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If you are a doctor, please answer the medical questions based on the patient's description. | Yes, I was diagnosed with having a kidney stone, after 3 days I stopped checking to see if I passed it or not, I don t really think so, but the pain went away, now I feel like the urge to push, like a different sensation in the genital area, I kinda think bladder. Could I still have the kidney stone after 2 weeks? I did go to my dr. a week after I had this and there was not infection, could I possible have a bladder infection now? It kind of feels that way. thank you | Hello Thanks for query. You had been detected to have stone in the kidney causing pain in loin. Now you have pain and discomfort in lower abdomen in bladder area. This could be due to 1) The stone which was earlier detected to be in kidney has passed down through ureter in to bladder resulting into pain inn loin to go away and cause discomfort in bladder. Get your routine urine test and culture done to rule out infection. Taking appropriate antibiotic with Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yes, I was diagnosed with having a kidney stone, after 3 days I stopped checking to see if I passed it or not, I don t really think so, but the pain went away, now I feel like the urge to push, like a different sensation in the genital area, I kinda think bladder. Could I still have the kidney stone after 2 weeks? I did go to my dr. a week after I had this and there was not infection, could I possible have a bladder infection now? It kind of feels that way. thank you"
},
{
"from": "gpt",
"value": "Output: Hello Thanks for query. You had been detected to have stone in the kidney causing pain in loin. Now you have pain and discomfort in lower abdomen in bladder area. This could be due to 1) The stone which was earlier detected to be in kidney has passed down through ureter in to bladder resulting into pain inn loin to go away and cause discomfort in bladder. Get your routine urine test and culture done to rule out infection. Taking appropriate antibiotic with Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My left testicular hurts normally after i have been siting down for long periods of time, and sometimes my right one hurts as well. I have a lump just above my penis on the right side and it hurts nearly all the time. My doctors gave me Antibiotics too see if there is an infection there but could you diagnose my condition please? Daniel | Hello, It's not possible for me to comment on your lump if It's infectious or not without looking at it. However, your doctor did the right thing to give a trial of antibiotics beforehand. Testicular pain might be due to excess pressure over testis while sitting. It can be relieved by wearing loose fitted clothes and underwear. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My left testicular hurts normally after i have been siting down for long periods of time, and sometimes my right one hurts as well. I have a lump just above my penis on the right side and it hurts nearly all the time. My doctors gave me Antibiotics too see if there is an infection there but could you diagnose my condition please? Daniel"
},
{
"from": "gpt",
"value": "Output: Hello, It's not possible for me to comment on your lump if It's infectious or not without looking at it. However, your doctor did the right thing to give a trial of antibiotics beforehand. Testicular pain might be due to excess pressure over testis while sitting. It can be relieved by wearing loose fitted clothes and underwear. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | When doing light work outside get very light headed (dizzy) and slight shortness of breath. Stop and sit down for several minutes problem seams to go away. Blood pressure checks out good but pulse goes up to about 119 which usually checks around 82 any other time. What can possibly be causing this issue? I am a male , 68 years old. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Shortness of breath on minimal exertion, dizziness, rapid heart rate in old age (age more than 60 years) are suggestive of cardiac disease more. Possibility of congestive cardiac failure or coronary artery disease is more. So better to get done ECG and 2d echo. If something is wrong in these tests than you may need coronary Angiography to rule out coronary artery disease. So don't wait at home, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When doing light work outside get very light headed (dizzy) and slight shortness of breath. Stop and sit down for several minutes problem seams to go away. Blood pressure checks out good but pulse goes up to about 119 which usually checks around 82 any other time. What can possibly be causing this issue? I am a male , 68 years old."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Shortness of breath on minimal exertion, dizziness, rapid heart rate in old age (age more than 60 years) are suggestive of cardiac disease more. Possibility of congestive cardiac failure or coronary artery disease is more. So better to get done ECG and 2d echo. If something is wrong in these tests than you may need coronary Angiography to rule out coronary artery disease. So don't wait at home, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I just woke up now, It s 7pm. It was a bit of an offsleep, but when i woke up i felt really weak, shaky, almost lighter. I m still shaking now. I tried just waking up a bit, Drinking some water and milk, Went to the bathroom. But i still fell weak shaky and light, | Hello ! I read your question and understand your concern. In my opinion the symptoms you have had may be related to a Chat Doctor. You should measure your blood pressure in sitting position and then in standing up position. A decrease more than 20 mm Hg in your blood pressure would be indicative of orthostatic hypotension. Low blood pressure can cause similar symptoms. I would also recommend a full blood work for anemia, a thyroid function test to rule out hypothyroidism or hyperthyroidism. Hope to have been helpful! Greetings! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just woke up now, It s 7pm. It was a bit of an offsleep, but when i woke up i felt really weak, shaky, almost lighter. I m still shaking now. I tried just waking up a bit, Drinking some water and milk, Went to the bathroom. But i still fell weak shaky and light,"
},
{
"from": "gpt",
"value": "Output: Hello ! I read your question and understand your concern. In my opinion the symptoms you have had may be related to a Chat Doctor. You should measure your blood pressure in sitting position and then in standing up position. A decrease more than 20 mm Hg in your blood pressure would be indicative of orthostatic hypotension. Low blood pressure can cause similar symptoms. I would also recommend a full blood work for anemia, a thyroid function test to rule out hypothyroidism or hyperthyroidism. Hope to have been helpful! Greetings!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor! what is the best medicine( tablet ) for ITCHING SKIN?because after i took and applied other(Cream) medicine then it will be Vanished and eventually it will come back again after a month! | Hello. Thanks for writing to us. Itchy skin can happen due to many causes like eczema, allergic dermatitis, scabies, etc. An examination from your dermatologist will confirm the diagnosis and will prescribe the Chat Doctor. Many a time it has got a seasonal association also. Meanwhile, you can apply calamine lotion and a steroid(cortisone) based antiseptic cream on the area for symptomatic relief. You can also take Ben | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor! what is the best medicine( tablet ) for ITCHING SKIN?because after i took and applied other(Cream) medicine then it will be Vanished and eventually it will come back again after a month!"
},
{
"from": "gpt",
"value": "Output: Hello. Thanks for writing to us. Itchy skin can happen due to many causes like eczema, allergic dermatitis, scabies, etc. An examination from your dermatologist will confirm the diagnosis and will prescribe the Chat Doctor. Many a time it has got a seasonal association also. Meanwhile, you can apply calamine lotion and a steroid(cortisone) based antiseptic cream on the area for symptomatic relief. You can also take Ben"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m 8 months pregnant (my 2nd child), and noticed some dark spots on the inside of my labia majora. I felt it at first while washing. I squeezed/rolled it between my fingers because I get painless bumps at times down there that are just pores blocked with oil and skin cells. It didn t pop , bled, and is sore. I had my husband look, and there are 3 on my right and one on the left side--just the one I tried to pop is sore and raised. They look like blood blisters. | Hello, and I hope I can help you today. There are many kinds of moles and spots that can appear during pregnancy on all areas of the body. The vagina and vulva are frequent sites of these lesions because of hormonal changes. If the small spots that you see on the inside of your labia are bluish or red, these are called hematomas. They are small growths of the blood vessels under your skin; if they are growth of capillaries, they will be bright red (called cherry spots) and if they are venous the spots will appear blue dark purple or black. They're filled with a small amount of blood to if you pop them they will bleed. The one you already popped may be a little infected, so try to leave it alone and keep the area clean, so it may heal. So in the meantime, try not to touch or traumatize them, and as the baby gets larger more may appear. They are simply cosmetic and will cause you no harm or harm to the baby. These types of lesions go away completely once the baby is born and your hormone levels return to normal. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 8 months pregnant (my 2nd child), and noticed some dark spots on the inside of my labia majora. I felt it at first while washing. I squeezed/rolled it between my fingers because I get painless bumps at times down there that are just pores blocked with oil and skin cells. It didn t pop , bled, and is sore. I had my husband look, and there are 3 on my right and one on the left side--just the one I tried to pop is sore and raised. They look like blood blisters."
},
{
"from": "gpt",
"value": "Output: Hello, and I hope I can help you today. There are many kinds of moles and spots that can appear during pregnancy on all areas of the body. The vagina and vulva are frequent sites of these lesions because of hormonal changes. If the small spots that you see on the inside of your labia are bluish or red, these are called hematomas. They are small growths of the blood vessels under your skin; if they are growth of capillaries, they will be bright red (called cherry spots) and if they are venous the spots will appear blue dark purple or black. They're filled with a small amount of blood to if you pop them they will bleed. The one you already popped may be a little infected, so try to leave it alone and keep the area clean, so it may heal. So in the meantime, try not to touch or traumatize them, and as the baby gets larger more may appear. They are simply cosmetic and will cause you no harm or harm to the baby. These types of lesions go away completely once the baby is born and your hormone levels return to normal. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious. | Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation? | Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation?"
},
{
"from": "gpt",
"value": "Output: Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HiMy husband 30 and I 27 miscarried in November. I am wondering if it is possible to use his sperm and my eggs fertilized and then place back into me? If so are there any specific things required for this to be done or is the available for anyone?Thanks | Dear Ms, yes it is possible .you will receive an ovulation induction that will stimulate your ovaries to produce multiple ova. Then on the day of IVF these oocytes will be aspirated from you. Then your husband will produce a semen sample by masturbation. Then sperms will be taken from your husbands sample providing that he has motile sperms in his semen. These sperms will be used to fertilize the oocytes. Fertilized embryos will be transferred to your uterus after 3 or 5 days from the oocytes aspiration | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HiMy husband 30 and I 27 miscarried in November. I am wondering if it is possible to use his sperm and my eggs fertilized and then place back into me? If so are there any specific things required for this to be done or is the available for anyone?Thanks"
},
{
"from": "gpt",
"value": "Output: Dear Ms, yes it is possible .you will receive an ovulation induction that will stimulate your ovaries to produce multiple ova. Then on the day of IVF these oocytes will be aspirated from you. Then your husband will produce a semen sample by masturbation. Then sperms will be taken from your husbands sample providing that he has motile sperms in his semen. These sperms will be used to fertilize the oocytes. Fertilized embryos will be transferred to your uterus after 3 or 5 days from the oocytes aspiration"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i had a unprotected intercourse with my wife, after 24 hrs she took i -pill and a week after we had another un protected sex but i have not ejaculated in her, she was expeting her periodes 20 day back but she is still weating for her periods we have done Three home preganancy test but all are negative is it side effect of I pill or she is pregnant???? please help | HI, The pill acts by delaying ovulation & thus avoiding the pregnancy. The pill you have taken after your first sex must have avoided the conception that time. You say you had it again after i weeks gap You took precaution, did not ejaculate inside-Still, she has her period delayed by more than 20 days, The pregnancy test is -ve. In such case USG pelvis would be a deciding factor. Thank you. By more than 20 days, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i had a unprotected intercourse with my wife, after 24 hrs she took i -pill and a week after we had another un protected sex but i have not ejaculated in her, she was expeting her periodes 20 day back but she is still weating for her periods we have done Three home preganancy test but all are negative is it side effect of I pill or she is pregnant???? please help"
},
{
"from": "gpt",
"value": "Output: HI, The pill acts by delaying ovulation & thus avoiding the pregnancy. The pill you have taken after your first sex must have avoided the conception that time. You say you had it again after i weeks gap You took precaution, did not ejaculate inside-Still, she has her period delayed by more than 20 days, The pregnancy test is -ve. In such case USG pelvis would be a deciding factor. Thank you. By more than 20 days,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have been running low grade temp (@99.5) for past 6 months. Temp is normal thru day (97-98) & every afternoon/evening I feel it coming on. Have history of hi bp, hyperglycemia (take 80units Lantus) & have been doctoring for a boil/fistula for past 2 months. Have bloodwork almost every week-1 time wbc will be elevated & theyll put me on antibiotics & next time its normal. Most recently my bp has been higher than normal. Family dr. said to double bp pill. This is driving me crazy & is really starting to work on my nerves. Nobody seems to be able to tell me what exactly is going on. | Hi, dear. I have gone through your question. I can understand your concern. You have evening rise fever which is low grade. You should go for investigation for tuberculosis once. Many times it happens in tuberculosis that you have no other symptoms except evening rise fever. Consult your doctor and investigate for it and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have been running low grade temp (@99.5) for past 6 months. Temp is normal thru day (97-98) & every afternoon/evening I feel it coming on. Have history of hi bp, hyperglycemia (take 80units Lantus) & have been doctoring for a boil/fistula for past 2 months. Have bloodwork almost every week-1 time wbc will be elevated & theyll put me on antibiotics & next time its normal. Most recently my bp has been higher than normal. Family dr. said to double bp pill. This is driving me crazy & is really starting to work on my nerves. Nobody seems to be able to tell me what exactly is going on."
},
{
"from": "gpt",
"value": "Output: Hi, dear. I have gone through your question. I can understand your concern. You have evening rise fever which is low grade. You should go for investigation for tuberculosis once. Many times it happens in tuberculosis that you have no other symptoms except evening rise fever. Consult your doctor and investigate for it and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had cervical spine surgery 1 year ago C4 C5 disk replacement and C4 C5 C6 fusion from an injury 11 years ago, I also have rsd/crps II in the right upper extremity. S/P surgery in have had problems with my voice, it is slowly getting better. I have burning in my neck, the back pain is the same and now I have intermittant blurred vision and I have noticed some hearing problems increasing over the past year, I cannot hear someone speak to me when there is a lot of back ground noise | Hello, I would explain that the hearing loss is not related to the surgery but probably related to an inner ear disorder or the head trauma. For this reason, I recommend consulting with an ENT specialist and performing a physical exam and an audio gram. Regarding the burning in your neck, I would recommend taking pregabalin or Gabapentin. You should discuss with your doctor on the above tests and treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had cervical spine surgery 1 year ago C4 C5 disk replacement and C4 C5 C6 fusion from an injury 11 years ago, I also have rsd/crps II in the right upper extremity. S/P surgery in have had problems with my voice, it is slowly getting better. I have burning in my neck, the back pain is the same and now I have intermittant blurred vision and I have noticed some hearing problems increasing over the past year, I cannot hear someone speak to me when there is a lot of back ground noise"
},
{
"from": "gpt",
"value": "Output: Hello, I would explain that the hearing loss is not related to the surgery but probably related to an inner ear disorder or the head trauma. For this reason, I recommend consulting with an ENT specialist and performing a physical exam and an audio gram. Regarding the burning in your neck, I would recommend taking pregabalin or Gabapentin. You should discuss with your doctor on the above tests and treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Quite often and randomly will get a burning sensation in my rectum and around the tip of my penis. I was told I suffered from prostaitis and it was never enlarged. The Doc tried sveral meds from different families but I typically have neglected taking any due to the foggy feeling they give me in my head for several hours each morning usually into the afternoon. If there natural remedies I could try to limit this to a degree? I already take saw palmetto which really helped my bathroom issues. Also Ive been noticing my erections are weaker these days is this due to my prostate? | Hi, Burning at the tip of the penis may be due to a viral infection called herpes progenitors. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to get investigated thoroughly for herpes infection. After complete examination and investigations, your doctor may give antiviral medicine like acyclovir. Do not have unprotected sex. 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: Quite often and randomly will get a burning sensation in my rectum and around the tip of my penis. I was told I suffered from prostaitis and it was never enlarged. The Doc tried sveral meds from different families but I typically have neglected taking any due to the foggy feeling they give me in my head for several hours each morning usually into the afternoon. If there natural remedies I could try to limit this to a degree? I already take saw palmetto which really helped my bathroom issues. Also Ive been noticing my erections are weaker these days is this due to my prostate?"
},
{
"from": "gpt",
"value": "Output: Hi, Burning at the tip of the penis may be due to a viral infection called herpes progenitors. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to get investigated thoroughly for herpes infection. After complete examination and investigations, your doctor may give antiviral medicine like acyclovir. Do not have unprotected sex. 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, Im having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke. | Hi and thank you for choosing Chat Doctor to post your question. In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a serious heart or lung disease. Your family history of heart disease should not be neglected and neither smoking history. If I was your treating doctor I would suggest doing these examinations | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, Im having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke."
},
{
"from": "gpt",
"value": "Output: Hi and thank you for choosing Chat Doctor to post your question. In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a serious heart or lung disease. Your family history of heart disease should not be neglected and neither smoking history. If I was your treating doctor I would suggest doing these examinations"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I just got out of the hospital for mental illness two days ago for hearing voices and extreme sadness. Now they ve come back. I m not suicidal but am scared. I do live with my parents so I m not alone right now. The voices talk to me loudly and seem to get worse at night. I also feel like I could cry at any time. I feel pissed right now. How the hell am I going to sleep tonight with the freaking loud voices in my head. I m scared. How do I tell my supportive parents the truth after just two days of being back home? Please help. I just need to chat with someone right now who can help. | Hello, It is distressing to have such voices called auditory hallucinations. You must continue with your medications as prescribed from the hospital. It takes some time for the psychiatric medications to have their full effect. Till that time you have to hold yourself and face these things. You should tell your parents, and it will be a lot better if they know about it. They are the one who will understand you, and you will find chatting with them easy. Do not hesitate to get back to your doctor if you feel that you are not able to handle it. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just got out of the hospital for mental illness two days ago for hearing voices and extreme sadness. Now they ve come back. I m not suicidal but am scared. I do live with my parents so I m not alone right now. The voices talk to me loudly and seem to get worse at night. I also feel like I could cry at any time. I feel pissed right now. How the hell am I going to sleep tonight with the freaking loud voices in my head. I m scared. How do I tell my supportive parents the truth after just two days of being back home? Please help. I just need to chat with someone right now who can help."
},
{
"from": "gpt",
"value": "Output: Hello, It is distressing to have such voices called auditory hallucinations. You must continue with your medications as prescribed from the hospital. It takes some time for the psychiatric medications to have their full effect. Till that time you have to hold yourself and face these things. You should tell your parents, and it will be a lot better if they know about it. They are the one who will understand you, and you will find chatting with them easy. Do not hesitate to get back to your doctor if you feel that you are not able to handle it. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had very low blood pressure all my life. Im 47 and recently have high pressure when it is checked. I have headaches frequently and understand this could be related. But I also notice that no matter how much sleep I get I still feel exhausted. Is this possible another symptom of high blood pressure? In all honesty I have been very sedentary this winter. As an avid hiker (4-6 miles per day)so this is unusual for me and no doubt why the pressure is up. So perhaps this is also why I feel so tired? | Hi, dairy have gone through your question. I can understand your concern. High blood pressure can lead to headache and fatigue both. You should check your blood pressure. If needed start antihypertensive medicine. Life style modifications like regular exercise and yoga and diet restrictions are also needed. 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 had very low blood pressure all my life. Im 47 and recently have high pressure when it is checked. I have headaches frequently and understand this could be related. But I also notice that no matter how much sleep I get I still feel exhausted. Is this possible another symptom of high blood pressure? In all honesty I have been very sedentary this winter. As an avid hiker (4-6 miles per day)so this is unusual for me and no doubt why the pressure is up. So perhaps this is also why I feel so tired?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. High blood pressure can lead to headache and fatigue both. You should check your blood pressure. If needed start antihypertensive medicine. Life style modifications like regular exercise and yoga and diet restrictions are also needed. 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. | I had flu about 4 weeks ago .and I got over it ok and nouw I have rely bad chest pain.it feels like I have broke my chest bone.and when I try and move or lift somthing it hurts.also when I cough it hrt and not much mucus cmes of. Can you tell whats up with me its herd to breath as well. | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. 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 had flu about 4 weeks ago .and I got over it ok and nouw I have rely bad chest pain.it feels like I have broke my chest bone.and when I try and move or lift somthing it hurts.also when I cough it hrt and not much mucus cmes of. Can you tell whats up with me its herd to breath as well."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. 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 have URQ abdominal discomfort. Preliminary results of Abdominal U/S are negative for stones. I have Hashimotos Hypothyroidism.......previously (4 years) ago via Endoscopy diagnosed with Gastritis and Acid Reflux. Do not take scripted meds for this as I have not been able to tolerate. Could it be my gallbladder, perhaps inflammed ?!?! | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist.RUN pain can be due to Inflamed GB, Gastritis, Colonic disease, from liver. With the information available I will suggest you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like omeprazole and a prokinetic agent like risperidone. I hope I have answered your query and this will help you. 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: I have URQ abdominal discomfort. Preliminary results of Abdominal U/S are negative for stones. I have Hashimotos Hypothyroidism.......previously (4 years) ago via Endoscopy diagnosed with Gastritis and Acid Reflux. Do not take scripted meds for this as I have not been able to tolerate. Could it be my gallbladder, perhaps inflammed ?!?!"
},
{
"from": "gpt",
"value": "Output: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist.RUN pain can be due to Inflamed GB, Gastritis, Colonic disease, from liver. With the information available I will suggest you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like omeprazole and a prokinetic agent like risperidone. I hope I have answered your query and this will help you. Wish you a good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have Hep c and last yr when tested they said my viral load was dorment? can you tell me when should i see someone about getting treated and what are the signs, i also take a numerous amount of pysc meds and currently on suboxone but i dont want to take the suboxone all my life ...lately i am having alot of pain in abdomen area | Hi, Since you apparently had very low Hepatitis C virus RNA levels, your doctor told you that the virus is dormant. This means that you do not need to start treatment now. You need to be screened at least one to two times a year to assess if the virus has started replicating and the status of your liver function. If your doctor finds these test reports worsening, he will suggest that you start treatment. Till then, you need to take care of your health by avoiding alcohol and other substances including opioid analgesics like Suboxone which can harm your liver. Please take steps to prevent the spread of the virus. Also, immediately inform your doctor if you experience yellowish discoloration of eyes, skin and nails along with nausea and loss of appetite. Hope you find this helpful. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have Hep c and last yr when tested they said my viral load was dorment? can you tell me when should i see someone about getting treated and what are the signs, i also take a numerous amount of pysc meds and currently on suboxone but i dont want to take the suboxone all my life ...lately i am having alot of pain in abdomen area"
},
{
"from": "gpt",
"value": "Output: Hi, Since you apparently had very low Hepatitis C virus RNA levels, your doctor told you that the virus is dormant. This means that you do not need to start treatment now. You need to be screened at least one to two times a year to assess if the virus has started replicating and the status of your liver function. If your doctor finds these test reports worsening, he will suggest that you start treatment. Till then, you need to take care of your health by avoiding alcohol and other substances including opioid analgesics like Suboxone which can harm your liver. Please take steps to prevent the spread of the virus. Also, immediately inform your doctor if you experience yellowish discoloration of eyes, skin and nails along with nausea and loss of appetite. Hope you find this helpful. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my 15 year daughter has been suffering with lower bak pain and tummy ache since August . She has had blood in her urine and urine tests showed protein in it. The doctor sent her for a scan which showed up a cyst but has a shadow in the middle. One off her blood test showed 77 think kidney one they retested again recently which now is 68. A pediatrician now wants to rescan her as he is concerned about the unusual shaped 2cm cyst with a shadow in the middle. What can you tell me about this. Thank you | Hi. I am afraid you need to be a bit more clear about the name of the blood test result and the value. If it is creatinine and the value is millimole, it seems normal. However, there is some physical abnormality in the kidney which needs further investigation. I suspect your daughter will need a CT scan of the kidneys to clarify the nature of the cyst. Many a time it turns out to be benign (i.e. nothing to worry about) but worth getting the advised investigation ASAP. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my 15 year daughter has been suffering with lower bak pain and tummy ache since August . She has had blood in her urine and urine tests showed protein in it. The doctor sent her for a scan which showed up a cyst but has a shadow in the middle. One off her blood test showed 77 think kidney one they retested again recently which now is 68. A pediatrician now wants to rescan her as he is concerned about the unusual shaped 2cm cyst with a shadow in the middle. What can you tell me about this. Thank you"
},
{
"from": "gpt",
"value": "Output: Hi. I am afraid you need to be a bit more clear about the name of the blood test result and the value. If it is creatinine and the value is millimole, it seems normal. However, there is some physical abnormality in the kidney which needs further investigation. I suspect your daughter will need a CT scan of the kidneys to clarify the nature of the cyst. Many a time it turns out to be benign (i.e. nothing to worry about) but worth getting the advised investigation ASAP. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son injured his back the other day by bending funny while playing in a bounce house. He says it does not hurt most of the time, but when he bends a certain way or puts any pressure on the area that he hurt, the pain comes back. There is no visible bruise and the musicles are relaxed and the spine itself appears normal. | Welcome to Chat Doctor .1. You can try simple back pain exercises which might help.2. Howevere kids are active in their movements.3. It might be a simple complaint the kid giving, but depends on if it has been there for a while and same complaint, then you have to think of it.4. If it is long-standing. For a kid X-ray is of less use as they are normal most of the time, get an MRI done only if there are significant problem.5. Then you can act accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son injured his back the other day by bending funny while playing in a bounce house. He says it does not hurt most of the time, but when he bends a certain way or puts any pressure on the area that he hurt, the pain comes back. There is no visible bruise and the musicles are relaxed and the spine itself appears normal."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. You can try simple back pain exercises which might help.2. Howevere kids are active in their movements.3. It might be a simple complaint the kid giving, but depends on if it has been there for a while and same complaint, then you have to think of it.4. If it is long-standing. For a kid X-ray is of less use as they are normal most of the time, get an MRI done only if there are significant problem.5. Then you can act accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have lower than normal RBC, Hemoglobulin, HCT Hemoglobulin is 11.6 it was 13.5 last time climbing from 10 some time ago after heart surgery possible kidney problems I also take .75mcg levothyroxine/day make vasculitis from surgery almost 2 years ago--------------puzzled | Hi, Anemia can be secondary to kidney problem, as an essential hormone for RBC production, which is called as erythropoietin, is produced in kidneys. Please consult a nephrologist. If kidney function is really reduced, for treatment of anemia you would need erythropoietin injections along with hepatitis. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have lower than normal RBC, Hemoglobulin, HCT Hemoglobulin is 11.6 it was 13.5 last time climbing from 10 some time ago after heart surgery possible kidney problems I also take .75mcg levothyroxine/day make vasculitis from surgery almost 2 years ago--------------puzzled"
},
{
"from": "gpt",
"value": "Output: Hi, Anemia can be secondary to kidney problem, as an essential hormone for RBC production, which is called as erythropoietin, is produced in kidneys. Please consult a nephrologist. If kidney function is really reduced, for treatment of anemia you would need erythropoietin injections along with hepatitis. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have had this weird hot warm tigling sensation from head to toe and i feel like if i pee it is really hot and my heart rate goes FAST went to urgent care once and said it might be the vaso vagel vein and i went to the er a few days ago and they did an EKG CAME BACK fine they gave me ativan but no help | Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms could be related to a metabolic disorder (low blood pressure, thyroid gland dysfunction, etc.). Coming to this point, I would recommend consulting with your GP for a careful physical exam and some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have had this weird hot warm tigling sensation from head to toe and i feel like if i pee it is really hot and my heart rate goes FAST went to urgent care once and said it might be the vaso vagel vein and i went to the er a few days ago and they did an EKG CAME BACK fine they gave me ativan but no help"
},
{
"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 symptoms could be related to a metabolic disorder (low blood pressure, thyroid gland dysfunction, etc.). Coming to this point, I would recommend consulting with your GP for a careful physical exam and some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my dad is having advance prostaat cancer, he cannot work or even stand up . he sleeps a lot and was yesterdag night very sick that everybody was panicking. he did not respone to nothing and could not even talk to anybody till the next day. it is so had for me cause this is right now happening in gambia and living here in the nederlands. please help me out what does this mean | You have not mentioned whether he is receiving any treatment for his cancer. If he is not then it is quite likely that his disease is progressing. Advanced prostate cancer, or for that matter any cancer can spread to any other part of the body. In your dads case, it appears that the disease has spread to the brain, resulting in all these symptoms. If you want him to get better, then he will need immediate hospitalization with injections of antibiotics, steroids, and anti-seizure Chat Doctor. Also, he will need to undergo an MRI of the brain to confirm the diagnosis. If it is indeed cancer then he will need short course radiotherapy to the brain. All this will not cure him, but make him better. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my dad is having advance prostaat cancer, he cannot work or even stand up . he sleeps a lot and was yesterdag night very sick that everybody was panicking. he did not respone to nothing and could not even talk to anybody till the next day. it is so had for me cause this is right now happening in gambia and living here in the nederlands. please help me out what does this mean"
},
{
"from": "gpt",
"value": "Output: You have not mentioned whether he is receiving any treatment for his cancer. If he is not then it is quite likely that his disease is progressing. Advanced prostate cancer, or for that matter any cancer can spread to any other part of the body. In your dads case, it appears that the disease has spread to the brain, resulting in all these symptoms. If you want him to get better, then he will need immediate hospitalization with injections of antibiotics, steroids, and anti-seizure Chat Doctor. Also, he will need to undergo an MRI of the brain to confirm the diagnosis. If it is indeed cancer then he will need short course radiotherapy to the brain. All this will not cure him, but make him better."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i m 24 years old and suffering from severe hair loss. my doctor prescribed me to take VB 7 forte capsules and also suggest foligain serum to apply in the roots.i want to ask that will this capsules have any sideeffect such as facial hairgrowth or any oyher???please do suggest...i m very much tensed.. thanku | Hi,Vb-7 forte (biotin) is a B-complex vitamin commonly used as a nutritional supplement to treat dietary deficiency or imbalance which may cause hair loss. Generally, it is well tolerated by most of our patients however it may cause allergic reaction, stomach discomfort and pain. Its use is not associated with abnormal facial hair growth hence it may be taken as prescribed. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i m 24 years old and suffering from severe hair loss. my doctor prescribed me to take VB 7 forte capsules and also suggest foligain serum to apply in the roots.i want to ask that will this capsules have any sideeffect such as facial hairgrowth or any oyher???please do suggest...i m very much tensed.. thanku"
},
{
"from": "gpt",
"value": "Output: Hi,Vb-7 forte (biotin) is a B-complex vitamin commonly used as a nutritional supplement to treat dietary deficiency or imbalance which may cause hair loss. Generally, it is well tolerated by most of our patients however it may cause allergic reaction, stomach discomfort and pain. Its use is not associated with abnormal facial hair growth hence it may be taken as prescribed. 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. | About 2 weeks ago, my boyfriend and I were making out (both fully clothed). I saw a dry, white line on my jeans a little while later. I touched it, trying to wipe it off. I do not remember how long after that I touched myself, but it was not immediate. Since last Saturday I have had nausea and chills in varying levels. A few days ago, I discovered small, white bumps on the inside of my vagina at the top and one larger red bump with a white top on the side. Just today, I began experiencing sharp pain in my ovaries. So, in summation, can I be pregnant? | Hello, thanks for trusting Chat Doctor doctor for your health related queries.I guess your concern is-sudden appearance of white n red bumps on vagina, r u pregnant????well let's discuss with the info u have shared with us. Sudden appearance of white and red bumps near vagina is an abnormal thing. But u becoming pregnant from this mean...little speculative issue???n things u haven't shared with us-wen was your last menses?did u have your menses this time?we did u last sex with your bf??was sex without condoms???without info for these difficult to pinpoint 100% whether you are pregnant or not???well dear try out my suggestions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About 2 weeks ago, my boyfriend and I were making out (both fully clothed). I saw a dry, white line on my jeans a little while later. I touched it, trying to wipe it off. I do not remember how long after that I touched myself, but it was not immediate. Since last Saturday I have had nausea and chills in varying levels. A few days ago, I discovered small, white bumps on the inside of my vagina at the top and one larger red bump with a white top on the side. Just today, I began experiencing sharp pain in my ovaries. So, in summation, can I be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hello, thanks for trusting Chat Doctor doctor for your health related queries.I guess your concern is-sudden appearance of white n red bumps on vagina, r u pregnant????well let's discuss with the info u have shared with us. Sudden appearance of white and red bumps near vagina is an abnormal thing. But u becoming pregnant from this mean...little speculative issue???n things u haven't shared with us-wen was your last menses?did u have your menses this time?we did u last sex with your bf??was sex without condoms???without info for these difficult to pinpoint 100% whether you are pregnant or not???well dear try out my suggestions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had an unprotected sex with my boyfriend last wk friday though he didn t cum inside me,suddenly i am scared of maybe conceiving and don t know what drugs to take to be sure I don t get pregnant,please advice me on what to do bearing in mind that I ve an issue of high prolactin for some time now that ve seized to stop even with the medications I took in the past also I have a case of renal problem.Please come to my aid,waiting patiently to hear from you | Hi there,If you are having a high prolactin levels it is unlikely you are ovulating normally, making you get irregular periods. You need to take medications for the same, after meeting an endocrinologist; also for the renal problems you need to get in touch with a nephrologist immediately; as kidneys are very vital organs, and you need to make sure they function well. For contraception that will not be affected or will affect the above diseases you should consider Copper-T, an intrauterine device, it is safe, long term and does not have any hormones in it. It is very, very effective as well and can be fitted easily on OLD basis. Get it inserted after your next period, 8 or 9th day after the start of the period to be sure that you are not pregnant. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had an unprotected sex with my boyfriend last wk friday though he didn t cum inside me,suddenly i am scared of maybe conceiving and don t know what drugs to take to be sure I don t get pregnant,please advice me on what to do bearing in mind that I ve an issue of high prolactin for some time now that ve seized to stop even with the medications I took in the past also I have a case of renal problem.Please come to my aid,waiting patiently to hear from you"
},
{
"from": "gpt",
"value": "Output: Hi there,If you are having a high prolactin levels it is unlikely you are ovulating normally, making you get irregular periods. You need to take medications for the same, after meeting an endocrinologist; also for the renal problems you need to get in touch with a nephrologist immediately; as kidneys are very vital organs, and you need to make sure they function well. For contraception that will not be affected or will affect the above diseases you should consider Copper-T, an intrauterine device, it is safe, long term and does not have any hormones in it. It is very, very effective as well and can be fitted easily on OLD basis. Get it inserted after your next period, 8 or 9th day after the start of the period to be sure that you are not pregnant. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband been having tingling in his right finger for about two or three weeks now. He has a wrap on his shoulder .I ve seen it on his elbow not he has it on his arm.he keep using icy hot and ice. But just told me.his fingers is very number. What you think he is going through. | Hello there! Whatever I could comprehend from your query is your husband is having tingling sensation in his right finger (which one though!) and the measures taken were ineffective. Tingling is always due to nerve disorder and could be due to some metabolic disease or physical compression in the respective path if the nerve. I would suggest you to go for investigations to find out the cause for same. Hope that helps | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband been having tingling in his right finger for about two or three weeks now. He has a wrap on his shoulder .I ve seen it on his elbow not he has it on his arm.he keep using icy hot and ice. But just told me.his fingers is very number. What you think he is going through."
},
{
"from": "gpt",
"value": "Output: Hello there! Whatever I could comprehend from your query is your husband is having tingling sensation in his right finger (which one though!) and the measures taken were ineffective. Tingling is always due to nerve disorder and could be due to some metabolic disease or physical compression in the respective path if the nerve. I would suggest you to go for investigations to find out the cause for same. Hope that helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | After drinking a lot, I feel tightness in my chest that is presistent for a day or two. My heart is in excellent condition, limited blockage only. This just started, Im 66 year of age. Had Recent surgery to cure A Fib, the mini maze procedure, doing fine with that. | Detailed Answer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: After drinking a lot, I feel tightness in my chest that is presistent for a day or two. My heart is in excellent condition, limited blockage only. This just started, Im 66 year of age. Had Recent surgery to cure A Fib, the mini maze procedure, doing fine with that."
},
{
"from": "gpt",
"value": "Output: Detailed Answer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am almost 84 years old and have been diagnosed with Carpel Tunnel syndrome. I am advised, that at this age going under general anesthesia is not advisable. The finger next to my index finger is the involved finger. It is a situation of numb and needle pain. I have had unbearable and painful injections to the hand, ( My Right) .Do you have any other suggestions? | Hi, You don't mention any other health problems, but general anesthesia is possible at your age depending on any other conditions you have. Alternatively, many operations for treating carpal tunnel syn Chat Doctor. I would suggest you find a surgeon who is willing to do this under local anesthesia and discuss the risks involved. It is a relatively minor operation that could significantly improve your pain. I hope this advice has been of help to you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am almost 84 years old and have been diagnosed with Carpel Tunnel syndrome. I am advised, that at this age going under general anesthesia is not advisable. The finger next to my index finger is the involved finger. It is a situation of numb and needle pain. I have had unbearable and painful injections to the hand, ( My Right) .Do you have any other suggestions?"
},
{
"from": "gpt",
"value": "Output: Hi, You don't mention any other health problems, but general anesthesia is possible at your age depending on any other conditions you have. Alternatively, many operations for treating carpal tunnel syn Chat Doctor. I would suggest you find a surgeon who is willing to do this under local anesthesia and discuss the risks involved. It is a relatively minor operation that could significantly improve your pain. I hope this advice has been of help to you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | When I stand up from laying down for a few minutes I get dizzy and my vision goes black from anywhere from 20 seconds to a minute. Its been going on for over 6 months now and Im starting to get worried. email~ YYYY@YYYY Please answer ASAP | Hi, Your symptoms seem to be related to orthostatic hypotension. I recommend consulting with your family doctor for a careful physical exam and some tests. - a Head Up Tilt test to investigate for orthostatic intolerance- complete blood count for anemia- a resting ECG-blood electrolytes for possible imbalance should discuss with your doctor on the above issues. Meanwhile, I recommend avoiding abrupt standing up from sitting position and take plenty of water to stay well HY Chat Doctor. Hope to have been helpful. Let me know if I can assist you further. Wishing all the best, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When I stand up from laying down for a few minutes I get dizzy and my vision goes black from anywhere from 20 seconds to a minute. Its been going on for over 6 months now and Im starting to get worried. email~ YYYY@YYYY Please answer ASAP"
},
{
"from": "gpt",
"value": "Output: Hi, Your symptoms seem to be related to orthostatic hypotension. I recommend consulting with your family doctor for a careful physical exam and some tests. - a Head Up Tilt test to investigate for orthostatic intolerance- complete blood count for anemia- a resting ECG-blood electrolytes for possible imbalance should discuss with your doctor on the above issues. Meanwhile, I recommend avoiding abrupt standing up from sitting position and take plenty of water to stay well HY Chat Doctor. Hope to have been helpful. Let me know if I can assist you further. Wishing all the best,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A few days ago, I noticed my ears became incredibly itchy, red and with small bumps. The skin behind the ears was also itchy and little red bumps developed. My arms and legs have also developed little bumps, either red or skin colored. They are itchy but only on my ears, arms and legs. | Hi. Thanks for your query. The history is suggestive of a condition called erysipelas, wherein you get the skin changes as you have described. Precaution you have to take | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A few days ago, I noticed my ears became incredibly itchy, red and with small bumps. The skin behind the ears was also itchy and little red bumps developed. My arms and legs have also developed little bumps, either red or skin colored. They are itchy but only on my ears, arms and legs."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. The history is suggestive of a condition called erysipelas, wherein you get the skin changes as you have described. Precaution you have to take"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive had what I think is a yeast infection off and on for years now. Ive been tested for everything and it all comes back negative. Now besides the vaginal itching and discharge, I have a pinkish discharge and my abdomen feels full and achy/burning. What could this be? | Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive had what I think is a yeast infection off and on for years now. Ive been tested for everything and it all comes back negative. Now besides the vaginal itching and discharge, I have a pinkish discharge and my abdomen feels full and achy/burning. What could this be?"
},
{
"from": "gpt",
"value": "Output: Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Over six months ago a substantial part (about 1/4) of my back bottom left tooth broke off due to a cavity. Due to financial reasons and other dental proceedures need I have not had it removed yet. This morning (May 28, 2014) I brushed my teeth and since then my tooth is aching badly. Very sharp pain, specifically when I such my cheek in (habit to keep hot or cold off the tooth) what could be causing this? Is it possible that I dislodged something that was covering a nerve ending? I know I need to get in to see my dentist immediately, but is there anything I can do while I wait to get in? | Hello, Thank you for consulting with Chat Doctor. As you are mentioning that your tooth was broken six months ago, it means the tooth was infected at that time only. Now the pain in the tooth denotes that the infection has spread to the apex of the tooth and formed an abscess. You have to visit your dentist now as this problem can not be solved only by medication or something else, as a root canal should be done in the tooth to reduce the infection. Till then, you can start with some painkillers to relieve pain for some time. Hope it will help you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Over six months ago a substantial part (about 1/4) of my back bottom left tooth broke off due to a cavity. Due to financial reasons and other dental proceedures need I have not had it removed yet. This morning (May 28, 2014) I brushed my teeth and since then my tooth is aching badly. Very sharp pain, specifically when I such my cheek in (habit to keep hot or cold off the tooth) what could be causing this? Is it possible that I dislodged something that was covering a nerve ending? I know I need to get in to see my dentist immediately, but is there anything I can do while I wait to get in?"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for consulting with Chat Doctor. As you are mentioning that your tooth was broken six months ago, it means the tooth was infected at that time only. Now the pain in the tooth denotes that the infection has spread to the apex of the tooth and formed an abscess. You have to visit your dentist now as this problem can not be solved only by medication or something else, as a root canal should be done in the tooth to reduce the infection. Till then, you can start with some painkillers to relieve pain for some time. Hope it will help you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 11days post op of a laminectomy-- lumbar 3-4 4-5 both left and right. I have a bloated stomach..could you please advise as to wether this is normal, or am I just getting fat. I have never carried any weight in my tummy and it would be normal to state that my hips usually protrude while my tummy has always sort caved inward. Please advise? | Welcome to Chat Doctor After multiple laminectomy procedures there occurs a kyphotic deformity of the spine where the spine is pushed forwards making the abdomen protrude out as well. The kyphotic deformity needs to be reduced by certain exercises and braces which will be explained to you by your Orthopaedician. Avoid constipation which can be common after this kyphotic deformity, by eating plenty of fresh fruits and green leafy vegetables, Chat Doctor. Do walking exercise every day for 40 minutes in keeping with your Doctors advise. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 11days post op of a laminectomy-- lumbar 3-4 4-5 both left and right. I have a bloated stomach..could you please advise as to wether this is normal, or am I just getting fat. I have never carried any weight in my tummy and it would be normal to state that my hips usually protrude while my tummy has always sort caved inward. Please advise?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor After multiple laminectomy procedures there occurs a kyphotic deformity of the spine where the spine is pushed forwards making the abdomen protrude out as well. The kyphotic deformity needs to be reduced by certain exercises and braces which will be explained to you by your Orthopaedician. Avoid constipation which can be common after this kyphotic deformity, by eating plenty of fresh fruits and green leafy vegetables, Chat Doctor. Do walking exercise every day for 40 minutes in keeping with your Doctors advise."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi lets start by letting you know two weeks after taking a birth control shoti started to get left chest pain in a few days later it went down my left arm and sometimes radiated to my left leg..at this time i also started bringing up green phlegm.hospital checked fur clots by blood test, leg ultrasound,ekg, chest x ray with no dye and all was normal but fur the weeks it is constant only thing totake pain away is Oxycodone. Now the spectum was bright red (blood) when i woke up and this morning i could taste blood in my throat.what is going on..pain in chest and left arm is constant | Hi, If no blood clot found out, then, I suggest consulting with a GI specialist to rule out gastric problems (ulcer). I also suggest doing | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi lets start by letting you know two weeks after taking a birth control shoti started to get left chest pain in a few days later it went down my left arm and sometimes radiated to my left leg..at this time i also started bringing up green phlegm.hospital checked fur clots by blood test, leg ultrasound,ekg, chest x ray with no dye and all was normal but fur the weeks it is constant only thing totake pain away is Oxycodone. Now the spectum was bright red (blood) when i woke up and this morning i could taste blood in my throat.what is going on..pain in chest and left arm is constant"
},
{
"from": "gpt",
"value": "Output: Hi, If no blood clot found out, then, I suggest consulting with a GI specialist to rule out gastric problems (ulcer). I also suggest doing"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | When I got to work this morning I felt fine. Then 5 minutes later my body felt like a heater. I was so hot, I was shaking, I felt like I was going to vomit everywhere and that I could use the bath room a million times. But I didn t feel the need to urinate. I left work came home and slept for about 6 hours woke up and felt fine. Now I m starting to feel like that again. Why is that? | Hi, Fever with shakes (chills) is mainly due to infection. In most cases the infection could be Malaria or Typhoid and in some cases it could be due to urinal tract infection. In rare cases it could be viral infection and other causes. Action to be taken | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When I got to work this morning I felt fine. Then 5 minutes later my body felt like a heater. I was so hot, I was shaking, I felt like I was going to vomit everywhere and that I could use the bath room a million times. But I didn t feel the need to urinate. I left work came home and slept for about 6 hours woke up and felt fine. Now I m starting to feel like that again. Why is that?"
},
{
"from": "gpt",
"value": "Output: Hi, Fever with shakes (chills) is mainly due to infection. In most cases the infection could be Malaria or Typhoid and in some cases it could be due to urinal tract infection. In rare cases it could be viral infection and other causes. Action to be taken"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my husbund have not seminal vas defference.but there are lots of sperm in his testis.so doctor called us for testtube baby.i have pcod.over 6th tretment was failed . in my second treatment i got 177 beta ChatDoctor level.but after two days my pregnancy missed.and my 5th cycle my beta ChatDoctor level was 22.but after 2 days report was negative .i want to know that am capable for concieve a pregnancy?how many percent?my period is regular | Hi REMA, Welcome to Chat Doctor Forum. Since you said that your Periods are Regular, you will have very good chances, more than 50 % chances of Pregnancy even if you have PCs, since you will be ovulating regularly. The Problem arises if your Periods are Irregular. You said your Husband has no Vas deferens which may be its congenital absence. This condition is responsible for 1 percent to 2 percent of all infertility in men. In such cases, you may want to speak to your Doctor, your family and Opt for IVF. Good Luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husbund have not seminal vas defference.but there are lots of sperm in his testis.so doctor called us for testtube baby.i have pcod.over 6th tretment was failed . in my second treatment i got 177 beta ChatDoctor level.but after two days my pregnancy missed.and my 5th cycle my beta ChatDoctor level was 22.but after 2 days report was negative .i want to know that am capable for concieve a pregnancy?how many percent?my period is regular"
},
{
"from": "gpt",
"value": "Output: Hi REMA, Welcome to Chat Doctor Forum. Since you said that your Periods are Regular, you will have very good chances, more than 50 % chances of Pregnancy even if you have PCs, since you will be ovulating regularly. The Problem arises if your Periods are Irregular. You said your Husband has no Vas deferens which may be its congenital absence. This condition is responsible for 1 percent to 2 percent of all infertility in men. In such cases, you may want to speak to your Doctor, your family and Opt for IVF. Good Luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello sir, please excuse my poor english. I am 22 year old simple virgin boy . I have irrational fear of hiv about 5 years. I used to wash my hand and used antiseptics for my even small cuts. i know every thing about hiv from internet but despite i have intense fear and it is ruining my life. 5 years ago i dont have a knowledge of hiv and so that before this period I was very happy and content and didnt do this type of things. but today i watch blood stains or cuts or something else that causes anxiety. Also i live in that place (UP, India) where this is not much in prevelence. sir please help , your little advice can give me a new life. thanks | Hi, I read your query in detail and can understand your concern regarding your symptoms. From what you have mentioned, you seem to be suffering from anxiety disorder. It seems that you are having repetitive thoughts regarding the same, and you understand such thoughts are irrational. Such thoughts can be termed as obsessions and the repeated cleaning or washing in response to the thoughts can be termed compulsions. Obsessive compulsive disorder is a type of anxiety disorder which is not uncommon. I would have liked to know about any other thoughts that might be coming repeatedly to you like any doubts (and repeated checking in response to that), repeated sexual or religious thoughts. I would suggest you seek a psychiatric consultation for detailed evaluation of your symptoms and starting proper treatment. Your condition can be treated effectively with medications like fluoxetine or sertraline (one of the selective serotonin reuptake inhibitors). You will have to be patient about the response as the medicines will take at least 10-15 days to show its effect. The treatment will be long term, and you will need regular follow-ups. Hope this information was helpful. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello sir, please excuse my poor english. I am 22 year old simple virgin boy . I have irrational fear of hiv about 5 years. I used to wash my hand and used antiseptics for my even small cuts. i know every thing about hiv from internet but despite i have intense fear and it is ruining my life. 5 years ago i dont have a knowledge of hiv and so that before this period I was very happy and content and didnt do this type of things. but today i watch blood stains or cuts or something else that causes anxiety. Also i live in that place (UP, India) where this is not much in prevelence. sir please help , your little advice can give me a new life. thanks"
},
{
"from": "gpt",
"value": "Output: Hi, I read your query in detail and can understand your concern regarding your symptoms. From what you have mentioned, you seem to be suffering from anxiety disorder. It seems that you are having repetitive thoughts regarding the same, and you understand such thoughts are irrational. Such thoughts can be termed as obsessions and the repeated cleaning or washing in response to the thoughts can be termed compulsions. Obsessive compulsive disorder is a type of anxiety disorder which is not uncommon. I would have liked to know about any other thoughts that might be coming repeatedly to you like any doubts (and repeated checking in response to that), repeated sexual or religious thoughts. I would suggest you seek a psychiatric consultation for detailed evaluation of your symptoms and starting proper treatment. Your condition can be treated effectively with medications like fluoxetine or sertraline (one of the selective serotonin reuptake inhibitors). You will have to be patient about the response as the medicines will take at least 10-15 days to show its effect. The treatment will be long term, and you will need regular follow-ups. Hope this information was helpful. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi My mothers s.creatinine is 3.7 & her blood urea is 158. kindly advice if such a kind of kidney patient can be treated . and also kindly advice that how much time will it take to get the parameters normalize. and also what all she should avoid to save her kidneys; aneet | Hello Anent and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should've written her age. She has got kidney failure. Next step is to find out the cause for failure. Usually, the nephrologist will do a kidney biopsy. According to report, specific treatment, will be advised by the nephrologist. Your mother should have a 5g salt,40g protein, diet. Her B.P.must be normal. She must do blood routine, creatinine,RBS, LFT,electrolytes and uric acid. Then an ultrasound scandium, is also needed to check her progress. If you've any doubts, you can send the reports to me, as a direct question. Chat Doctor. Manga. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi My mothers s.creatinine is 3.7 & her blood urea is 158. kindly advice if such a kind of kidney patient can be treated . and also kindly advice that how much time will it take to get the parameters normalize. and also what all she should avoid to save her kidneys; aneet"
},
{
"from": "gpt",
"value": "Output: Hello Anent and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should've written her age. She has got kidney failure. Next step is to find out the cause for failure. Usually, the nephrologist will do a kidney biopsy. According to report, specific treatment, will be advised by the nephrologist. Your mother should have a 5g salt,40g protein, diet. Her B.P.must be normal. She must do blood routine, creatinine,RBS, LFT,electrolytes and uric acid. Then an ultrasound scandium, is also needed to check her progress. If you've any doubts, you can send the reports to me, as a direct question. Chat Doctor. Manga."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doc i had a miscarriage before 2 months i did d&c on 2 may then after 2 months of normal periods this time i was going for follicle study on 11th it was 8mm and lt 13 and rt msf then on 13th day i was sure that it must have ruptured as allways happens but but doc said there is no growth but free fluid is seen so is there chances of pregnancy .. does it ruptured one day before what it means | Hi, normally with 8\u00a0mm size chance of rupture of the follicle is less, so if that ruptured in 12th day, may be that is the reason for free fluid, but as your doctor told that there is no growth of follicle, better to undergo scan on 15th day also, if needed you can for Chat Doctor injection for ovulation if your doctor suggests, anyhow you plan intercourse in these days and also start taking folic acid supplements which will help in case of fertilization. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doc i had a miscarriage before 2 months i did d&c on 2 may then after 2 months of normal periods this time i was going for follicle study on 11th it was 8mm and lt 13 and rt msf then on 13th day i was sure that it must have ruptured as allways happens but but doc said there is no growth but free fluid is seen so is there chances of pregnancy .. does it ruptured one day before what it means"
},
{
"from": "gpt",
"value": "Output: Hi, normally with 8\\u00a0mm size chance of rupture of the follicle is less, so if that ruptured in 12th day, may be that is the reason for free fluid, but as your doctor told that there is no growth of follicle, better to undergo scan on 15th day also, if needed you can for Chat Doctor injection for ovulation if your doctor suggests, anyhow you plan intercourse in these days and also start taking folic acid supplements which will help in case of fertilization. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi. i am realy worried as i have had a lump on the back of my head (near the top) for a couple of weeks growing all the time and allways painfull, the swelling of this lump has stretched down to the bottom of head at the back of the neck. tonight i found 3 smaller lumps near this large one and they are only tender to touch where as the large one is painfull all the time. i take codine pain killers for hip athritus and back pain but the codine is no good for the head problem. i was reciently diagnosed with mild narcolepsy due to constant tiredness and short term memory problems . i am worried as there is history of cancer in my family | Hi, dairy have gone through your question. I can understand your concern. You may have Desmond cyst, lymph node or some skin adnexal tumor. You should go for either fine needle aspiration cytology or excision biopsy and take treatment according to diagnosis. 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. i am realy worried as i have had a lump on the back of my head (near the top) for a couple of weeks growing all the time and allways painfull, the swelling of this lump has stretched down to the bottom of head at the back of the neck. tonight i found 3 smaller lumps near this large one and they are only tender to touch where as the large one is painfull all the time. i take codine pain killers for hip athritus and back pain but the codine is no good for the head problem. i was reciently diagnosed with mild narcolepsy due to constant tiredness and short term memory problems . i am worried as there is history of cancer in my family"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have Desmond cyst, lymph node or some skin adnexal tumor. You should go for either fine needle aspiration cytology or excision biopsy and take treatment according to diagnosis. 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 am taking this pill called Marvelon. I forgot to take my pill on Saturday from what I thought, it is now Sunday, I just took the Saturday pill and now the Sunday pill both at the same time because I just remembered. It has been more than 12 hours though. However, after taking them both I realised that I took the Saturday pill but from a different row by accident. I dont know what to do, Im kind of worried | Helots ok that you took both pills at the same time, as soon as you remembered. But don't miss any more pills in this cycle or you won't be protected. About taking the wrong pill from the different row, as long as it's the same color, its fine. If you remember to take the Saturday pill from the row you missed before, you can continue, If you are confused, abandon this pack. Start a new pack from your next cycle. Use extra protection for the remainder of this cycle. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am taking this pill called Marvelon. I forgot to take my pill on Saturday from what I thought, it is now Sunday, I just took the Saturday pill and now the Sunday pill both at the same time because I just remembered. It has been more than 12 hours though. However, after taking them both I realised that I took the Saturday pill but from a different row by accident. I dont know what to do, Im kind of worried"
},
{
"from": "gpt",
"value": "Output: Helots ok that you took both pills at the same time, as soon as you remembered. But don't miss any more pills in this cycle or you won't be protected. About taking the wrong pill from the different row, as long as it's the same color, its fine. If you remember to take the Saturday pill from the row you missed before, you can continue, If you are confused, abandon this pack. Start a new pack from your next cycle. Use extra protection for the remainder of this cycle."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I recently had a miscarriage and I have noticed in the morning my skin has a yellow look as do the corner of the whites of my eyes, my appetite is greatly increased and I feel tierd. Do you think I should go for a blood test from my GP as my partner and I want to start trying for another baby? Clare | Hi, Yellowish discoloring of skin, sclera and urine indicate jaundice. You should get fully evaluated by checking for bilirubin in your blood also check for viral hepatitis and take treatment accordingly. Your GP can guide you with the blood test, but you may also need an opinion from a hepatologist depending on findings of the blood results. Get these done, done before embarking on the pregnancy. Hope this helps. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I recently had a miscarriage and I have noticed in the morning my skin has a yellow look as do the corner of the whites of my eyes, my appetite is greatly increased and I feel tierd. Do you think I should go for a blood test from my GP as my partner and I want to start trying for another baby? Clare"
},
{
"from": "gpt",
"value": "Output: Hi, Yellowish discoloring of skin, sclera and urine indicate jaundice. You should get fully evaluated by checking for bilirubin in your blood also check for viral hepatitis and take treatment accordingly. Your GP can guide you with the blood test, but you may also need an opinion from a hepatologist depending on findings of the blood results. Get these done, done before embarking on the pregnancy. Hope this helps. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dr., I am a caregiver to an 87 year old and a hospice patient with congestive heart failure, has an oxygen 24/7, has liquid morphine .5ml every/hr. She is in nebulizer and bedridden and alert. She has an episode of shortness of breath attack once in a while and it happened at 3 or 5 am when she wake up. The hospice nurse told me just give her 1 push of morphine every 10 minutes. What is the other relief for her. Sometimes she s yelling, she needs help, she wants to have treatment in the hospital, but she is hospice. Thank you. Jean | Dear MadamThanks for your query. The exact treatment for this episodic breathlessness depends upon the cause of breathlessness. If you could find any disturbance of rhythm at that particular time? If her diuretics dose need to be adjusted, especially the time? If she coughs a lot followed by sputum production at that time indicating need of clearing her airways frequently. A little dose of home oxygen helps sometime. Hope this helps to some extent. SincerelySukhvinder | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr., I am a caregiver to an 87 year old and a hospice patient with congestive heart failure, has an oxygen 24/7, has liquid morphine .5ml every/hr. She is in nebulizer and bedridden and alert. She has an episode of shortness of breath attack once in a while and it happened at 3 or 5 am when she wake up. The hospice nurse told me just give her 1 push of morphine every 10 minutes. What is the other relief for her. Sometimes she s yelling, she needs help, she wants to have treatment in the hospital, but she is hospice. Thank you. Jean"
},
{
"from": "gpt",
"value": "Output: Dear MadamThanks for your query. The exact treatment for this episodic breathlessness depends upon the cause of breathlessness. If you could find any disturbance of rhythm at that particular time? If her diuretics dose need to be adjusted, especially the time? If she coughs a lot followed by sputum production at that time indicating need of clearing her airways frequently. A little dose of home oxygen helps sometime. Hope this helps to some extent. SincerelySukhvinder"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im 15 years old and around 54 and I weigh around 100 pounds, Im an occasional smoker and recently ive had a heavy sensation when i breathe. Im afraid of lung cancer but i keep reading it takes years of smoking to develope and Ive only been smoking a couple months. I dont have any pains, just a wierd forceful breathing sensation. | Hi welcome to Chat Doctor... You are having smoking habit and now having forceful breathing .... So some organic cause might be there. . It could be ....1. Chronic bronchitis 2. Emphysematous changes 3. Pulmonary fibrosis 4. Cancer 5. Infection condition... According to cause treatment needed like that by antibiotic, bronchodilator etc... Investigate with ....1. Chest x-ray PA view 2. Spirometry 3.CRP etc... Your auscultation and physical examination will decide which investigation done. . Take care Advise | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im 15 years old and around 54 and I weigh around 100 pounds, Im an occasional smoker and recently ive had a heavy sensation when i breathe. Im afraid of lung cancer but i keep reading it takes years of smoking to develope and Ive only been smoking a couple months. I dont have any pains, just a wierd forceful breathing sensation."
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor... You are having smoking habit and now having forceful breathing .... So some organic cause might be there. . It could be ....1. Chronic bronchitis 2. Emphysematous changes 3. Pulmonary fibrosis 4. Cancer 5. Infection condition... According to cause treatment needed like that by antibiotic, bronchodilator etc... Investigate with ....1. Chest x-ray PA view 2. Spirometry 3.CRP etc... Your auscultation and physical examination will decide which investigation done. . Take care Advise"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am 40, male, non-smoker, 6ft tall and weighing 194lbs. I ve been losing weight for the past 5 months. In March I went to my cardiologist to have my heart checked. Since then I am on Lisinopril 20mg to control my bloodpressure. All the tests were fine. At the time of my doctors visit I was weighing 230lbs. So I dropped around 36 pounds in 5 months. Is that normal? Also, it doesn t stop. I keep losing weight. I changed my diet a little bit, but nothing radical though. Less soft drinks and deep fried food, other than that I have decent lunch and dinner. I don t have any pain or loss of appetite. My bowel movement is normal and stool color is light-brown to brown. Could Lisinopril be the cause of my weight loss? Also, I have anxiety and get very nervous with the slidest pain. Could anxiety also be a cause? Your thoughts and comments are more than welcome. Many thanks Michael | H, I passed carefully through your question and would explain that your symptoms do not seem to be related to lisinopril, as this is not a common adverse effect related to this Chat Doctor. Coming to this point, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am 40, male, non-smoker, 6ft tall and weighing 194lbs. I ve been losing weight for the past 5 months. In March I went to my cardiologist to have my heart checked. Since then I am on Lisinopril 20mg to control my bloodpressure. All the tests were fine. At the time of my doctors visit I was weighing 230lbs. So I dropped around 36 pounds in 5 months. Is that normal? Also, it doesn t stop. I keep losing weight. I changed my diet a little bit, but nothing radical though. Less soft drinks and deep fried food, other than that I have decent lunch and dinner. I don t have any pain or loss of appetite. My bowel movement is normal and stool color is light-brown to brown. Could Lisinopril be the cause of my weight loss? Also, I have anxiety and get very nervous with the slidest pain. Could anxiety also be a cause? Your thoughts and comments are more than welcome. Many thanks Michael"
},
{
"from": "gpt",
"value": "Output: H, I passed carefully through your question and would explain that your symptoms do not seem to be related to lisinopril, as this is not a common adverse effect related to this Chat Doctor. Coming to this point, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my sister was diagnosed with stage two endometrial cancer. Had a full hysterectomy and unfortunately they found cancer cells on her ovary from the pathology report. She is now in her final cycle of chemo and will start radiarTigon in a few weeks. Her team of drs told her this is for prevention purposes. Last week she found out she has a blood clot and is being treated for it. She is really down and her emotional state is fragile. Can you confirm that a blood clot is in fact a side effect. Every time she gets a new side effect she thinks the cancer is spread thanks for your input. | Hi, Thanks for writing in. Your sister has had a total hysterectomy with removal of ovaries. On pathological analysis there are cancer cells found in the ovary specimen. She is on her last cycle of chemotherapy and due for radiotherapy. Form what you have written, I understand there is a clot in the leg deep views. This condition is known as deep vein thrombosis and confirmed by venous Doppler for lower limbs. This requires slow treatment with anticoagulants which are blood thinning agents. I reassure you that it is a side effect of cancer treatment and not a sign of cancer spread. God Bless your sister for a quick and complete recovery. 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 my sister was diagnosed with stage two endometrial cancer. Had a full hysterectomy and unfortunately they found cancer cells on her ovary from the pathology report. She is now in her final cycle of chemo and will start radiarTigon in a few weeks. Her team of drs told her this is for prevention purposes. Last week she found out she has a blood clot and is being treated for it. She is really down and her emotional state is fragile. Can you confirm that a blood clot is in fact a side effect. Every time she gets a new side effect she thinks the cancer is spread thanks for your input."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Your sister has had a total hysterectomy with removal of ovaries. On pathological analysis there are cancer cells found in the ovary specimen. She is on her last cycle of chemotherapy and due for radiotherapy. Form what you have written, I understand there is a clot in the leg deep views. This condition is known as deep vein thrombosis and confirmed by venous Doppler for lower limbs. This requires slow treatment with anticoagulants which are blood thinning agents. I reassure you that it is a side effect of cancer treatment and not a sign of cancer spread. God Bless your sister for a quick and complete recovery. Hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is having excruciating pain on the left lower side of the back (she has had back surgery several months ago) and it is causing her leg to buckle when the pain hits. She is also having diareha (dont know if its connected to that or not) | Hi, I have read your query. Since your daughter had back surgery previously. You should get x-ray of affected area of back in AP and Lateral view done, send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is having excruciating pain on the left lower side of the back (she has had back surgery several months ago) and it is causing her leg to buckle when the pain hits. She is also having diareha (dont know if its connected to that or not)"
},
{
"from": "gpt",
"value": "Output: Hi, I have read your query. Since your daughter had back surgery previously. You should get x-ray of affected area of back in AP and Lateral view done, send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had laproscopic gallbladder removal surgery yesterday. I ve noticed, today, that both of my upper arms are warm and red. I haven t been rubbing them but the temperature difference is pretty significant. They are not tender to touch, no pain at all, but they are warmer than the rest of my body and quite red. Should I be concerned? | Dear madam, usually after laparoscopic surgeries TH increased level of air in abdomen can cause shoulder pain, especially the left one because of irritated Phoenix nerve. But skin redness and warmness aren't usually sign of it. It can be caused by skin infection or allergy or by joint inflammation. So you should do inflammatory markers and shoulder RTG if you are worried about it. Wish you good health, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had laproscopic gallbladder removal surgery yesterday. I ve noticed, today, that both of my upper arms are warm and red. I haven t been rubbing them but the temperature difference is pretty significant. They are not tender to touch, no pain at all, but they are warmer than the rest of my body and quite red. Should I be concerned?"
},
{
"from": "gpt",
"value": "Output: Dear madam, usually after laparoscopic surgeries TH increased level of air in abdomen can cause shoulder pain, especially the left one because of irritated Phoenix nerve. But skin redness and warmness aren't usually sign of it. It can be caused by skin infection or allergy or by joint inflammation. So you should do inflammatory markers and shoulder RTG if you are worried about it. Wish you good health,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Over a week ago I was attacked. I was dizzy at the hospital and could not sit up. Hospital staff did not take care of the issue because it was not hurting. We were more focused on the gash on my arm that needed stitches. I am still dizzy. The back of my head is tender and soft I lay down turn head to side, my eyes roll back in my head and I feel like a seizure is going to start. But I have never had one. | Hello, Thanks for the query to Chat Doctor. Forum. Since still, you are in trauma of attack and getting tension, so the cause of your dizziness may be due to Tension. 2nd reason may be due to blunt hit (due to attack) in the back of head (in occipital region) and in this portion vital respiratory center present. Here cerebellum also present, so in my opinion according to nature of injury and severity get in M R I and also c t scan and depth of injury can be confirmed by orthopedic and neurosurgeon. Good luck, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Over a week ago I was attacked. I was dizzy at the hospital and could not sit up. Hospital staff did not take care of the issue because it was not hurting. We were more focused on the gash on my arm that needed stitches. I am still dizzy. The back of my head is tender and soft I lay down turn head to side, my eyes roll back in my head and I feel like a seizure is going to start. But I have never had one."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. Since still, you are in trauma of attack and getting tension, so the cause of your dizziness may be due to Tension. 2nd reason may be due to blunt hit (due to attack) in the back of head (in occipital region) and in this portion vital respiratory center present. Here cerebellum also present, so in my opinion according to nature of injury and severity get in M R I and also c t scan and depth of injury can be confirmed by orthopedic and neurosurgeon. Good luck,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have multiple symptoms that are disturbing to me. Hair loss, difficult swallowing, (okay breathing), dentures fit poorly now, gums in pain, hands & feet red with hive like whelps,and pin &needles tingling to the extreme, this travels in different places of my body & can last from 5 minutes to days, swelling especially fingers & feet, hve a red dotted discoloration (like a sunburn) on my feet and ankles up my calves. Intense pain all the time, chest pain ( had cardio checked) pacemaker is fine,no heart attack & sob, will have sudden onset migraines & stutter on some words at random.. problems remembering things that just happened or within a reasonable time frame... random burst of tears | Hi, thank you for providing the brief history of you. You mentioned a lot of things here. let's focus on the discoloration of the skin. For which we can rule this out by taking a dermatologist opinion. Once he says nothing wrong with skin then we will look forward with the pulmonologist as breathing has to be efficient. Get a pulmonary function test done which will help you for this or a spo2 test to check the oxygen saturation levels in your blood. Usually due to malfunctioning of the respiratory system certain symptoms arise including the pain and aches. You need to meet up a physical therapist later on to get helped. Doing guided regular exercises will help your metabolism boosted and the cardio respiratory endurance at levels too. I hope you will get the best help at the nearest specialist. With the grace of God I wish you a speedy recovery | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have multiple symptoms that are disturbing to me. Hair loss, difficult swallowing, (okay breathing), dentures fit poorly now, gums in pain, hands & feet red with hive like whelps,and pin &needles tingling to the extreme, this travels in different places of my body & can last from 5 minutes to days, swelling especially fingers & feet, hve a red dotted discoloration (like a sunburn) on my feet and ankles up my calves. Intense pain all the time, chest pain ( had cardio checked) pacemaker is fine,no heart attack & sob, will have sudden onset migraines & stutter on some words at random.. problems remembering things that just happened or within a reasonable time frame... random burst of tears"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for providing the brief history of you. You mentioned a lot of things here. let's focus on the discoloration of the skin. For which we can rule this out by taking a dermatologist opinion. Once he says nothing wrong with skin then we will look forward with the pulmonologist as breathing has to be efficient. Get a pulmonary function test done which will help you for this or a spo2 test to check the oxygen saturation levels in your blood. Usually due to malfunctioning of the respiratory system certain symptoms arise including the pain and aches. You need to meet up a physical therapist later on to get helped. Doing guided regular exercises will help your metabolism boosted and the cardio respiratory endurance at levels too. I hope you will get the best help at the nearest specialist. With the grace of God I wish you a speedy recovery"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am 27 year old female weight 47kg and height 5 ft ,i have a chest pain from 5 years but not proper diagnose ,my pain is always middle of my chest mostly when i walk for grocery and house work ,it not go any where ,it stay middle of my chest it crush like and after pain i feel weakness | Hi thanks for asking question in Chat Doctor... Here your pain is in middle chest.... If it is burning characteristic then gastritis or acid reflux like condition could because ... For that omeprazole Chat Doctor. ... Excess spicy foods avoided..... Heavy meal restricted. Avoid smoking. Fruits more .... Head elevation while sleeping... Second if no such gastric problem then pain could be musculoskeletal pain ... For which hot pad can be applied... Proper sleep posture taken... Avoid strenuous activities.... Avoid stress... As stress can lead chest pain... If fever, cough, dyspnea occurs chest x-ray needed for rule out resp cause... You can consult physician with keeping my answer in mind. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am 27 year old female weight 47kg and height 5 ft ,i have a chest pain from 5 years but not proper diagnose ,my pain is always middle of my chest mostly when i walk for grocery and house work ,it not go any where ,it stay middle of my chest it crush like and after pain i feel weakness"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question in Chat Doctor... Here your pain is in middle chest.... If it is burning characteristic then gastritis or acid reflux like condition could because ... For that omeprazole Chat Doctor. ... Excess spicy foods avoided..... Heavy meal restricted. Avoid smoking. Fruits more .... Head elevation while sleeping... Second if no such gastric problem then pain could be musculoskeletal pain ... For which hot pad can be applied... Proper sleep posture taken... Avoid strenuous activities.... Avoid stress... As stress can lead chest pain... If fever, cough, dyspnea occurs chest x-ray needed for rule out resp cause... You can consult physician with keeping my answer in mind. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my baby is 81/2 month old, because of nurses ignorence and less knowledge baby ddnt accept mother feed, i tried alot bt not succssesful now i really want to start giving him mother milk bt how and is this possible at this age . and when i pump it just shows drops on the nipples...pls suggest.. | Breast milk is the best food for a baby up to 6 months of age. After that semisolid need to be introduced as breast milk can no longer meet the demands, although breast milk can be continued till 1 year of age or more. But please note that breast milk is produced as per the requirement of the baby. If the baby is hungry, the baby sucks more and therefore more breast milk is produced. Once you introduce external feeds, the baby is no longer hungry and hence breast milk production falls. Breast milk production has already been depressed so long, and it is hard to start afresh at this point of time. Still, you may try giving Laconic granules 1 sachet in a glass of milk twice daily to the mother and see if it makes a difference in breast milk production. It should help at least to some extent. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my baby is 81/2 month old, because of nurses ignorence and less knowledge baby ddnt accept mother feed, i tried alot bt not succssesful now i really want to start giving him mother milk bt how and is this possible at this age . and when i pump it just shows drops on the nipples...pls suggest.."
},
{
"from": "gpt",
"value": "Output: Breast milk is the best food for a baby up to 6 months of age. After that semisolid need to be introduced as breast milk can no longer meet the demands, although breast milk can be continued till 1 year of age or more. But please note that breast milk is produced as per the requirement of the baby. If the baby is hungry, the baby sucks more and therefore more breast milk is produced. Once you introduce external feeds, the baby is no longer hungry and hence breast milk production falls. Breast milk production has already been depressed so long, and it is hard to start afresh at this point of time. Still, you may try giving Laconic granules 1 sachet in a glass of milk twice daily to the mother and see if it makes a difference in breast milk production. It should help at least to some extent."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Almost 2 years ago I got all 4 wisdom teeth removed. Since I got them removed, my bottom teeth that were removed I have a bump on both gums where the teeth use to be. I just thought it would go away and kind of forgot about it. Now starting about a month ago it has been bothering me, both sides have a small bump that I can see. It hurts a lot when I eat as well. What could it be? One of them has 2 small dots on it that could possibly maybe be a scab? That one hurts the most. | Hi, Thanks for asking the query, I would like to tell you that wisdom tooth is the last tooth to erupt in the oral cavity and is difficult to clean and causes inflammation of the surrounding tissue leading to formation of bump. I would suggest you to consult to a Dentist get a checkup done, plan for the removal of the tooth. Take a course of antibiotics and analgesics. At home take lukewarm saline rinses and antiseptic mouthwash gargles. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Almost 2 years ago I got all 4 wisdom teeth removed. Since I got them removed, my bottom teeth that were removed I have a bump on both gums where the teeth use to be. I just thought it would go away and kind of forgot about it. Now starting about a month ago it has been bothering me, both sides have a small bump that I can see. It hurts a lot when I eat as well. What could it be? One of them has 2 small dots on it that could possibly maybe be a scab? That one hurts the most."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking the query, I would like to tell you that wisdom tooth is the last tooth to erupt in the oral cavity and is difficult to clean and causes inflammation of the surrounding tissue leading to formation of bump. I would suggest you to consult to a Dentist get a checkup done, plan for the removal of the tooth. Take a course of antibiotics and analgesics. At home take lukewarm saline rinses and antiseptic mouthwash gargles. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | please have being trying to get pregnant, i have done pelvic scan which the result was The uterus is anteverted and a normal size,The uterine echopattern is homogeneous The endometrical plate is normal in thickness No focal uterine lesion is seen The pouch of Douglas, right and the left adnexae are normal The urinary is normal pls wat is cure for me not conceiving. | Cellophane you for your query. Your pelvic scan is essentially normal. However, there are various other factors for conception. Firstly, please consult an Infertility specialist. Get your husbands' semen analysis done. Check your basic hormonal profile, and go through a follicular monitoring cycle to check whether ovulation is on track. Also, take regular folic acid supplements and maintain a healthy BMI. If all other factors are normal, consider having an HSG or laparoscopy done to assess tubal function. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: please have being trying to get pregnant, i have done pelvic scan which the result was The uterus is anteverted and a normal size,The uterine echopattern is homogeneous The endometrical plate is normal in thickness No focal uterine lesion is seen The pouch of Douglas, right and the left adnexae are normal The urinary is normal pls wat is cure for me not conceiving."
},
{
"from": "gpt",
"value": "Output: Cellophane you for your query. Your pelvic scan is essentially normal. However, there are various other factors for conception. Firstly, please consult an Infertility specialist. Get your husbands' semen analysis done. Check your basic hormonal profile, and go through a follicular monitoring cycle to check whether ovulation is on track. Also, take regular folic acid supplements and maintain a healthy BMI. If all other factors are normal, consider having an HSG or laparoscopy done to assess tubal function. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hii doctor,,, my son is 2month old, he is suffering from cold since 20days...Now problem is slight cure.. But in morning time he is suffering from breathlessness and slight cough... Dr.has been given deriphyllin syrup for 15days twice a day 1 ml..but condition as it is... No improvement.... Plzz give me your guidance | Hi, First, follow up the child with consultant again. Till then try to keep your child away from all possible dust materials. Try to keep the child in propped up position with you (approx 45 degrees angle incline) in bed in the morning. Avoid exposure of body parts of the child. He may find cold. Get him immunized according to the immunization schedule. 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: Hii doctor,,, my son is 2month old, he is suffering from cold since 20days...Now problem is slight cure.. But in morning time he is suffering from breathlessness and slight cough... Dr.has been given deriphyllin syrup for 15days twice a day 1 ml..but condition as it is... No improvement.... Plzz give me your guidance"
},
{
"from": "gpt",
"value": "Output: Hi, First, follow up the child with consultant again. Till then try to keep your child away from all possible dust materials. Try to keep the child in propped up position with you (approx 45 degrees angle incline) in bed in the morning. Avoid exposure of body parts of the child. He may find cold. Get him immunized according to the immunization schedule. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir i am 38 year old &Recently gone through sevear back pain.at baroda heart intitute baroda advice me your one carti is shown 99% blockage as per engography report.so i go per engoplasty on02-08-2010.now i have take medicine daily .i want to know what type of precaution required.please advise me regarding diet, walking &other precautions. | Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking or just walking according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Most importantly medicine needs to be taken regularly as advised. Hope this helps you and get back if you have any doubts. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i am 38 year old &Recently gone through sevear back pain.at baroda heart intitute baroda advice me your one carti is shown 99% blockage as per engography report.so i go per engoplasty on02-08-2010.now i have take medicine daily .i want to know what type of precaution required.please advise me regarding diet, walking &other precautions."
},
{
"from": "gpt",
"value": "Output: Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking or just walking according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Most importantly medicine needs to be taken regularly as advised. Hope this helps you and get back if you have any doubts."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had my first panic attack 3 months ago and had 4-5 more since (mild to moderate). I was fine until about a week ago when I started experiencing extreme anxiety coupled with fear of having a terminal illness. This in turn has the frequency of my panic attacks.I had to EKGs made, botChatDoctore back normal. I experience symptoms of anxiety on and off, such as rapid heartrate, dizziness, shaking, feeling cold and mild headache and chest pain.What should I do? | Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. You are already aware that you have anxiety problem. Anxiety causes panic attacks. Anxiety is fear of a future event which the patient thinks that could happen. Fear always produce a Chat Doctor. You need to adjust with the anxiety creating situations and learn to manage them. Escaping can cause aggravation of apprehension. Deep breathing, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my first panic attack 3 months ago and had 4-5 more since (mild to moderate). I was fine until about a week ago when I started experiencing extreme anxiety coupled with fear of having a terminal illness. This in turn has the frequency of my panic attacks.I had to EKGs made, botChatDoctore back normal. I experience symptoms of anxiety on and off, such as rapid heartrate, dizziness, shaking, feeling cold and mild headache and chest pain.What should I do?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. You are already aware that you have anxiety problem. Anxiety causes panic attacks. Anxiety is fear of a future event which the patient thinks that could happen. Fear always produce a Chat Doctor. You need to adjust with the anxiety creating situations and learn to manage them. Escaping can cause aggravation of apprehension. Deep breathing,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my mom is 84 and tripped and fell on her tile floor. I am concerned because their is some brusing and swelling although the swellling has gone down since last night but their is one area on her calf tha felt hard at first but is much softer now and is about 3 inches long. She has shooting pain at night. worried about possible blood clot. | Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Resolving -liquified hematoma-which might be getting-infected. Diabetes needs to be ruled out-as the hematoma-has become painful since last night and is now 3 inches long, soft-YOur worry about the blood clot witChatDoctorplication of ? Infection is right, and you need to get ER Surgeons opinion and needful treatment of it. Treatment-would be-a-Rest and Elevation of leg, b-Tb-NSAIDs,c-Antibiotics would relieve the lump in a day or 2.d-If no relief in pain of the lump, Incision Chat Doctor. Hope this would resolve your worrying query. Wellcome for more query from you. Good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my mom is 84 and tripped and fell on her tile floor. I am concerned because their is some brusing and swelling although the swellling has gone down since last night but their is one area on her calf tha felt hard at first but is much softer now and is about 3 inches long. She has shooting pain at night. worried about possible blood clot."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Resolving -liquified hematoma-which might be getting-infected. Diabetes needs to be ruled out-as the hematoma-has become painful since last night and is now 3 inches long, soft-YOur worry about the blood clot witChatDoctorplication of ? Infection is right, and you need to get ER Surgeons opinion and needful treatment of it. Treatment-would be-a-Rest and Elevation of leg, b-Tb-NSAIDs,c-Antibiotics would relieve the lump in a day or 2.d-If no relief in pain of the lump, Incision Chat Doctor. Hope this would resolve your worrying query. Wellcome for more query from you. Good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 114 67 blood pressure with a pulse of 87 - My pulse has been in the 80-90 and my blood pressure spread has over 40 for the past 12 hours. I just recently had a reading where the lower was 57. I am a 43 old female. No known heart problems. Is my blood pressure normal? | Hi, dairy have gone through your question. I can understand your concern. Normal blood pressure is 120/80 MMH. Your blood pressure is 114/67. So your diastolic pressure is slightly low. But no need to worry. If you don't have any symptoms then no treatment is required. Take plenty fluid with salt. If you have dizziness or blurring of vision then 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: 114 67 blood pressure with a pulse of 87 - My pulse has been in the 80-90 and my blood pressure spread has over 40 for the past 12 hours. I just recently had a reading where the lower was 57. I am a 43 old female. No known heart problems. Is my blood pressure normal?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Normal blood pressure is 120/80 MMH. Your blood pressure is 114/67. So your diastolic pressure is slightly low. But no need to worry. If you don't have any symptoms then no treatment is required. Take plenty fluid with salt. If you have dizziness or blurring of vision then 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. | Hello Doctor, my name is Vipul. I have been suffering from Eosinophilia Allergy since long and this problem differs from place to place and I usually witness it during cold seasons. I am having active lifestyle and never forget to go for some exercises or Yoga but still sometimes the problem emerges out. Could you please tell me the natural and home remedy to keep this allergy at bay? | Hi, you have not mentioned your symptoms, but for all the allergy the first step is to find out the cause of allergy, e.g. dust allergy or food allergy. If you have food allergy the best thing is to avoid the food item. When allergen is airborne e.g. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, my name is Vipul. I have been suffering from Eosinophilia Allergy since long and this problem differs from place to place and I usually witness it during cold seasons. I am having active lifestyle and never forget to go for some exercises or Yoga but still sometimes the problem emerges out. Could you please tell me the natural and home remedy to keep this allergy at bay?"
},
{
"from": "gpt",
"value": "Output: Hi, you have not mentioned your symptoms, but for all the allergy the first step is to find out the cause of allergy, e.g. dust allergy or food allergy. If you have food allergy the best thing is to avoid the food item. When allergen is airborne e.g."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am a 41 yrs old male, i have never been into relationship with any woman so far until recently. my problem is when i talk to her over the phone or meet her i get little excited and couple of drops of sperm(clear thick liquid ) discharge in my penis and it happens around 3-4 times a day and night as well. I dont know if it is normal or not sometimes its embarrassing too. Please help is to do with anything with the diet as well. | HelloThanks for query. You are passing few Chat Doctor. This is a thick mucus secreted by mucus secreting glands located in Bulgar part of urethra which get stimulated on sexual arousal like talking to woman or audio, visual stimuli to secrete mucus that is leaked out through urethra. This is a natural and normal process and does not signify any pathology. It gets resolved spontaneously over a period of time and does not require any treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am a 41 yrs old male, i have never been into relationship with any woman so far until recently. my problem is when i talk to her over the phone or meet her i get little excited and couple of drops of sperm(clear thick liquid ) discharge in my penis and it happens around 3-4 times a day and night as well. I dont know if it is normal or not sometimes its embarrassing too. Please help is to do with anything with the diet as well."
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. You are passing few Chat Doctor. This is a thick mucus secreted by mucus secreting glands located in Bulgar part of urethra which get stimulated on sexual arousal like talking to woman or audio, visual stimuli to secrete mucus that is leaked out through urethra. This is a natural and normal process and does not signify any pathology. It gets resolved spontaneously over a period of time and does not require any treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 12 weeks pregnant. Over the past week I have grown extremely tired. I take my vitamins and eat well. I hear my pulse in my ear when I stand, and then it eventually goes away when I sit down. I am out of breathe just walking up the stairs to use the bathroom. | His have gone through your complaints. Some weakness will be there because of morning sickness. Breath out just walking upstairs and hearing one pulse in ear needs consideration and indicate possibility of anxiety and anemia.it's quite common to have anxiety in first pregnancy. With time everything will go off. If you are not anxious nature It's important to check your hemoglobin level. Take nutritious diet and adequate rest. Any way you have started your vitamins. Start iron and calcium also as there is more requirement during pregnancy. Take care. Thank 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 12 weeks pregnant. Over the past week I have grown extremely tired. I take my vitamins and eat well. I hear my pulse in my ear when I stand, and then it eventually goes away when I sit down. I am out of breathe just walking up the stairs to use the bathroom."
},
{
"from": "gpt",
"value": "Output: His have gone through your complaints. Some weakness will be there because of morning sickness. Breath out just walking upstairs and hearing one pulse in ear needs consideration and indicate possibility of anxiety and anemia.it's quite common to have anxiety in first pregnancy. With time everything will go off. If you are not anxious nature It's important to check your hemoglobin level. Take nutritious diet and adequate rest. Any way you have started your vitamins. Start iron and calcium also as there is more requirement during pregnancy. Take care. Thank regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor,i had gum smile, i wanted to design my smile so i had gingivectomy after that I got veneers i had gingivectomy surgery one month ago and veneers one week ago, now I have yellow spot on my gum, it is big over area of my right lateral incisor and canine , it is not painful or sensitive,just yellow color, what does thing can be? I feel so worry | Hi. Welcome to Chat Doctor. I read your query. As you mentioned having a yellow spot on gums after having gingivectomy and veneers, have you noticed any discharge ever? If so, you need to consult your dentist for infection. It can also be the part of normal healing process, so wait and watch for 1-2 weeks. Maintain oral hygiene. If the spot persists, then it is the discoloration of gum due to chemicals used during veneering. It can be removed easily by laser diode in single sitting. Consult your oral surgeon for this. Hope the answer helps you. Thank you! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor,i had gum smile, i wanted to design my smile so i had gingivectomy after that I got veneers i had gingivectomy surgery one month ago and veneers one week ago, now I have yellow spot on my gum, it is big over area of my right lateral incisor and canine , it is not painful or sensitive,just yellow color, what does thing can be? I feel so worry"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor. I read your query. As you mentioned having a yellow spot on gums after having gingivectomy and veneers, have you noticed any discharge ever? If so, you need to consult your dentist for infection. It can also be the part of normal healing process, so wait and watch for 1-2 weeks. Maintain oral hygiene. If the spot persists, then it is the discoloration of gum due to chemicals used during veneering. It can be removed easily by laser diode in single sitting. Consult your oral surgeon for this. Hope the answer helps you. Thank you!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is on medication for Hep C we were just told his hemoglobin is 8.6 and he needed to stop the medication over the weekend and go in for more blood work on Monday. What I would like to know what does it mean to be so low and if there is anything we can do to help increase it | Hi, Anemia is decrease in hemoglobin levels below normal. In males, it is 13-15.5g%. From your history, your husband has 8.5g%. It is moderate grade. Severe is less than 6g%. Workup is necessary to identify the cause of anemia. As he is suffering from hepatitis, anemia of chronic disease could be present. Low hemoglobin can lead to reduced immunity and cause needs to be identified. After a workup, a cause may be identified and based on it, treatment started. You need to improve his nutrition, particularly on diet rich in vitamin B12, folic acid and iron. 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: My husband is on medication for Hep C we were just told his hemoglobin is 8.6 and he needed to stop the medication over the weekend and go in for more blood work on Monday. What I would like to know what does it mean to be so low and if there is anything we can do to help increase it"
},
{
"from": "gpt",
"value": "Output: Hi, Anemia is decrease in hemoglobin levels below normal. In males, it is 13-15.5g%. From your history, your husband has 8.5g%. It is moderate grade. Severe is less than 6g%. Workup is necessary to identify the cause of anemia. As he is suffering from hepatitis, anemia of chronic disease could be present. Low hemoglobin can lead to reduced immunity and cause needs to be identified. After a workup, a cause may be identified and based on it, treatment started. You need to improve his nutrition, particularly on diet rich in vitamin B12, folic acid and iron. Any further queries, happy to help again."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a rash on my right front leg that was originally diagnosed as contact dermatitis . I have been to 4 different physicians and no one knows what it is. A C&S came out negative except regular Skin flora. I also have been to Loma Linda Univ hospital.The most definite answer I got was from a Dermatologist who said it was complex and gave me Clobinex that turned into chemical burn. The other was Fluocinonide which I can t use ,because it is exteremly painful.In the meantime my whole leg is hurting .Please,forgive mistakes.I m upset and this IS ruining all aspects of peaceful living .Ask me any questions.ThankI m sorry,but I do not have a credit card availoable until later tonight.I just discovered it | Hi Dear, Understanding your concern. As per your query you have symptoms of rashes on the leg which is very common due to hair follicle infection, sun poisoning and as dirt and moisture get trapped by your clothing and the friction that comes from sitting. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should apply warm compresses with soaked towel and apply vitamin C serum at night. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe immunosuppressants and may prescribe benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a rash on my right front leg that was originally diagnosed as contact dermatitis . I have been to 4 different physicians and no one knows what it is. A C&S came out negative except regular Skin flora. I also have been to Loma Linda Univ hospital.The most definite answer I got was from a Dermatologist who said it was complex and gave me Clobinex that turned into chemical burn. The other was Fluocinonide which I can t use ,because it is exteremly painful.In the meantime my whole leg is hurting .Please,forgive mistakes.I m upset and this IS ruining all aspects of peaceful living .Ask me any questions.ThankI m sorry,but I do not have a credit card availoable until later tonight.I just discovered it"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Understanding your concern. As per your query you have symptoms of rashes on the leg which is very common due to hair follicle infection, sun poisoning and as dirt and moisture get trapped by your clothing and the friction that comes from sitting. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should apply warm compresses with soaked towel and apply vitamin C serum at night. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe immunosuppressants and may prescribe benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a painful, moveable lump in both of my elbows that I have no idea what are. I have had one lump in my right elbow for quite some time, but it has just now started to hurt. The lump in my left elbow just recently happened after I fell on my left elbow playing basketball. | Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like sebaceous cyst or ganglion cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Excision is the treatment of choice. Consult your doctor and plan 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 painful, moveable lump in both of my elbows that I have no idea what are. I have had one lump in my right elbow for quite some time, but it has just now started to hurt. The lump in my left elbow just recently happened after I fell on my left elbow playing basketball."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like sebaceous cyst or ganglion cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Excision is the treatment of choice. Consult your doctor and plan 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 My child has been had a fever 2 days. And when it raise to 103 I took him to the emergency, they said give him Tylenol and bifu every 3 house but the fever come and goes And today all cline close Is it save to give him every three house medica???? | Hello and thank you for using Chat Doctor for your questions! Short answer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello My child has been had a fever 2 days. And when it raise to 103 I took him to the emergency, they said give him Tylenol and bifu every 3 house but the fever come and goes And today all cline close Is it save to give him every three house medica????"
},
{
"from": "gpt",
"value": "Output: Hello and thank you for using Chat Doctor for your questions! Short answer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a schizophrenia patient and am on Recita 10 Sulpitac 50 and Lopez 10 but not satisfied. want better consultation. please help | Hi You are on appropriate medication, are able to post in an on-line health care forum and have recovered enough insight to acknowledge that you are a schizophrenic patient. These three things tell me that you are doing better and if you are concerned about any residual(remaining) problems, you should contact your own psychiatrist who it seems is doing a reasonable enough job. Also, please make it clear to yourself first what is it that you are not satisfied about and if you have given your current psychiatrist a chance to help with this as he is best placed to do so. Please do not change doctors unless there is a valid reason for doing so. Good luck | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a schizophrenia patient and am on Recita 10 Sulpitac 50 and Lopez 10 but not satisfied. want better consultation. please help"
},
{
"from": "gpt",
"value": "Output: Hi You are on appropriate medication, are able to post in an on-line health care forum and have recovered enough insight to acknowledge that you are a schizophrenic patient. These three things tell me that you are doing better and if you are concerned about any residual(remaining) problems, you should contact your own psychiatrist who it seems is doing a reasonable enough job. Also, please make it clear to yourself first what is it that you are not satisfied about and if you have given your current psychiatrist a chance to help with this as he is best placed to do so. Please do not change doctors unless there is a valid reason for doing so. Good luck"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi DoctorThis is Amla, i have regular periods of 28 days. i am planning for pregnancy. i got a injection on my 7th day from my last period and on 13th day- i had a ovidac 5000 by the doctor.So does this injection delays the regular period of 28 days. today i am on 30th day, cold this be a symptom for pregnancy. | Since your doctor has already started the treatment I presume your basic subfertility workup is normal (hormone tests and fallopian tube patency test for you and semen analysis for your husband). Injection Vidal contains the hormone human chorionic gonadotrophin. It is given to cause release of ova (egg) from mature ovum. It does not cause delay in the period. The delay could be due to pregnancy. Get a pregnancy test done. Are you taking progesterone like phaeton? Progesterone can cause some delay in periods. Good luck. I hope I have answered to your satisfaction. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi DoctorThis is Amla, i have regular periods of 28 days. i am planning for pregnancy. i got a injection on my 7th day from my last period and on 13th day- i had a ovidac 5000 by the doctor.So does this injection delays the regular period of 28 days. today i am on 30th day, cold this be a symptom for pregnancy."
},
{
"from": "gpt",
"value": "Output: Since your doctor has already started the treatment I presume your basic subfertility workup is normal (hormone tests and fallopian tube patency test for you and semen analysis for your husband). Injection Vidal contains the hormone human chorionic gonadotrophin. It is given to cause release of ova (egg) from mature ovum. It does not cause delay in the period. The delay could be due to pregnancy. Get a pregnancy test done. Are you taking progesterone like phaeton? Progesterone can cause some delay in periods. Good luck. I hope I have answered to your satisfaction."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My sister is being treated for anxiety, PTSD and is not improving Sheis taking 4 different meds and the dosages keep getting raised .I am concerned because she is either excessively drowsy, dry mouth constipation, and still not feeling calm. Although her psychaitrist now says these meds are not what she would prescribe, she keeps increasing the dosages! What can I do to help her? There are very few psychaitrists that either accept Medicare or even cash paying patients in the Capital District of Albany , NY?????????? | Degree understand your concerns went through your details. Post Traumatic Stress Disorder has its own anxiety reasons. PTSD is usually treated with a combination of exercise, psychotherapy, meditation and lifestyle changes. With this combination and with the suitable medicines, PTSD should be managed efficiently. In this case, the villain could be diagnosis. Do you understand what is PTSD and normal anxiety disorder? Were your sister continuously stressed for a period of more than three months prior to starting of present anxiety disorders? I have many questions which needs answer. You could consult another psychiatrist or psychologist for proper diagnosis and treatment. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My sister is being treated for anxiety, PTSD and is not improving Sheis taking 4 different meds and the dosages keep getting raised .I am concerned because she is either excessively drowsy, dry mouth constipation, and still not feeling calm. Although her psychaitrist now says these meds are not what she would prescribe, she keeps increasing the dosages! What can I do to help her? There are very few psychaitrists that either accept Medicare or even cash paying patients in the Capital District of Albany , NY??????????"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. Post Traumatic Stress Disorder has its own anxiety reasons. PTSD is usually treated with a combination of exercise, psychotherapy, meditation and lifestyle changes. With this combination and with the suitable medicines, PTSD should be managed efficiently. In this case, the villain could be diagnosis. Do you understand what is PTSD and normal anxiety disorder? Were your sister continuously stressed for a period of more than three months prior to starting of present anxiety disorders? I have many questions which needs answer. You could consult another psychiatrist or psychologist for proper diagnosis and treatment. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump(size of golf ball) its between both color bones in the lower part of my neck, been growing since 06 when i first discovered it. I took xrays as a tech everyday for 7 years and not much protected was used! If ive had this lump for over 6 years it couldnt be cancer/lymphoma? | Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node due to tuberculosis or lymphoma. Or you may have metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a lump(size of golf ball) its between both color bones in the lower part of my neck, been growing since 06 when i first discovered it. I took xrays as a tech everyday for 7 years and not much protected was used! If ive had this lump for over 6 years it couldnt be cancer/lymphoma?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node due to tuberculosis or lymphoma. Or you may have metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My Son has been suffering from Cough and Cold for a period of 10 days. The Doctor diagnoed him twice in between and suggested medicines. According to the Doctor Allergy is the reason for everything. But he is not getting any relief from the Cough in particular. Please help me out. | Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My Son has been suffering from Cough and Cold for a period of 10 days. The Doctor diagnoed him twice in between and suggested medicines. According to the Doctor Allergy is the reason for everything. But he is not getting any relief from the Cough in particular. Please help me out."
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have a fairly large lump in the inside of my lower arm near my elbow. It is not painful and I didn t notice it until I saw that my arm looked a little bigger on that side. If I extend my arms out in front of me, hands up on the inner upper arm near my elbow. | Hi ! Good morning. I am Chat Doctor answering your query. Though not mentioned by you, I feel that possibly the swelling is a slow growing which has been noticed by you only when the size increased. If I were your doctor, after a physical examination of the swelling, I would have advised you for a FNAC (fine needle aspiration cytology), and would then refer you to a general surgeon with the report for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have a fairly large lump in the inside of my lower arm near my elbow. It is not painful and I didn t notice it until I saw that my arm looked a little bigger on that side. If I extend my arms out in front of me, hands up on the inner upper arm near my elbow."
},
{
"from": "gpt",
"value": "Output: Hi ! Good morning. I am Chat Doctor answering your query. Though not mentioned by you, I feel that possibly the swelling is a slow growing which has been noticed by you only when the size increased. If I were your doctor, after a physical examination of the swelling, I would have advised you for a FNAC (fine needle aspiration cytology), and would then refer you to a general surgeon with the report for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Age 40, Wt. 140. Have some sort of lump inside of mouth close to throat on right side...hurts when swallow...was told it was like a skin tab...but if doesnt go away should get checked out. Have only seen/felt it the last two days. Just trying to figure out what may have caused, etc. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The bump inside mouth as you mention in query are inflamed subepithelial lymphoid tissues. They are present on both sides at the start of throat. They got inflamed whenever there presence of infection in oral cavity. If there are inflamed sub epithelial tissue present along with tonsil enlargement it indicates bacterial infection. The infection of oral cavity like gum infection, tongue infection or tooth infection make these tissues inflamed. So I would suggest you to consult dentist/ oral pathologist for proper examination and to rule out upper respiratory infection. Doctor may examine oral cavity physically, order X-ray or order blood test. He/she may perform scaling and curettage, root canal or prescribe antibiotics for infection. For now do Betadine rinses and gargles. 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: Age 40, Wt. 140. Have some sort of lump inside of mouth close to throat on right side...hurts when swallow...was told it was like a skin tab...but if doesnt go away should get checked out. Have only seen/felt it the last two days. Just trying to figure out what may have caused, etc."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The bump inside mouth as you mention in query are inflamed subepithelial lymphoid tissues. They are present on both sides at the start of throat. They got inflamed whenever there presence of infection in oral cavity. If there are inflamed sub epithelial tissue present along with tonsil enlargement it indicates bacterial infection. The infection of oral cavity like gum infection, tongue infection or tooth infection make these tissues inflamed. So I would suggest you to consult dentist/ oral pathologist for proper examination and to rule out upper respiratory infection. Doctor may examine oral cavity physically, order X-ray or order blood test. He/she may perform scaling and curettage, root canal or prescribe antibiotics for infection. For now do Betadine rinses and gargles. 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. | I am really worried about burgulars or bad people entering my home at night and am extremely worried about how I would manage to get my daughter out if this was to happen. I check wardrobes, cupboard, in closest a, under beds and repeat overly check windows. I cant lie comfortable and sleep I sit up listening out for things until I fall asleep and if I wake up I do the same again. What can I do? | Hello thanks for asking from ChatDoctorYou have worries that bad people or burglars are entering your hours and repeated thinking that how would you manage to get your daughter out of this. You have habit of repeated checking cupboards, closet or under beds. These symptoms are causing related worries and making you uncomfortable to such degree that you are not able to sleep. Such symptoms are due to severe anxiety and OCD only. Consult a psychiatrist for proper treatment of such symptoms. Medicines like SSRIs as Fluoxetine, Paroxetine etc. are used in high doses in OCD. Other Chat Doctor. Consult a psychiatrist for prescription of these | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am really worried about burgulars or bad people entering my home at night and am extremely worried about how I would manage to get my daughter out if this was to happen. I check wardrobes, cupboard, in closest a, under beds and repeat overly check windows. I cant lie comfortable and sleep I sit up listening out for things until I fall asleep and if I wake up I do the same again. What can I do?"
},
{
"from": "gpt",
"value": "Output: Hello thanks for asking from ChatDoctorYou have worries that bad people or burglars are entering your hours and repeated thinking that how would you manage to get your daughter out of this. You have habit of repeated checking cupboards, closet or under beds. These symptoms are causing related worries and making you uncomfortable to such degree that you are not able to sleep. Such symptoms are due to severe anxiety and OCD only. Consult a psychiatrist for proper treatment of such symptoms. Medicines like SSRIs as Fluoxetine, Paroxetine etc. are used in high doses in OCD. Other Chat Doctor. Consult a psychiatrist for prescription of these"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my daughter has been in hospital for two weeks with abdominal pain which goes through to her back and is painful when her tummy is pressed and her back. She had her appendix removed 7 weeks ago in Turkey as they had ruptured and the poison affected her blood. She is having trouble urinating she can go but it takes her a long time, has been feeling nauseous and today started vomiting . The doctors yesterday started treating for pid with oral antibiotics but they are not sure that is the cause. She has had an ultrasound abdominal and a ct of her tummy and all looks fine. The pain is getting more severe and she has gone from feeling sick to vomiting and the pain is no better even though she is taking paracetamol , codeine , ibuprofen and oramoph and also anti sickness tablets. Her bloods are showing up clear, although one was slightly, but only slightly they say, for infection which they think could be left over from the appendix op. A small amount of fluid was seen on the ultrasound that shouldn t be there but ultrasound was carried out last Monday and CT last Wednesday. She has had an internal examination and that was extremely painful. | Dear Tina, I don't know the most important thing; how old is you daughter? Symptoms you're describing can be related to appendectomy complication especially if it was perforated and pelvic type of appendicitis. It seems like ureter was irritated which is a common complication and urinary infection should be ruled out definitely. Abscesses collection after appendectomy which US is describing could cause such symptoms, and it must be treated by antibiotics. Percutaneous puncture of collection can be also done if necessary but I suggest just to wait for the effect of antibiotics. If fertility and pain persist then u should repeat CT scan. Also, I think that you shouldn't give analgesics to child because it can hide symptoms, be care about it...you must know the intensity of pain no matter how it hurts because it guides doctor to the right diagnosis. Wish you good health, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my daughter has been in hospital for two weeks with abdominal pain which goes through to her back and is painful when her tummy is pressed and her back. She had her appendix removed 7 weeks ago in Turkey as they had ruptured and the poison affected her blood. She is having trouble urinating she can go but it takes her a long time, has been feeling nauseous and today started vomiting . The doctors yesterday started treating for pid with oral antibiotics but they are not sure that is the cause. She has had an ultrasound abdominal and a ct of her tummy and all looks fine. The pain is getting more severe and she has gone from feeling sick to vomiting and the pain is no better even though she is taking paracetamol , codeine , ibuprofen and oramoph and also anti sickness tablets. Her bloods are showing up clear, although one was slightly, but only slightly they say, for infection which they think could be left over from the appendix op. A small amount of fluid was seen on the ultrasound that shouldn t be there but ultrasound was carried out last Monday and CT last Wednesday. She has had an internal examination and that was extremely painful."
},
{
"from": "gpt",
"value": "Output: Dear Tina, I don't know the most important thing; how old is you daughter? Symptoms you're describing can be related to appendectomy complication especially if it was perforated and pelvic type of appendicitis. It seems like ureter was irritated which is a common complication and urinary infection should be ruled out definitely. Abscesses collection after appendectomy which US is describing could cause such symptoms, and it must be treated by antibiotics. Percutaneous puncture of collection can be also done if necessary but I suggest just to wait for the effect of antibiotics. If fertility and pain persist then u should repeat CT scan. Also, I think that you shouldn't give analgesics to child because it can hide symptoms, be care about it...you must know the intensity of pain no matter how it hurts because it guides doctor to the right diagnosis. Wish you good health, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi can I ask u plzz about my babys ultrasound im. In 22 weeks and 3d shows that. Renal pelvics of the left kidney of my baby is 4 mm which is normal but the right one is 11 mm which is abnormal..... plzz can u kindly explain what its mean and what can I do now and if there is any risk factor of dawn syndrome. As I read that kidney disorder may be factor of dawn syndrom plzz im very scared | Hi, The affected kidney is likely to be obstructed which is not uncommon, and certainly does not mean the child has Downs syn Chat Doctor. Another possibility is that the kidney is recycling the urine from the bladder, and we call it reflux. Either way, as long as the opposite kidney is doing well, you need not worry about this. Instead, you should be following up carefully, and soon after the delivery of your child, say after the first 72 hours or so, you can get an ultrasound and see what is the nature of illness which has affected this kidney. Either way, this looks eminently correctable, and I would not worry about it at all, if I were you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi can I ask u plzz about my babys ultrasound im. In 22 weeks and 3d shows that. Renal pelvics of the left kidney of my baby is 4 mm which is normal but the right one is 11 mm which is abnormal..... plzz can u kindly explain what its mean and what can I do now and if there is any risk factor of dawn syndrome. As I read that kidney disorder may be factor of dawn syndrom plzz im very scared"
},
{
"from": "gpt",
"value": "Output: Hi, The affected kidney is likely to be obstructed which is not uncommon, and certainly does not mean the child has Downs syn Chat Doctor. Another possibility is that the kidney is recycling the urine from the bladder, and we call it reflux. Either way, as long as the opposite kidney is doing well, you need not worry about this. Instead, you should be following up carefully, and soon after the delivery of your child, say after the first 72 hours or so, you can get an ultrasound and see what is the nature of illness which has affected this kidney. Either way, this looks eminently correctable, and I would not worry about it at all, if I were you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doc I was wondering can guys get a boob job. The reason I m doing this is I ve had gyno for five years and both my parents can t afford to fix it. But Recently I ve apcepted my gyno and want actually wanted recentlly breast. I I ve saved up for the past year to get dd boobs. And I was going to ask u should I do this or stop | Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in getting a boob job done. But you must remember that such a job is unnatural. Therefore, there could be guilt and anxiety related to unnatural happenings. You should take note of this and be sportive. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doc I was wondering can guys get a boob job. The reason I m doing this is I ve had gyno for five years and both my parents can t afford to fix it. But Recently I ve apcepted my gyno and want actually wanted recentlly breast. I I ve saved up for the past year to get dd boobs. And I was going to ask u should I do this or stop"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in getting a boob job done. But you must remember that such a job is unnatural. Therefore, there could be guilt and anxiety related to unnatural happenings. You should take note of this and be sportive. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Actually My wife 2 months 7days pregnant. She is feeling like vomitting after taking food and not taken food. Also suffer fever in day & night within 1-2 hours. Also no taken medicne any bcoz medicene sideeffects to baby... Please Guide Us. Thanks in advance! | Hallow Dear, Nausea and vomiting of pregnancy or morning sickness is a notorious part of the pregnancy. Please try to observe following | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Actually My wife 2 months 7days pregnant. She is feeling like vomitting after taking food and not taken food. Also suffer fever in day & night within 1-2 hours. Also no taken medicne any bcoz medicene sideeffects to baby... Please Guide Us. Thanks in advance!"
},
{
"from": "gpt",
"value": "Output: Hallow Dear, Nausea and vomiting of pregnancy or morning sickness is a notorious part of the pregnancy. Please try to observe following"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mum recently went through a operation of her intestine, she had tumor and was detected to be malignant. As of now the gastroentrelogoist who treated does not recommend any further treatment for her cancer, do we need a second opinion from a oncologist. | Hi, Thanks for writing in. Without complete details of malignancy it is difficult to discuss accurately because of the wide nature of tumors and their types. It is suggested that you make an appointment with the surgical or medical oncologist and discuss her condition in detail. The pathological report must be discussed regarding the malignancy and possible staging of the disease. It is not clear if your mother had large bowel cancer. Should her reports show colon cancer then she should regularly get CEA level in blood done to know if her cancer is still there. She might also have to do ultrasound scan abdomen and chest X-ray regularly. Many patients with colon cancer have disease spread to liver and other organs if not treated aggressively. Please discuss this with her doctor in detail. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mum recently went through a operation of her intestine, she had tumor and was detected to be malignant. As of now the gastroentrelogoist who treated does not recommend any further treatment for her cancer, do we need a second opinion from a oncologist."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Without complete details of malignancy it is difficult to discuss accurately because of the wide nature of tumors and their types. It is suggested that you make an appointment with the surgical or medical oncologist and discuss her condition in detail. The pathological report must be discussed regarding the malignancy and possible staging of the disease. It is not clear if your mother had large bowel cancer. Should her reports show colon cancer then she should regularly get CEA level in blood done to know if her cancer is still there. She might also have to do ultrasound scan abdomen and chest X-ray regularly. Many patients with colon cancer have disease spread to liver and other organs if not treated aggressively. Please discuss this with her doctor in detail. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hey , so my belly button gives off alot of discharge .. i dont know why . i know its spose to smell i think .. im only 16 & i am kind of worried .. i dont know if this maybe if if i am pregnant , i havent checked .. the last time i had inter cource was 2 weeks ago .. please help me . I just need to know if this belly button discharge is not normal . it comes alot . like ever hr and sometime its crusty .. | Hi, From history it seems that there might be having acute bacterial infection in belly button giving rise pain and pus discharge. Due to collection of dust and mixed with perspiration in belly button and due to its structure not cleaning properly gives rise to infection. There is another possibility of having Granuloma. Go for one course of antibiotic for 3-5 days. Clean the part properly and apply antibiotic cream locally. Do not worry about pregnancy., as it has no relation with pregnancy. Ok and take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hey , so my belly button gives off alot of discharge .. i dont know why . i know its spose to smell i think .. im only 16 & i am kind of worried .. i dont know if this maybe if if i am pregnant , i havent checked .. the last time i had inter cource was 2 weeks ago .. please help me . I just need to know if this belly button discharge is not normal . it comes alot . like ever hr and sometime its crusty .."
},
{
"from": "gpt",
"value": "Output: Hi, From history it seems that there might be having acute bacterial infection in belly button giving rise pain and pus discharge. Due to collection of dust and mixed with perspiration in belly button and due to its structure not cleaning properly gives rise to infection. There is another possibility of having Granuloma. Go for one course of antibiotic for 3-5 days. Clean the part properly and apply antibiotic cream locally. Do not worry about pregnancy., as it has no relation with pregnancy. Ok and take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi iam married age 24, i got pregnant before 5 years but that time we were too young to have a child so i got some pills from the pharmacy and got periods. actually have not done d & c. now we are planning for a baby for the past one year but we are not successeful. even my dh count was 16million per ml and 32 million in ejaculation oher tests are normal. my menstural cycle is irregular i have immature follicles. so i want to become pregnant soon. pls reply with a solution. | Hi, Since you did not get the abortion under medical surveillance, chances of tubal infections and subsequent tubal blocks have to be ruled out. Also, as you have irregular periods, hormonal disorders need to be excluded. You should consult an infertility specialist and get properly investigated. Meanwhile, please maintain a healthy weight, healthy diet and get some regular exercise. You would need a complete hormonal profile, tubal patency tests, trans-vaginal sonogram and follicular studies. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi iam married age 24, i got pregnant before 5 years but that time we were too young to have a child so i got some pills from the pharmacy and got periods. actually have not done d & c. now we are planning for a baby for the past one year but we are not successeful. even my dh count was 16million per ml and 32 million in ejaculation oher tests are normal. my menstural cycle is irregular i have immature follicles. so i want to become pregnant soon. pls reply with a solution."
},
{
"from": "gpt",
"value": "Output: Hi, Since you did not get the abortion under medical surveillance, chances of tubal infections and subsequent tubal blocks have to be ruled out. Also, as you have irregular periods, hormonal disorders need to be excluded. You should consult an infertility specialist and get properly investigated. Meanwhile, please maintain a healthy weight, healthy diet and get some regular exercise. You would need a complete hormonal profile, tubal patency tests, trans-vaginal sonogram and follicular studies."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | What is left lower lobe subsegmental atelectasis versus fibrosis? Is this a cause of tuberculosis, how can this be cure, please let me know because I am going to have medical and chest xray is included in order to pass the medical health for Residence Visa in Australia, thank you . | Thanks for your question on Chat Doctor. Atelectasis and fibrosis are two different things. Atelectesis is partial collapse. While fibrosis is dead tissue, seen after healing. And both can be seen after TB infection. When atelectasis involves terminal bronchioles, it is known as subsegment atelectasis. And the most common cause for this is retained secretions. So for visa purpose, I advise you to consult pulmonologist and get done CT THORAX and Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis for TB. As both will be needed to rule out active TB infection. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is left lower lobe subsegmental atelectasis versus fibrosis? Is this a cause of tuberculosis, how can this be cure, please let me know because I am going to have medical and chest xray is included in order to pass the medical health for Residence Visa in Australia, thank you ."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. Atelectasis and fibrosis are two different things. Atelectesis is partial collapse. While fibrosis is dead tissue, seen after healing. And both can be seen after TB infection. When atelectasis involves terminal bronchioles, it is known as subsegment atelectasis. And the most common cause for this is retained secretions. So for visa purpose, I advise you to consult pulmonologist and get done CT THORAX and Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis for TB. As both will be needed to rule out active TB infection."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am experiencing chronic pain in my knees and elbows. I have never had this before. It is almost debilitating when I bend down and try to right myself. My knees hurt so bad and I have a hard time standing up. The pain seems to be constant even though it doesn t keep me from walking around during the day when I m at work. It s near crippling when I have been asleep and need to use the bathroom. My legs almost don t work. | Hello! I read your question and understand your concern. In my opinion your symptoms may be caused by a hematological problem. I would like to know your age. The morning freezing is a common feature in many hematological disorders like rheumatoid arthritis. I would recommend you to consult with a hematologist, have a good physical examination, a full blood work, blood tests for inflammation like fibrinogen, PCR, sedimentation and rheumatoid factor. Further tests may be necessary to establish the cause of your symptoms and the appropriate treatment. Hope to have been of help! Greetings! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am experiencing chronic pain in my knees and elbows. I have never had this before. It is almost debilitating when I bend down and try to right myself. My knees hurt so bad and I have a hard time standing up. The pain seems to be constant even though it doesn t keep me from walking around during the day when I m at work. It s near crippling when I have been asleep and need to use the bathroom. My legs almost don t work."
},
{
"from": "gpt",
"value": "Output: Hello! I read your question and understand your concern. In my opinion your symptoms may be caused by a hematological problem. I would like to know your age. The morning freezing is a common feature in many hematological disorders like rheumatoid arthritis. I would recommend you to consult with a hematologist, have a good physical examination, a full blood work, blood tests for inflammation like fibrinogen, PCR, sedimentation and rheumatoid factor. Further tests may be necessary to establish the cause of your symptoms and the appropriate treatment. Hope to have been of help! Greetings!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do? | Hello, THX to contact us. If I am your treating doctor I would like to advice you that they do not go with the home remedy you have suggested these things is not accepted in allopatChatDoctoredicine. If you have consulted some Ayurveda doctor than you will go with it. But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Than. Chat Doctor | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do?"
},
{
"from": "gpt",
"value": "Output: Hello, THX to contact us. If I am your treating doctor I would like to advice you that they do not go with the home remedy you have suggested these things is not accepted in allopatChatDoctoredicine. If you have consulted some Ayurveda doctor than you will go with it. But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Than. Chat Doctor"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m 34yrs male. I m suffering from backpain sacrolaic pain and tailbone pain and sciatic nerve pressure for the past 13yrs doctor said that l m suffering from ankylosing spondalitis as my hla b27 test was positive, they prescribed me etoshine 120 but i still been suffering stiffness and pain in the affected area please advise me what to do. | Dear patient your ankylosing spondylitis condition can be making your nerve roots to get compressed in your backbone and to which you are experiencing pain in your back and sacroiliac region. You should see a pain physician who can give you X-ray or sonography guided selective nerve root block and can also advise you some physiotherapy exercises which will definitely help you with your condition. For any further query you can ask me again anytime. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 34yrs male. I m suffering from backpain sacrolaic pain and tailbone pain and sciatic nerve pressure for the past 13yrs doctor said that l m suffering from ankylosing spondalitis as my hla b27 test was positive, they prescribed me etoshine 120 but i still been suffering stiffness and pain in the affected area please advise me what to do."
},
{
"from": "gpt",
"value": "Output: Dear patient your ankylosing spondylitis condition can be making your nerve roots to get compressed in your backbone and to which you are experiencing pain in your back and sacroiliac region. You should see a pain physician who can give you X-ray or sonography guided selective nerve root block and can also advise you some physiotherapy exercises which will definitely help you with your condition. For any further query you can ask me again anytime."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my husband will be 36 in July, at the bottom of his asphagus has alot of pressure after eating . This happens a couple times a wk. and he will cause him self to vomit to rid the pressure, and sometimes in the morn he will have a little blood in his spit,and yes he is a smoker, but could these be symptoms of Gastroesphageal Reflux.He won t go to the doctors cuz we do not have Ins. right now. | Hi I will try my best to answer your query. He might be suffering from HERD, causes include smoking, alcohol, obesity and spicy food. You can make many lifestyle changes to help treat your symptoms. Avoid foods that cause problems for you. Over-the-counter and prescription Chat Doctor. They work more slowly than antacids but give you longer relief. PPI and H\u2082 blockers will be helpful. Blood in the spit may be due to smoking which causes irritation in the throat which may be responsible. Avoid smoking. It is always to get yourself examined so i advice you to consult physician. Hope my answer will be helpful for you. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my husband will be 36 in July, at the bottom of his asphagus has alot of pressure after eating . This happens a couple times a wk. and he will cause him self to vomit to rid the pressure, and sometimes in the morn he will have a little blood in his spit,and yes he is a smoker, but could these be symptoms of Gastroesphageal Reflux.He won t go to the doctors cuz we do not have Ins. right now."
},
{
"from": "gpt",
"value": "Output: Hi I will try my best to answer your query. He might be suffering from HERD, causes include smoking, alcohol, obesity and spicy food. You can make many lifestyle changes to help treat your symptoms. Avoid foods that cause problems for you. Over-the-counter and prescription Chat Doctor. They work more slowly than antacids but give you longer relief. PPI and H\\u2082 blockers will be helpful. Blood in the spit may be due to smoking which causes irritation in the throat which may be responsible. Avoid smoking. It is always to get yourself examined so i advice you to consult physician. Hope my answer will be helpful for you. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my father in law is suffering from cretining problem in kidney, he is not able to digest any type of liquid also since last 4-5 days. he went to see one doctor today he told that need to put him on dailasys. can you suggest any good doctor in patna bihar, india ? | HelloThanks for query. Your father-in-law has been detected to have Chronic Renal Parenchymal Disease and has persistent vomiting since 4-5 days. He needs to get hospitalized Please consult qualified Nephrologist for clinical assessment and get following basic tests done to confirm the diagnosis .1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests .4) Serum Electrolytes Further treatment will depend upon result of these tests and final diagnosis. As regards the stage of his kidney disease. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my father in law is suffering from cretining problem in kidney, he is not able to digest any type of liquid also since last 4-5 days. he went to see one doctor today he told that need to put him on dailasys. can you suggest any good doctor in patna bihar, india ?"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Your father-in-law has been detected to have Chronic Renal Parenchymal Disease and has persistent vomiting since 4-5 days. He needs to get hospitalized Please consult qualified Nephrologist for clinical assessment and get following basic tests done to confirm the diagnosis .1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests .4) Serum Electrolytes Further treatment will depend upon result of these tests and final diagnosis. As regards the stage of his kidney disease. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was the passenger in a car wreck yesterday an I wasn t hurting when it first happened but later on last night my back an shoulder started hurting an right under my arm like above my ribs hurt pretty bad when I move my arm or even touch above my ribs. An I don t no if I should go to the hospital or not | Hello, I have studied your case and I think that you might be having pain in shoulder and neck due to muscle spasm. In this condition there is no need to rush to doctor. I would suggest you following.1. Hot water fomentation2. Volini gel local application3.take muscle relaxant like moral or MySpace. I hope these steps will be helpful for you. Let me know if there is any other followup question. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was the passenger in a car wreck yesterday an I wasn t hurting when it first happened but later on last night my back an shoulder started hurting an right under my arm like above my ribs hurt pretty bad when I move my arm or even touch above my ribs. An I don t no if I should go to the hospital or not"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case and I think that you might be having pain in shoulder and neck due to muscle spasm. In this condition there is no need to rush to doctor. I would suggest you following.1. Hot water fomentation2. Volini gel local application3.take muscle relaxant like moral or MySpace. I hope these steps will be helpful for you. Let me know if there is any other followup question. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a whits spot nudre my tongue it was hurting then stoped after a few daysnd went away then it was on my gums lower lip it hurt to eat after 3 days it no longer hurts however my lip andd gums are separating I no longer have my lower lip connection with each day it gets deeper and deeper??? What do I do | Hello, Thanks for your query. White spots under the tongue may be caused by Lichen plans. It is an inflammatory condition that can affect various parts of the body, both internally and externally. Internally the condition attacks the mucous membranes of the body. As such it may affect the nose, mouth, and vaginal area. This condition will be accompanied by blisters (white spots), pain, itching, or other symptoms. Some symptoms are isolated to specific body parts. Treatment options will vary but may include the use of anti-inflammatory Chat Doctor. Antihistamines and ointments may be used. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a whits spot nudre my tongue it was hurting then stoped after a few daysnd went away then it was on my gums lower lip it hurt to eat after 3 days it no longer hurts however my lip andd gums are separating I no longer have my lower lip connection with each day it gets deeper and deeper??? What do I do"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for your query. White spots under the tongue may be caused by Lichen plans. It is an inflammatory condition that can affect various parts of the body, both internally and externally. Internally the condition attacks the mucous membranes of the body. As such it may affect the nose, mouth, and vaginal area. This condition will be accompanied by blisters (white spots), pain, itching, or other symptoms. Some symptoms are isolated to specific body parts. Treatment options will vary but may include the use of anti-inflammatory Chat Doctor. Antihistamines and ointments may be used. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son is 8 years old.he had loose stools last week and was better.had fever and head ache for 2 days he was fine for a week then again he had head ache and loose stools .done a blood widal test and typhoid shows S typhi O 1 | Hi, Thank you for your query, Omnix contains definite and is an effective oral medication for Typhoid fever. Continue the medication as prescribed by your Pediatrician in appropriate dosage and appropriate duration as Typhoid fever requires pronged duration like 10 days to 2 weeks depending on the disappearance of fever. You should give a soft diet, homemade. Avoid fried, spicy, oily and junk food. Maintain HY Chat Doctor. Give proper rest. Hope I have answered your query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son is 8 years old.he had loose stools last week and was better.had fever and head ache for 2 days he was fine for a week then again he had head ache and loose stools .done a blood widal test and typhoid shows S typhi O 1"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your query, Omnix contains definite and is an effective oral medication for Typhoid fever. Continue the medication as prescribed by your Pediatrician in appropriate dosage and appropriate duration as Typhoid fever requires pronged duration like 10 days to 2 weeks depending on the disappearance of fever. You should give a soft diet, homemade. Avoid fried, spicy, oily and junk food. Maintain HY Chat Doctor. Give proper rest. Hope I have answered your query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have a painful pins a needles sensation down the length of my penis. Im 26 years old and have two disc injuries in my spine after a car accident four years ago, which has also caused nerve damage to my bladder. I also have high blood pressure. What could this sensation be? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No nerve damage to bladder won't cause pain after a so much time. If you receive a pain immediately after injury than we can count it because of injury. This type of sensations are common in nerve regeneration, so if your damage nerve are getting repaired than you can have such a feeling. In my advice you should take tab pregabalin, tab vitamin B complex. This will help in recovery from such a problem. Please do perineal muscle exercise in other word stop and release urinary sphincters as much time in the day as possible. This will help recover fast from the problem you are having. Some physiotherapy and electrotherapy can also cure such a problem. You can visit nearby physiotherapist they can guide you regarding exercise. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. | [
{
"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 painful pins a needles sensation down the length of my penis. Im 26 years old and have two disc injuries in my spine after a car accident four years ago, which has also caused nerve damage to my bladder. I also have high blood pressure. What could this sensation be?"
},
{
"from": "gpt",
"value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No nerve damage to bladder won't cause pain after a so much time. If you receive a pain immediately after injury than we can count it because of injury. This type of sensations are common in nerve regeneration, so if your damage nerve are getting repaired than you can have such a feeling. In my advice you should take tab pregabalin, tab vitamin B complex. This will help in recovery from such a problem. Please do perineal muscle exercise in other word stop and release urinary sphincters as much time in the day as possible. This will help recover fast from the problem you are having. Some physiotherapy and electrotherapy can also cure such a problem. You can visit nearby physiotherapist they can guide you regarding exercise. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My mother is 94 and is regularly having Nexito 10mg and Admenta 10mg as prescribed by doctors, along with other medicines for general health. She still complains of memory loss, although that is not really the case as we see, given her age. Should we consider enhancing or reducing the dosage or introducing any alternative or additional medicines please.Her doctor in a GP and we do not want her to go to a psychiatrist, as she is otherwise alright. Many thanks. | Thanks for query on Chat Doctor. Memory loss in your case is due to aging problem (brain atrophy). It is called Alzheimer's disease. Go for blood homo cysteine,b12,folic acid and other routine body profile investigations to rule out the deficiency level and other underlying condition. Start therapeutic dose of b12,b6,folic acid and other supplements. Intramuscular injections of b6,b12,folic acid is advisable at regular interval. Continue other supplements and her regular medicines. Give her positive support. Talk with her regularly of surrounding happenings, news and other family talk. Keep in touch with your family physician. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My mother is 94 and is regularly having Nexito 10mg and Admenta 10mg as prescribed by doctors, along with other medicines for general health. She still complains of memory loss, although that is not really the case as we see, given her age. Should we consider enhancing or reducing the dosage or introducing any alternative or additional medicines please.Her doctor in a GP and we do not want her to go to a psychiatrist, as she is otherwise alright. Many thanks."
},
{
"from": "gpt",
"value": "Output: Thanks for query on Chat Doctor. Memory loss in your case is due to aging problem (brain atrophy). It is called Alzheimer's disease. Go for blood homo cysteine,b12,folic acid and other routine body profile investigations to rule out the deficiency level and other underlying condition. Start therapeutic dose of b12,b6,folic acid and other supplements. Intramuscular injections of b6,b12,folic acid is advisable at regular interval. Continue other supplements and her regular medicines. Give her positive support. Talk with her regularly of surrounding happenings, news and other family talk. Keep in touch with your family physician."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a cebacious cyst on my chest it was about the size of a pea, but has become infected and is now the size of a grape, i am on antibiotics and am having it removed in 4 weeks, the cyst is in the centre of my chest slightly to the left, i am a female and am worried about the size of the scar, and will i be able to go back to work afterwards, i work in an operating theatre | Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put \"Subcuticular Cosmetic Stitches\" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a cebacious cyst on my chest it was about the size of a pea, but has become infected and is now the size of a grape, i am on antibiotics and am having it removed in 4 weeks, the cyst is in the centre of my chest slightly to the left, i am a female and am worried about the size of the scar, and will i be able to go back to work afterwards, i work in an operating theatre"
},
{
"from": "gpt",
"value": "Output: Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put \\\"Subcuticular Cosmetic Stitches\\\" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, I wanted to know if I could get some information about my back issue . I am a 49 year old woman in fairly good health. I am 5 9 tall and weigh 195 lbs. In the past year I have changed my lifestyle and have lost over 50 lbs. In the fall of 1994 my L4-5 disc bulged/hernitated and it also affected my right side sciatic nerve. After a hospital stay and 6 months of physio my back was not getting any better. I eventually had to have surgery. I had a discetomy and the L4-4 level and a limited laminectomy posteriorly at this operative site as well. My back seemed better for a few years then started to act up again. In 2002 I had an MRI done and the diagnosis stated theat there was a generalized bulging of the reamaining intervertebral disc at the L4-5 level without evidence of focality. Also, it stated that at the L4-5 level the posterior facet joints demonstrate very early mild symmetric degenerative change. Again, I took things easy, had physio and things seemed to be ok. Fast forward to 2011 and again I am in pain and limited mobility. My days are the worse in the mornings and in the evenings. I purchased a great bed 6 months ago because of my back problems. I have low back pressure and pain, as well as pain in my right buttock with pain radiating down my right leg. It is hard to perform any tasks below my waist ie tying up my shoe laces, picking up dropped items, washing in feet etc. Could yoy tell me a what my prognosis may be and what I may be looking forward to. Thank you. | Hello, There can be pain due to nerve root compression. I will advise you fresh MRI. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, I wanted to know if I could get some information about my back issue . I am a 49 year old woman in fairly good health. I am 5 9 tall and weigh 195 lbs. In the past year I have changed my lifestyle and have lost over 50 lbs. In the fall of 1994 my L4-5 disc bulged/hernitated and it also affected my right side sciatic nerve. After a hospital stay and 6 months of physio my back was not getting any better. I eventually had to have surgery. I had a discetomy and the L4-4 level and a limited laminectomy posteriorly at this operative site as well. My back seemed better for a few years then started to act up again. In 2002 I had an MRI done and the diagnosis stated theat there was a generalized bulging of the reamaining intervertebral disc at the L4-5 level without evidence of focality. Also, it stated that at the L4-5 level the posterior facet joints demonstrate very early mild symmetric degenerative change. Again, I took things easy, had physio and things seemed to be ok. Fast forward to 2011 and again I am in pain and limited mobility. My days are the worse in the mornings and in the evenings. I purchased a great bed 6 months ago because of my back problems. I have low back pressure and pain, as well as pain in my right buttock with pain radiating down my right leg. It is hard to perform any tasks below my waist ie tying up my shoe laces, picking up dropped items, washing in feet etc. Could yoy tell me a what my prognosis may be and what I may be looking forward to. Thank you."
},
{
"from": "gpt",
"value": "Output: Hello, There can be pain due to nerve root compression. I will advise you fresh MRI. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | so i ill be sitting an breathing like normal then all of a sudde ill get this rapid heartbeat that i can geel thru my chest. Been happening like twice a day for two weeks now. And as soon as it happens i take a deep breath an its gone. Any idea what it is? | DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information, it is almost sure the problem is due to your own anxiety and obsession. If you think and obsess about rapid heart beat, you are bound to have it. That is the way your mind works and crates unnecessary mental problems. Ignore it. If you require more of my help in this aspect, please use this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: so i ill be sitting an breathing like normal then all of a sudde ill get this rapid heartbeat that i can geel thru my chest. Been happening like twice a day for two weeks now. And as soon as it happens i take a deep breath an its gone. Any idea what it is?"
},
{
"from": "gpt",
"value": "Output: DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information, it is almost sure the problem is due to your own anxiety and obsession. If you think and obsess about rapid heart beat, you are bound to have it. That is the way your mind works and crates unnecessary mental problems. Ignore it. If you require more of my help in this aspect, please use this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I JUST HAD MY GALLBLADDER REMOVED YESTERDAY. I HAD GALLBLADDER STONES AND IT WAS VERY INFECTED. I AM DIABETIC, SO I DONT WANT TO DO ANYTHING THAT WOULD CAUSE PANCEATITIS OR ANY PROBLEM TO OTHER ORGANS, SUCH AS MY KIDNEYS OR LIVER. WHAT CAN I DO TO PREVENT THAT? AND WHY WOULD IT CAUSE OTHER ORGANS TO BECOME DAMAGED? | Hello, Welcome to ChatDoctorThanks for posting your query in Chat Doctor. I understand your concerns. Stones in the gall bladder is formed due to various reasons like stasis of bile in the gall bladder for long lime or any hemolytic disorders. As you have already got your gall bladder removed, there is no need of worrying about damage to other organs. It won't have any effect on kidneys or liver or pancreas. But as you are diabetic, you need to control your blood sugar levels within normal limits. Diabetes itself can cause damage to various organs including kidneys. So, I would advise you to strictly stick on to the diabetic diet and follow. Hope you are happy with the answer. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I JUST HAD MY GALLBLADDER REMOVED YESTERDAY. I HAD GALLBLADDER STONES AND IT WAS VERY INFECTED. I AM DIABETIC, SO I DONT WANT TO DO ANYTHING THAT WOULD CAUSE PANCEATITIS OR ANY PROBLEM TO OTHER ORGANS, SUCH AS MY KIDNEYS OR LIVER. WHAT CAN I DO TO PREVENT THAT? AND WHY WOULD IT CAUSE OTHER ORGANS TO BECOME DAMAGED?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to ChatDoctorThanks for posting your query in Chat Doctor. I understand your concerns. Stones in the gall bladder is formed due to various reasons like stasis of bile in the gall bladder for long lime or any hemolytic disorders. As you have already got your gall bladder removed, there is no need of worrying about damage to other organs. It won't have any effect on kidneys or liver or pancreas. But as you are diabetic, you need to control your blood sugar levels within normal limits. Diabetes itself can cause damage to various organs including kidneys. So, I would advise you to strictly stick on to the diabetic diet and follow. Hope you are happy with the answer. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | well...i sucked on my thumb last night were i once had a wart but it went away on its own and i went to sleep the next morning (today) there was a bump in my mouth on the inside of my cheek ? and kinda hurts and feels weird i was wondering what i should do and what it is ? can you help me ? | Thanks for your query, I have gone through your query. The bump inside the cheek can be an irrational fibrous or traumatic fibrous. Consult an oral physician and GE yourself examined to rule out the above said condition. The pain can be secondary to ulcer over the fibrous because of the trauma by the teeth. You can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. If it is a fibrous you can get it surgically removed. 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: well...i sucked on my thumb last night were i once had a wart but it went away on its own and i went to sleep the next morning (today) there was a bump in my mouth on the inside of my cheek ? and kinda hurts and feels weird i was wondering what i should do and what it is ? can you help me ?"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The bump inside the cheek can be an irrational fibrous or traumatic fibrous. Consult an oral physician and GE yourself examined to rule out the above said condition. The pain can be secondary to ulcer over the fibrous because of the trauma by the teeth. You can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. If it is a fibrous you can get it surgically removed. I hope my answer will help you, take care."
}
]
|
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