple a"
},
{
"from": "gpt",
"value": "Output: I would request you to visit your cardiologist. The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and It's unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity. If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimization of treatment. Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 liter a day. Regards Chat Doctor. For further assistance you may contact me on Chat Doctor through Http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im 19 years old and i am suffering feeling of guilty because two months ago there was a friend and he was died by hanging himself but my problem was two days before i said that there is nothing in life and time is going so fast thats why i am feeling so stress. what can i do to come out form stress? | Hi, I am sorry about your friend and can understand your emotions. You seem to have developed negative thinking as a result of the stress which is resulting in your feeling guilt and worthlessness of life. All these are suggestive of underlying depression. I feel your condition demands immediate attention, and you should seek a psychiatric consultation without any further delay. Treatment with anti-depressant medications like Escitalopram or sertraline will be helpful in controlling your symptoms and will help you see the brighter side of life. In addition, you should consider exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im 19 years old and i am suffering feeling of guilty because two months ago there was a friend and he was died by hanging himself but my problem was two days before i said that there is nothing in life and time is going so fast thats why i am feeling so stress. what can i do to come out form stress?"
},
{
"from": "gpt",
"value": "Output: Hi, I am sorry about your friend and can understand your emotions. You seem to have developed negative thinking as a result of the stress which is resulting in your feeling guilt and worthlessness of life. All these are suggestive of underlying depression. I feel your condition demands immediate attention, and you should seek a psychiatric consultation without any further delay. Treatment with anti-depressant medications like Escitalopram or sertraline will be helpful in controlling your symptoms and will help you see the brighter side of life. In addition, you should consider exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am 31 and have a 13 ur old. I have a small peasize lump deep inside my vagina right back to back with my back passage between the walls sort of, it is not pain full,though it was not there before. It seems to be just behind the flesh between the wall of my vagina and anus wall. Thanks | Hi ! Good evening. I am Chat Doctor answering your query. As it might not be possible to opine on the lump without a clinical examination of the lump, I would advise you to take appointment with a gynecologist in your area for a clinical assessment of the lesion and proper management. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am 31 and have a 13 ur old. I have a small peasize lump deep inside my vagina right back to back with my back passage between the walls sort of, it is not pain full,though it was not there before. It seems to be just behind the flesh between the wall of my vagina and anus wall. Thanks"
},
{
"from": "gpt",
"value": "Output: Hi ! Good evening. I am Chat Doctor answering your query. As it might not be possible to opine on the lump without a clinical examination of the lump, I would advise you to take appointment with a gynecologist in your area for a clinical assessment of the lesion and proper management. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my fiance is 46, he has had a hard bump on his arm pit that hurts for like 3 days now, its getting bigger, he just woke up and his armpit was sticky with kinda like a brownish pus. it has white little bumps that look like a pimple when its ready to be popped. do you know what it might be? | Hi. Thanks for your query. Noted the history about your fianc\u00e9 and understood the concerns. The hard lump of three days in armpit with brown pus is suggestive of an infected sebaceous cyst or a boil. I would advise him the following in such a situation. Consult a Doctor to get a clinical examination and a valid prescription of an antibiotic, anti-inflammatory medicine with a painkiller property. Get a reference for a General Surgeon to see if incision and Chat Doctor. Apply liquid provide iodine locally. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my fiance is 46, he has had a hard bump on his arm pit that hurts for like 3 days now, its getting bigger, he just woke up and his armpit was sticky with kinda like a brownish pus. it has white little bumps that look like a pimple when its ready to be popped. do you know what it might be?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. Noted the history about your fianc\\u00e9 and understood the concerns. The hard lump of three days in armpit with brown pus is suggestive of an infected sebaceous cyst or a boil. I would advise him the following in such a situation. Consult a Doctor to get a clinical examination and a valid prescription of an antibiotic, anti-inflammatory medicine with a painkiller property. Get a reference for a General Surgeon to see if incision and Chat Doctor. Apply liquid provide iodine locally."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I recently had a root canal done. During the procedure, my dentist would repeatedly remove the drill from my mouth and place the drill bit into a blue box that contained several holes. He would read off a measurement to his assistant and then return the drill/drill bit into my tooth and drill more. The blue box looked old/worn. I now have several sores in my mouth and am paranoid that it is the result of his putting the drill bit ito the box where all other root canal measurements are made and then back into my mouth. I am scared about the procedure not being sterile and getting disease from this. Is this something that should be reported? Should I switch dentists? | Hello and welcome. Thanks for sharing your concern. Please note that if you are paranoid or curious to know if the instruments being used are sterilized or not then please feel free to ask. It is your right to know if the treatment offered is aseptic or not. Therefore rather than changing the dentist please talk about your problem and ask them to use a new set of kit for you. Hope it helps. Thanks. Take caretaker care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I recently had a root canal done. During the procedure, my dentist would repeatedly remove the drill from my mouth and place the drill bit into a blue box that contained several holes. He would read off a measurement to his assistant and then return the drill/drill bit into my tooth and drill more. The blue box looked old/worn. I now have several sores in my mouth and am paranoid that it is the result of his putting the drill bit ito the box where all other root canal measurements are made and then back into my mouth. I am scared about the procedure not being sterile and getting disease from this. Is this something that should be reported? Should I switch dentists?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome. Thanks for sharing your concern. Please note that if you are paranoid or curious to know if the instruments being used are sterilized or not then please feel free to ask. It is your right to know if the treatment offered is aseptic or not. Therefore rather than changing the dentist please talk about your problem and ask them to use a new set of kit for you. Hope it helps. Thanks. Take caretaker care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my mom is 64 years old and she is suffering from repeated coma which lasts for few days ,all the lab tests shows normal results except for slight elevation in liver enzymes and the serum ammonia is 160 we ruled out neurological issues what could be the reason ? Thank you | Hi, dairy have gone through your question. I can understand your concern. Coma with high ammonia level suggest hepatic encephalopathy. You should go for complete liver function test and ultrasound abdomen to search the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my mom is 64 years old and she is suffering from repeated coma which lasts for few days ,all the lab tests shows normal results except for slight elevation in liver enzymes and the serum ammonia is 160 we ruled out neurological issues what could be the reason ? Thank you"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Coma with high ammonia level suggest hepatic encephalopathy. You should go for complete liver function test and ultrasound abdomen to search the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i twisted my ankle about 5 yrs ago, i never got it checked out, i started a job where im on my feet walking all day, my ankle is now hurting very badly, feels like its breaking, And when i take a break and sit for a few minutes and try walking again i cant bare down on my foot because it feels like its broke, i have to walk a minute before i get any relief. its my left ankle, i cant turn my foot towards the left with out feeling alot of pain. What could possibly be wrong with it. and what can i do to relieve it? | Hi, Thanks for contacting Chat Doctor. In cases like yours with an ankle sprain and then continued pain, it is most likely that there was some soft tissue damage on the structures that support the ankle joint itself. There is a ligament and two tendons on the outside of the ankle that are the main stabilizers, and these structures can get stretched, partially torn, or completely torn with a sprain. Most times, these will scar back down and continue to support the ankle. Other times, they will not be able to do the job as they did before and will have to work \"overtime\" to do the same job. This area then gets inflamed and painful, especially after a full day of trying to stabilize the joint (being on the feet all day). It is wise to start out with an ankle brace and see if that helps the area, as the brace can do the job of these soft tissue structures and give them a break to help decrease inflammation/pain. I hope this answer helped, if you have any further questions, I am here to help. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i twisted my ankle about 5 yrs ago, i never got it checked out, i started a job where im on my feet walking all day, my ankle is now hurting very badly, feels like its breaking, And when i take a break and sit for a few minutes and try walking again i cant bare down on my foot because it feels like its broke, i have to walk a minute before i get any relief. its my left ankle, i cant turn my foot towards the left with out feeling alot of pain. What could possibly be wrong with it. and what can i do to relieve it?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for contacting Chat Doctor. In cases like yours with an ankle sprain and then continued pain, it is most likely that there was some soft tissue damage on the structures that support the ankle joint itself. There is a ligament and two tendons on the outside of the ankle that are the main stabilizers, and these structures can get stretched, partially torn, or completely torn with a sprain. Most times, these will scar back down and continue to support the ankle. Other times, they will not be able to do the job as they did before and will have to work \\\"overtime\\\" to do the same job. This area then gets inflamed and painful, especially after a full day of trying to stabilize the joint (being on the feet all day). It is wise to start out with an ankle brace and see if that helps the area, as the brace can do the job of these soft tissue structures and give them a break to help decrease inflammation/pain. I hope this answer helped, if you have any further questions, I am here to help. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi my friend discovered high SGOT & SGPT level during his LFT first time after that he got cautious and quit alcohol and smoking but still during his second test he found his SGOT/PT levels,which dramatically rose upto 54 and 154 in 5 days despite following a very healthy diet. | HelloYour friends finding suggests raised SGPT and GOT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. Increased GOT and SGPT may be related to alcohol intake in your friends case.GOT is non-specific, and it increases in many conditions. Your friend may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. Ia suggest tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. He should go for brisk walk and do exercise. It is good that he don't Chat Doctor. He may need few more medicines after full investigation. Get well soon. Take Care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my friend discovered high SGOT & SGPT level during his LFT first time after that he got cautious and quit alcohol and smoking but still during his second test he found his SGOT/PT levels,which dramatically rose upto 54 and 154 in 5 days despite following a very healthy diet."
},
{
"from": "gpt",
"value": "Output: HelloYour friends finding suggests raised SGPT and GOT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. Increased GOT and SGPT may be related to alcohol intake in your friends case.GOT is non-specific, and it increases in many conditions. Your friend may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. Ia suggest tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. He should go for brisk walk and do exercise. It is good that he don't Chat Doctor. He may need few more medicines after full investigation. Get well soon. Take Care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good evening dr. i am suffering frompanic attacks since 2 yrs. however i am on medication like nexito 20mg and zapiz sos. i feel i would get panic attack any time. however it does not happen. just a thought of it coming and then goes off slowly. however todaymorning i got the panic attack when i woke up at 6am i immd took 2 tab of zapiz 0.25 and then since i found no relief i took another 2 tab and then found relief. i did feel dizzy after taking the same. kindly help me to come out of this. i am working in an hospital industry. ThankYou xyz | Dear Rachel, hello. The medication given for anxiety and depression have side effects, so this medication should not be taken in extra dose unless advice by a doctor. You are feeling dizzy because of taking rapid repeatedly. You should Chat Doctor. This will help you to some extent. For decreasing the frequency of panic attacks, you should try meditation and yoga. This will help your body in many other ways also. Thanks and take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good evening dr. i am suffering frompanic attacks since 2 yrs. however i am on medication like nexito 20mg and zapiz sos. i feel i would get panic attack any time. however it does not happen. just a thought of it coming and then goes off slowly. however todaymorning i got the panic attack when i woke up at 6am i immd took 2 tab of zapiz 0.25 and then since i found no relief i took another 2 tab and then found relief. i did feel dizzy after taking the same. kindly help me to come out of this. i am working in an hospital industry. ThankYou xyz"
},
{
"from": "gpt",
"value": "Output: Dear Rachel, hello. The medication given for anxiety and depression have side effects, so this medication should not be taken in extra dose unless advice by a doctor. You are feeling dizzy because of taking rapid repeatedly. You should Chat Doctor. This will help you to some extent. For decreasing the frequency of panic attacks, you should try meditation and yoga. This will help your body in many other ways also. Thanks and take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have bee going through this for about six months now. and I keep getting different answers. In May I flew home on a short flight I Had two Symmetrical rashes in the same spot on had 2 symmetrical rashes inthe same spot on both legs. The swollen with edema, I went to my primary doctor a dermatologist and and allergist.I have had ultasounds biopsies and all kinds of blood work. My legs hurt right down through the bone and it feels like ther are 10thousand pin pricks coming out. at one point there was purpura and bleeding and severe bruising. No one can figure this out. The Dermatologist just wants to sell me elixers and free and clear shampoo. First the said vascullitis then a reaction to bug bits then today eczema. I am not buying it.. I also have little bumps that grow into what almost looks like a chicken pock mark. This is on my arms. I have been running fevers and having chills. I feel like no one car es or wants to give me the correct diagnosis. I was taking Diclofinac joint pain. The bruising and rash at first looked like HSP but everyone I have seen says I am not a little child. No I am a52 year female. Every joint hurts. It is hard to stand and move.I need to get the proper diagnosis. | As allergy can develop at any time with anything at any age even a major food we are taking suddenly start reacting to body proteins, allergies can be developed from any one of these things like oils shampoo soaps creams ointments body application materials medicines like PCM ibuprofen aspirin disdain calcium multivitamins and diet supplimentsfoods pollensget consultation with allergy specialist who can get you diagnosed by getting allergy tests and find the cause and treat according to result till you can use antiallergic tabs and antiallergic creams for local application and avoid paracetamol ibuprofen aspirin disdain calcium vitamins and diet supplements to control the pain use other group of salts | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have bee going through this for about six months now. and I keep getting different answers. In May I flew home on a short flight I Had two Symmetrical rashes in the same spot on had 2 symmetrical rashes inthe same spot on both legs. The swollen with edema, I went to my primary doctor a dermatologist and and allergist.I have had ultasounds biopsies and all kinds of blood work. My legs hurt right down through the bone and it feels like ther are 10thousand pin pricks coming out. at one point there was purpura and bleeding and severe bruising. No one can figure this out. The Dermatologist just wants to sell me elixers and free and clear shampoo. First the said vascullitis then a reaction to bug bits then today eczema. I am not buying it.. I also have little bumps that grow into what almost looks like a chicken pock mark. This is on my arms. I have been running fevers and having chills. I feel like no one car es or wants to give me the correct diagnosis. I was taking Diclofinac joint pain. The bruising and rash at first looked like HSP but everyone I have seen says I am not a little child. No I am a52 year female. Every joint hurts. It is hard to stand and move.I need to get the proper diagnosis."
},
{
"from": "gpt",
"value": "Output: As allergy can develop at any time with anything at any age even a major food we are taking suddenly start reacting to body proteins, allergies can be developed from any one of these things like oils shampoo soaps creams ointments body application materials medicines like PCM ibuprofen aspirin disdain calcium multivitamins and diet supplimentsfoods pollensget consultation with allergy specialist who can get you diagnosed by getting allergy tests and find the cause and treat according to result till you can use antiallergic tabs and antiallergic creams for local application and avoid paracetamol ibuprofen aspirin disdain calcium vitamins and diet supplements to control the pain use other group of salts"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father who is diabetic hypertensive and IHD with stent placement done in MAy 2012. now doctor while taking ultrasound is suspecting Gall bladder cancer , so MRI was taken. Doctor told its stage IV with liver and periportal lymph nodes ivolvement . Doctor suggested palliative open colecystectomy? Father is right now very fine doing his normal duties, no symptoms. I went to take second opinion from another doctor. He ask for CT scan saying MRI is little doubtfu. it might be chronic inflammmation too. Now is a CT scan actually required? Other people are telling not to subject him to surgery as it will only torture him. Please advice???? | Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged peripheral lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father who is diabetic hypertensive and IHD with stent placement done in MAy 2012. now doctor while taking ultrasound is suspecting Gall bladder cancer , so MRI was taken. Doctor told its stage IV with liver and periportal lymph nodes ivolvement . Doctor suggested palliative open colecystectomy? Father is right now very fine doing his normal duties, no symptoms. I went to take second opinion from another doctor. He ask for CT scan saying MRI is little doubtfu. it might be chronic inflammmation too. Now is a CT scan actually required? Other people are telling not to subject him to surgery as it will only torture him. Please advice????"
},
{
"from": "gpt",
"value": "Output: Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged peripheral lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, im heil 21y/o..should I be worried and have new vaccine? I was bitten by our 2 months old puppy who hasnt been vaccinated w anti rabies last august 17 had my anti rabies shot the next day august 18 2nd shot august 22 but today august 24 I was playing with my pup and he accidentally bit my hand it has a slight scratch and still hurts I washed it with soap and alcohol. im so worried. please healp | Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. See there are reports sometimes suggests normal dog have virus in his saliva. So should not take chance about that. I think you should visit yr physician for the wound cause by dog biting. If it is just scratcher than mostly you need not take injection. But local examination is needed for confirmation. So please do suggested things as early as possible. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, im heil 21y/o..should I be worried and have new vaccine? I was bitten by our 2 months old puppy who hasnt been vaccinated w anti rabies last august 17 had my anti rabies shot the next day august 18 2nd shot august 22 but today august 24 I was playing with my pup and he accidentally bit my hand it has a slight scratch and still hurts I washed it with soap and alcohol. im so worried. please healp"
},
{
"from": "gpt",
"value": "Output: Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. See there are reports sometimes suggests normal dog have virus in his saliva. So should not take chance about that. I think you should visit yr physician for the wound cause by dog biting. If it is just scratcher than mostly you need not take injection. But local examination is needed for confirmation. So please do suggested things as early as possible. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 5 month old son started getting a rash on his neck about 2 weeks ago, only a few spots evident but over the last 2 weeks, its spread all over the neck and under his arms. Its ike spots that look quite sore , they re raised but dont appear to offer hm discomfort. | Hi, Most likely it will be militia- a rash developing commonly in summer from blockage of sweat glands. It appears as minute pa pules over an erythematous base. Nothing other than frequent wetting with cold water (not ice-cold) is needed. For some patients with itching, calamine lotion and occasionally antihistamines Chat Doctor. It is better to avoid talcum powder as it can exacerbate the situation. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 5 month old son started getting a rash on his neck about 2 weeks ago, only a few spots evident but over the last 2 weeks, its spread all over the neck and under his arms. Its ike spots that look quite sore , they re raised but dont appear to offer hm discomfort."
},
{
"from": "gpt",
"value": "Output: Hi, Most likely it will be militia- a rash developing commonly in summer from blockage of sweat glands. It appears as minute pa pules over an erythematous base. Nothing other than frequent wetting with cold water (not ice-cold) is needed. For some patients with itching, calamine lotion and occasionally antihistamines Chat Doctor. It is better to avoid talcum powder as it can exacerbate the situation. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a 16 year old who is small for her age and is ADHD and OCD. she talks fast and loud. Is there a medicine that she could take that would reduce these symptoms? She has previously taken Strattera, Concerta, Adderall XR, and adderal 10 mgs twice per day. Any thoughts or suggestions would be appreciated | Hi. I had gone through your query. OCD and ADHD both require extensive treatment with biological medicines. Medicines that have you mentioned in query are appropriate to disorder. Proper dose and regular assessment are advisable to observe improvement. Medicines will take time to act and treatment will be a long. Fluoxamine and methylphenidate are alternative options for treatment. But it can be taken after proper detail assessment and evaluation. Medicines compliance is must. Behaviour modification and parenting or parental counselling can help. 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 a 16 year old who is small for her age and is ADHD and OCD. she talks fast and loud. Is there a medicine that she could take that would reduce these symptoms? She has previously taken Strattera, Concerta, Adderall XR, and adderal 10 mgs twice per day. Any thoughts or suggestions would be appreciated"
},
{
"from": "gpt",
"value": "Output: Hi. I had gone through your query. OCD and ADHD both require extensive treatment with biological medicines. Medicines that have you mentioned in query are appropriate to disorder. Proper dose and regular assessment are advisable to observe improvement. Medicines will take time to act and treatment will be a long. Fluoxamine and methylphenidate are alternative options for treatment. But it can be taken after proper detail assessment and evaluation. Medicines compliance is must. Behaviour modification and parenting or parental counselling can help. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hai, this is preeti gupta, sir , im faith up with my allergy , im tired with it before 2 yrs, and it iritates it , it lokks like a pit, which falls on my body very fast. could u pls advice for it, i used lots of medicines as per advice of doctors, but i didnt get any good responce it still remains same. | Cellophane You for contacting Chat Doctor. As you have chronic allergy problem so I would recommend you following things | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hai, this is preeti gupta, sir , im faith up with my allergy , im tired with it before 2 yrs, and it iritates it , it lokks like a pit, which falls on my body very fast. could u pls advice for it, i used lots of medicines as per advice of doctors, but i didnt get any good responce it still remains same."
},
{
"from": "gpt",
"value": "Output: Cellophane You for contacting Chat Doctor. As you have chronic allergy problem so I would recommend you following things"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have noticed a small red pea sized lump on my foreskin that is painless. I have read about this just being friction from masturbation but I would like to hear an opinion, I have never had sex or engaged in any sexual activity other than masturbation. | HelloThanks for query. Pea sized lump on foreskin is likely to be either a boil or a sebaceous cyst and can be confirmed only by clinical examination by a qualified General Surgeon or Urologist. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. If problem persists even after taking antibiotics you will need to get it excised / | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have noticed a small red pea sized lump on my foreskin that is painless. I have read about this just being friction from masturbation but I would like to hear an opinion, I have never had sex or engaged in any sexual activity other than masturbation."
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Pea sized lump on foreskin is likely to be either a boil or a sebaceous cyst and can be confirmed only by clinical examination by a qualified General Surgeon or Urologist. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. If problem persists even after taking antibiotics you will need to get it excised /"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi......iam priyanka 24 years .......from my young age i was not doing any kind of physical work i was just hooked to reading........and now from past 1 year am slowly working a bit....am doing tread mill walking ....i do it just for 30 mins......for 1 month i did only upto 5.8 speed.....after 1 month i walked at 6 speed for just 10 mins and then slowed down.......now my problem is am getting abdominal pain .....like when i walk my abdomen is aching like its gripping effect and when am sleeping and jus twist my abdomen its like my abdomen muscle is aching and also my thighs are aching........also my hips and back are aching......even when i jus cough my stomach ie abdomen aches.. i have done all test stomach scanning ,x ray,blood tests and all...my ESR range is 75 and every other tests are normal...........please tell me whether shud i continue walking r stop it........thank you all... | Hello, Priyanka Dayanandan, I am reallybglad that you have gotten into work-outs! In the long run, this will be very beneficial to you and makes you healthy and strong and leads to long life. The symptoms that you are experiencing are very typical for someone who has been inactive for a long time. What I suggest is that you do your workouts three times week resting in between.The some nice warm tub baths if you can after your workout. Elevation of ESR is from activity. I would not worry about that. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi......iam priyanka 24 years .......from my young age i was not doing any kind of physical work i was just hooked to reading........and now from past 1 year am slowly working a bit....am doing tread mill walking ....i do it just for 30 mins......for 1 month i did only upto 5.8 speed.....after 1 month i walked at 6 speed for just 10 mins and then slowed down.......now my problem is am getting abdominal pain .....like when i walk my abdomen is aching like its gripping effect and when am sleeping and jus twist my abdomen its like my abdomen muscle is aching and also my thighs are aching........also my hips and back are aching......even when i jus cough my stomach ie abdomen aches.. i have done all test stomach scanning ,x ray,blood tests and all...my ESR range is 75 and every other tests are normal...........please tell me whether shud i continue walking r stop it........thank you all..."
},
{
"from": "gpt",
"value": "Output: Hello, Priyanka Dayanandan, I am reallybglad that you have gotten into work-outs! In the long run, this will be very beneficial to you and makes you healthy and strong and leads to long life. The symptoms that you are experiencing are very typical for someone who has been inactive for a long time. What I suggest is that you do your workouts three times week resting in between.The some nice warm tub baths if you can after your workout. Elevation of ESR is from activity. I would not worry about that. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have some sort of mass they believe is fluid in my sphlenoid sinus cavity. It was discovered on a CAT scan . The doctor I have seen also thinks I may have a polyp . He was able to shrink it with medlyprednisone and zithromax. He feels that it is imperative that I have surgery to remove it. I am wondering if there is any other option as having surgery in this cavity so close to the brain and carotid artery scares me terribly. | Hi, Thank you for posting your query.First, sphenoid sinus surgery is safe, and there is no risk of injury to brain, even though it is close to brain and pituitary gland. This is provided the surgery is performed by an experienced surgeon. If there is fluid in sphenoid sinus cavity, then medical treatment alone would suffice and surgery would not be needed. However, in case of polyp, surgery may be needed. The decision can be taken on the basis of symptoms, as surgery is optional and not mandatory in this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have some sort of mass they believe is fluid in my sphlenoid sinus cavity. It was discovered on a CAT scan . The doctor I have seen also thinks I may have a polyp . He was able to shrink it with medlyprednisone and zithromax. He feels that it is imperative that I have surgery to remove it. I am wondering if there is any other option as having surgery in this cavity so close to the brain and carotid artery scares me terribly."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query.First, sphenoid sinus surgery is safe, and there is no risk of injury to brain, even though it is close to brain and pituitary gland. This is provided the surgery is performed by an experienced surgeon. If there is fluid in sphenoid sinus cavity, then medical treatment alone would suffice and surgery would not be needed. However, in case of polyp, surgery may be needed. The decision can be taken on the basis of symptoms, as surgery is optional and not mandatory in this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a family member that has cancer the person cant eat solid food but only eats icecream and ice chips it has been that way for a while the doctors say she is too weak for chemo what should I expect or do she is always throwing up and I tell her it is because of all the liquid | Hi, dear I have gone through your question. I can understand your concern. If person can not take solid diet then he should take fruit juice, milk, ice cream and other semisolid and liquid diet. Rules tube feeding is useful in terminal stage cancer patients. And chemotherapy should not be given if she is very weak. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a family member that has cancer the person cant eat solid food but only eats icecream and ice chips it has been that way for a while the doctors say she is too weak for chemo what should I expect or do she is always throwing up and I tell her it is because of all the liquid"
},
{
"from": "gpt",
"value": "Output: Hi, dear I have gone through your question. I can understand your concern. If person can not take solid diet then he should take fruit juice, milk, ice cream and other semisolid and liquid diet. Rules tube feeding is useful in terminal stage cancer patients. And chemotherapy should not be given if she is very weak. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dr .my 9months old baby Boy has moderate left sided hydronephrosis .(1.3cm) we did dtpa scan at the age of 3 month .recently he had two episodes of severe loose stool , one was antamoeba histolitica infection and had treated with antibiotic .now the urine cultures shown that plenty of ecoli . dr my doubts is that for hydronephosis,what all are the follow up tests we need to do ..how can we avoid utis | HelloThanks for query. The HY Chat Doctor. 2) Congenital PUB .(Pelvic Ureteric Junction).obstruction. Normally it gets resolved within 2-3 years as the child grows. The only confirmation test is to do Intro Venous Paleography and Maturating Cyst Arthrogram. You need to give him small doses of prophylactic antibiotics like Nitrofurantoin as per advise of Pediatrician for a period of 3 years . Get his urine test (Routine)done at frequent intervals of every three months. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr .my 9months old baby Boy has moderate left sided hydronephrosis .(1.3cm) we did dtpa scan at the age of 3 month .recently he had two episodes of severe loose stool , one was antamoeba histolitica infection and had treated with antibiotic .now the urine cultures shown that plenty of ecoli . dr my doubts is that for hydronephosis,what all are the follow up tests we need to do ..how can we avoid utis"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. The HY Chat Doctor. 2) Congenital PUB .(Pelvic Ureteric Junction).obstruction. Normally it gets resolved within 2-3 years as the child grows. The only confirmation test is to do Intro Venous Paleography and Maturating Cyst Arthrogram. You need to give him small doses of prophylactic antibiotics like Nitrofurantoin as per advise of Pediatrician for a period of 3 years . Get his urine test (Routine)done at frequent intervals of every three months."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed with high blood pressure last Oct. when I was extremely dizzy to the point of not being able to stand up, vomiting and nausea. Since then and once on medicine, I had side effect of dizziness that lasted 5 weeks. Two weeks I was okay after the 5 weeks of side effect and since November 2014, I am dizzy 24 hours a day with a different type of dizziness (more severe than the side effect dizziness) that I was unable to walk straight, etc. for 4 months...now it is milder but dizzy all the time for the exception of sitting. I have been tested and it is not vertigo or any vestibular disorder. YYYY@YYYY | As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels | [
{
"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 high blood pressure last Oct. when I was extremely dizzy to the point of not being able to stand up, vomiting and nausea. Since then and once on medicine, I had side effect of dizziness that lasted 5 weeks. Two weeks I was okay after the 5 weeks of side effect and since November 2014, I am dizzy 24 hours a day with a different type of dizziness (more severe than the side effect dizziness) that I was unable to walk straight, etc. for 4 months...now it is milder but dizzy all the time for the exception of sitting. I have been tested and it is not vertigo or any vestibular disorder. YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a painful lump on my lower left jaw bone. Had an x-ray done and it showed bone loss and a tumor. I have an implant at the same site. The implant seems fine. It is not loose or sore. There is no drainage or foul taste in my mouth. I just have this painful lump that never goes away. Is this something to worry about. Plus I have been very tired. M.H. | Hi. Thanks for your query and an elucidated history. Bone loss on the x-ray and painful lump at a spot you say go in favor of either a chronic osteomyelitis OT a cancer of the underlying tissue. Urgent evaluation by clinical examination. CT scan and most important FNAC- fine needle aspiration cytology will help to come to the final conclusion and treatment will depend upon the reports. Need of surgery is certain and do not make this late further. The role of the implant can be decided by CT scan only. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a painful lump on my lower left jaw bone. Had an x-ray done and it showed bone loss and a tumor. I have an implant at the same site. The implant seems fine. It is not loose or sore. There is no drainage or foul taste in my mouth. I just have this painful lump that never goes away. Is this something to worry about. Plus I have been very tired. M.H."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. Bone loss on the x-ray and painful lump at a spot you say go in favor of either a chronic osteomyelitis OT a cancer of the underlying tissue. Urgent evaluation by clinical examination. CT scan and most important FNAC- fine needle aspiration cytology will help to come to the final conclusion and treatment will depend upon the reports. Need of surgery is certain and do not make this late further. The role of the implant can be decided by CT scan only."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I been having middle bk pain where it feels hard to stand and sit in a good posture. Also have tailbone pain where it hurts to sit a certain way or bend. Been going on a week and the pain is still there. Been resting after it happend. The tailbone pain is still there but tolerable. But the pain in my middle of my bk hurts. Cant stand for to long. Or even sit up right. What is going on? | I understand your problem, I would have guided you properly if you had mentioned your age and profession you are in (have you been in sitting profession for long, some desktop job???), with kind of details you have mentioned you are suffering from condition called coccydynia , and you also need to get an x-ray done for your lumbar spine. For your tail bone pain, you need to keep a lot of patience, it takes time to subside.In the meanwhile these are the following you should do to relieve pain.1. Take rest if it's paining badly, it works wonders2. Sit in hot water bath tub for about 15 minutes.3. Tyre like seats are available in medical stores in the name of cocydynia seats, these are there to release pressure from tail bone.4. Specific exercise known as keels exercises have to be done, consult your physiotherapist for the same. These are for strengthening your pelvic floor muscles, many of my patients have reported improvement by doing this exercises.ultrasonic therapy (on pulsed mode) and short wave treatment for 10 days would help you to relieve pain | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I been having middle bk pain where it feels hard to stand and sit in a good posture. Also have tailbone pain where it hurts to sit a certain way or bend. Been going on a week and the pain is still there. Been resting after it happend. The tailbone pain is still there but tolerable. But the pain in my middle of my bk hurts. Cant stand for to long. Or even sit up right. What is going on?"
},
{
"from": "gpt",
"value": "Output: I understand your problem, I would have guided you properly if you had mentioned your age and profession you are in (have you been in sitting profession for long, some desktop job???), with kind of details you have mentioned you are suffering from condition called coccydynia , and you also need to get an x-ray done for your lumbar spine. For your tail bone pain, you need to keep a lot of patience, it takes time to subside.In the meanwhile these are the following you should do to relieve pain.1. Take rest if it's paining badly, it works wonders2. Sit in hot water bath tub for about 15 minutes.3. Tyre like seats are available in medical stores in the name of cocydynia seats, these are there to release pressure from tail bone.4. Specific exercise known as keels exercises have to be done, consult your physiotherapist for the same. These are for strengthening your pelvic floor muscles, many of my patients have reported improvement by doing this exercises.ultrasonic therapy (on pulsed mode) and short wave treatment for 10 days would help you to relieve pain"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had quick heart beats about 130 and when I checked my blood pressure it was 160/110. After one week now it is 140/90 and normal heart beat but I am taking blood pressure pills 2.5 which my doctors says I have to continue using and consider myself a blood pressure patient. He also told me there is a great chance that I get cured if I lose my extra weight which is 130 Kg. At work I face lots of stresses and at home also. What are my chances of being completely cured from blood pressure? | Hi There I completely understand your concern for your health and I would like to tell you that STRESS and OVER WEIGHT are two important factors that causes high blood pressure. So if you want to get rid of high Blood pressure and medicines completely then you need to follow these things regularly for 3 months | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had quick heart beats about 130 and when I checked my blood pressure it was 160/110. After one week now it is 140/90 and normal heart beat but I am taking blood pressure pills 2.5 which my doctors says I have to continue using and consider myself a blood pressure patient. He also told me there is a great chance that I get cured if I lose my extra weight which is 130 Kg. At work I face lots of stresses and at home also. What are my chances of being completely cured from blood pressure?"
},
{
"from": "gpt",
"value": "Output: Hi There I completely understand your concern for your health and I would like to tell you that STRESS and OVER WEIGHT are two important factors that causes high blood pressure. So if you want to get rid of high Blood pressure and medicines completely then you need to follow these things regularly for 3 months"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 53 yr. old woman. The skin on my chest and sides of my neck is red but there is no itching. When I press on it a white spot appears and then the red returns. I have no other symptoms and its not a sunburn. I typically have no skin problems but about a month and a half ago ago I took an antibiotic that caused an itchy rash and some eczema. It took a few weeks for that rash to disappear. However, that was a month ago. | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to hives which is caused by an allergic reaction. I suggest to use antihistamine as such as Cetirizine 10 mg daily also suggest using a steroid cream for local application such as Dexamethasone cream. I recommend avoiding antibiotics that you used which might have cause the reaction. Hope my answer was helpful. If you have further queries feel free to contact me again. 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: I am a 53 yr. old woman. The skin on my chest and sides of my neck is red but there is no itching. When I press on it a white spot appears and then the red returns. I have no other symptoms and its not a sunburn. I typically have no skin problems but about a month and a half ago ago I took an antibiotic that caused an itchy rash and some eczema. It took a few weeks for that rash to disappear. However, that was a month ago."
},
{
"from": "gpt",
"value": "Output: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to hives which is caused by an allergic reaction. I suggest to use antihistamine as such as Cetirizine 10 mg daily also suggest using a steroid cream for local application such as Dexamethasone cream. I recommend avoiding antibiotics that you used which might have cause the reaction. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 5 days ago I got hit with a softball. It is on my inner right leg up above my ankle. It welted right away but I didn t put ice on it. It hurts to walk and driving with it, the bone itself hurts. The color of it is yellow with purple. It is a little warm to the touch but if something brushes against it hurts so bad. And Im not quite sure if I should go get an ex-ray for it. | Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If its warm and painful start analgesic and anti-inflammatory tablets. Ice packs. Restget a X-ray done to rule out any other cause. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 5 days ago I got hit with a softball. It is on my inner right leg up above my ankle. It welted right away but I didn t put ice on it. It hurts to walk and driving with it, the bone itself hurts. The color of it is yellow with purple. It is a little warm to the touch but if something brushes against it hurts so bad. And Im not quite sure if I should go get an ex-ray for it."
},
{
"from": "gpt",
"value": "Output: Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If its warm and painful start analgesic and anti-inflammatory tablets. Ice packs. Restget a X-ray done to rule out any other cause. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | they told me Im allergic to something, but nobody knows what...I had these weird hives looking rash for like 3 months and it started to go away I think because my new job (fast food) makes my hair and skin smell really bad when i come home so Ive been taking 2 showers a day. But I just layed down on my couch too go to sleep and felt like something kept biting me, so I went into the bathroom to change clothes and theres hives starting to form again on my face hand arm legs and stomach...I know Im allergic to cats horses trees grass and antibiotics, but the only one of those im exposed to is my cat, I think it might be something else, am I right? | Hello, Welcome and thanks for posting your query to Chat Doctor. After reading your query it appears the possibility of \"Urticaria\". Urticaria is a common condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released it produces a rash which you have mentioned. There can be multiple factors producing this condition which are included in day to day life and sometimes it is really difficult to find one exact cause. In your case you are correlating it with contact with cats. So it is better to stay away from the offending factors. For the betterment kindly follow the suggestions below | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: they told me Im allergic to something, but nobody knows what...I had these weird hives looking rash for like 3 months and it started to go away I think because my new job (fast food) makes my hair and skin smell really bad when i come home so Ive been taking 2 showers a day. But I just layed down on my couch too go to sleep and felt like something kept biting me, so I went into the bathroom to change clothes and theres hives starting to form again on my face hand arm legs and stomach...I know Im allergic to cats horses trees grass and antibiotics, but the only one of those im exposed to is my cat, I think it might be something else, am I right?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome and thanks for posting your query to Chat Doctor. After reading your query it appears the possibility of \\\"Urticaria\\\". Urticaria is a common condition caused by bursting of allergy producing cells known as \\\"mast cells\\\". As the chemical inside them is released it produces a rash which you have mentioned. There can be multiple factors producing this condition which are included in day to day life and sometimes it is really difficult to find one exact cause. In your case you are correlating it with contact with cats. So it is better to stay away from the offending factors. For the betterment kindly follow the suggestions below"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Are there any hereditary factors that lead to fainting? I have a slow pulse at times dropping into the upper 40 s/minutes-My brother recently had surgery for a subdural hematoma due to a fall, my sister has seizure like petit mal & severe falls, also my father fainted several times. I am 77 years old & in good health. I have been referred to a cardiologist & wear an internal heart monitor. Do you think there might be a hereditary neurological conditions? | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. There are quite a few hereditary Neurological conditions as well as quite a few hereditary cardiac conditions which can lead to paintings confirm or rule out, you need to undergo clinical examination, measurement of BP at Supine, Sitting and Standing, detailed cardiac evaluation. I would request you to consult your Cardiologist First and Neurologist after that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Are there any hereditary factors that lead to fainting? I have a slow pulse at times dropping into the upper 40 s/minutes-My brother recently had surgery for a subdural hematoma due to a fall, my sister has seizure like petit mal & severe falls, also my father fainted several times. I am 77 years old & in good health. I have been referred to a cardiologist & wear an internal heart monitor. Do you think there might be a hereditary neurological conditions?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. There are quite a few hereditary Neurological conditions as well as quite a few hereditary cardiac conditions which can lead to paintings confirm or rule out, you need to undergo clinical examination, measurement of BP at Supine, Sitting and Standing, detailed cardiac evaluation. I would request you to consult your Cardiologist First and Neurologist after that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 25 yr. old female and for the last 8 years my hands and feet are pretty swollen, and red. About 4 years ago i began feeling extremely tired and very weak it even feels difficult to get around or do anything physical.Could this be some sort of arthritis? oh and also my toes go numb randomly. | Welcome to Chat Doctor I have gone through your query and understand your concern. Your problem can be arthritis. You should exclude rheumatoid arthritis by getting rheumatoid factor test done. You should also get your vitamin D test as tiredness can be due to this. If found low you should get supplements of vitamin D3. For pain relief you can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 25 yr. old female and for the last 8 years my hands and feet are pretty swollen, and red. About 4 years ago i began feeling extremely tired and very weak it even feels difficult to get around or do anything physical.Could this be some sort of arthritis? oh and also my toes go numb randomly."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. Your problem can be arthritis. You should exclude rheumatoid arthritis by getting rheumatoid factor test done. You should also get your vitamin D test as tiredness can be due to this. If found low you should get supplements of vitamin D3. For pain relief you can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i missed my periods since 2 months , i have PCOD, i tested negative for pregnancy , so doc suggested me to take trito n 5 mg tablet twice a day for 3 days , but i din get my periods , instaed i have been tested positive for pregnancy . nw i m 5 weeks 4days pregnant . i was 2weeks pregnant when i took the tablet , now i m worried whether that tablet will have effect on may baby . should i continue this pregnancy or terminate it . | Hello, I have gone through your query and understood the concern. Studies have shown that use of hormones during early stages of pregnancy can harm the fetus if it happens during the stage of organ differentiation, which happens at about 45 days of gestation, or 6 weeks gestation. Any hormone intake prior to this stage, as most often happens unknowingly, has not shown to be harmful. Thus, you are mostly safe since you took the medication very early in your pregnancy and that too, for a smaller period only. Yet, you should test for any possible fetal anomalies and the earliest way available is fetal DNA sampling. 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 missed my periods since 2 months , i have PCOD, i tested negative for pregnancy , so doc suggested me to take trito n 5 mg tablet twice a day for 3 days , but i din get my periods , instaed i have been tested positive for pregnancy . nw i m 5 weeks 4days pregnant . i was 2weeks pregnant when i took the tablet , now i m worried whether that tablet will have effect on may baby . should i continue this pregnancy or terminate it ."
},
{
"from": "gpt",
"value": "Output: Hello, I have gone through your query and understood the concern. Studies have shown that use of hormones during early stages of pregnancy can harm the fetus if it happens during the stage of organ differentiation, which happens at about 45 days of gestation, or 6 weeks gestation. Any hormone intake prior to this stage, as most often happens unknowingly, has not shown to be harmful. Thus, you are mostly safe since you took the medication very early in your pregnancy and that too, for a smaller period only. Yet, you should test for any possible fetal anomalies and the earliest way available is fetal DNA sampling. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my father is of age 78 and is having a blood urea level 270 and creatinine stands at 3.4 for the last 4 months; and is having unbearable pain in his bones/joints. The doctor is suggesting hemodialysis twice a week and for the rest of his life. We are a worried lot and want some advice regarding this. can the urea and the creatinine level be reduced by medicine or controlled diet? | Hi, thank you for asking Chat Doctor. I have gone through your query and understood your concerns. Urea and creatinine are waste products that are eliminated from the body by the kidneys through urine. If the kidneys are still functional, some Chat Doctor. In the case where the kidneys are no more functional (when a greater percentage of the functional units of the kidneys are destroyed), only hemodialysis can eliminate them. I would suggest you do as the doctor has said. The more you delay, the more the condition would worsen. I hope I have answered your query wish him well | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my father is of age 78 and is having a blood urea level 270 and creatinine stands at 3.4 for the last 4 months; and is having unbearable pain in his bones/joints. The doctor is suggesting hemodialysis twice a week and for the rest of his life. We are a worried lot and want some advice regarding this. can the urea and the creatinine level be reduced by medicine or controlled diet?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for asking Chat Doctor. I have gone through your query and understood your concerns. Urea and creatinine are waste products that are eliminated from the body by the kidneys through urine. If the kidneys are still functional, some Chat Doctor. In the case where the kidneys are no more functional (when a greater percentage of the functional units of the kidneys are destroyed), only hemodialysis can eliminate them. I would suggest you do as the doctor has said. The more you delay, the more the condition would worsen. I hope I have answered your query wish him well"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi ive been having discomfort sometime during and also after sex on my penis. My symptoms are swelling little redness and a little pain just underneath the head of my penis. My question is what causes it and how can I stop it from happening. Thanks in advance. | Hello, Welcome to Chat Doctor .com, swelling with redness and pain underneath head of penis just after sex is suggestive of having an infection around penis. Most probable infection type seems to be genital herpes from your descriptions of complaints that you have provided. Genital herpes is contracted by urogenital route by means of unprotected sexual intercourse. Its manifestations include red colored painful lesions around genital mucus membranes, vesicles, erosion, burning sensations, dysuria, painful coitus. Treatment includes antiviral medications such as acyclovir for 5-7 days, however chances of recurrence is very high. Precaution includes maintaining genital hygiene, avoiding sexual intercourse for about 2 weeks tills lesions heals, avoiding unprotected sexual intercourse. Also try to seek an opinion from meteorologist before starting treatment. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi ive been having discomfort sometime during and also after sex on my penis. My symptoms are swelling little redness and a little pain just underneath the head of my penis. My question is what causes it and how can I stop it from happening. Thanks in advance."
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor .com, swelling with redness and pain underneath head of penis just after sex is suggestive of having an infection around penis. Most probable infection type seems to be genital herpes from your descriptions of complaints that you have provided. Genital herpes is contracted by urogenital route by means of unprotected sexual intercourse. Its manifestations include red colored painful lesions around genital mucus membranes, vesicles, erosion, burning sensations, dysuria, painful coitus. Treatment includes antiviral medications such as acyclovir for 5-7 days, however chances of recurrence is very high. Precaution includes maintaining genital hygiene, avoiding sexual intercourse for about 2 weeks tills lesions heals, avoiding unprotected sexual intercourse. Also try to seek an opinion from meteorologist before starting treatment. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear doctor,greetings..my cousin is 23 yrs old height 5 ft 5 inch,weight 45kg,is suffering from multiple lipoma since last 12yrs,the lumps have started growing since last 2 years.Please suggest some treatments to stop the growth of new lumps and reduce the size of the existing ones....please help | Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. Usually lipomas are harmless until they do not interfere with normal routine of a person. But when they start inferring in normal routine of person, start growing or start paining they become cause of concern. I would suggest you to take apple cedar vinegar twice a day, apply turmeric powder paste on lumps, do regular exercise and eat plenty of fresh fruits and vegetables. If condition doesn't get better in month then consult doctor or surgeon for proper examination and rule out other cause like malignant growth. Doctor will physically examine the lumps and may order biopsy. Doctor may recommend their surgical removal, liposuction technique or may give steroid injection. 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: Dear doctor,greetings..my cousin is 23 yrs old height 5 ft 5 inch,weight 45kg,is suffering from multiple lipoma since last 12yrs,the lumps have started growing since last 2 years.Please suggest some treatments to stop the growth of new lumps and reduce the size of the existing ones....please help"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. Usually lipomas are harmless until they do not interfere with normal routine of a person. But when they start inferring in normal routine of person, start growing or start paining they become cause of concern. I would suggest you to take apple cedar vinegar twice a day, apply turmeric powder paste on lumps, do regular exercise and eat plenty of fresh fruits and vegetables. If condition doesn't get better in month then consult doctor or surgeon for proper examination and rule out other cause like malignant growth. Doctor will physically examine the lumps and may order biopsy. Doctor may recommend their surgical removal, liposuction technique or may give steroid injection. 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 I m under a lot of stress at work while there the last few days I m expericing mild pain in the middle of my chest . I am prescribed Ativan and when I take one the pain subsides but when it wears off the pain is back can it just be stress related | Hello! Welcome on Chat Doctor! Your symptoms seem to be related to anxiety. Coming to this point, I would recommend consulting with a specialist of the field (psychotherapist or psychiatrist) to help you manage anxiety. An antidepressant would be better than Asian as long term therapy for the management of anxiety. I would also recommend trying Omeprazole. If it helps, it would be indicative of gastroesophageal reflux or gastritis underlying your symptoms. In such case a fibrogastroscopy would be necessary. Hope to have been helpful! Kind 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 under a lot of stress at work while there the last few days I m expericing mild pain in the middle of my chest . I am prescribed Ativan and when I take one the pain subsides but when it wears off the pain is back can it just be stress related"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor! Your symptoms seem to be related to anxiety. Coming to this point, I would recommend consulting with a specialist of the field (psychotherapist or psychiatrist) to help you manage anxiety. An antidepressant would be better than Asian as long term therapy for the management of anxiety. I would also recommend trying Omeprazole. If it helps, it would be indicative of gastroesophageal reflux or gastritis underlying your symptoms. In such case a fibrogastroscopy would be necessary. Hope to have been helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello Doctor, I am a 22 year old man with no previous medical issues in regards to my testicles. however at the moment I am a little worries about the tails of both my right and left epididymis. after ejaculation they both become hard and a little swollen. My ejaculations have always been consistent and full with no pain. In addition I have no pain urinating or in general in regards to my testicles and penis. any idea what the issue could be? sometimes when I feel my testicles everything feels fine, the tails of my epididymis both feel fine- soft squishy and relatively small. however, during or post ejaculation they feel hard and swollen. In addition they feel swollen sometimes just out of the blue Thanks for your reply I m just very curious as to what can be going on down there | HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello Doctor, I am a 22 year old man with no previous medical issues in regards to my testicles. however at the moment I am a little worries about the tails of both my right and left epididymis. after ejaculation they both become hard and a little swollen. My ejaculations have always been consistent and full with no pain. In addition I have no pain urinating or in general in regards to my testicles and penis. any idea what the issue could be? sometimes when I feel my testicles everything feels fine, the tails of my epididymis both feel fine- soft squishy and relatively small. however, during or post ejaculation they feel hard and swollen. In addition they feel swollen sometimes just out of the blue Thanks for your reply I m just very curious as to what can be going on down there"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I ve been in a plyhydramnios condition. I gave birth at 39 weeks to a baby boy and now currently experiencing hard to swallow condition and having hard time to breathe, without the aid of oxygen machine he can t breathe, the neonatalogist said my baby has pneumonia. Please do help on what medical advice you can give me. | Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I ve been in a plyhydramnios condition. I gave birth at 39 weeks to a baby boy and now currently experiencing hard to swallow condition and having hard time to breathe, without the aid of oxygen machine he can t breathe, the neonatalogist said my baby has pneumonia. Please do help on what medical advice you can give me."
},
{
"from": "gpt",
"value": "Output: Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Severe headache and neck pain left side followed with nausea. Pain went away but the nausea stayed then again symptoms returned but less severe the nausea is staying and I didn t know if it s serious or what to take I ve taken Tylenol. Pain goes away the tension and nausea stays. I m 24 female and only done this during pregnancy and I just had my cycle may 16th so even if I was I would not be far enough. Is it serious. | Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As there is pain in the neck and severe headache also, a neurological assessment is advised since the CTZ center is getting stimulated and the nausea felling is persisting. Try performing slow static neck exercises, as sometimes due to spasm of the neck muscles the pain in the neck, headache and nausea is felt. IF with the hot water fermentation, slow static neck exercises and breathing exercises the problem gets solved, it will be complete muscular and may not need to be worried as well. If the pain persists even after that, then a neurological assessment will be advised. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Severe headache and neck pain left side followed with nausea. Pain went away but the nausea stayed then again symptoms returned but less severe the nausea is staying and I didn t know if it s serious or what to take I ve taken Tylenol. Pain goes away the tension and nausea stays. I m 24 female and only done this during pregnancy and I just had my cycle may 16th so even if I was I would not be far enough. Is it serious."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As there is pain in the neck and severe headache also, a neurological assessment is advised since the CTZ center is getting stimulated and the nausea felling is persisting. Try performing slow static neck exercises, as sometimes due to spasm of the neck muscles the pain in the neck, headache and nausea is felt. IF with the hot water fermentation, slow static neck exercises and breathing exercises the problem gets solved, it will be complete muscular and may not need to be worried as well. If the pain persists even after that, then a neurological assessment will be advised. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi,i had chronic cough over past 2 months and had a ct scan..ct says,small volume lymphnodes seen in prevascualr region,lungs are clear.My pulmonologist says nothing to worry and the lymphnodes are because of infection.I am worried about cancer.Please suggest | Hi, Thanks for writing in. Lymphnodes in the vernacular region that is in front of the heart are seen in many conditions. It can be present in cancer, tuberculosis, autoimmune conditions or mild infections. Cancer lymph nodes are usually larger than 10 mm in size and can cause pressure effects. Cancer also causes unexplained weight loss and chronic cough and so does TB. However, if your doctor has done a detailed clinical examination then there is no need to worry. If it is due to an infection then it will resolve with treatment. Please take medicines as given and then after consulting your doctor on a follow-up you can get repeat CT scan chest done and that will show the lymph nodes getting smaller or disappear. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,i had chronic cough over past 2 months and had a ct scan..ct says,small volume lymphnodes seen in prevascualr region,lungs are clear.My pulmonologist says nothing to worry and the lymphnodes are because of infection.I am worried about cancer.Please suggest"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Lymphnodes in the vernacular region that is in front of the heart are seen in many conditions. It can be present in cancer, tuberculosis, autoimmune conditions or mild infections. Cancer lymph nodes are usually larger than 10 mm in size and can cause pressure effects. Cancer also causes unexplained weight loss and chronic cough and so does TB. However, if your doctor has done a detailed clinical examination then there is no need to worry. If it is due to an infection then it will resolve with treatment. Please take medicines as given and then after consulting your doctor on a follow-up you can get repeat CT scan chest done and that will show the lymph nodes getting smaller or disappear. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter who is 38 has spent the last 6 years with chronic pain in the buttocks area. She has had a hysterectomy, 2 back spinal fusions and finally a surgery where they actually cut the periformis muscle. She is now addicted to pain medicines(morphine) and has no quality of life. I know there is some special Dr. who can help her, we just haven t found he/she yet. I want my daughter to have her life back and so does she . Can you help, please? | Hi, thank-you for providing the brief history of your daughter. As he had past surgeries of spine, hysterectomy and performs muscle the pain in the hip is due to the nerve dysfunction in the lumbar spine. As she is 38 and suffering from hip pain I will advise to undergo physical therapy. In my clinical practice most cases with spine injuries, post spine surgeries, have always responded well to physical therapy. In fact I should say, they are functionally active and even age has not restricted them to achieve the best quality of life. Try out physical therapy. The process may be longer, but the recovery is for sure. If you have any particular query on how and what I can surely help you. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter who is 38 has spent the last 6 years with chronic pain in the buttocks area. She has had a hysterectomy, 2 back spinal fusions and finally a surgery where they actually cut the periformis muscle. She is now addicted to pain medicines(morphine) and has no quality of life. I know there is some special Dr. who can help her, we just haven t found he/she yet. I want my daughter to have her life back and so does she . Can you help, please?"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of your daughter. As he had past surgeries of spine, hysterectomy and performs muscle the pain in the hip is due to the nerve dysfunction in the lumbar spine. As she is 38 and suffering from hip pain I will advise to undergo physical therapy. In my clinical practice most cases with spine injuries, post spine surgeries, have always responded well to physical therapy. In fact I should say, they are functionally active and even age has not restricted them to achieve the best quality of life. Try out physical therapy. The process may be longer, but the recovery is for sure. If you have any particular query on how and what I can surely help you. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My grandson travels all over the world. I have called CDC in Atlanta to inquire what precautions may be taken against the Ebola virus. I was told that a detergent or bleach base disinfectants, however, they were unable to tell me of specific products. Referred me to MA Dept. of Health which was not helpful at all. | Hello, THX to contact us. If I am your treating doctor I would like to advice you that take care that body fluids, blood and sexual intercourse may spread Ebola to you. Kindly stay away from such an activity. You can use a bleach solution which is available in your local market. There is no point of using specific products. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My grandson travels all over the world. I have called CDC in Atlanta to inquire what precautions may be taken against the Ebola virus. I was told that a detergent or bleach base disinfectants, however, they were unable to tell me of specific products. Referred me to MA Dept. of Health which was not helpful at all."
},
{
"from": "gpt",
"value": "Output: Hello, THX to contact us. If I am your treating doctor I would like to advice you that take care that body fluids, blood and sexual intercourse may spread Ebola to you. Kindly stay away from such an activity. You can use a bleach solution which is available in your local market. There is no point of using specific products. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last year, I went through much testing with a GI doctor. Finally, in June of 2013 I was rushed to the hospital with fluid around my heart and lungs. I was hospitalized for 7 days. During this period of time, I had my gallbladder removed as well since it showed it had gone bad. I have been well for 7 months. This past Sunday, my stomach started having contractions, spasms, whatever you want to call it. I was in horrible pain. But I went to sleep and woke up fine. On this past Monday, woke up fine, and about 3 | Hi. Surely you can take Lesson as you are in a pain. From your history I can decipher that you may probably be suffering from an intestinal infection or some sort of sub-acute obstruction. This gives the spasms. A good test is a take an X-ray of the abdomen in a standing position. This is a good investigation that can diagnose the obstruction part. Also go for stool test to rule out infection. It is a good idea to rule out any medical condition like diabetes / thyroid problem, as they too can give such symptoms. Would like to know about the tests and the progress. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last year, I went through much testing with a GI doctor. Finally, in June of 2013 I was rushed to the hospital with fluid around my heart and lungs. I was hospitalized for 7 days. During this period of time, I had my gallbladder removed as well since it showed it had gone bad. I have been well for 7 months. This past Sunday, my stomach started having contractions, spasms, whatever you want to call it. I was in horrible pain. But I went to sleep and woke up fine. On this past Monday, woke up fine, and about 3"
},
{
"from": "gpt",
"value": "Output: Hi. Surely you can take Lesson as you are in a pain. From your history I can decipher that you may probably be suffering from an intestinal infection or some sort of sub-acute obstruction. This gives the spasms. A good test is a take an X-ray of the abdomen in a standing position. This is a good investigation that can diagnose the obstruction part. Also go for stool test to rule out infection. It is a good idea to rule out any medical condition like diabetes / thyroid problem, as they too can give such symptoms. Would like to know about the tests and the progress."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. So I have this tingling sensation right next/under my glans clit. It s not that itchy...and when I tried to pulled the tip back a little to see what was going I noticed a little tiny bump n it hurts to the touch a little or make the tingling sensation worse. I had chlamydia a few weeks ago n got treated with antibiotics so i don t know if it s a yeast infection or what? | Ello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. So I have this tingling sensation right next/under my glans clit. It s not that itchy...and when I tried to pulled the tip back a little to see what was going I noticed a little tiny bump n it hurts to the touch a little or make the tingling sensation worse. I had chlamydia a few weeks ago n got treated with antibiotics so i don t know if it s a yeast infection or what?"
},
{
"from": "gpt",
"value": "Output: Ello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, so 2 days ago, I got a circumcision (im 21 years old), and now everything seems fine, ive removed my dressing, but the only problem is that my glans are super sensitive and thus i cannot even wear boxers as it is sensitive when it hits it, and it is really uncorfmatable when walking. Do you recommend anything for this problem? Thank you so much! and I will forever be grateful | HelloThanks for your query, based on the facts that you have posted it appears that you have undergone circumcision 2 days ago and have noticed that glans of your penis is highly sensitive. Your glans was covered with foreskin till the time you got circumcised. This foreskin prevents glans from sensation of touch with cloths or atmosphere. This protection is lost after removing the foreskin making it sensitive. Do not worry this is common for few days (2-3 weeks)with everybody who gets circumcised. The glans of penis will get accustomed gradually so that you will not have this high sensitive glans afterwards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, so 2 days ago, I got a circumcision (im 21 years old), and now everything seems fine, ive removed my dressing, but the only problem is that my glans are super sensitive and thus i cannot even wear boxers as it is sensitive when it hits it, and it is really uncorfmatable when walking. Do you recommend anything for this problem? Thank you so much! and I will forever be grateful"
},
{
"from": "gpt",
"value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you have undergone circumcision 2 days ago and have noticed that glans of your penis is highly sensitive. Your glans was covered with foreskin till the time you got circumcised. This foreskin prevents glans from sensation of touch with cloths or atmosphere. This protection is lost after removing the foreskin making it sensitive. Do not worry this is common for few days (2-3 weeks)with everybody who gets circumcised. The glans of penis will get accustomed gradually so that you will not have this high sensitive glans afterwards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my head is hurting so bad i vomit and there is a dot in my eyes or even sometimes there different shapes it hurts so bad i cant open my eyes to the point were i feel like i have bleeding on the brain i have been to the doctors but they just say its migranes but it feels like something else help me | Hello! Welcome on Chat Doctor ! Your symptoms are typical of migraines with visual area. So, I agree with your doctor on the diagnosis. I would just recommend performing a brain MRI study to exclude other possible causes of migraine headaches. As your headaches are really severe, I would recommend starting preventive therapy, in order to reduce the severity and frequency of migraine attacks. I would suggest trying topiramate or verapamil for this reason. Other treatment options would be antidepressants, Valerie acid, etc. Hope you will find this answer helpful! Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my head is hurting so bad i vomit and there is a dot in my eyes or even sometimes there different shapes it hurts so bad i cant open my eyes to the point were i feel like i have bleeding on the brain i have been to the doctors but they just say its migranes but it feels like something else help me"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor ! Your symptoms are typical of migraines with visual area. So, I agree with your doctor on the diagnosis. I would just recommend performing a brain MRI study to exclude other possible causes of migraine headaches. As your headaches are really severe, I would recommend starting preventive therapy, in order to reduce the severity and frequency of migraine attacks. I would suggest trying topiramate or verapamil for this reason. Other treatment options would be antidepressants, Valerie acid, etc. Hope you will find this answer helpful! Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I went to the dentist yesterday and they told me I had an infection in my tooth, i was prescribed amnioxcillin and tylenol 3 its been one day, the pain hasnt gone away yet. My dentist said its the infection thats causing the pain. and i should feel results within 48 hours. Is this correct? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you have infection in the tooth with pain there is a possibility that there is dental abscess formation and although medications can help in resolution of infection and relieve pain, but it is not permanent solution. Yes, you may see improvement in 48 hours, but a Rue time slot cannot be given and everything will depend on the exact condition of the tooth and treatment of the tooth will finally resolve the problem. I would suggest you to consult your dentist back or an Endodontist and get evaluated and an x-ray of the tooth will be advised to you. In case of deeper decay root canal treatment of tooth can help. In case if tooth is not in a condition to be saved extraction is advisable. You can also ask me a direct question by going to my profile and clicking on ask me a question and there you can upload the scans of the x-rays so that I can guide you appropriately after evaluation of the x-ray and asking further details. Hope this information helps. Thanks and regards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to the dentist yesterday and they told me I had an infection in my tooth, i was prescribed amnioxcillin and tylenol 3 its been one day, the pain hasnt gone away yet. My dentist said its the infection thats causing the pain. and i should feel results within 48 hours. Is this correct?"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you have infection in the tooth with pain there is a possibility that there is dental abscess formation and although medications can help in resolution of infection and relieve pain, but it is not permanent solution. Yes, you may see improvement in 48 hours, but a Rue time slot cannot be given and everything will depend on the exact condition of the tooth and treatment of the tooth will finally resolve the problem. I would suggest you to consult your dentist back or an Endodontist and get evaluated and an x-ray of the tooth will be advised to you. In case of deeper decay root canal treatment of tooth can help. In case if tooth is not in a condition to be saved extraction is advisable. You can also ask me a direct question by going to my profile and clicking on ask me a question and there you can upload the scans of the x-rays so that I can guide you appropriately after evaluation of the x-ray and asking further details. Hope this information helps. Thanks and regards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had been coughing several times a day for two weeks. Ten days ago I vomitted every two hours for 10 hours and had diarrhea. I felt very weak for three days and then I flew to Hawaii. While there, I was coughing the same amount. My voice is very hoarse but I don t have any pain in my throat. It is just raw from coughing so much. Three days ago, I had intense and uncontrollable chills for three hours, which then turned I to a fever. I took Ibuprofen and it helped. Yesterday when I was flying back from Hawaii, I felt nauseous for the whole flight and then vomitted after we landed. Today I have eaten a little. Ore than I have been. I don t have chills and I don t feel nauseous. I am continuously coughing still. | Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! You need to take few tests to establish the cause of fever. It could be acute bacterial infection or tubercular in nature. Get your throat assessed first by ENT specialist it could just be allergy. Coughing is causing vomiting. Diarrhea could be due to infection. Take a course of antibiotic to see if symptoms resolve.If it does not improve get X-ray and sputum culture/sensitivity for bacterial/tubercular infection. You might require CENT scan test to see for lymph nodes. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had been coughing several times a day for two weeks. Ten days ago I vomitted every two hours for 10 hours and had diarrhea. I felt very weak for three days and then I flew to Hawaii. While there, I was coughing the same amount. My voice is very hoarse but I don t have any pain in my throat. It is just raw from coughing so much. Three days ago, I had intense and uncontrollable chills for three hours, which then turned I to a fever. I took Ibuprofen and it helped. Yesterday when I was flying back from Hawaii, I felt nauseous for the whole flight and then vomitted after we landed. Today I have eaten a little. Ore than I have been. I don t have chills and I don t feel nauseous. I am continuously coughing still."
},
{
"from": "gpt",
"value": "Output: Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! You need to take few tests to establish the cause of fever. It could be acute bacterial infection or tubercular in nature. Get your throat assessed first by ENT specialist it could just be allergy. Coughing is causing vomiting. Diarrhea could be due to infection. Take a course of antibiotic to see if symptoms resolve.If it does not improve get X-ray and sputum culture/sensitivity for bacterial/tubercular infection. You might require CENT scan test to see for lymph nodes. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter hit front of her leg really hard 2 weeks on the table doing a cartwheel inside. It left a bad bruise and a knot. The bruise is almost gone but the knot is still there and seems to be the same size as it was when she hit it. What s caused the knot not to go away? Do I need to take her to the dr? | Hi, Thank you for asking question on Chat Doctor. Bruise occurs due bleeding under the skin, and it gradually disappears. The n knot will take some more time or may remain very long time though reduced in size. Hope this answer will serve your purpose. Nothing to worry about it. Please feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter hit front of her leg really hard 2 weeks on the table doing a cartwheel inside. It left a bad bruise and a knot. The bruise is almost gone but the knot is still there and seems to be the same size as it was when she hit it. What s caused the knot not to go away? Do I need to take her to the dr?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for asking question on Chat Doctor. Bruise occurs due bleeding under the skin, and it gradually disappears. The n knot will take some more time or may remain very long time though reduced in size. Hope this answer will serve your purpose. Nothing to worry about it. Please feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had some discomfort the last few days with pain in the middle of my chest feels as though something is stuck and makes me keep burping I sometimes bring clear flem up when it get that bad it makes me feel sick and gag it seems to be getting worse and constant | Hello, The possibility of HERD (gastroesophageal reflux disease) is more likely. HERD is due to laxity of gastroesophageal sphincter. Because of it, the acid of the stomach tends to come up in the esophagus and cause chest discomfort, burping, aging, something stuck in the center of the chest etcetera. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead, take frequent small meals.3. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 4. Go for walking after meals.5. Keep 2-3 pillows under the head in bed.6. Lose weight if you are obese. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had some discomfort the last few days with pain in the middle of my chest feels as though something is stuck and makes me keep burping I sometimes bring clear flem up when it get that bad it makes me feel sick and gag it seems to be getting worse and constant"
},
{
"from": "gpt",
"value": "Output: Hello, The possibility of HERD (gastroesophageal reflux disease) is more likely. HERD is due to laxity of gastroesophageal sphincter. Because of it, the acid of the stomach tends to come up in the esophagus and cause chest discomfort, burping, aging, something stuck in the center of the chest etcetera. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead, take frequent small meals.3. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 4. Go for walking after meals.5. Keep 2-3 pillows under the head in bed.6. Lose weight if you are obese. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My name is Phyllis, and I am currently trying to decide on weather or not to have gastric surgery because I m over weight. I m very nervous because I have High Blood pressure and just became a diabetic. Are there any oral medications I can take instead of going through with the surgery that will help me lose the weight that are not harmful to my liver and addictive? | Hi, I understand your concern and would agree with you on the fact that this procedure can lead to a lot of adverse effects, considering your past medical history. For this reason, I would recommend taking Garcia Cambodia for a period of three months, and make some modifications to your lifestyle (consulting with a dietitian and performing a lot of physical activity). Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, My name is Phyllis, and I am currently trying to decide on weather or not to have gastric surgery because I m over weight. I m very nervous because I have High Blood pressure and just became a diabetic. Are there any oral medications I can take instead of going through with the surgery that will help me lose the weight that are not harmful to my liver and addictive?"
},
{
"from": "gpt",
"value": "Output: Hi, I understand your concern and would agree with you on the fact that this procedure can lead to a lot of adverse effects, considering your past medical history. For this reason, I would recommend taking Garcia Cambodia for a period of three months, and make some modifications to your lifestyle (consulting with a dietitian and performing a lot of physical activity). Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor, hope you can help me with this. Yesterday morning (about 28 hours ago), I woke up with a morning erection, then decided to masturbate, even though my bladder must have been quite full, or at least half full. I usually masturbate after I have been to the toilet. The masturbation was quite short lasting, lying on my back, quite gentle masturbation, not rough, but at the ejaculation point, it didn t feel very good, a little painful during, which I haven t experienced before. I think it must have been related to the bladder not being emptied first. A few minutes later, I possibly made a second mistake, by urinating. It did seem like the urethrea was not ready for urine yet, took a while to succeed. Is it advised to wait a while before one urinates? Then during the day and night I have felt rather uncomfortable, mostly during the night, some pain/discomfort, which feels like it is located at the point where I usually feel if I need to urinate or not. Is this bladder pain? It helps a bit to urinate though. Could I have had some urine in the urethrea accidentally mixed together with the sperm during ejaculation? And is this harmful? I also wanna mention that the night before this I ate two oranges and quite much chocolate, which could make the urine more acid and harmful? I have not had sex for a long time, and never unprotected, so STD is out of the question. Now I am taking some ibuprofen and also some cranberry capsules. Not sure if I should see a doctor yet, since this is so fresh. I have a tendency to see doctor too often and worry about health matters. Could you please shed light to what might have happened? Does it sound like a temporary problem? Or will I next time also feel discomfort during ejaculation? I haven t tried masturbating again, since I think I should rest the system for some days. | Degree understand your concerns went through your details. I suggest you not to worry much. Because worrying can increase the problem dimension. As far as I can see, you do not have to go to any doctor because you donor have any problem at all. Masturbation with even full bladder is not harm full, but there will be discomfort. Semen mixed with urine is normal and happens almost every time. Nothing wrong. Had oranges a chocolate. Nice. You should do that. But it has no effect on your semen or urine. I can see your problem. You are overly worried about your health, as you mentioned here. You should be careful about your health. Not worrying or anxious. You should do with a cognitive Behavioral therapy and sex therapy which I can provide you only if you come to me with a premium question. 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: Hi doctor, hope you can help me with this. Yesterday morning (about 28 hours ago), I woke up with a morning erection, then decided to masturbate, even though my bladder must have been quite full, or at least half full. I usually masturbate after I have been to the toilet. The masturbation was quite short lasting, lying on my back, quite gentle masturbation, not rough, but at the ejaculation point, it didn t feel very good, a little painful during, which I haven t experienced before. I think it must have been related to the bladder not being emptied first. A few minutes later, I possibly made a second mistake, by urinating. It did seem like the urethrea was not ready for urine yet, took a while to succeed. Is it advised to wait a while before one urinates? Then during the day and night I have felt rather uncomfortable, mostly during the night, some pain/discomfort, which feels like it is located at the point where I usually feel if I need to urinate or not. Is this bladder pain? It helps a bit to urinate though. Could I have had some urine in the urethrea accidentally mixed together with the sperm during ejaculation? And is this harmful? I also wanna mention that the night before this I ate two oranges and quite much chocolate, which could make the urine more acid and harmful? I have not had sex for a long time, and never unprotected, so STD is out of the question. Now I am taking some ibuprofen and also some cranberry capsules. Not sure if I should see a doctor yet, since this is so fresh. I have a tendency to see doctor too often and worry about health matters. Could you please shed light to what might have happened? Does it sound like a temporary problem? Or will I next time also feel discomfort during ejaculation? I haven t tried masturbating again, since I think I should rest the system for some days."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Because worrying can increase the problem dimension. As far as I can see, you do not have to go to any doctor because you donor have any problem at all. Masturbation with even full bladder is not harm full, but there will be discomfort. Semen mixed with urine is normal and happens almost every time. Nothing wrong. Had oranges a chocolate. Nice. You should do that. But it has no effect on your semen or urine. I can see your problem. You are overly worried about your health, as you mentioned here. You should be careful about your health. Not worrying or anxious. You should do with a cognitive Behavioral therapy and sex therapy which I can provide you only if you come to me with a premium question. 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. | Dear Sir, Mr. Rishav Srivastava 17 Years old boy is suffering from Alveolar Soft Part Sarcoma Cancer in left hand wrist. As it is 1.5 years old so metastatically sprayeded in Lungs. As per mention Chemotherapy details Doxorubicin drug is given in three cycles but after evaluation by CT scan of Thorax, it has found it does not removed Nodules and Tinny nodules from Thorax (Left/Right Lungs) nor effect on primary place. So, Lungs/Thorax Doctor has denied for lungs surgery due to none effect of Chemotherapy. Present Treatment | Hi. Alveolar soft part sarcoma is a very rare cancer and there is limited experience because of very few patients worldwide. Since the disease of Mr. Mishap Srivastava is metastatic, cure is probably not possible. If I am treating him, I will advise uniting tablet. Radiotherapy to primary is indicated if there is pain or bleeding at primary sit not controlled by conservative measures. I do not know of any evidence of benefit of Interferon Alpha in this disease. 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: Dear Sir, Mr. Rishav Srivastava 17 Years old boy is suffering from Alveolar Soft Part Sarcoma Cancer in left hand wrist. As it is 1.5 years old so metastatically sprayeded in Lungs. As per mention Chemotherapy details Doxorubicin drug is given in three cycles but after evaluation by CT scan of Thorax, it has found it does not removed Nodules and Tinny nodules from Thorax (Left/Right Lungs) nor effect on primary place. So, Lungs/Thorax Doctor has denied for lungs surgery due to none effect of Chemotherapy. Present Treatment"
},
{
"from": "gpt",
"value": "Output: Hi. Alveolar soft part sarcoma is a very rare cancer and there is limited experience because of very few patients worldwide. Since the disease of Mr. Mishap Srivastava is metastatic, cure is probably not possible. If I am treating him, I will advise uniting tablet. Radiotherapy to primary is indicated if there is pain or bleeding at primary sit not controlled by conservative measures. I do not know of any evidence of benefit of Interferon Alpha in this disease. Hope I have answered your query. If you have any further questions I will be happy to help"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.