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If you are a doctor, please answer the medical questions based on the patient's description. | Sir, my sister Rupali mitra 41years old. She is feeling some few days abdominal pain. But doctor is advice whole abdomen usg. Usg report....Impession.... 1. Enlarged liver with heterogeneous parenchyma. 2. Heterogeneous parcreas.3. Mildly bulky with heterogeneous us myometrim and ? adenomyosis .4 small cysts in right ovary.Advised........ CECT Abdomen. What can i do present situation . | Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly * This report indicate presence of systemic issue which most probably is hormone related balancing vital structures as liver, pancreas and reproductive organs * Many conditions tend to give rise to this as pancreatitis, fatty liver, POD, metastatic conditions from primary tumor somewhere in body, endometriosis with secondary involvement of pancreas, liver, others* Needs clinical co relation, supportive blood tests with CT abdomen to arrive at the particular diagnosis and further management plan Hope this clears your queryWelcome for any further assistanceRegards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, my sister Rupali mitra 41years old. She is feeling some few days abdominal pain. But doctor is advice whole abdomen usg. Usg report....Impession.... 1. Enlarged liver with heterogeneous parenchyma. 2. Heterogeneous parcreas.3. Mildly bulky with heterogeneous us myometrim and ? adenomyosis .4 small cysts in right ovary.Advised........ CECT Abdomen. What can i do present situation ."
},
{
"from": "gpt",
"value": "Output: Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly * This report indicate presence of systemic issue which most probably is hormone related balancing vital structures as liver, pancreas and reproductive organs * Many conditions tend to give rise to this as pancreatitis, fatty liver, POD, metastatic conditions from primary tumor somewhere in body, endometriosis with secondary involvement of pancreas, liver, others* Needs clinical co relation, supportive blood tests with CT abdomen to arrive at the particular diagnosis and further management plan Hope this clears your queryWelcome for any further assistanceRegards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi.I am a 29 year old female and 3 years ago I had a Partial Laparoscopic Nephrectomy . The biggest incission (about 3cm) was made on my abdomen , about 4 inches above my navel. Since the surgery the area where the incission is sometimes gets swollen but nothing serious. A few days ago I started doing abdominal exercises and since then I have had a pain in my upper abdomial area that pain killers have not been able to eliminate. Sometimes I also feel the pain rising up to my chest to the point even by breasts hurt. Just coming back from the supermarket I noticed that if I carry anything heavy the pain intensifies. What could this possibly be and should I seek medical attention which is something I am avoiding because I don t have insurance. Thank You. | Hi, The incision site you have mentioned was probably made for the retrieval of the partial neurectomy specimen. According to your history most likely diagnosis is incisional hernia. I guess u must be noticing increasing in size of swelling on raising your head in lying down position or on exertion. If the diagnosis is incisional hernia, it will need surgical correction. Please consult your doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi.I am a 29 year old female and 3 years ago I had a Partial Laparoscopic Nephrectomy . The biggest incission (about 3cm) was made on my abdomen , about 4 inches above my navel. Since the surgery the area where the incission is sometimes gets swollen but nothing serious. A few days ago I started doing abdominal exercises and since then I have had a pain in my upper abdomial area that pain killers have not been able to eliminate. Sometimes I also feel the pain rising up to my chest to the point even by breasts hurt. Just coming back from the supermarket I noticed that if I carry anything heavy the pain intensifies. What could this possibly be and should I seek medical attention which is something I am avoiding because I don t have insurance. Thank You."
},
{
"from": "gpt",
"value": "Output: Hi, The incision site you have mentioned was probably made for the retrieval of the partial neurectomy specimen. According to your history most likely diagnosis is incisional hernia. I guess u must be noticing increasing in size of swelling on raising your head in lying down position or on exertion. If the diagnosis is incisional hernia, it will need surgical correction. Please consult your doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A little over a year ago i had my gallbladder taken out it was sudden and very painful but since then i have had pain in my right lower quadrant pain, I am an alcoholic and I quit drinking for four months to see if that took care of the pain but it didnt the pain is sensitive to the touch and a dull ache and when i bend a certain way it feels like it is pinching or tearing something. I use Ibuprofen for the pain and tylenol but nothing seems to help. Can you tell me anything about what might be going on? | Hi.noted history of cholecystectomy and occurrence of right lower qua Chat Doctor. It may be a radiating post-operative pain, but other causes such as muscular strain, infection (diverticulitis), obstruction (possibly new lesions), appendicitis, ileitis must also be ruled-out. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A little over a year ago i had my gallbladder taken out it was sudden and very painful but since then i have had pain in my right lower quadrant pain, I am an alcoholic and I quit drinking for four months to see if that took care of the pain but it didnt the pain is sensitive to the touch and a dull ache and when i bend a certain way it feels like it is pinching or tearing something. I use Ibuprofen for the pain and tylenol but nothing seems to help. Can you tell me anything about what might be going on?"
},
{
"from": "gpt",
"value": "Output: Hi.noted history of cholecystectomy and occurrence of right lower qua Chat Doctor. It may be a radiating post-operative pain, but other causes such as muscular strain, infection (diverticulitis), obstruction (possibly new lesions), appendicitis, ileitis must also be ruled-out. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear doctor, I am 33 years old married man I have two baby girls but unfortunately due to numerous puss cells in my semen my sperm count reduced to 35 million/cmm and motility reduced to 20%.thats why i am unable to fertile my wife and also facing problem in erection of penis. I have already completed a full course of antibiotic but still not shown any improvement. Plz guide me for further treatment as i am residing in xxxxx | Hi, Welcome to Chat Doctor, I am Chat Doctor First, you are not primarily infertile, because you have two baby girls. So, there is secondary infertility. Secondly, you did not give the full report. It is important. 35 million / CCMM is not reduced sperm count(normal >20 million/CCMM as per WHO.) After completing the antibiotic, did you repeat the test? If not, then do it. If then also pus cell persist then antibiotic should be changed. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear doctor, I am 33 years old married man I have two baby girls but unfortunately due to numerous puss cells in my semen my sperm count reduced to 35 million/cmm and motility reduced to 20%.thats why i am unable to fertile my wife and also facing problem in erection of penis. I have already completed a full course of antibiotic but still not shown any improvement. Plz guide me for further treatment as i am residing in xxxxx"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor, I am Chat Doctor First, you are not primarily infertile, because you have two baby girls. So, there is secondary infertility. Secondly, you did not give the full report. It is important. 35 million / CCMM is not reduced sperm count(normal >20 million/CCMM as per WHO.) After completing the antibiotic, did you repeat the test? If not, then do it. If then also pus cell persist then antibiotic should be changed."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Every once in a while I will get uncontrollably shaky and my heart rate is already naturally over 100 but it beats faster at certain moments. Sometimes there will be moments where it hurts to breath and there is a stabbing pain on the side where my heart is. I have gone to a doctor but they say it is just a panic attack. My problem with them summing it up to being that is that these symptoms will only occur randomly. I could be feeling great with no worries, I could be completely stressed out. It never has a connection. I am currently at work and I can t seem to calm down, I keep shaking and my heart is beating a little bit faster. What is wrong? Doctors keep summing it up to anxiety or panic attacks. Is that true? | Hi Anxiety is likely but not the only cause. There could be several reasons - it sometimes happens normally also! Anxiety may not be the case with you - random and no relation, as you say. It may be Mitral Valve Prolapse, anomalous pathways and so on. Proper treatment needs proper diagnosis. First thing to do will be to see a cardiologist and get examined - especially during one such episode. In this situation, we start with routine ECG, ECHOcardiogram, blood tests (cell count, sugar, thyroid). If there is no clue, we go further - 24 to 48 hour ambulatory ECG monitoring (Holder). Your doctor will decide on the need for medications - beta blockers for example can help in both anxiety and palpitationWishing you a speedy recovery Good luck | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Every once in a while I will get uncontrollably shaky and my heart rate is already naturally over 100 but it beats faster at certain moments. Sometimes there will be moments where it hurts to breath and there is a stabbing pain on the side where my heart is. I have gone to a doctor but they say it is just a panic attack. My problem with them summing it up to being that is that these symptoms will only occur randomly. I could be feeling great with no worries, I could be completely stressed out. It never has a connection. I am currently at work and I can t seem to calm down, I keep shaking and my heart is beating a little bit faster. What is wrong? Doctors keep summing it up to anxiety or panic attacks. Is that true?"
},
{
"from": "gpt",
"value": "Output: Hi Anxiety is likely but not the only cause. There could be several reasons - it sometimes happens normally also! Anxiety may not be the case with you - random and no relation, as you say. It may be Mitral Valve Prolapse, anomalous pathways and so on. Proper treatment needs proper diagnosis. First thing to do will be to see a cardiologist and get examined - especially during one such episode. In this situation, we start with routine ECG, ECHOcardiogram, blood tests (cell count, sugar, thyroid). If there is no clue, we go further - 24 to 48 hour ambulatory ECG monitoring (Holder). Your doctor will decide on the need for medications - beta blockers for example can help in both anxiety and palpitationWishing you a speedy recovery Good luck"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My gallbladder is only functioning at 21per cent I have burning in between shoulder blades, burning in stomach daily, pain in left side sometimes right side, burning in chest, and I have losted 25 to 30 pounds. I m in pain almost everyday should the gallbladder go? | Whenever the gallbladder functioning decreases there is high chances of forming gallbladder sludge and gall stones. With Gall bladder sludge and stones there are higher chances of infections in biliary tree leading cholecystitis, cholangitis, pancreatitis so it's better to remove gall bladder when its functioning decreased. In our practice we use to access gall bladder status in follow up in such patients and whenever there are gall stones or sludge in ultrasound or patients have discomfort with symptoms of gastroesophageal reflux(HERD) we convince the patient to go for cholecystectomy. In your case symptoms of HERD are present, so you can follow up your doctor with proton pump inhibitors for symptomatic relief with regular sonography for gall bladder sludge, if your symptoms improve with medication and with no evidence of GB sludge or stone you can do better with medication alone otherwise if symptoms not relieved with or without gall bladder sludge/stone you can move forward for cholecystectomy. I hope I have given a satisfactory answer for your question. If you're satisfied you can give it a liking and For any further queries you can ask your questions and I will be pleased to answer any of your queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My gallbladder is only functioning at 21per cent I have burning in between shoulder blades, burning in stomach daily, pain in left side sometimes right side, burning in chest, and I have losted 25 to 30 pounds. I m in pain almost everyday should the gallbladder go?"
},
{
"from": "gpt",
"value": "Output: Whenever the gallbladder functioning decreases there is high chances of forming gallbladder sludge and gall stones. With Gall bladder sludge and stones there are higher chances of infections in biliary tree leading cholecystitis, cholangitis, pancreatitis so it's better to remove gall bladder when its functioning decreased. In our practice we use to access gall bladder status in follow up in such patients and whenever there are gall stones or sludge in ultrasound or patients have discomfort with symptoms of gastroesophageal reflux(HERD) we convince the patient to go for cholecystectomy. In your case symptoms of HERD are present, so you can follow up your doctor with proton pump inhibitors for symptomatic relief with regular sonography for gall bladder sludge, if your symptoms improve with medication and with no evidence of GB sludge or stone you can do better with medication alone otherwise if symptoms not relieved with or without gall bladder sludge/stone you can move forward for cholecystectomy. I hope I have given a satisfactory answer for your question. If you're satisfied you can give it a liking and For any further queries you can ask your questions and I will be pleased to answer any of your queries."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Gynacologist has identified my disease as Uterus cancer before the Surgery and the Oncologist has confirmed as Ovarian cancer on the 2nd of October 2009. It was stage IV and grade III. I underwent Laparotomy surgery (both uterus & ovarian removed) and then followed by chemotheraphy. I have completed all 6 chemos on the 10 of Feb 2010.My CA 125 report before the Surgery is 2750 U/ml, 3 weeks after the surgery is 385 U/ml(ie,before chemo), before the fourth chemo is 32.9 U/ml and after the 5th chemo is 15.4 u/ml.(it should be less than 21 according to the Lab.After that my CA 125, ultra sound scan and blood reports were normal up to Jan 11. CA 125 reading is 76.90 as on 02/04/11. went for CT scan (chest, abdomen and pelvis) on 18/04/11 and the impression is as follows | Hi, Thanks for writing in. You have a large incision hernia of the bowel probably through the laparotomy area. This is important to be repaired surgically and if required with the insertion of a wire mesh to contain the bowel and prevent hernia. Your CA 125 is constantly increasing as seen in the last two reports. Doing a PET scan is important to know if there is any hidden suspicious cancer activity that is not visible on the CT scan. PET scan shows areas with high glucose metabolism and this usually refers to areas where there is increase cell multiplication like a cancer. Chemotherapy can be started after PET scan confirms any cancer activity. 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: Gynacologist has identified my disease as Uterus cancer before the Surgery and the Oncologist has confirmed as Ovarian cancer on the 2nd of October 2009. It was stage IV and grade III. I underwent Laparotomy surgery (both uterus & ovarian removed) and then followed by chemotheraphy. I have completed all 6 chemos on the 10 of Feb 2010.My CA 125 report before the Surgery is 2750 U/ml, 3 weeks after the surgery is 385 U/ml(ie,before chemo), before the fourth chemo is 32.9 U/ml and after the 5th chemo is 15.4 u/ml.(it should be less than 21 according to the Lab.After that my CA 125, ultra sound scan and blood reports were normal up to Jan 11. CA 125 reading is 76.90 as on 02/04/11. went for CT scan (chest, abdomen and pelvis) on 18/04/11 and the impression is as follows"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. You have a large incision hernia of the bowel probably through the laparotomy area. This is important to be repaired surgically and if required with the insertion of a wire mesh to contain the bowel and prevent hernia. Your CA 125 is constantly increasing as seen in the last two reports. Doing a PET scan is important to know if there is any hidden suspicious cancer activity that is not visible on the CT scan. PET scan shows areas with high glucose metabolism and this usually refers to areas where there is increase cell multiplication like a cancer. Chemotherapy can be started after PET scan confirms any cancer activity. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was on Loestrin 24 Fe for 5 months but my doctor switched me to Lo Loestrin 24 Fe because she thought I needed a lower dose, as I kept getting recurring yeast infections. The first month that I was on Lo Loestrin I got my period, very short and very light for about 2-3 days. This month I delayed my period by a week because I was going on vacation. So when it got to the placebo pill I just took a week of active pills from another pack. However, I just finished my placebo pills (inactive pills) for the month and I have not gotten my period. I only missed one pill, but took it the next day as soon as I remembered and I did not have sex that day or the next. Also, my boyfriend and I do not use condoms but he always pulls out. I took a pregnancy test and it is negative. Is there a chance that I could be pregnant??? Could this just be the result of me delaying my period for a week?? | Hello, Pregnancy is possible if unprotected intercourse is done around ovulation time in regular cycle. If you took Lo Holstein 24 Fe on regular basis on scheduled time, then it gives up to 99% protection. But in irregular cycle, ovulation time varies, and you also took active pills during vacation instead of placebo pill. So pregnancy chance is minimal or almost nil. Do a fresh USG pelvis to confirm or exclude pregnancy, and it also rules out underlying pathology for delayed period. Take new packet of pill if not pregnant and continue on schedule basis. Consult with your doctor always. Be well. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was on Loestrin 24 Fe for 5 months but my doctor switched me to Lo Loestrin 24 Fe because she thought I needed a lower dose, as I kept getting recurring yeast infections. The first month that I was on Lo Loestrin I got my period, very short and very light for about 2-3 days. This month I delayed my period by a week because I was going on vacation. So when it got to the placebo pill I just took a week of active pills from another pack. However, I just finished my placebo pills (inactive pills) for the month and I have not gotten my period. I only missed one pill, but took it the next day as soon as I remembered and I did not have sex that day or the next. Also, my boyfriend and I do not use condoms but he always pulls out. I took a pregnancy test and it is negative. Is there a chance that I could be pregnant??? Could this just be the result of me delaying my period for a week??"
},
{
"from": "gpt",
"value": "Output: Hello, Pregnancy is possible if unprotected intercourse is done around ovulation time in regular cycle. If you took Lo Holstein 24 Fe on regular basis on scheduled time, then it gives up to 99% protection. But in irregular cycle, ovulation time varies, and you also took active pills during vacation instead of placebo pill. So pregnancy chance is minimal or almost nil. Do a fresh USG pelvis to confirm or exclude pregnancy, and it also rules out underlying pathology for delayed period. Take new packet of pill if not pregnant and continue on schedule basis. Consult with your doctor always. Be well."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have just had an ultra scan that has revealed a swollen liver - 4 days ago I had very acute gallbladder attack however no stones showed up - doctor witnessed the attack - is there any correlation with these two events - my diet is very bland due to previous history with bowel problems and I would only have a maybe 2/3 alcoholic drinks per week if that - I have never been a drinkerI would appreciate your comments with thanks Sandra | Hi San Chat Doctor. This is called calculus cholecystitis, meaning there is an inflamed gall bladder without the stones in the gal bladder, Another option is the stones were so small that they caused the inflammation and passed out into the bile ducts causing an obstruction and hence the swelling of the liver also. I would advise going for the relevant blood tests to know the status of liven biochemically and a repeat ultrasonography to know the status of the common bile duct / pancreas. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have just had an ultra scan that has revealed a swollen liver - 4 days ago I had very acute gallbladder attack however no stones showed up - doctor witnessed the attack - is there any correlation with these two events - my diet is very bland due to previous history with bowel problems and I would only have a maybe 2/3 alcoholic drinks per week if that - I have never been a drinkerI would appreciate your comments with thanks Sandra"
},
{
"from": "gpt",
"value": "Output: Hi San Chat Doctor. This is called calculus cholecystitis, meaning there is an inflamed gall bladder without the stones in the gal bladder, Another option is the stones were so small that they caused the inflammation and passed out into the bile ducts causing an obstruction and hence the swelling of the liver also. I would advise going for the relevant blood tests to know the status of liven biochemically and a repeat ultrasonography to know the status of the common bile duct / pancreas."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi,I have been diagnosed with Chronic lymphocytic lukemia and the have been refered to a hemotologist .. my local gp doesnt know a lot about the disorder and has said not to worry as it is not a cancer..the net tells me other wise.. i am 46.. and have a 67 percent reading in my blood.. should i be concerned in regards to it being a cancer.. | Hi, dear. I have gone through your question. I can understand your concern. Chronic lymphocytes leukemia is a cancer. You should concern about that. However, prognosis is somewhat later than other leukemia. You should consult hematologist and take chemotherapy according to his advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,I have been diagnosed with Chronic lymphocytic lukemia and the have been refered to a hemotologist .. my local gp doesnt know a lot about the disorder and has said not to worry as it is not a cancer..the net tells me other wise.. i am 46.. and have a 67 percent reading in my blood.. should i be concerned in regards to it being a cancer.."
},
{
"from": "gpt",
"value": "Output: Hi, dear. I have gone through your question. I can understand your concern. Chronic lymphocytes leukemia is a cancer. You should concern about that. However, prognosis is somewhat later than other leukemia. You should consult hematologist and take chemotherapy according to his advice. 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 not sure if I am pregant or not the following is what I am feelingHeadachsHad stomack cramping but not anymoreI am always sleepyI dont really have appetiteconstipationnausea just started today but its been off and onmy period was late but only by a couple of daysbefore my period was late I had hives | HI, I understand your question. Pregnancy signs are due to raised pregnancy hormone in blood. some of the signs you have narrated can be seen in some patients as sign of early pregnancy . But earliest sign is delayed period, nausea, vomiting, giddiness, lack of appetite, psychological stress/ breast signs and more. . And confirmation of pregnancy is either pregnancy test / USG at 5 weeks of pregnancy. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I not sure if I am pregant or not the following is what I am feelingHeadachsHad stomack cramping but not anymoreI am always sleepyI dont really have appetiteconstipationnausea just started today but its been off and onmy period was late but only by a couple of daysbefore my period was late I had hives"
},
{
"from": "gpt",
"value": "Output: HI, I understand your question. Pregnancy signs are due to raised pregnancy hormone in blood. some of the signs you have narrated can be seen in some patients as sign of early pregnancy . But earliest sign is delayed period, nausea, vomiting, giddiness, lack of appetite, psychological stress/ breast signs and more. . And confirmation of pregnancy is either pregnancy test / USG at 5 weeks of pregnancy. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 15 year old step son runes cross county. He started to have pains around his ribs chest toke him to the doctor they done a EKG on him last week . We get phone call today tell us he has an enlarged heart . How come now it shows up its his 3year in cross county and what can we do | Hi, dairy have gone through your question. I can understand your concern. Your son has enlarged heart. First he should go for echocardiography/ cardiac electrophysiology to check the function of heart and then I needed he should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 15 year old step son runes cross county. He started to have pains around his ribs chest toke him to the doctor they done a EKG on him last week . We get phone call today tell us he has an enlarged heart . How come now it shows up its his 3year in cross county and what can we do"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your son has enlarged heart. First he should go for echocardiography/ cardiac electrophysiology to check the function of heart and then I needed he should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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 | Hi there, sorry to hear about the pain. Osteoarthritis is a disease that progresses with age, so the pain and stiffness would likely get worse with time. However, if you think pain control and physiotherapy are the right way to go. At some point, I would recommend seeing an orthopedic surgeon to discuss possible surgical options particularly hip replacement. Another option is injection into the hip - this is a specialized procedure usually done by orthopedic surgeons or special radiologists and provides temporary pain relief. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HELLO"
},
{
"from": "gpt",
"value": "Output: Hi there, sorry to hear about the pain. Osteoarthritis is a disease that progresses with age, so the pain and stiffness would likely get worse with time. However, if you think pain control and physiotherapy are the right way to go. At some point, I would recommend seeing an orthopedic surgeon to discuss possible surgical options particularly hip replacement. Another option is injection into the hip - this is a specialized procedure usually done by orthopedic surgeons or special radiologists and provides temporary pain relief."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi my son is 3yrs 4mths old , he suddenly got a fever yesterday at around 7;30 pm n it didnt subside even after giving him calpol syrup . only after giving him imol syrup in the mornin today his temp. dropped to normal, but he has been grindin is teeth , can i deworm him today . plz advise | Bruise or grinding of teeth is unrelated to worm infestation and could occur due to a number of harmless causes. However, it might be reasonable to deform a child of this age on yearly basis with two doses of albendazole repeated at a fortnight interval. Most of the fevers in child Chat Doctor. Iron contains ibuprofen and paracetamol combination and is more effective than paracetamol (cal pol) and if that too is not effective, you may try metonymic acid (Metal P) which is better in relieving temperature. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my son is 3yrs 4mths old , he suddenly got a fever yesterday at around 7;30 pm n it didnt subside even after giving him calpol syrup . only after giving him imol syrup in the mornin today his temp. dropped to normal, but he has been grindin is teeth , can i deworm him today . plz advise"
},
{
"from": "gpt",
"value": "Output: Bruise or grinding of teeth is unrelated to worm infestation and could occur due to a number of harmless causes. However, it might be reasonable to deform a child of this age on yearly basis with two doses of albendazole repeated at a fortnight interval. Most of the fevers in child Chat Doctor. Iron contains ibuprofen and paracetamol combination and is more effective than paracetamol (cal pol) and if that too is not effective, you may try metonymic acid (Metal P) which is better in relieving temperature."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there,I have a larger lump on my forearm - just noticed it - feels like I hit my arm really hard, which I didnt, and it shows no bruising - but it is an area of what feels like swollen tissue. It is like a golfball is sticking out of my arm, not sore to touch and slightly pink in colour, minor itchiness? It is not a solid mass either. | Hi, dairy have gone through your question. I can understand your concern. You may have some ganglion cyst or other benign cyst like sebaceous cyst. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there,I have a larger lump on my forearm - just noticed it - feels like I hit my arm really hard, which I didnt, and it shows no bruising - but it is an area of what feels like swollen tissue. It is like a golfball is sticking out of my arm, not sore to touch and slightly pink in colour, minor itchiness? It is not a solid mass either."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some ganglion cyst or other benign cyst like sebaceous cyst. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. 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. | YES! I HAVE A FRIEND WHOSE DAUGHTER IS DIAGNOSED AS AUTISTIC AND IS HAVING SEIZURES.HER MEDICATION FOR SEIZURES WAS RECENTLY CHANGED AND NOW THEY ARE COMING MORE FREQUENTLY. MY FRIEND IS SEARCHING FOR AN ANSWER CAN YOU HELP HER? Im GIVING YOU HER EMAIL ADDRESS.Oh! I didnt realize this was a pay per answer thing. sorry to bother you. | Hi. If you would like, you can ask your friend to publish her question to our public forums. Those are free, but unfortunately there is no guarantee that the question will be answered right away. From what you've said here. Let me try and give you some basic information. That you can transmit to your friend. The management of seizures through medication can be quite tricky. Medical science still doesn't know a single one shot cure-all for the problem since there are SO MANY causes. When it comes to putting someone on a medication regime for epilepsy (seizure disorder), different medications will have different effects, and it takes time (and quite a lot of patience on the patient and families part) to get the right system down. The other thing is that when you change the medications, the older 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 HAVE A FRIEND WHOSE DAUGHTER IS DIAGNOSED AS AUTISTIC AND IS HAVING SEIZURES.HER MEDICATION FOR SEIZURES WAS RECENTLY CHANGED AND NOW THEY ARE COMING MORE FREQUENTLY. MY FRIEND IS SEARCHING FOR AN ANSWER CAN YOU HELP HER? Im GIVING YOU HER EMAIL ADDRESS.Oh! I didnt realize this was a pay per answer thing. sorry to bother you."
},
{
"from": "gpt",
"value": "Output: Hi. If you would like, you can ask your friend to publish her question to our public forums. Those are free, but unfortunately there is no guarantee that the question will be answered right away. From what you've said here. Let me try and give you some basic information. That you can transmit to your friend. The management of seizures through medication can be quite tricky. Medical science still doesn't know a single one shot cure-all for the problem since there are SO MANY causes. When it comes to putting someone on a medication regime for epilepsy (seizure disorder), different medications will have different effects, and it takes time (and quite a lot of patience on the patient and families part) to get the right system down. The other thing is that when you change the medications, the older Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i m intendinng to do an IVF , I was supposedd to start tomorrow. my husbend suffered from and infection in his tooth toot canal he started the treatment with the dentist today, the dentist sugested that we shouldn t start the IVF now because the white blood cells will be high now and this has very bad affect on the sperm count. Is this true or should I start anyway??? plz answer me quickly | Hello, Any infection can lead to a rise in the white blood cell count and this could affect the sperm count, but the concept is yet to be confirmed as this is still undergoing studies. Any rise in the body temperature can also decrease sperm count as the local temperature of the scrotum goes up. So, in view of this, I suggest that you discuss the matter with your doctor before you go for IVF in this cycle. You may be able to proceed if the sperm count and activity is normal. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i m intendinng to do an IVF , I was supposedd to start tomorrow. my husbend suffered from and infection in his tooth toot canal he started the treatment with the dentist today, the dentist sugested that we shouldn t start the IVF now because the white blood cells will be high now and this has very bad affect on the sperm count. Is this true or should I start anyway??? plz answer me quickly"
},
{
"from": "gpt",
"value": "Output: Hello, Any infection can lead to a rise in the white blood cell count and this could affect the sperm count, but the concept is yet to be confirmed as this is still undergoing studies. Any rise in the body temperature can also decrease sperm count as the local temperature of the scrotum goes up. So, in view of this, I suggest that you discuss the matter with your doctor before you go for IVF in this cycle. You may be able to proceed if the sperm count and activity is normal. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a fifty year old overweight male whose feet slipped out from under him on the ice. I fell flat on my back and hit my head on the ground. It has been two hours and my middle back is killing me. I feel like I have been in a car wreck. What could have happened? | Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a fifty year old overweight male whose feet slipped out from under him on the ice. I fell flat on my back and hit my head on the ground. It has been two hours and my middle back is killing me. I feel like I have been in a car wreck. What could have happened?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 3 yr old son has a small red flat dot above his lip. It has no drainage or swelling, and has remained the same size (like a pinprick). It doesn t go away. I have tried OTC cortisone and neosporin. If I put vasoline, it looks better but doesn t completely go away. It is a perfect circle and flat. He recently went through a round of antibiotics for an infection and the dot remained. It doesn t hurt him but my pedi and I don t know what it is. He has no significant medical history. I am looking for a pedi-dermatologist in my area. My pedi doesn t believe it s anything to be concerned about. My son does have sensitive skin and a hx of eczema - last bout was 2 yrs ago. He tends to wipe his and rub his mouth a lot. | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 3 yr old son has a small red flat dot above his lip. It has no drainage or swelling, and has remained the same size (like a pinprick). It doesn t go away. I have tried OTC cortisone and neosporin. If I put vasoline, it looks better but doesn t completely go away. It is a perfect circle and flat. He recently went through a round of antibiotics for an infection and the dot remained. It doesn t hurt him but my pedi and I don t know what it is. He has no significant medical history. I am looking for a pedi-dermatologist in my area. My pedi doesn t believe it s anything to be concerned about. My son does have sensitive skin and a hx of eczema - last bout was 2 yrs ago. He tends to wipe his and rub his mouth a lot."
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello! Tonight I noticed a small non painful lump in my armpit. It is about the size of a pea and does not hurt at all. I also started my menstruationn tonight and I have read that these can sometimes go hand in hand. I can gently pull at the skin in my armpit at the lump comes with the skin and I can then feel it all around. It is pea sized all round and feels like a hard sponge | Welcome to Chat Doctor .1. Generally there are carbuncle / furuncles seen in that area. 2.Do to infected hair follicle.3. Avoid blade shaving for some time and usage of after shaves. Trim the hair if necessary.4. If it read and very pain flu get a course of antibiotics, and usually it will resolve.5. Nothing to worry it's just a localized infection / inflammation. 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: hello! Tonight I noticed a small non painful lump in my armpit. It is about the size of a pea and does not hurt at all. I also started my menstruationn tonight and I have read that these can sometimes go hand in hand. I can gently pull at the skin in my armpit at the lump comes with the skin and I can then feel it all around. It is pea sized all round and feels like a hard sponge"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. Generally there are carbuncle / furuncles seen in that area. 2.Do to infected hair follicle.3. Avoid blade shaving for some time and usage of after shaves. Trim the hair if necessary.4. If it read and very pain flu get a course of antibiotics, and usually it will resolve.5. Nothing to worry it's just a localized infection / inflammation. 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. | Hello Dr.I have burning pain in my left thigh and hip area, accompanied by a slightly swollen lymph node. The pain is beneath the skin, the surface is cool to the touch. I have been diagnosed with shingles type symptoms in the past, however I have not had the lesion on my lower tail bone area this time.( Have been very run down with little sleep, and high stress lately) Is this possibly a symptom of one of the herpes viruses? | Hi, dear I have gone through your question. I can understand your concern. You have enlarged inguinal lymph node. It can be due to some infection. Chances of herpesvirus are low. You should take antibiotics treatment. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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: Hello Dr.I have burning pain in my left thigh and hip area, accompanied by a slightly swollen lymph node. The pain is beneath the skin, the surface is cool to the touch. I have been diagnosed with shingles type symptoms in the past, however I have not had the lesion on my lower tail bone area this time.( Have been very run down with little sleep, and high stress lately) Is this possibly a symptom of one of the herpes viruses?"
},
{
"from": "gpt",
"value": "Output: Hi, dear I have gone through your question. I can understand your concern. You have enlarged inguinal lymph node. It can be due to some infection. Chances of herpesvirus are low. You should take antibiotics treatment. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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 went to the dentist earlier in the week. I had a tooth that was hurting and swollen gums . The xray revealed nothing and he thought it was my bite. He filed down the tooth and sent me on my way. I am in allot of pain now. I take aleve but have trouble couping. I will have to miss work tomorrow and see my dentist again. My gums on the upper left side are very swollen, painful and may be infected. My jaw is throbbing and I still think the tooth may be infected. What do you think? Thanks | Hello, Thanks for posting your query. Since your gums are swollen, there is chance of periapical infection. Usually x-ray will reveal such infections. If periapical abscess occurs, teeth has to be root-canal treated, the abscess has to be Chat Doctor. Deep scaling and root planning has to be done to prevent gingivitis. Maintain good oral hygiene. Brush your teeth twice daily using toothbrush. Rinse your mouth after every meal. Chlorhexidine mouth rinses can prevent plaque accumulation. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to the dentist earlier in the week. I had a tooth that was hurting and swollen gums . The xray revealed nothing and he thought it was my bite. He filed down the tooth and sent me on my way. I am in allot of pain now. I take aleve but have trouble couping. I will have to miss work tomorrow and see my dentist again. My gums on the upper left side are very swollen, painful and may be infected. My jaw is throbbing and I still think the tooth may be infected. What do you think? Thanks"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting your query. Since your gums are swollen, there is chance of periapical infection. Usually x-ray will reveal such infections. If periapical abscess occurs, teeth has to be root-canal treated, the abscess has to be Chat Doctor. Deep scaling and root planning has to be done to prevent gingivitis. Maintain good oral hygiene. Brush your teeth twice daily using toothbrush. Rinse your mouth after every meal. Chlorhexidine mouth rinses can prevent plaque accumulation. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Behind my last tooth, my wisdom tooth, on my right side of my mouth i have some kind of a sore. It is red and has a white thing on top. It is very painful. It hurts when i eat or just touch it. I have had it for 2 days now. I am in another country and cannot seek medical treatment at this time. Could this be a gum ulcer? And what can i do to treat it and make the pain go away? Thank you! | Thanks for using Chat Doctor. Read your query. The symptoms you have mentions suggests peritonitis (inflammation of the flap around the wisdom tooth). I would advise you to take a painkiller like ibuprofen (if you are not allergic to any medicine) for the pain. Keep the area clean as any food debris left behind will aggravate the condition. Do warm saline gargling and NOT apply anything hot from outside to relieve pain. Visit your as soon as possible and get it checked. Hope this was beneficial. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. Behind my last tooth, my wisdom tooth, on my right side of my mouth i have some kind of a sore. It is red and has a white thing on top. It is very painful. It hurts when i eat or just touch it. I have had it for 2 days now. I am in another country and cannot seek medical treatment at this time. Could this be a gum ulcer? And what can i do to treat it and make the pain go away? Thank you!"
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. The symptoms you have mentions suggests peritonitis (inflammation of the flap around the wisdom tooth). I would advise you to take a painkiller like ibuprofen (if you are not allergic to any medicine) for the pain. Keep the area clean as any food debris left behind will aggravate the condition. Do warm saline gargling and NOT apply anything hot from outside to relieve pain. Visit your as soon as possible and get it checked. Hope this was beneficial. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor , i used to mastebate and i am doing it since the age of 14 , about 3 to 4 times a day , and i am 18 now doctor and suddenly today when i was masterbating the sperm didnt come out and it is still not comming out i am very worried doctor i dunno waht to do | Hi, I had gone through your question and understand your concerns. If this happened just once then there is no reason to be worried but if this happens again then it may be signed of certain disorders, in first case retrograde ejaculation. Other causes include prostate issues or STDs. At this point you should just wait and see if this will happen again and if yes, you should do prostate ultrasound and spectrogram to see what is going on. Also, if there is burning pain during urination then this may be indicating urinary stone which is the possible cause of missed ejaculation and in that case you'll need urologic consultation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor , i used to mastebate and i am doing it since the age of 14 , about 3 to 4 times a day , and i am 18 now doctor and suddenly today when i was masterbating the sperm didnt come out and it is still not comming out i am very worried doctor i dunno waht to do"
},
{
"from": "gpt",
"value": "Output: Hi, I had gone through your question and understand your concerns. If this happened just once then there is no reason to be worried but if this happens again then it may be signed of certain disorders, in first case retrograde ejaculation. Other causes include prostate issues or STDs. At this point you should just wait and see if this will happen again and if yes, you should do prostate ultrasound and spectrogram to see what is going on. Also, if there is burning pain during urination then this may be indicating urinary stone which is the possible cause of missed ejaculation and in that case you'll need urologic consultation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi , I am a diabetic patient type 1 from 6yrs ( age 29) its usually in a higher level m trying to control it and I am able to control a little bit. I will be married in a month or so I am facing ED problem I guess . But I had safe sex earlier days and was having diabetes at that time also but was able to penetrate. But now I am not getting excited easily it takes time . M getting erection for a while.. I want to knw is tht an ED issue or its just on mental level. Some friends have suggested for Musli xtra power is good to take it or not ...I want to satisfy my wife n be faithful to her . Plz suggest some remedies.. | Hi, I am sorry for your current health situation. Secondly, please accept my best wishes for the new life you are going to start together with your wife. Now, you are 29 years old, with hormones flushing in your blood although being a diabetic. As you are saying, you have been controlling well although the high oscillations in blood sugar levels (BSL). In my opinion, you can have a perfect sexual life with your future wife and be faithful to her. There are many of my diabetic patients that have the same problems as you and are enjoying their marriage life with wife and child Chat Doctor. In regard to ED problems, there are various factors influencing it including | [
{
"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 diabetic patient type 1 from 6yrs ( age 29) its usually in a higher level m trying to control it and I am able to control a little bit. I will be married in a month or so I am facing ED problem I guess . But I had safe sex earlier days and was having diabetes at that time also but was able to penetrate. But now I am not getting excited easily it takes time . M getting erection for a while.. I want to knw is tht an ED issue or its just on mental level. Some friends have suggested for Musli xtra power is good to take it or not ...I want to satisfy my wife n be faithful to her . Plz suggest some remedies.."
},
{
"from": "gpt",
"value": "Output: Hi, I am sorry for your current health situation. Secondly, please accept my best wishes for the new life you are going to start together with your wife. Now, you are 29 years old, with hormones flushing in your blood although being a diabetic. As you are saying, you have been controlling well although the high oscillations in blood sugar levels (BSL). In my opinion, you can have a perfect sexual life with your future wife and be faithful to her. There are many of my diabetic patients that have the same problems as you and are enjoying their marriage life with wife and child Chat Doctor. In regard to ED problems, there are various factors influencing it including"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last year my B12 was low and following a 2nd set of blood tests I was told that this had raised to within the normal range and to start taking multivitamins with B12. I have recently had another blood test done, as I always seem to be tired and suffering from migraines. I have been taken off HRT (I started quite young at 36) and migraines have improved, however I am still extremely tired. My blood test showed that I was within the low range of normal and a 2nd test 4 weeks following coming off HRT remains the same (180). If my count has been on the low side of normal (I understand the range is 170 to 900), do you think I would be entitled to ask for a therapeutic trial of B12 injections? This is affecting my ability to work (I couldn t save a couple of files on Tuesday) and had to take yesterday off work as I was totally exhausted. | Hi, dairy have gone through your question. I can understand your concern. If you have low vitamin B12 level then you should go for injectable vitamin B12 therapy. It will improve your B12 level and your overall general health. There is no harm in taking b12 injection. 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: Last year my B12 was low and following a 2nd set of blood tests I was told that this had raised to within the normal range and to start taking multivitamins with B12. I have recently had another blood test done, as I always seem to be tired and suffering from migraines. I have been taken off HRT (I started quite young at 36) and migraines have improved, however I am still extremely tired. My blood test showed that I was within the low range of normal and a 2nd test 4 weeks following coming off HRT remains the same (180). If my count has been on the low side of normal (I understand the range is 170 to 900), do you think I would be entitled to ask for a therapeutic trial of B12 injections? This is affecting my ability to work (I couldn t save a couple of files on Tuesday) and had to take yesterday off work as I was totally exhausted."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. If you have low vitamin B12 level then you should go for injectable vitamin B12 therapy. It will improve your B12 level and your overall general health. There is no harm in taking b12 injection. 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. | my daughter is 4 yrs old..she got hurt on her mouth `15 days back and her front teeth also bleeded..my pediatrician gave antibiotic adcef,ibujesic plus ..used it for 5 days...it got healed..now am findin tht her teeth is gettin darker..wht may b the problem | Hello thanks for sharing your query, as soon as trauma strike teeth the blood vessels and nerves gets within tooth gets injured resulting in pain and bleeding from the tooth...slowly blood supply to the tooth stops resulting in dead pulp/necroses pulp , now this necrotic pulp causes dark discoloration of the tooth.if the tooth is intact its advised not to extract it but only removal of the necrotic pulp and go for a prosthetic crown over it...take care ... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter is 4 yrs old..she got hurt on her mouth `15 days back and her front teeth also bleeded..my pediatrician gave antibiotic adcef,ibujesic plus ..used it for 5 days...it got healed..now am findin tht her teeth is gettin darker..wht may b the problem"
},
{
"from": "gpt",
"value": "Output: Hello thanks for sharing your query, as soon as trauma strike teeth the blood vessels and nerves gets within tooth gets injured resulting in pain and bleeding from the tooth...slowly blood supply to the tooth stops resulting in dead pulp/necroses pulp , now this necrotic pulp causes dark discoloration of the tooth.if the tooth is intact its advised not to extract it but only removal of the necrotic pulp and go for a prosthetic crown over it...take care ..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor,Im 32 yrs. and have two childern ages 10 & 12. I was diagnos with a mild case of Von Williebrands disease and I have always have had Irregular periods. When I was younger in my teen years I hardly ever had my periods and now it wont stop. I have been on my cycle for 2 months at times light and at times very heavy. I have also been trying to have another child for the last 9 yrs. and no luck. I do realize my weight needs to drop at least 50lbs but this has been a problem since before I gained weight. I really want another child. What test would you recommend me doing no one seems to know anything please help...thank you!! | On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level. And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor,Im 32 yrs. and have two childern ages 10 & 12. I was diagnos with a mild case of Von Williebrands disease and I have always have had Irregular periods. When I was younger in my teen years I hardly ever had my periods and now it wont stop. I have been on my cycle for 2 months at times light and at times very heavy. I have also been trying to have another child for the last 9 yrs. and no luck. I do realize my weight needs to drop at least 50lbs but this has been a problem since before I gained weight. I really want another child. What test would you recommend me doing no one seems to know anything please help...thank you!!"
},
{
"from": "gpt",
"value": "Output: On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level. And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear DoctorMy results came back from a chest Xray and the impression was borderline cardiomegaly with no acute abnormality. I am female, 69, have a history of asthma, have been a runner/walker for 25+ years, and have had a pacemaker for 1 & 1/2 years. Should I be concerned about this? | Thanks for your question on Chat Doctor. I can understand your concern. Borderline cardiomegaly on chest x-ray should be evaluated for heart failure. Yoi are also having pacemaker since 1 year. So better to get done 2d echo and stress test (trade mill test). If heart function is normal on these tests then no need to worry. But if heart function is reduced then you will need diuretic, digoxin and other cardiac supportive Chat Doctor. 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: Dear DoctorMy results came back from a chest Xray and the impression was borderline cardiomegaly with no acute abnormality. I am female, 69, have a history of asthma, have been a runner/walker for 25+ years, and have had a pacemaker for 1 & 1/2 years. Should I be concerned about this?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Borderline cardiomegaly on chest x-ray should be evaluated for heart failure. Yoi are also having pacemaker since 1 year. So better to get done 2d echo and stress test (trade mill test). If heart function is normal on these tests then no need to worry. But if heart function is reduced then you will need diuretic, digoxin and other cardiac supportive Chat Doctor. 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. | What would you call these symptoms? I fall a lot and have weakness and shake when I try to get up from sitting down. I have type 2 diabetes with high blood pressure and neuropathy in my legs and hands. I also have sleep apnea and a horse shoe shaped kidney the right side is smaller so the doctor put a stint in that side the needs replacing every 3 months. | Hello and Welcome to Ask a Doctor have reviewed your query regarding your symptoms and the question of what do they indicate. The symptoms you describe are typical of the ravages uncontrolled high blood sugar and blood pressure have on your body, nerves, autonomic nervous system and other organs. The kidneys are not receiving adequate blood flow, the neuropathy will affect balance, coordination and tremors and any excess weight typically associated with type 2 diabetes will worsen sleep apnea. My advice to you is to get your blood sugar under control through a carboy Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What would you call these symptoms? I fall a lot and have weakness and shake when I try to get up from sitting down. I have type 2 diabetes with high blood pressure and neuropathy in my legs and hands. I also have sleep apnea and a horse shoe shaped kidney the right side is smaller so the doctor put a stint in that side the needs replacing every 3 months."
},
{
"from": "gpt",
"value": "Output: Hello and Welcome to Ask a Doctor have reviewed your query regarding your symptoms and the question of what do they indicate. The symptoms you describe are typical of the ravages uncontrolled high blood sugar and blood pressure have on your body, nerves, autonomic nervous system and other organs. The kidneys are not receiving adequate blood flow, the neuropathy will affect balance, coordination and tremors and any excess weight typically associated with type 2 diabetes will worsen sleep apnea. My advice to you is to get your blood sugar under control through a carboy Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dr. I am 30 years old and have been trying to get pregnant for 5.5 months with no successs. My doctor recently checked my hormone levels and said she is concerned that I am at the borderline levels that suggest that suggest that I may no be ovulating. I also had an ultrasound done which revealed I had one cyst on either ovary which radiologist and doctor thinks are cyst that should clear with my next period. I am worried about being infertile. | Dear patient! Checking your ovaries during a single cycle are not conclusive. Your doctor is right. You have to monitor your follicles for at least 3-4 cycles to check if you are ovulating. Similarly, the hormonal levels also depend on the time of your cycle at which they are performed. Anyhow, for a more conclusive answer, kindly send in your hormone levels. Yet, don't be discouraged at all. Wait for repeat Ultrasounds and hormone levels. You are fertile until and unless proven otherwise. Hope my answer satisfies you. Awaiting your precious feedback. | [
{
"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 30 years old and have been trying to get pregnant for 5.5 months with no successs. My doctor recently checked my hormone levels and said she is concerned that I am at the borderline levels that suggest that suggest that I may no be ovulating. I also had an ultrasound done which revealed I had one cyst on either ovary which radiologist and doctor thinks are cyst that should clear with my next period. I am worried about being infertile."
},
{
"from": "gpt",
"value": "Output: Dear patient! Checking your ovaries during a single cycle are not conclusive. Your doctor is right. You have to monitor your follicles for at least 3-4 cycles to check if you are ovulating. Similarly, the hormonal levels also depend on the time of your cycle at which they are performed. Anyhow, for a more conclusive answer, kindly send in your hormone levels. Yet, don't be discouraged at all. Wait for repeat Ultrasounds and hormone levels. You are fertile until and unless proven otherwise. Hope my answer satisfies you. Awaiting your precious feedback."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed. | Hello there, Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed."
},
{
"from": "gpt",
"value": "Output: Hello there, Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, so 36 hours ago, we realized my son (age 5, weight 43 lbs) had a fever of 102 (after playing fine all day) and had a swollen gum around one tooth. The fever is still off and on, but now both his top and bottom gums are completely swollen. He threw up once ~24 hours ago, but other than that does not complain of his stomach hurting. Any idea what this is or should I take him in to see the doctor or dentist, or both? | Hello, Thanks for consulting Chat Doctor, Read your query, as your son has fever this swollen gums it can be secondary to viral fever it can be Viral dermatitis or swelling can be related to carious tooth, decayed tooth, root stump present, gingival enlargement due to gingival inflammation, periodontal problem may periodontitis also. I will suggest you to consult dentist for examination of swollen gum and rule out the cause of swelling, in meanwhile you can advise her to do warm saline gargle, you can apply ointment like gum paint on gums to reduce inflammation. Hope this will help you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, so 36 hours ago, we realized my son (age 5, weight 43 lbs) had a fever of 102 (after playing fine all day) and had a swollen gum around one tooth. The fever is still off and on, but now both his top and bottom gums are completely swollen. He threw up once ~24 hours ago, but other than that does not complain of his stomach hurting. Any idea what this is or should I take him in to see the doctor or dentist, or both?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for consulting Chat Doctor, Read your query, as your son has fever this swollen gums it can be secondary to viral fever it can be Viral dermatitis or swelling can be related to carious tooth, decayed tooth, root stump present, gingival enlargement due to gingival inflammation, periodontal problem may periodontitis also. I will suggest you to consult dentist for examination of swollen gum and rule out the cause of swelling, in meanwhile you can advise her to do warm saline gargle, you can apply ointment like gum paint on gums to reduce inflammation. Hope this will help you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have what look like mosquito bites, red bumps that itch like crazy and have spread from leg to leg to torso to neck. Maybe have twenty total with a few new ones popping out daily. Woke up and found two new ones on my neck. They have a little ooze from them after about a day. | Hi, It seems that you may be having lichen ultimatum.also called popular urticaria. It is a hypersensitive creation to insect bites. The insects may be bed bug, flea, mosquito or some other. You consult dermatologist for firm diagnosis and treatment. I advise in my patients having such disease..... oral steroids in tampering dose and antihistamines like levocetirizine. And to apply mild steroid cream on the lesions. Take all precaution to prevent insect bite. Avoid soap bath. You may use detail in water for bath. I hope you got my answer. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have what look like mosquito bites, red bumps that itch like crazy and have spread from leg to leg to torso to neck. Maybe have twenty total with a few new ones popping out daily. Woke up and found two new ones on my neck. They have a little ooze from them after about a day."
},
{
"from": "gpt",
"value": "Output: Hi, It seems that you may be having lichen ultimatum.also called popular urticaria. It is a hypersensitive creation to insect bites. The insects may be bed bug, flea, mosquito or some other. You consult dermatologist for firm diagnosis and treatment. I advise in my patients having such disease..... oral steroids in tampering dose and antihistamines like levocetirizine. And to apply mild steroid cream on the lesions. Take all precaution to prevent insect bite. Avoid soap bath. You may use detail in water for bath. I hope you got my answer. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had 2 stent put in my main heart artery in January. I am scared to death it may not last. I can find nothing on the internet to give me any hope. 1 artery is fully clogged and the other 2 are badly clogged.I am 73 years old and wonder if a complete by pass is and able to be in my future? | Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. It is very difficult to give an opinion just by this short story. But I will try to explain you something. It is quite known in cardiology that stent stenosis might happen. This risk is higher during the first 6 months and then decreases. But there are other possibilities after a stent re-stenosis like angioplasty with balloon, stent-intra stent implantation that mean that you might implant a stent into the obstructed stent, always depending on the type of your first stent and the characteristic of the stenosis. And the last option when the other are not possible is by-pass surgery that you all ready know. So, yes...if your three arteries have problems and your stents get stenosis you might end to bypass surgery. If this is technically possible or not depends on the characteristics of your coronary arteries and the positions of stenosis. The risk of bypass surgery depends on your age, your heart function and other organs functions. But you should not worry. You do have possibilities to go quite well. There are a lot of possibilities today with a good chronic medical treatment, angioplasty and by pas' surgery. Wish I was helpful. Best regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had 2 stent put in my main heart artery in January. I am scared to death it may not last. I can find nothing on the internet to give me any hope. 1 artery is fully clogged and the other 2 are badly clogged.I am 73 years old and wonder if a complete by pass is and able to be in my future?"
},
{
"from": "gpt",
"value": "Output: Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. It is very difficult to give an opinion just by this short story. But I will try to explain you something. It is quite known in cardiology that stent stenosis might happen. This risk is higher during the first 6 months and then decreases. But there are other possibilities after a stent re-stenosis like angioplasty with balloon, stent-intra stent implantation that mean that you might implant a stent into the obstructed stent, always depending on the type of your first stent and the characteristic of the stenosis. And the last option when the other are not possible is by-pass surgery that you all ready know. So, yes...if your three arteries have problems and your stents get stenosis you might end to bypass surgery. If this is technically possible or not depends on the characteristics of your coronary arteries and the positions of stenosis. The risk of bypass surgery depends on your age, your heart function and other organs functions. But you should not worry. You do have possibilities to go quite well. There are a lot of possibilities today with a good chronic medical treatment, angioplasty and by pas' surgery. Wish I was helpful. Best regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | MRI REPORT | This is a case of organic mental illness. Your sis have abnormalities in her brain n the frontotemporal lobe of the brain governs the behavior of the person and the temporal lobe in particular is for reception of auditory perception means she is not able to process whatever you are saying to her. These all abnormal findings in brain due to tubercular meningitis will recover gradually with medications but if it leaves behind some residual abnormality then there will be some abnormality in her behavior permanently. She must be on treatment for tuberculosis, she shut complete the course of the treatment which must be of longer duration mostly of 6 to 9 months n during these period her behavior can be managed with antipsychotic medications. It will be wise to start any antipsychotics after careful observation of the symptoms on the part of the treating psychiatrist. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: MRI REPORT"
},
{
"from": "gpt",
"value": "Output: This is a case of organic mental illness. Your sis have abnormalities in her brain n the frontotemporal lobe of the brain governs the behavior of the person and the temporal lobe in particular is for reception of auditory perception means she is not able to process whatever you are saying to her. These all abnormal findings in brain due to tubercular meningitis will recover gradually with medications but if it leaves behind some residual abnormality then there will be some abnormality in her behavior permanently. She must be on treatment for tuberculosis, she shut complete the course of the treatment which must be of longer duration mostly of 6 to 9 months n during these period her behavior can be managed with antipsychotic medications. It will be wise to start any antipsychotics after careful observation of the symptoms on the part of the treating psychiatrist."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a kidney cyst measuring 2.5 cm. i have burning type pain on urination, frequency of urination and lower abdominal and left sided back pain. my urine mcs gave a result of RBC - 71 and WBC - 467. does this mean just a simple UTI or could the presence of RBC be of another concern? | Hello . The amount of white blood cells and red blood cells that you are passing in your urine are significant and is not merely related to only urinary tract infection, we can not neglect your kidney cyst, having said that the description and size of your kidney cyst are incomplete, you should see whether the cyst is simple or have septations within, making it complex in nature. If your earlier ultrasound doesn't gave this information than is suggested you to go for another scan and ask the monologist same information. Your further management depends on that. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a kidney cyst measuring 2.5 cm. i have burning type pain on urination, frequency of urination and lower abdominal and left sided back pain. my urine mcs gave a result of RBC - 71 and WBC - 467. does this mean just a simple UTI or could the presence of RBC be of another concern?"
},
{
"from": "gpt",
"value": "Output: Hello . The amount of white blood cells and red blood cells that you are passing in your urine are significant and is not merely related to only urinary tract infection, we can not neglect your kidney cyst, having said that the description and size of your kidney cyst are incomplete, you should see whether the cyst is simple or have septations within, making it complex in nature. If your earlier ultrasound doesn't gave this information than is suggested you to go for another scan and ask the monologist same information. Your further management depends on that."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I knocked my shin at work a week ago. When I got home, there was a fist sized bump at the point of impact. I was able to go nack to work for the rest of the week. Today the swelling hasn t really gone down, its just spread out. Painful to the touch. And is like hard putty (i can leave an indentation with my finger). Its more painful to walk on it today than 5 days ago. It has minimal bruising, but the bruising is down 8 inches around my ankle. | Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems to be a hematoma initially due to the trauma, which now got inflamed, and if not treated might turn into an abscess. If I were your doctor, I would advise you for an anti-inflammatory along with a proton pump inhibitor along with a broad spectrum antibiotic, which might relieve the inflammation and some kind of pressure bandage might be needed to get it absorbed gradually. If not, you might have to get it assessed by a general surgeon in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I knocked my shin at work a week ago. When I got home, there was a fist sized bump at the point of impact. I was able to go nack to work for the rest of the week. Today the swelling hasn t really gone down, its just spread out. Painful to the touch. And is like hard putty (i can leave an indentation with my finger). Its more painful to walk on it today than 5 days ago. It has minimal bruising, but the bruising is down 8 inches around my ankle."
},
{
"from": "gpt",
"value": "Output: Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems to be a hematoma initially due to the trauma, which now got inflamed, and if not treated might turn into an abscess. If I were your doctor, I would advise you for an anti-inflammatory along with a proton pump inhibitor along with a broad spectrum antibiotic, which might relieve the inflammation and some kind of pressure bandage might be needed to get it absorbed gradually. If not, you might have to get it assessed by a general surgeon in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father is diabetic,he has been complaining of fever and chest pain,he has been admitted to the hospital and it seems that he has pneumonia his liver enzymes also seem to be elevated I just want to know how serious his situation is. Thank you in advance | Hi welcome to the Chat Doctor In diabetes chances of infection are more... Opportunistic fungal infection chances also present So detail clinical history taken work up done in following ways.... -Chest x-ray -Auscultation -CBC -Sputum examination esp gram and AFB stain If x-ray shows consolidation than pneumonia can be there and antibiotic given... You might be kept under observation in hospital for three to five days and if needed intravenous medication can be given For pain paracetamol will be given and if pleurisy leads severe unbearable pain than tramadol so scan be prescribed Take care Pulmonologist consultation advisable for examination | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father is diabetic,he has been complaining of fever and chest pain,he has been admitted to the hospital and it seems that he has pneumonia his liver enzymes also seem to be elevated I just want to know how serious his situation is. Thank you in advance"
},
{
"from": "gpt",
"value": "Output: Hi welcome to the Chat Doctor In diabetes chances of infection are more... Opportunistic fungal infection chances also present So detail clinical history taken work up done in following ways.... -Chest x-ray -Auscultation -CBC -Sputum examination esp gram and AFB stain If x-ray shows consolidation than pneumonia can be there and antibiotic given... You might be kept under observation in hospital for three to five days and if needed intravenous medication can be given For pain paracetamol will be given and if pleurisy leads severe unbearable pain than tramadol so scan be prescribed Take care Pulmonologist consultation advisable for examination"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am an asthma sufferer but it was very miled and hardly i have to take medicine once or twice in a year. but recently a disease named as GERD has develop in me and since then the condition of asthma worsen and i have to take ashthalin inhaler regularly. I s any advive for me? | Hello. Thank you for asking at Chat Doctor. I would like to know your age. At present, I assume that you are a young adult or a middle-aged adult. GERD is Gastroesophageal reflux disease, in simple language, contents from your stomach enter esophagus in an abnormal way that causes any of the symptoms like regurgitation, nausea, vomiting, burning in chest or epigastric, etc. Normally a valve (sphincter) is present at lower end of esophagus which prevents this. Due to various factors, this preventing mechanism is disturbed and causes HERD. As you are having asthma, it is important for you to know that | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am an asthma sufferer but it was very miled and hardly i have to take medicine once or twice in a year. but recently a disease named as GERD has develop in me and since then the condition of asthma worsen and i have to take ashthalin inhaler regularly. I s any advive for me?"
},
{
"from": "gpt",
"value": "Output: Hello. Thank you for asking at Chat Doctor. I would like to know your age. At present, I assume that you are a young adult or a middle-aged adult. GERD is Gastroesophageal reflux disease, in simple language, contents from your stomach enter esophagus in an abnormal way that causes any of the symptoms like regurgitation, nausea, vomiting, burning in chest or epigastric, etc. Normally a valve (sphincter) is present at lower end of esophagus which prevents this. Due to various factors, this preventing mechanism is disturbed and causes HERD. As you are having asthma, it is important for you to know that"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have a quick question doctor went i weak up today i notice a small little hump or lump in my inner tight by my right testicul but its is on my leg and went i touch it heard and it feel like a small ball i press it and i only get blood out of it and its getting me worrie. | Hi, If I were your treating Doctor for this case of a bloody thigh lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have a quick question doctor went i weak up today i notice a small little hump or lump in my inner tight by my right testicul but its is on my leg and went i touch it heard and it feel like a small ball i press it and i only get blood out of it and its getting me worrie."
},
{
"from": "gpt",
"value": "Output: Hi, If I were your treating Doctor for this case of a bloody thigh lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have a sed rate that is slightly high. In June I had wrist pain on a camping trip and was tested for Lupus, Gout, ANA, and lymes. All came back normal. My WBC, Platelets and sed rate were high. in the past month the WBC came back normal, the platelets are almost back to normal and the sed rate came down by 2 points but I am still at 25. My Doc doesnt seem concerned. Should I be? | Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease are the common causes. If you don't have any symptoms and your tests are negative then no need to worry. Many persons have slightly high ESR without any known disease or abnormality. So no need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have a sed rate that is slightly high. In June I had wrist pain on a camping trip and was tested for Lupus, Gout, ANA, and lymes. All came back normal. My WBC, Platelets and sed rate were high. in the past month the WBC came back normal, the platelets are almost back to normal and the sed rate came down by 2 points but I am still at 25. My Doc doesnt seem concerned. Should I be?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease are the common causes. If you don't have any symptoms and your tests are negative then no need to worry. Many persons have slightly high ESR without any known disease or abnormality. So no need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doc.... ummmm, I wiped out 4 days ago on the ice, flipped right back and smacked the back of my head... felt like I crushed it..... also ....right after.... it felt like there was a massive rush of blood streaming down my skull into my neck...weird.... it was internal.... i didnt break the skin.... I had all the symptoms of a mild concussion.... only lasted a hour, and i havent had to take any sort of pain relief... thus far .... but my head feels strange... ( p.s. only a walnut size bump at the very top... it is finally gone...) ---- I feel a little dizzy now and then - doesnt last long .... and my head feels weird ....do i need to worry? -- thank you for your time / response - Laurie | Hi, Welcome to Chat Doctor forum. As you describe it appears that you had a hard injury to the head. Resulted in a bump, and it resolved. There is no vomiting, and unconscious less, so it may not be a concussion. Anyhow I advise you to consult a neurologist for diagnosis or excluding the concussion. You may need to have a C.T.scan for diagnosis. Wishing for a quick and complete recovery. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doc.... ummmm, I wiped out 4 days ago on the ice, flipped right back and smacked the back of my head... felt like I crushed it..... also ....right after.... it felt like there was a massive rush of blood streaming down my skull into my neck...weird.... it was internal.... i didnt break the skin.... I had all the symptoms of a mild concussion.... only lasted a hour, and i havent had to take any sort of pain relief... thus far .... but my head feels strange... ( p.s. only a walnut size bump at the very top... it is finally gone...) ---- I feel a little dizzy now and then - doesnt last long .... and my head feels weird ....do i need to worry? -- thank you for your time / response - Laurie"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. As you describe it appears that you had a hard injury to the head. Resulted in a bump, and it resolved. There is no vomiting, and unconscious less, so it may not be a concussion. Anyhow I advise you to consult a neurologist for diagnosis or excluding the concussion. You may need to have a C.T.scan for diagnosis. Wishing for a quick and complete recovery. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had both knees replaced, right hip replaced, left foot reconstructed, left reverse shoulder replaced, back surgery where a cage was put in, among other surgeries. I had a MRI done last week and found my back has four disk blown and my neck has two disks blown. The surgeon said they could fuse my back but there is only a 10% chance it will help. The disk in my neck is causing headaches. They are going to do injections in it soon. My right foot is deformed and have been told I need reconstruction surgery on it also. I know the feet can affect the back and the back affects the legs. At this point I am not sure which way to turn. Although I have a high pain tolerance I know I am facing some serious pain. I do not want to live the rest of my life in a drug induced stupor from pain meds. In fact I will NOT exsist like that. Please give me some input. | Hello, Sorry to hear about the list of injuries you faced. Coming to the point, you mentioned that MRI is suggestive of Lumbar and cervical disc degenerative changes. Let's discuss this first and then the rest. What my experience taught me over a period of 12 years with cases related to injuries like you and others I will give my suggestion. First foremost, buy a soft neck collar and start using it. This will stabilize the bones of the cervical region and also will act as s support to the muscular system to allow less compression over the nerve. The disc injuries are most times self-healing, once the inflammation subsides you should not feel much pain. When using neck collar I will advise you to use on/off hot water fermentation so that the muscled which have undergone spasm will relax, and the pain will come down slowly. Along with this. You have lumbar disc degenerative changes, so why don't you first take hot water fermentation so that the muscles of the lumbar region gets relaxed and make you at least stable. Post this use 3-4 pillows and try McKenzie maneuver in passive way. The details of McKenzie you can find over the net. This will help centralize the pain and once the pain is centralized you can use hot water bag to again soothe the nerve roots. Once nerve root is relaxed the pain travelling in its course will reduce automatically. Post which after 5-7 days of doing this you can focus on exercises, but please continue the above advice as well. Exercise should focus on core stability, lower limb strengthening, upper limb strengthening and neck muscle strengthening. Slowly you will develop strength also and the inflammation on the nerve root will be reduced leading to the end result of improved lifestyle. If your pain symptoms are too high then a nerve block may be administered to the nerve root which may block the pain sensation for a couple of months. But if the muscles remain week still, it will again come back so doing the above-mentioned exercise will be of help to avoid recurrence of pain symptoms. Coming to the surgical management, there is possibility of removal of the torn disc element and also fusing the spine, but this may not make you get rid of the pain over all for long. The pain will be present throughout the life and need exercise for the same. This option I do not recommend unless and until the motor functions are compromised. Also, very important is the diet, what you eat is to be focused. Having food which can digest faster without leading to any gastritis should be kept in mind. As with gastritis there may be leading to two symptoms, one compression over the nerve in the lower spine and headache. Having a good diet plan will be good. Please do not ignore the hip and knee muscles as you have the replacement done in the past and the muscles are weak this may aggravate the spine curvature to deviate and lead to other symptoms. Coming to your ankle, I cannot comment much as the history is too brief to guide over anything. I am sorry for it. Please contact a local physical therapist who can show interest in you and give the maximum output. I have tried my best to put forth the best possible treatment plan which should help you. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had both knees replaced, right hip replaced, left foot reconstructed, left reverse shoulder replaced, back surgery where a cage was put in, among other surgeries. I had a MRI done last week and found my back has four disk blown and my neck has two disks blown. The surgeon said they could fuse my back but there is only a 10% chance it will help. The disk in my neck is causing headaches. They are going to do injections in it soon. My right foot is deformed and have been told I need reconstruction surgery on it also. I know the feet can affect the back and the back affects the legs. At this point I am not sure which way to turn. Although I have a high pain tolerance I know I am facing some serious pain. I do not want to live the rest of my life in a drug induced stupor from pain meds. In fact I will NOT exsist like that. Please give me some input."
},
{
"from": "gpt",
"value": "Output: Hello, Sorry to hear about the list of injuries you faced. Coming to the point, you mentioned that MRI is suggestive of Lumbar and cervical disc degenerative changes. Let's discuss this first and then the rest. What my experience taught me over a period of 12 years with cases related to injuries like you and others I will give my suggestion. First foremost, buy a soft neck collar and start using it. This will stabilize the bones of the cervical region and also will act as s support to the muscular system to allow less compression over the nerve. The disc injuries are most times self-healing, once the inflammation subsides you should not feel much pain. When using neck collar I will advise you to use on/off hot water fermentation so that the muscled which have undergone spasm will relax, and the pain will come down slowly. Along with this. You have lumbar disc degenerative changes, so why don't you first take hot water fermentation so that the muscles of the lumbar region gets relaxed and make you at least stable. Post this use 3-4 pillows and try McKenzie maneuver in passive way. The details of McKenzie you can find over the net. This will help centralize the pain and once the pain is centralized you can use hot water bag to again soothe the nerve roots. Once nerve root is relaxed the pain travelling in its course will reduce automatically. Post which after 5-7 days of doing this you can focus on exercises, but please continue the above advice as well. Exercise should focus on core stability, lower limb strengthening, upper limb strengthening and neck muscle strengthening. Slowly you will develop strength also and the inflammation on the nerve root will be reduced leading to the end result of improved lifestyle. If your pain symptoms are too high then a nerve block may be administered to the nerve root which may block the pain sensation for a couple of months. But if the muscles remain week still, it will again come back so doing the above-mentioned exercise will be of help to avoid recurrence of pain symptoms. Coming to the surgical management, there is possibility of removal of the torn disc element and also fusing the spine, but this may not make you get rid of the pain over all for long. The pain will be present throughout the life and need exercise for the same. This option I do not recommend unless and until the motor functions are compromised. Also, very important is the diet, what you eat is to be focused. Having food which can digest faster without leading to any gastritis should be kept in mind. As with gastritis there may be leading to two symptoms, one compression over the nerve in the lower spine and headache. Having a good diet plan will be good. Please do not ignore the hip and knee muscles as you have the replacement done in the past and the muscles are weak this may aggravate the spine curvature to deviate and lead to other symptoms. Coming to your ankle, I cannot comment much as the history is too brief to guide over anything. I am sorry for it. Please contact a local physical therapist who can show interest in you and give the maximum output. I have tried my best to put forth the best possible treatment plan which should help you. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, This is for my son who is 11 days old. i had a c section and and my baby had the normal bowel movements for the first 3 days (meconium). my baby is breast feeded and now he is not having bowel movement at all. he wets his diaper only 3 times a day. what i shud do ... | Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. A baby should pass urine at least 6 times a day and if the baby is not passing urine 6 times a day then the baby might be getting inadequate feed. You should feed the baby more regularly. A baby may pass stool 4 to 5 times a day or may pass stool only once in 5 to 6 days. Both these things are normal. I hope this will help you. Wishing your child good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, This is for my son who is 11 days old. i had a c section and and my baby had the normal bowel movements for the first 3 days (meconium). my baby is breast feeded and now he is not having bowel movement at all. he wets his diaper only 3 times a day. what i shud do ..."
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. A baby should pass urine at least 6 times a day and if the baby is not passing urine 6 times a day then the baby might be getting inadequate feed. You should feed the baby more regularly. A baby may pass stool 4 to 5 times a day or may pass stool only once in 5 to 6 days. Both these things are normal. I hope this will help you. Wishing your child good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son, almost three, has been passing stools with what looks like hair in it. i have long blond hair that i keep up and i notice that when he finds any hairs on the floor or couch, he likes to play with them and wrap them around his fingers and such. he doesn t seem to have any trouble passing stools...has at least 1 BM a day. and it s not an obscene amount of hair...maybe a few strands here and there. is this cause for concern? | Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Your cholesterol is not that high to be very worried. You may easily look after him and don't allow him to suck your hair, because it can cause phytobezoar | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son, almost three, has been passing stools with what looks like hair in it. i have long blond hair that i keep up and i notice that when he finds any hairs on the floor or couch, he likes to play with them and wrap them around his fingers and such. he doesn t seem to have any trouble passing stools...has at least 1 BM a day. and it s not an obscene amount of hair...maybe a few strands here and there. is this cause for concern?"
},
{
"from": "gpt",
"value": "Output: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Your cholesterol is not that high to be very worried. You may easily look after him and don't allow him to suck your hair, because it can cause phytobezoar"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello i want to ask you about connection between infection in a tooth and tonsillitis chronica. My dentist told me, that i have infection in my tooth, because she failed something and now i have tonsillitis chronica and nothing seems to help (i had duracef,bioparox and now klacid sr) Thank you for your help. Iam going to see my dentist in 2 weeks. | Hi, Thank you for the query. Tonsililitis chronic is an infection and oval shaped swelling of the lymph gland tissue located on both sides on the back of the throat caused because of the bacterial or viral infection. Presence of infection in the teeth and the tonsils are usually because of the same bacterial flora but the possibility of transfer from the teeth to the tonsils is very much less. Soo it indicates infection of the teeth itself. See your dentist and get the teeth treated. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello i want to ask you about connection between infection in a tooth and tonsillitis chronica. My dentist told me, that i have infection in my tooth, because she failed something and now i have tonsillitis chronica and nothing seems to help (i had duracef,bioparox and now klacid sr) Thank you for your help. Iam going to see my dentist in 2 weeks."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for the query. Tonsililitis chronic is an infection and oval shaped swelling of the lymph gland tissue located on both sides on the back of the throat caused because of the bacterial or viral infection. Presence of infection in the teeth and the tonsils are usually because of the same bacterial flora but the possibility of transfer from the teeth to the tonsils is very much less. Soo it indicates infection of the teeth itself. See your dentist and get the teeth treated."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I am lady aged 39. For the past two to three weeks I have been experiencing bloating on the right side and some pressure under my right rib cage. Normally it happens at nite when I am sleeping and I cant sleep on my left side because Id feel much pressure when sleeping on the left side, so I would sleep on my right side to put pressure on the discomfort. Id wake up and take a glass of warm water and the pain/pressure gets better and maybe pass a lot of gas. It happens ,ore often after eating dairy products, some vegetables and fizzy drinks especially coke. Was taking anxiety medicine last year for eight months. Have had birning sensation on my lower abdomen but has disappeared. Help | Hello dear, The symptoms as mentioned in your post can be attributed to accumulation of gas secondary to increased acid production in the stomach. Investigations like Sonogram or Upper GI endoscopy will be helpful to rule out any pathological cause for the symptoms. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I am lady aged 39. For the past two to three weeks I have been experiencing bloating on the right side and some pressure under my right rib cage. Normally it happens at nite when I am sleeping and I cant sleep on my left side because Id feel much pressure when sleeping on the left side, so I would sleep on my right side to put pressure on the discomfort. Id wake up and take a glass of warm water and the pain/pressure gets better and maybe pass a lot of gas. It happens ,ore often after eating dairy products, some vegetables and fizzy drinks especially coke. Was taking anxiety medicine last year for eight months. Have had birning sensation on my lower abdomen but has disappeared. Help"
},
{
"from": "gpt",
"value": "Output: Hello dear, The symptoms as mentioned in your post can be attributed to accumulation of gas secondary to increased acid production in the stomach. Investigations like Sonogram or Upper GI endoscopy will be helpful to rule out any pathological cause for the symptoms. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son is two years old and from past 3 months he is suffering from cold and cough. we had given him medicines prescribed by Dr. and even nebulization. He gets relief for couple of days and again the problem persists. he weighs 10 kgs. we started feeding him with pedia sure from one months and the results are good. | Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son is two years old and from past 3 months he is suffering from cold and cough. we had given him medicines prescribed by Dr. and even nebulization. He gets relief for couple of days and again the problem persists. he weighs 10 kgs. we started feeding him with pedia sure from one months and the results are good."
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir i am a man 30 years old having small stone in my right kidney my Doctor proscribed me syrop. Portrate MB, i could not find it in the drug store would you please guide me the exact name of the medicine as well as the dosage? YYYY@YYYY | Hello and welcome to Chat Doctor. As a Urologist, I can suggest you take potassium magnesium citrate, which is available as tablets, syrup or sachets. Different companies market the same product in various names, like Stone-1 MB6,Alston MB6, etc., which are same as Pot rate MB6. You should be able to get in most medical stores. Taking an alpha blocker like Alfuzosin with that, helps expel stone faster. If you send details to me as a direct question, i can give expert opinion. Chat Doctor. 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: Dear Sir i am a man 30 years old having small stone in my right kidney my Doctor proscribed me syrop. Portrate MB, i could not find it in the drug store would you please guide me the exact name of the medicine as well as the dosage? YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. As a Urologist, I can suggest you take potassium magnesium citrate, which is available as tablets, syrup or sachets. Different companies market the same product in various names, like Stone-1 MB6,Alston MB6, etc., which are same as Pot rate MB6. You should be able to get in most medical stores. Taking an alpha blocker like Alfuzosin with that, helps expel stone faster. If you send details to me as a direct question, i can give expert opinion. Chat Doctor. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi My Daughter is 1 year and 3 months older.She is having constant pain in Teeth. I try to apply Zytel Gel on her teeths but still no go. Can u refer me any medicine that is good for her teeting pains.DOc has reffered Caldikind Zinconia Syrup for 1 year. Also T minic.Can you guide us how we can help her from Chroinic Pains, Vomit and Slight Fever in this agePuneet Anand | Hiwelcome to ChatDoctorpain in teeth at this age could be because of teething or some calcium deficiency or underlying infection. For calcium deficiency you can give her CARFAX (Range) and for pain you can give her ibuprofen syrup, but it should be avoiding to give painkiller at this age for long. So I will advise to visit your pediatrician (dentist) and get an OPG ray done to reveal underlying problem and get treated for same. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi My Daughter is 1 year and 3 months older.She is having constant pain in Teeth. I try to apply Zytel Gel on her teeths but still no go. Can u refer me any medicine that is good for her teeting pains.DOc has reffered Caldikind Zinconia Syrup for 1 year. Also T minic.Can you guide us how we can help her from Chroinic Pains, Vomit and Slight Fever in this agePuneet Anand"
},
{
"from": "gpt",
"value": "Output: Hiwelcome to ChatDoctorpain in teeth at this age could be because of teething or some calcium deficiency or underlying infection. For calcium deficiency you can give her CARFAX (Range) and for pain you can give her ibuprofen syrup, but it should be avoiding to give painkiller at this age for long. So I will advise to visit your pediatrician (dentist) and get an OPG ray done to reveal underlying problem and get treated for same. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a cough for about a year and here recently I see that I cough up blood in the mucuse...it s not a lot but enough to make me wonder. I worked at crystal sugar and was subject to breathing lime dust among othere dusts. Could this possibly be linked? | Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) to rule out chronic lung infection and chronic bronchitis. Yes, you are right about crystal sugar and lime dust. Chronic exposure of both of these can cause pulmonary diseases. And blood in sputum (hemoptysis) is something, you should worry. It suggests worsening of underlying lung disease. So better to first diagnose yourself and then start appropriate treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a cough for about a year and here recently I see that I cough up blood in the mucuse...it s not a lot but enough to make me wonder. I worked at crystal sugar and was subject to breathing lime dust among othere dusts. Could this possibly be linked?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) to rule out chronic lung infection and chronic bronchitis. Yes, you are right about crystal sugar and lime dust. Chronic exposure of both of these can cause pulmonary diseases. And blood in sputum (hemoptysis) is something, you should worry. It suggests worsening of underlying lung disease. So better to first diagnose yourself and then start appropriate treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HiI am suffering some left upper chest discomfortableThe problem is more serious after 3 or 4 hours from taking foodSo some thing that always try to come in up in left chest in form of sounding\"burbur\"so pls suggest some thingThe problem is about 2 and 1/2 yearsand still it is very much problematicI have shown one cardiologist.He suggested me to go to an gasteroentrologist.I have also shown him.But nothing got.I have done \"Endoscopy and colonoscopy\"nothing foundThen upper ultrasonography.Get some relief after taking food.That is Ihave been doing last years.I think below the left chest some vacuum place always form.And from there one form gas try to come upper through the left side of the chest.please suggest something. | Hello, Most probably a Gastroesophageal reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end of the bed or use pillows during sleep or rest. You should get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. 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: HiI am suffering some left upper chest discomfortableThe problem is more serious after 3 or 4 hours from taking foodSo some thing that always try to come in up in left chest in form of sounding\\\"burbur\\\"so pls suggest some thingThe problem is about 2 and 1/2 yearsand still it is very much problematicI have shown one cardiologist.He suggested me to go to an gasteroentrologist.I have also shown him.But nothing got.I have done \\\"Endoscopy and colonoscopy\\\"nothing foundThen upper ultrasonography.Get some relief after taking food.That is Ihave been doing last years.I think below the left chest some vacuum place always form.And from there one form gas try to come upper through the left side of the chest.please suggest something."
},
{
"from": "gpt",
"value": "Output: Hello, Most probably a Gastroesophageal reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end of the bed or use pillows during sleep or rest. You should get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. 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 am having difficulty walking up and down stairs, my legs are shaky and when I get to the top or bottom of the stairs I have to stop due to dizziness. This has been happening for a few days now and I have no energy, I currently have a head cold but not sure if that is related to the shaky legs. | Dear Patient with your type of symptoms I would first like to know your cardiac status, for that ECG and treadmill tests are essential and ECG during treadmill is more informative, second thing I would order blood investigations to see your Hemoglobin status and any infective or inflammatory condition, so getting CBC, ESR and CRP will suffice. So first and foremost see your doctor, discuss this discussion and get examined and investigated. Hope you heal soon. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having difficulty walking up and down stairs, my legs are shaky and when I get to the top or bottom of the stairs I have to stop due to dizziness. This has been happening for a few days now and I have no energy, I currently have a head cold but not sure if that is related to the shaky legs."
},
{
"from": "gpt",
"value": "Output: Dear Patient with your type of symptoms I would first like to know your cardiac status, for that ECG and treadmill tests are essential and ECG during treadmill is more informative, second thing I would order blood investigations to see your Hemoglobin status and any infective or inflammatory condition, so getting CBC, ESR and CRP will suffice. So first and foremost see your doctor, discuss this discussion and get examined and investigated. Hope you heal soon."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my mother has stage 4 ovarian cancer. She is 76 and has historic poor kidneys, a heart murmur and osteoporosis. This all came out of the blue as 4 weeks ago we were in complete ignorance. She had an operation last week but found that it was inoperable as there was so much adhesion and could only remove for biopsy along with 2.5.litres of asethetic fluid. She has now been sent home and the oncologist will start therapy as soon as the wound has healed and he receives the lab test results although he has indicated this will only be palliative. Shes in a lot of pain and discomfort and wonder how long she can survive? She is now incontinent and can only manage a few steps. My sister lives abroad although is visiting every other week and as Im male she is reluctant for me to help with her personal hygiene issues. She is very independent and it is heartbreaking to see her deteriorate. She has a good live in home help and nurses are extremely helpful and visit daily. We live in Cyprus. | Hi, dairy have gone through your question. I can understand your concern. She has stage 4 ovarian cancer with poor kidney and heart. Surgery is not possible with adhesive cancer. Chemotherapy and radiotherapy is the only treatment. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Treatment is just palliative and give her symptomatic relief. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello my mother has stage 4 ovarian cancer. She is 76 and has historic poor kidneys, a heart murmur and osteoporosis. This all came out of the blue as 4 weeks ago we were in complete ignorance. She had an operation last week but found that it was inoperable as there was so much adhesion and could only remove for biopsy along with 2.5.litres of asethetic fluid. She has now been sent home and the oncologist will start therapy as soon as the wound has healed and he receives the lab test results although he has indicated this will only be palliative. Shes in a lot of pain and discomfort and wonder how long she can survive? She is now incontinent and can only manage a few steps. My sister lives abroad although is visiting every other week and as Im male she is reluctant for me to help with her personal hygiene issues. She is very independent and it is heartbreaking to see her deteriorate. She has a good live in home help and nurses are extremely helpful and visit daily. We live in Cyprus."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. She has stage 4 ovarian cancer with poor kidney and heart. Surgery is not possible with adhesive cancer. Chemotherapy and radiotherapy is the only treatment. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Treatment is just palliative and give her symptomatic relief. 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. | Dear Doctor, my 5-1/2 year old daughter complains of abdominal pain every night. We gave her Nizonide-O, O2 & Cyclopam suspension. Her pain subsides for an hr or two but then again starts. We did her USG but nothing came out of it. Also, her stool examination report indicates Pus cells in the range of 12-20/hpf. Pls let me know what that means and what can be the cure of this pain ? Thank you. Ashwin | HI. The reports are suggestive of colitis and needs a careful treatment of 1 to 3 weeks duration. If required you may please consult a Pediatric Surgeon who is a better one that the routine Pediatrician. He can perform colonoscopy if he has pediatric colonoscope which gives a perfect diagnosis. Please give a full course of treatment as well as treatment of worms, even though it may not be seen ob stool examination(empirical basis). Stool culture and sensitivity test helps in some cases to have a direction of the proper antibiotics and complete recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor, my 5-1/2 year old daughter complains of abdominal pain every night. We gave her Nizonide-O, O2 & Cyclopam suspension. Her pain subsides for an hr or two but then again starts. We did her USG but nothing came out of it. Also, her stool examination report indicates Pus cells in the range of 12-20/hpf. Pls let me know what that means and what can be the cure of this pain ? Thank you. Ashwin"
},
{
"from": "gpt",
"value": "Output: HI. The reports are suggestive of colitis and needs a careful treatment of 1 to 3 weeks duration. If required you may please consult a Pediatric Surgeon who is a better one that the routine Pediatrician. He can perform colonoscopy if he has pediatric colonoscope which gives a perfect diagnosis. Please give a full course of treatment as well as treatment of worms, even though it may not be seen ob stool examination(empirical basis). Stool culture and sensitivity test helps in some cases to have a direction of the proper antibiotics and complete recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,When I sit on chair or lie down, I feel numbness in my hands and legs. And I always feel something strange in my body, like jijijiji. Which part of my body is touched with something, it start numbness on that place in a minute. I visited lots of doctors in different countries but they are unable to find the cause. If you please help me ?Thanks,AKM | Hello understand your concern. What you describe is called a paresthesia, an odd sensation when a particular area of your body is touched. There are multiple causes of paresthesia, including neurological, vitamin deficiencies and even psychological. If you have seen many physicians already, I assume you had blood tests to check thyroid, B12 level, calcium level, magnesium level, iron level, as well as kidney and liver functions. Some liver and kidney conditions could cause paresthesia. Also, some autoimmune diseases cause similar symptoms such as lupus or polymyalgia rheumatic. Next is to get electromyelograms with nerve conducting velocities of your arms or legs. This will help identify any problem with your nerves or muscles. Some types of naturopathies cause parasomnias. Do you have any medical conditions or are you on any medications that could cause these symptoms? The causes as you can see are varied. You can also see a pain management specialist who can help with the paresthesia. I hope you feel better | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,When I sit on chair or lie down, I feel numbness in my hands and legs. And I always feel something strange in my body, like jijijiji. Which part of my body is touched with something, it start numbness on that place in a minute. I visited lots of doctors in different countries but they are unable to find the cause. If you please help me ?Thanks,AKM"
},
{
"from": "gpt",
"value": "Output: Hello understand your concern. What you describe is called a paresthesia, an odd sensation when a particular area of your body is touched. There are multiple causes of paresthesia, including neurological, vitamin deficiencies and even psychological. If you have seen many physicians already, I assume you had blood tests to check thyroid, B12 level, calcium level, magnesium level, iron level, as well as kidney and liver functions. Some liver and kidney conditions could cause paresthesia. Also, some autoimmune diseases cause similar symptoms such as lupus or polymyalgia rheumatic. Next is to get electromyelograms with nerve conducting velocities of your arms or legs. This will help identify any problem with your nerves or muscles. Some types of naturopathies cause parasomnias. Do you have any medical conditions or are you on any medications that could cause these symptoms? The causes as you can see are varied. You can also see a pain management specialist who can help with the paresthesia. I hope you feel better"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I accidentally hit my gum flap over my wisdom tooth with a sucker and then it cut it somehow it got infected and it hurts and everything hurts so bad I cant and swallow I cant do nothing till now it has spread into three or four different spots on my gums what are real red and white spots and its just so bad I dont know what to do Im already taking antibiotics for my stitches in my hand but yet this wont go away | Hi. Thanks for the query. It looks like the gum flap is inflamed due to injury caused by the sucker leading to pain. Swallowing difficulty is due to inflammation of the throat that is common in infection and inflammation of the gum flap over the wisdom tooth as this area is close to the throat. So my suggestion is to consult an Oral Physician and get evaluated. You can be advised antibiotics like Amoxicillin and metronidazole.Anti-inflammatory painkillers like Ibuprofen can be advised. Do warm saline gargles and antiseptic mouthwash gargles. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I accidentally hit my gum flap over my wisdom tooth with a sucker and then it cut it somehow it got infected and it hurts and everything hurts so bad I cant and swallow I cant do nothing till now it has spread into three or four different spots on my gums what are real red and white spots and its just so bad I dont know what to do Im already taking antibiotics for my stitches in my hand but yet this wont go away"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. It looks like the gum flap is inflamed due to injury caused by the sucker leading to pain. Swallowing difficulty is due to inflammation of the throat that is common in infection and inflammation of the gum flap over the wisdom tooth as this area is close to the throat. So my suggestion is to consult an Oral Physician and get evaluated. You can be advised antibiotics like Amoxicillin and metronidazole.Anti-inflammatory painkillers like Ibuprofen can be advised. Do warm saline gargles and antiseptic mouthwash gargles. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 17 year old daughter has has a few episodes of sycope lately and blackness of vision . She is otherwise healthy and an athlete. We were advised to see a neurologist whohad her undergo an Bloodwork-clean, MRI- clean, EEG-some spikes while sleeping. He says she could be prone to seizures but not really What does that mean? | Dear parent, Thanks for your Quertle problem that your daughter has is common complaint and answer lies in history and not in investigations. Thus, first let us see what your daughter has. We may not conclude it as syncope and let us consider as a paroxysmal event what all happens before during and after event is of prime importance. What are the preceding complaints and what is her motor status during the event. How long or short duration are the events and at what level of consciousness is she at time of event is very important Now coming to investigations - EEG showing spikes is not epilepsy. The spikes in EEG could be a hereditary trait. There are a lot of normal variants which could cause spikes I think you may also require a TILT TABLE TEST which is positive can clinch diagnosis | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 17 year old daughter has has a few episodes of sycope lately and blackness of vision . She is otherwise healthy and an athlete. We were advised to see a neurologist whohad her undergo an Bloodwork-clean, MRI- clean, EEG-some spikes while sleeping. He says she could be prone to seizures but not really What does that mean?"
},
{
"from": "gpt",
"value": "Output: Dear parent, Thanks for your Quertle problem that your daughter has is common complaint and answer lies in history and not in investigations. Thus, first let us see what your daughter has. We may not conclude it as syncope and let us consider as a paroxysmal event what all happens before during and after event is of prime importance. What are the preceding complaints and what is her motor status during the event. How long or short duration are the events and at what level of consciousness is she at time of event is very important Now coming to investigations - EEG showing spikes is not epilepsy. The spikes in EEG could be a hereditary trait. There are a lot of normal variants which could cause spikes I think you may also require a TILT TABLE TEST which is positive can clinch diagnosis"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | iv drug use associated with intense side effects I have a friend who.has been using Meth via syringe for aprox 8 yr and just recently he has had some body aches after getting high. the last couple times he complained of real bad ear pain on the left side where the bottom of his ear connects to his head along with aches and pains in most of his joints with sharp pains that shoot randomly in different parts of his body. | Hi, Thank you for your question. According to your question, I would say he should immediately see a physician. Since he is an iv Chat Doctor. He should get a thorough physical examination with a blood work up done which includes HIV serology testing, Complete blood count, joint aspirate looking for any infections etc.Also, methamphetamine has serious adverse effects includes high blood pressure, chest pain, decrease in appetite leading to anorexia and low immunity. So lot of things can be interrelated and tangled. Please take him to a physician as soon as possible. Hope I could give you an overall picture. If you have any more questions, I would be happy to answer. Thank you, Moumita Chakraborty | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: iv drug use associated with intense side effects I have a friend who.has been using Meth via syringe for aprox 8 yr and just recently he has had some body aches after getting high. the last couple times he complained of real bad ear pain on the left side where the bottom of his ear connects to his head along with aches and pains in most of his joints with sharp pains that shoot randomly in different parts of his body."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your question. According to your question, I would say he should immediately see a physician. Since he is an iv Chat Doctor. He should get a thorough physical examination with a blood work up done which includes HIV serology testing, Complete blood count, joint aspirate looking for any infections etc.Also, methamphetamine has serious adverse effects includes high blood pressure, chest pain, decrease in appetite leading to anorexia and low immunity. So lot of things can be interrelated and tangled. Please take him to a physician as soon as possible. Hope I could give you an overall picture. If you have any more questions, I would be happy to answer. Thank you, Moumita Chakraborty"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I was having boils on my feet continously doctor detected that i am having skin infection, so he ask me to have CBC test, followings are my test reports | Hi, dairy have gone through your question. I can understand your concern. You have lymphocytes. However, your total WBC count and platelet count is normal. Lymphocytes can be due to some viral infection or non-specific cause. You should repeat your blood count after 1 month. It will mostly come down to normal. If it remains persistently high or if your total count is also increased then you need further investigation. Right now no need to worry. No treatment is required for that. 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 was having boils on my feet continously doctor detected that i am having skin infection, so he ask me to have CBC test, followings are my test reports"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You have lymphocytes. However, your total WBC count and platelet count is normal. Lymphocytes can be due to some viral infection or non-specific cause. You should repeat your blood count after 1 month. It will mostly come down to normal. If it remains persistently high or if your total count is also increased then you need further investigation. Right now no need to worry. No treatment is required for that. 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 9 weeks pregnant, 35 years old. Tonight I found a rather large lump on my right side next to my breast (but not on my breast at all). Its visible just by looking at me and comparing to my left side. Its not painful and I dont feel anything substantive or hard. Its about three -four inches and goes from my side around to my back. I have a check up with my ob on Friday but am curious to know what might be going on. First time being pregnant. Have had some pain when I lay on my side and rest my arm in that area but I assumed it was due to the painful breast issues that comes with pregnancy. Any ideas? | Hi. Certainly this is a rare finding. Usually no one gets such lumps in an early pregnancy, and you feel it to be NOT from the breast. IT is best to undergo a clinical examination ASAP, ultrasonography (MAMMOGRAPHY SHOULD NOT BE DONE DURING PREGNANCY) and FNAC if there is a lump. There are rare conditions which worry me develop during this period only as you are getting pregnant for the first time. So it is urgent to confirm that this is not a serious condition like cancer or so. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 9 weeks pregnant, 35 years old. Tonight I found a rather large lump on my right side next to my breast (but not on my breast at all). Its visible just by looking at me and comparing to my left side. Its not painful and I dont feel anything substantive or hard. Its about three -four inches and goes from my side around to my back. I have a check up with my ob on Friday but am curious to know what might be going on. First time being pregnant. Have had some pain when I lay on my side and rest my arm in that area but I assumed it was due to the painful breast issues that comes with pregnancy. Any ideas?"
},
{
"from": "gpt",
"value": "Output: Hi. Certainly this is a rare finding. Usually no one gets such lumps in an early pregnancy, and you feel it to be NOT from the breast. IT is best to undergo a clinical examination ASAP, ultrasonography (MAMMOGRAPHY SHOULD NOT BE DONE DURING PREGNANCY) and FNAC if there is a lump. There are rare conditions which worry me develop during this period only as you are getting pregnant for the first time. So it is urgent to confirm that this is not a serious condition like cancer or so."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I masturbate frequently - once or twice a day. A few months ago my hand started getting weak/numbness. Most of the time its hard to masturbate because of this pain. Its not painful. Its more like an annoying feeling. I feel the need to crack my arm but I cant. Its coming to the point where the feeling is there and doesnt go away. | HiT hank you for asking ChatDoctorI have gone through your query. If you involve in excessive masturbation then it should be controlled. You can involve yourself in some hobbies. When you become idle you will get the feeling for masturbation more. Make friends and socialize. Play games like volley ball or badminton. Doing exercises also is helpful to get mind control as it utilizes your excess energy. These all will help you to get rid of excess masturbation habit. Hope this may help you. Let me know if anything is not clear. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I masturbate frequently - once or twice a day. A few months ago my hand started getting weak/numbness. Most of the time its hard to masturbate because of this pain. Its not painful. Its more like an annoying feeling. I feel the need to crack my arm but I cant. Its coming to the point where the feeling is there and doesnt go away."
},
{
"from": "gpt",
"value": "Output: HiT hank you for asking ChatDoctorI have gone through your query. If you involve in excessive masturbation then it should be controlled. You can involve yourself in some hobbies. When you become idle you will get the feeling for masturbation more. Make friends and socialize. Play games like volley ball or badminton. Doing exercises also is helpful to get mind control as it utilizes your excess energy. These all will help you to get rid of excess masturbation habit. Hope this may help you. Let me know if anything is not clear. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i 21yrs old female.....i have a problem of mouth odor when ever i am inside a AC room....please help....my tonsils are larger than normal size from childhood itself....is this problem related to my tonsils....please help | Hi, Balfour or Halitosis is due to various reasons like poor oral hygiene, dental caries, diabetes, Tonsillitis, liver disorder, gastric disorders, consumption of alcohol, foods like garlic and onion tobacco chewing etc. You have tonsillitis which could be the reason for your problem. Consult an ENT specialist for the problem. Get your self examined by a dentist to determine if you have any problems in your oral cavity. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i 21yrs old female.....i have a problem of mouth odor when ever i am inside a AC room....please help....my tonsils are larger than normal size from childhood itself....is this problem related to my tonsils....please help"
},
{
"from": "gpt",
"value": "Output: Hi, Balfour or Halitosis is due to various reasons like poor oral hygiene, dental caries, diabetes, Tonsillitis, liver disorder, gastric disorders, consumption of alcohol, foods like garlic and onion tobacco chewing etc. You have tonsillitis which could be the reason for your problem. Consult an ENT specialist for the problem. Get your self examined by a dentist to determine if you have any problems in your oral cavity."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | which is the BEST alternative medicine therapy for chronic migraine relief with failed allopathic treatment, with female patient of age 47 with hyper acidity n hormone fluctuations due to menopause. I am having a lot of confusion regarding this. kindly guide me appropriately | . 1.avoid foods that contain a high content of thiamine (chocolate, cheese,alcohol, tomato.)2.avoid factors which precipitate the attack(sleeping late, stress,anxiety, tension,starvation, OC pills)3.limit caffeine intake | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: which is the BEST alternative medicine therapy for chronic migraine relief with failed allopathic treatment, with female patient of age 47 with hyper acidity n hormone fluctuations due to menopause. I am having a lot of confusion regarding this. kindly guide me appropriately"
},
{
"from": "gpt",
"value": "Output: . 1.avoid foods that contain a high content of thiamine (chocolate, cheese,alcohol, tomato.)2.avoid factors which precipitate the attack(sleeping late, stress,anxiety, tension,starvation, OC pills)3.limit caffeine intake"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi! my mother recently underwent urine and blood test because her legs is swelled after the test the doctor confirmed that her kidney is infected and this is at early stage and the doctor gave her some medicines to recover. i just wanted to know that its not kidney failure right and do we need to consult a nephrologist now ? | Hello, If the doctor you are consulting have diagnosed her to have kidney infection and already given probably antibiotics for the same it will take around 5 to 7 days to get it right. Her leg might be swelled because the functioning of kidney must be hampered due to some reason like infection. I would advise you to complete the course of medication prescribed to you and see whether the swelling improves. If it doesn't even after completing the course, you can repeat the urine routine examination and serum creatinine and urea and either get back with me or you can consult a nephrologist. I would be glad to help you out. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi! my mother recently underwent urine and blood test because her legs is swelled after the test the doctor confirmed that her kidney is infected and this is at early stage and the doctor gave her some medicines to recover. i just wanted to know that its not kidney failure right and do we need to consult a nephrologist now ?"
},
{
"from": "gpt",
"value": "Output: Hello, If the doctor you are consulting have diagnosed her to have kidney infection and already given probably antibiotics for the same it will take around 5 to 7 days to get it right. Her leg might be swelled because the functioning of kidney must be hampered due to some reason like infection. I would advise you to complete the course of medication prescribed to you and see whether the swelling improves. If it doesn't even after completing the course, you can repeat the urine routine examination and serum creatinine and urea and either get back with me or you can consult a nephrologist. I would be glad to help you out. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have ocd ,can i talk about it with u?i had a lways had odd.i know they r ridiculous thoughts but i can t control it.more logical i try to encounter them worse the result is.right now i have obsession with pronunciation of words mostly brands and name of super stars.something that seems so stupid to me but i can t help it.for example its in my mind for a week how the brand reebok is pronounced,is it reebahk or just reeb o k.i check it in net millions of times but i don t get certain by any of them.i listen to each pronunciation 10 times but i doubt if i heard it right or not.please tell me what should i do | Hi, I read your problem in detail and can understand the distress you might be having with your symptoms. You haven't mentioned if you are taking any form of treatment. Obsessive compulsive disorder (OCD) is amenable to treatment. You should consult a psychiatrist for the same. Treatment with selective serotonin reuptake inhibitors like fluoxetine, sertraline is safe and effective. In addition to medications, you can also opt for cognitive behavior therapy if someone trained in it is available in your area. It will consist of frequent sessions with your therapist and behavioral measures for obsessions and compulsions will be taught. 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: hi i have ocd ,can i talk about it with u?i had a lways had odd.i know they r ridiculous thoughts but i can t control it.more logical i try to encounter them worse the result is.right now i have obsession with pronunciation of words mostly brands and name of super stars.something that seems so stupid to me but i can t help it.for example its in my mind for a week how the brand reebok is pronounced,is it reebahk or just reeb o k.i check it in net millions of times but i don t get certain by any of them.i listen to each pronunciation 10 times but i doubt if i heard it right or not.please tell me what should i do"
},
{
"from": "gpt",
"value": "Output: Hi, I read your problem in detail and can understand the distress you might be having with your symptoms. You haven't mentioned if you are taking any form of treatment. Obsessive compulsive disorder (OCD) is amenable to treatment. You should consult a psychiatrist for the same. Treatment with selective serotonin reuptake inhibitors like fluoxetine, sertraline is safe and effective. In addition to medications, you can also opt for cognitive behavior therapy if someone trained in it is available in your area. It will consist of frequent sessions with your therapist and behavioral measures for obsessions and compulsions will be taught. Hope this information was helpful. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 26 yr old femail 5 6 145lbs .... i just recently had bronchitis twice w/in two months (don t feel as if it ever fully went away during that time) during this time i was also painting rooms in a new house. one night when i went to sit on the couch i got a stapping pain in my chest (a little on my right side along my sternum)....i waited about three days and went back to the dr. he said it was costochondritis and told me to take aleeve or ibprofrin. i did that for 2 weeks w/ no change, and called the dr. back who then prescribed me a steroid pack. i have one day left on the pack, and still NO CHANGE. i ve also discovered 2-3 swollen lymph nodes (i m assuming) on my right side near my armpit. Could I have some other type of infection? or could costo cause swollen lymph nodes? Also, this pain is pretty much a constant, however sometimes it s better/worse. if i stretch, pull, reach, turn wrong it goes right back to hurting again. i have a 1 yr old so it s hard to do NOTHING and rest it. I do tend to push on the lymph nodes often (anxiety about them and checking to see if they re gone/changed ect) which probably doesn t help them either. nodes are soft quishy movable and very little discomfert. main pain problem is the middle/right side of my chest along the sternum and towards my right shoulder a bit below my collar bone/above my breast. pains been going on for 5 weeks, swollen spots about 2. | Hello thanks for posting at Chat Doctor. Your pain and swelling of lymph nodes definitely need to get evaluated. Lymph node swellings are not found in Costco Chat Doctor. You also have symptoms since at least two months. L ymph node swelling happens in infective diseases, in diseases of blood and cancer. Since you are 26, its unlikely that you have cancer. Most of your symptoms go towards infection, more specifically tuberculosis. I recommend you to undergo a HRCT scan of chest. More important is to get the lymph node at your armpits biopsied. Biopsy will see the cells and organisms at the lymph node and help you establish a diagnosis. Treatment can be planned according to the diagnosis. Wishing you good healthRegards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 26 yr old femail 5 6 145lbs .... i just recently had bronchitis twice w/in two months (don t feel as if it ever fully went away during that time) during this time i was also painting rooms in a new house. one night when i went to sit on the couch i got a stapping pain in my chest (a little on my right side along my sternum)....i waited about three days and went back to the dr. he said it was costochondritis and told me to take aleeve or ibprofrin. i did that for 2 weeks w/ no change, and called the dr. back who then prescribed me a steroid pack. i have one day left on the pack, and still NO CHANGE. i ve also discovered 2-3 swollen lymph nodes (i m assuming) on my right side near my armpit. Could I have some other type of infection? or could costo cause swollen lymph nodes? Also, this pain is pretty much a constant, however sometimes it s better/worse. if i stretch, pull, reach, turn wrong it goes right back to hurting again. i have a 1 yr old so it s hard to do NOTHING and rest it. I do tend to push on the lymph nodes often (anxiety about them and checking to see if they re gone/changed ect) which probably doesn t help them either. nodes are soft quishy movable and very little discomfert. main pain problem is the middle/right side of my chest along the sternum and towards my right shoulder a bit below my collar bone/above my breast. pains been going on for 5 weeks, swollen spots about 2."
},
{
"from": "gpt",
"value": "Output: Hello thanks for posting at Chat Doctor. Your pain and swelling of lymph nodes definitely need to get evaluated. Lymph node swellings are not found in Costco Chat Doctor. You also have symptoms since at least two months. L ymph node swelling happens in infective diseases, in diseases of blood and cancer. Since you are 26, its unlikely that you have cancer. Most of your symptoms go towards infection, more specifically tuberculosis. I recommend you to undergo a HRCT scan of chest. More important is to get the lymph node at your armpits biopsied. Biopsy will see the cells and organisms at the lymph node and help you establish a diagnosis. Treatment can be planned according to the diagnosis. Wishing you good healthRegards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i was recently in costa rica and drank bottled water. but during depature i drank water from fountain and once arriving in us, my whole body has been itching and tickling all over randomly First day i had stomach pain on left side, i felt constipated or bloated. I must also mention that on tip of my penis has some pain but i used protection when i had sex but did receive oral sex for less than a minute without condom.. could this be all by one thing or i am just overthinking? Thanks | See, itching and stomach pain and pain on tip of penis are totally unrelated symptoms. You may have itching because of some allergy as you visited a foreign place. And as far as stomach ache is concerned, you guessed it right, because of the fountain water. For stomach ache, you can take gastric antibiotics (like norfloxacin) and antispasmodics (like Cyclops). And if itching is intense, you can take antihistamines (like cetirizine). And for pain in tip of penis, you should not take anything right now. If the problem persists, then you can consult your physician. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i was recently in costa rica and drank bottled water. but during depature i drank water from fountain and once arriving in us, my whole body has been itching and tickling all over randomly First day i had stomach pain on left side, i felt constipated or bloated. I must also mention that on tip of my penis has some pain but i used protection when i had sex but did receive oral sex for less than a minute without condom.. could this be all by one thing or i am just overthinking? Thanks"
},
{
"from": "gpt",
"value": "Output: See, itching and stomach pain and pain on tip of penis are totally unrelated symptoms. You may have itching because of some allergy as you visited a foreign place. And as far as stomach ache is concerned, you guessed it right, because of the fountain water. For stomach ache, you can take gastric antibiotics (like norfloxacin) and antispasmodics (like Cyclops). And if itching is intense, you can take antihistamines (like cetirizine). And for pain in tip of penis, you should not take anything right now. If the problem persists, then you can consult your physician."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am having problems in my chest area and I can feel the pain in my upper back area as well but there feels like air is in my esophagus. When I try to burp it hurts really bad trying to come up and the burp never makes it. When breathing I feel this in my chest area hurting really bad | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning, gaseous feeling, chest and back pain, breathing difficulty etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. Avoid junk food. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am having problems in my chest area and I can feel the pain in my upper back area as well but there feels like air is in my esophagus. When I try to burp it hurts really bad trying to come up and the burp never makes it. When breathing I feel this in my chest area hurting really bad"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning, gaseous feeling, chest and back pain, breathing difficulty etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. Avoid junk food. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. 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. | sir, im 22 years of age.The problem which im facing is that,my body is getting weak due to flow of semen with my urine.this problem is since 2-3 months.what precaution or medicine should i take?will it be safe or not? im very tensed ,leading a stressful life. | HelloThanks for query. You have a feeling that you are passing semen in urine. At the outset I would like to state that one never passes Semen in urine. What you suspect to be semen is not semen, but it is thick mucus secreted by Cowper's glands located in Bulgar Urethra which get stimulated on sexual arousal or audio, visual thoughts and secret more mucus which is passed along with urine. This can be confirmed by routine microscopic examination of urine which will reveal absence of sperms in urine. There is nothing to be worried about it. It will get resolved spontaneously over a period of time. Ensure to Chat Doctor. This will help to dilute the urine. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, im 22 years of age.The problem which im facing is that,my body is getting weak due to flow of semen with my urine.this problem is since 2-3 months.what precaution or medicine should i take?will it be safe or not? im very tensed ,leading a stressful life."
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. You have a feeling that you are passing semen in urine. At the outset I would like to state that one never passes Semen in urine. What you suspect to be semen is not semen, but it is thick mucus secreted by Cowper's glands located in Bulgar Urethra which get stimulated on sexual arousal or audio, visual thoughts and secret more mucus which is passed along with urine. This can be confirmed by routine microscopic examination of urine which will reveal absence of sperms in urine. There is nothing to be worried about it. It will get resolved spontaneously over a period of time. Ensure to Chat Doctor. This will help to dilute the urine."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m 14 and have been having visual disturbances and hot flashes along with some tingling in arms/legs. I also have swollen have 2 or 3 small pea-sized bumps under my skin on my neck. I also fart a lot I don t believe that s relative but thought I d mention it just in case. I m extremely worried I have something wrong with me. I have been to my doctor twice and I have been to the ER twice I had a CT scan on head and neck came up negative I don t know what to think plz help... I hope its just anxiety | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an inflammatory disorder, including a viral infection. The bumps in your neck could be inflammatory lymph nodes. Anyway, as your brain CT scan has resulted normal, there is nothing to worry about your visual disturbances. I would just recommend performing complete blood count and inflammation tests to exclude inflammation. Thyroid hormone levels should also be done to exclude possible thyroid dysfunction that may trigger these symptoms. Hope you will find this answer helpful! Kind regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 14 and have been having visual disturbances and hot flashes along with some tingling in arms/legs. I also have swollen have 2 or 3 small pea-sized bumps under my skin on my neck. I also fart a lot I don t believe that s relative but thought I d mention it just in case. I m extremely worried I have something wrong with me. I have been to my doctor twice and I have been to the ER twice I had a CT scan on head and neck came up negative I don t know what to think plz help... I hope its just anxiety"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an inflammatory disorder, including a viral infection. The bumps in your neck could be inflammatory lymph nodes. Anyway, as your brain CT scan has resulted normal, there is nothing to worry about your visual disturbances. I would just recommend performing complete blood count and inflammation tests to exclude inflammation. Thyroid hormone levels should also be done to exclude possible thyroid dysfunction that may trigger these symptoms. Hope you will find this answer helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Im a 17yr old and I have recently just started to have cold like symptoms and its the 3rd day I. And my cough has got progressively worse and I have put Vicks on my chest taken penicillin 500mg 2 in the morning and two at night, Im also vomiting and cant eat without bringing back up and I havent been able to sleep for 3 day since it has started and I dont know if its contagous I am a smoker I havent had a cigerette in 4 days as I have had this cold symptoms coming on I also have asthma and I am feeling like Im haveing an asthma attack ever 5 mins I also take an inhaler called symbicort and ventillin to help me breathe I have taken 12 puffs every 15 minuets and still no releif I also have trouble sleeping I sleep proped up with pillows under my arms and Im teriably exaused im also feeling very week and have crackling noises when I breathe in and out and my nose is running like a tap and Im always gasping for air I have also recently had quince and still do a little bit as my toncillis have become swallen again and its making it difficult, I also have been on antibiotics for 3 months for my quince and its still sore witch I dont think is helping with my cold like symptomsThanks | HI, thanks for using Chat Doctor Penicillin is normally taken 500\u00a0mg every 6 to 8 hours, though the dose may vary slightly. This means that it is not likely that it has been used in the right way. The cold is contagious, it is spread by coughing, sneezing-any contact with cough or nasal secretions can result in spread. The Ventolin is your reliever medication and the one you should use if you are having an attack, the Symbicort would not help in an acute attack. Symbicort is a preventer, it used to prevent asthma attacks. If the attack is not resolving, you should be seen by your doctor as soon as possibleUsing a decongestant would help with the nasal symptoms 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 Im a 17yr old and I have recently just started to have cold like symptoms and its the 3rd day I. And my cough has got progressively worse and I have put Vicks on my chest taken penicillin 500mg 2 in the morning and two at night, Im also vomiting and cant eat without bringing back up and I havent been able to sleep for 3 day since it has started and I dont know if its contagous I am a smoker I havent had a cigerette in 4 days as I have had this cold symptoms coming on I also have asthma and I am feeling like Im haveing an asthma attack ever 5 mins I also take an inhaler called symbicort and ventillin to help me breathe I have taken 12 puffs every 15 minuets and still no releif I also have trouble sleeping I sleep proped up with pillows under my arms and Im teriably exaused im also feeling very week and have crackling noises when I breathe in and out and my nose is running like a tap and Im always gasping for air I have also recently had quince and still do a little bit as my toncillis have become swallen again and its making it difficult, I also have been on antibiotics for 3 months for my quince and its still sore witch I dont think is helping with my cold like symptomsThanks"
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor Penicillin is normally taken 500\\u00a0mg every 6 to 8 hours, though the dose may vary slightly. This means that it is not likely that it has been used in the right way. The cold is contagious, it is spread by coughing, sneezing-any contact with cough or nasal secretions can result in spread. The Ventolin is your reliever medication and the one you should use if you are having an attack, the Symbicort would not help in an acute attack. Symbicort is a preventer, it used to prevent asthma attacks. If the attack is not resolving, you should be seen by your doctor as soon as possibleUsing a decongestant would help with the nasal symptoms hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I m a bodybuilder & just increased my workouts. Also, I had some swelling of the left leg due to extended time on feet at work in tight shoes. Now, I have slight swelling behind the left knee. If I bend deeply or straighten too much, I have pain. Any suggestions on what might be going on? | Hello, Pain in the leg and behind the knee which is aggravated by pressing it sounds like a ligament sprain. Use the knee cap, hot water fermentation and give rest to the joint for a week by allowing it to bear less weight. Post that starts exercise and for stability and strengthening the knee joint. An MRI is advised since you are a bodybuilder. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m a bodybuilder & just increased my workouts. Also, I had some swelling of the left leg due to extended time on feet at work in tight shoes. Now, I have slight swelling behind the left knee. If I bend deeply or straighten too much, I have pain. Any suggestions on what might be going on?"
},
{
"from": "gpt",
"value": "Output: Hello, Pain in the leg and behind the knee which is aggravated by pressing it sounds like a ligament sprain. Use the knee cap, hot water fermentation and give rest to the joint for a week by allowing it to bear less weight. Post that starts exercise and for stability and strengthening the knee joint. An MRI is advised since you are a bodybuilder. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i have had this pain for a long time now. well ever since ive had my son and its in the lower part of my back. I know i suffer from a weak back since having him, but everytime i want to poo i suffer from pain in my lower back and its a wierd sensation. Could you tell me of any solutions. thanks | Low back pain is a very common ailment in females and the cause usually is calcium and vitamin deficiency. Are you taking these supplements? If not start on calcium along with it D3 and also multivitamin supplements. Also add an antioxidant to it. Besides get your general pathology work up done to rule out anemia and diabetes. If the pain persists even one month after this, then get your back examined by an orthopaedician after doing a X-ray. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi i have had this pain for a long time now. well ever since ive had my son and its in the lower part of my back. I know i suffer from a weak back since having him, but everytime i want to poo i suffer from pain in my lower back and its a wierd sensation. Could you tell me of any solutions. thanks"
},
{
"from": "gpt",
"value": "Output: Low back pain is a very common ailment in females and the cause usually is calcium and vitamin deficiency. Are you taking these supplements? If not start on calcium along with it D3 and also multivitamin supplements. Also add an antioxidant to it. Besides get your general pathology work up done to rule out anemia and diabetes. If the pain persists even one month after this, then get your back examined by an orthopaedician after doing a X-ray."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am very congested (loose) and would like advise as to what cough medicine I should get. I am leaving for a trip on Tuesday by plane and am anxious about the flight I have no fe ver, no pain sore throat etc. just a lot of head congestion. please advise | You can take cough syrups containing Dextromethorphan and Phenylephrine for control of cough and congestion if it is Chat Doctor. However, if you are suffering from severe hypertension, you should not take this syrup. If you have hypertension, you can take medicine containing only Dextromethorphan such as Alex cough lozenges. If you are suffering from cough with a lot of sputum, Then you can take cough syrups containing Ammonium chloride Cetirizine and Phenylephrine which help to bring out the sputum. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am very congested (loose) and would like advise as to what cough medicine I should get. I am leaving for a trip on Tuesday by plane and am anxious about the flight I have no fe ver, no pain sore throat etc. just a lot of head congestion. please advise"
},
{
"from": "gpt",
"value": "Output: You can take cough syrups containing Dextromethorphan and Phenylephrine for control of cough and congestion if it is Chat Doctor. However, if you are suffering from severe hypertension, you should not take this syrup. If you have hypertension, you can take medicine containing only Dextromethorphan such as Alex cough lozenges. If you are suffering from cough with a lot of sputum, Then you can take cough syrups containing Ammonium chloride Cetirizine and Phenylephrine which help to bring out the sputum."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i am karim ... i am taking citanew 10mg since 2 yeras that my dr recomended me , he discribed me as angora phobia patient ,,, i have loose my confidence level almost zeero , i cannot talk to other person when i visited his office or place ...then my body parts specially neck and head and arms starts sleepy or feel going to be paralyze ,,, and my breathing speed increase at that time ,,,, plz plz plz plz help me .plz | Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through difficult time due to your problems. I presume that you have been diagnosed to have \"agoraphobia\". This is a phobic-anxiety disorder where the person has excessive fear of being in public or crowded places. Often these persons can have accompanying panic attacks. Effective treatment is available for this problem in the form of medication or counselling. You are already on SSRI medication. So, in addition to that I would advise you to try psychological therapy like CBT. Wish you all the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i am karim ... i am taking citanew 10mg since 2 yeras that my dr recomended me , he discribed me as angora phobia patient ,,, i have loose my confidence level almost zeero , i cannot talk to other person when i visited his office or place ...then my body parts specially neck and head and arms starts sleepy or feel going to be paralyze ,,, and my breathing speed increase at that time ,,,, plz plz plz plz help me .plz"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through difficult time due to your problems. I presume that you have been diagnosed to have \\\"agoraphobia\\\". This is a phobic-anxiety disorder where the person has excessive fear of being in public or crowded places. Often these persons can have accompanying panic attacks. Effective treatment is available for this problem in the form of medication or counselling. You are already on SSRI medication. So, in addition to that I would advise you to try psychological therapy like CBT. Wish you all the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir, I am Vejay and my age is 26. I am sexulally sensitive towards girls and get errection most of the time talking or seeing them, its out of my control. A few days ago I started passing urine with a sensational desire to pass more with a little burn in penis and a little pain / disorder in lower abdomen. My Dr. dignosed it some infection (UTI pehaps) due to too much errection for longer duration. Gave me Citro-soda and tablet containig (flavoxate hydrocloride B.P 200mg). 1 - Is this cure Ok ? 2 - Does to much errection cause urine disorder and iritation ? 3 - I am feeling quite well now after only two dosage but feel irritation while having errection, will it be ok ? 4 - In normal days, I somtimes feel pain in testicals and lower abdomen after longer errection, is it natural ? I rarely mastrubate though and get orgasm while sleeping ocassionally. Thank you, | Hello, As you are suffering from urinary tract infections, and for that nitro soda and tablet Favorite is advised, so continue that medications. You can do urinalysis and urine culture sensitivity test. Along with that you can take tablet Of lox OZ and syrup Vital after urologist consultation. Regarding erection problems, I will suggest you to review here with detailed history or consult with the sexologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Sir, I am Vejay and my age is 26. I am sexulally sensitive towards girls and get errection most of the time talking or seeing them, its out of my control. A few days ago I started passing urine with a sensational desire to pass more with a little burn in penis and a little pain / disorder in lower abdomen. My Dr. dignosed it some infection (UTI pehaps) due to too much errection for longer duration. Gave me Citro-soda and tablet containig (flavoxate hydrocloride B.P 200mg). 1 - Is this cure Ok ? 2 - Does to much errection cause urine disorder and iritation ? 3 - I am feeling quite well now after only two dosage but feel irritation while having errection, will it be ok ? 4 - In normal days, I somtimes feel pain in testicals and lower abdomen after longer errection, is it natural ? I rarely mastrubate though and get orgasm while sleeping ocassionally. Thank you,"
},
{
"from": "gpt",
"value": "Output: Hello, As you are suffering from urinary tract infections, and for that nitro soda and tablet Favorite is advised, so continue that medications. You can do urinalysis and urine culture sensitivity test. Along with that you can take tablet Of lox OZ and syrup Vital after urologist consultation. Regarding erection problems, I will suggest you to review here with detailed history or consult with the sexologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have Follicular Lymphoma ( initially large cell follicular ) treated with R CHOP and put in remission for 3 years. Relapsed one year ago with follicular only and treated with Rituxan. Had a 3 month remission and than relapsed. Being treated again with Rituxan. Cancer returned to left side of neck and clavicle both relapses. However--I am now experiencing sciatic pain ( with no cause) could this be the lymphoma?38 years old female | Hi, Follicular lymphoma is an indolent disease, so the patient leaves with a disease for a long duration. Although the involvement of bone is rare, it can involve any part of the body. You need to undergo MRI of the spine to see for the cause of sciatic pain. It may also give a clue if there is relapse of lymphoma to spine and bone scan also may show the uptake. The involvement of spine can be conformed only with biopsy of the lesion. With the presence of disease elsewhere in the body, biopsy of spine may not be required and requires treatment for lymphoma. Hope I have answered your question. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have Follicular Lymphoma ( initially large cell follicular ) treated with R CHOP and put in remission for 3 years. Relapsed one year ago with follicular only and treated with Rituxan. Had a 3 month remission and than relapsed. Being treated again with Rituxan. Cancer returned to left side of neck and clavicle both relapses. However--I am now experiencing sciatic pain ( with no cause) could this be the lymphoma?38 years old female"
},
{
"from": "gpt",
"value": "Output: Hi, Follicular lymphoma is an indolent disease, so the patient leaves with a disease for a long duration. Although the involvement of bone is rare, it can involve any part of the body. You need to undergo MRI of the spine to see for the cause of sciatic pain. It may also give a clue if there is relapse of lymphoma to spine and bone scan also may show the uptake. The involvement of spine can be conformed only with biopsy of the lesion. With the presence of disease elsewhere in the body, biopsy of spine may not be required and requires treatment for lymphoma. Hope I have answered your question."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my 13 month old baby girl has a skin tag as I can describe hanging from her gum where her molar is growing. I see it swollen and shes had fever but shes also had her shots and a cold I dont know if the fever was do to that. Should I be concerned? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your baby have symptoms of extra growth of skin on the gums which could be due to Johns nodules which are type of gingival cysts oral fibrous, tissue hyperplasia, inflamed mucosa fold Pica Imbricate. Need not worry about it. I would suggest you to apply cold compresses on gum area and apply lidocaine over it as it will relieve pain as it will act like numbing gel. Maintain oral hygiene by gently rubbing a wet cloth on gums and take anti-inflammatory painkiller like Ibuprofen. Consult your pediatrician if the growths impede feeding or seem to cause pain in your child. 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: Hello my 13 month old baby girl has a skin tag as I can describe hanging from her gum where her molar is growing. I see it swollen and shes had fever but shes also had her shots and a cold I dont know if the fever was do to that. Should I be concerned?"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your baby have symptoms of extra growth of skin on the gums which could be due to Johns nodules which are type of gingival cysts oral fibrous, tissue hyperplasia, inflamed mucosa fold Pica Imbricate. Need not worry about it. I would suggest you to apply cold compresses on gum area and apply lidocaine over it as it will relieve pain as it will act like numbing gel. Maintain oral hygiene by gently rubbing a wet cloth on gums and take anti-inflammatory painkiller like Ibuprofen. Consult your pediatrician if the growths impede feeding or seem to cause pain in your child. 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 was recently scheduled for some surgery and when i went in for procedure my b/p was 195/126. I have never had high blood pressure before. I went to see my cardiologist who put me on b/p meds. It seemed no one could tell me why my b/p had jumped so much. I complained about feeling tired, confused, etc....Finally i asked general dr. to do thyroid test (which in February 2011 was fine). Today she called to tell me my TSH was 94 - is that even possible and could that be what cause my b/p to soar? | Your TSH levels may need to be redone again along with T3 and T4 levels. Apart from that, your high blood pressure could from many causes from as simple a reason as anxiety before surgery. So before knowing the cause of high BP, we should know details like your age, any other health issues like the cause for your surgery etc. As your cardiologist has already put you on antihypertensives, we better wait for 2-3 weeks to see their effect on your BP. You should get your BP measured weekly in the meantime. You may later discuss with your doctor regarding the causes of your Hypertension which in most adult cases is idiopathic(unknown cause or primary), dietary, physical activity and Chat Doctor. Hope I clarified your concern regarding your high blood pressure. Do not hesitate to ask any further questions regarding your condition. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was recently scheduled for some surgery and when i went in for procedure my b/p was 195/126. I have never had high blood pressure before. I went to see my cardiologist who put me on b/p meds. It seemed no one could tell me why my b/p had jumped so much. I complained about feeling tired, confused, etc....Finally i asked general dr. to do thyroid test (which in February 2011 was fine). Today she called to tell me my TSH was 94 - is that even possible and could that be what cause my b/p to soar?"
},
{
"from": "gpt",
"value": "Output: Your TSH levels may need to be redone again along with T3 and T4 levels. Apart from that, your high blood pressure could from many causes from as simple a reason as anxiety before surgery. So before knowing the cause of high BP, we should know details like your age, any other health issues like the cause for your surgery etc. As your cardiologist has already put you on antihypertensives, we better wait for 2-3 weeks to see their effect on your BP. You should get your BP measured weekly in the meantime. You may later discuss with your doctor regarding the causes of your Hypertension which in most adult cases is idiopathic(unknown cause or primary), dietary, physical activity and Chat Doctor. Hope I clarified your concern regarding your high blood pressure. Do not hesitate to ask any further questions regarding your condition."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I ve had a pea-sized lump just under the skin on my upper arm for about a year now. It wasn t discolored or painful at all. The other day, I noticed that it was a bit larger and the skin around it had some redness to it. It doesn t hurt, but it feels sore to the touch. What could it be? | Hello and welcome to Chat Doctor. I am Chat Doctor. I have read your question and can understand your concerns. If I were your treating physician I would have examined that lump and looked for its mobility under the skin. LIPOMA is usually mobile under TGE skin and one can pinch the skin above this swelling. In your case inflamed lipoma would have been top on my list. Lipoma is benign condition and can be treated conservatively. If it is causing problems then surgical excision is done.I would have prescribed non-steroidal anti-inflammatory | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I ve had a pea-sized lump just under the skin on my upper arm for about a year now. It wasn t discolored or painful at all. The other day, I noticed that it was a bit larger and the skin around it had some redness to it. It doesn t hurt, but it feels sore to the touch. What could it be?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. I am Chat Doctor. I have read your question and can understand your concerns. If I were your treating physician I would have examined that lump and looked for its mobility under the skin. LIPOMA is usually mobile under TGE skin and one can pinch the skin above this swelling. In your case inflamed lipoma would have been top on my list. Lipoma is benign condition and can be treated conservatively. If it is causing problems then surgical excision is done.I would have prescribed non-steroidal anti-inflammatory"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a flu bug since last week. My chest now feels tight, my heart feels like it is beating harder and my vision is blurrier than usual. I have taken erithromycin for a suspected chest infection but it hadn t worked. I am worried as I am so exhausted I haven t left bed in days | Thanks for your question on Chat Doctor. In my opinion you should immediately consult doctor and get done chest x-ray and blood pressure measurement. As flu does not last this long. You might be having chest infection and due to this hypotension has developed. Signs favoring hypotension in your case are1. Rapid heart rate2. Bed ridden3. Blurring of vision. So better to rule out chest infection first. Start intravenous fluids fast to restore your fluid volume. You may need intravenous antibiotics too. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a flu bug since last week. My chest now feels tight, my heart feels like it is beating harder and my vision is blurrier than usual. I have taken erithromycin for a suspected chest infection but it hadn t worked. I am worried as I am so exhausted I haven t left bed in days"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion you should immediately consult doctor and get done chest x-ray and blood pressure measurement. As flu does not last this long. You might be having chest infection and due to this hypotension has developed. Signs favoring hypotension in your case are1. Rapid heart rate2. Bed ridden3. Blurring of vision. So better to rule out chest infection first. Start intravenous fluids fast to restore your fluid volume. You may need intravenous antibiotics too."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, I am salma. last 3 days ago I was going to my dr. before that I had CT scan and the report is coming the report says I had brain cyst in the back side. but I have no pain at all, only when I laugh very loudly then I feel pain in the back and dr. said may be that is not harmful for me. .but when I heard that I have a cyst I am to much upset. now what can I do for myself? what is good diet for me? in future what happen to me? | Hi, Thanks for writing in. From the description and response of your doctor, I guess you have an arachnoid cyst in the occipital region. If it was a large one, your doctor would alarm you and advise you accordingly. As you have not mentioned the size of the cyst, it must be a small one. These cysts can be followed up if there are neurological signs and symptoms at a later date. Laughing associated with pain is unlikely due to such cysts. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, I am salma. last 3 days ago I was going to my dr. before that I had CT scan and the report is coming the report says I had brain cyst in the back side. but I have no pain at all, only when I laugh very loudly then I feel pain in the back and dr. said may be that is not harmful for me. .but when I heard that I have a cyst I am to much upset. now what can I do for myself? what is good diet for me? in future what happen to me?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. From the description and response of your doctor, I guess you have an arachnoid cyst in the occipital region. If it was a large one, your doctor would alarm you and advise you accordingly. As you have not mentioned the size of the cyst, it must be a small one. These cysts can be followed up if there are neurological signs and symptoms at a later date. Laughing associated with pain is unlikely due to such cysts. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son who is 9 years old has been complaining about stomach aches. This started three weeks ago after he got braces. We gave him tylenol for a couple days after the braces were put on as he was in significant pain. We stopped the tylenol after two days. About three days later he ended up constipated and had significant stomach pain. we had him checked out by a doctor and he was constipated. Over about a week his constipation seemed to be the cause of cramping and stomach pain. It took about four or five days for the constipation to subside and he had pains persistently over those days. He slept fine at night but he complained of pain mysteriously when it was time for school. He ended up missing a week of school. Last week he made it to school but a couple evenings he complained a couple times about stomach pain but he made it to school and seemed to function ok. He had a coupe episodes in the past three days complaining about stomach pain but wehad him lay down a few minutes and he would seem to be fine. Now tonight he complained significantly about stomach pain again crying. This was over about a three hour period and then it subsided tonight right before bedtime. He continues to sleep through the night without episodes. Any thoughts | Hi, welcome to Chat Doctor .com. - in my opinion, repeated pain abdomen could be due to stomach infection, urine infection, renal stones or tuberculosis. - I would like to do urine routine microscopy and culture, ultrasound abdomen and X-ray PUB for stones. - you should do these investigations to diagnose the cause of pain abdomen. I hope this has helped you. Wishing your child good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son who is 9 years old has been complaining about stomach aches. This started three weeks ago after he got braces. We gave him tylenol for a couple days after the braces were put on as he was in significant pain. We stopped the tylenol after two days. About three days later he ended up constipated and had significant stomach pain. we had him checked out by a doctor and he was constipated. Over about a week his constipation seemed to be the cause of cramping and stomach pain. It took about four or five days for the constipation to subside and he had pains persistently over those days. He slept fine at night but he complained of pain mysteriously when it was time for school. He ended up missing a week of school. Last week he made it to school but a couple evenings he complained a couple times about stomach pain but he made it to school and seemed to function ok. He had a coupe episodes in the past three days complaining about stomach pain but wehad him lay down a few minutes and he would seem to be fine. Now tonight he complained significantly about stomach pain again crying. This was over about a three hour period and then it subsided tonight right before bedtime. He continues to sleep through the night without episodes. Any thoughts"
},
{
"from": "gpt",
"value": "Output: Hi, welcome to Chat Doctor .com. - in my opinion, repeated pain abdomen could be due to stomach infection, urine infection, renal stones or tuberculosis. - I would like to do urine routine microscopy and culture, ultrasound abdomen and X-ray PUB for stones. - you should do these investigations to diagnose the cause of pain abdomen. I hope this has helped you. Wishing your child good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good afternoon,I have had an olive size lump/bump on my left collarbone, I want to say for over 5 years now. Well a couple years ago I asked my gynecologist about it and he said it was nothing to concern myself with. Now just a week ago my sister had informed me that I should have my doctor look at it cause it could be a lymph node. I just left the doctors office and he said it was a fatty tissue build up. This is caused by my bone protecting itself from an injury. He then proceeded to inform me that this would not be covered by my insurance since it is cosmic procedure. Im a little skeptical of his diagnosis, what type of doctor would you recommend for me to see regarding this matter? | Welcome to Chat Doctor .1. Generally most common cause are lymph node enlargement.2. Other causes are Lipomas (fat), Brachial cleft cyst lately identified.3. To confirm the consistency get an ultrasound soft tissue lesion done. It will give exact content and where it is arising from.4. You need to see surgeon appointment. 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: Good afternoon,I have had an olive size lump/bump on my left collarbone, I want to say for over 5 years now. Well a couple years ago I asked my gynecologist about it and he said it was nothing to concern myself with. Now just a week ago my sister had informed me that I should have my doctor look at it cause it could be a lymph node. I just left the doctors office and he said it was a fatty tissue build up. This is caused by my bone protecting itself from an injury. He then proceeded to inform me that this would not be covered by my insurance since it is cosmic procedure. Im a little skeptical of his diagnosis, what type of doctor would you recommend for me to see regarding this matter?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. Generally most common cause are lymph node enlargement.2. Other causes are Lipomas (fat), Brachial cleft cyst lately identified.3. To confirm the consistency get an ultrasound soft tissue lesion done. It will give exact content and where it is arising from.4. You need to see surgeon appointment. 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. | Sometimes I stop hearing everything around me...i can t understand them and can t hear myself talking or make sense of it..when that happens i hear voices..scary voices...it makes me so scares i panic, cover my ears, crawl into a small space and scream...is something wrong with me? | Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are true to the best of your knowledge, you may need psychiatric intervention for paranoid schizophrenia. You are possibly having illusions. Please understand, timely diagnosis and treatment can cure your problem. 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: Sometimes I stop hearing everything around me...i can t understand them and can t hear myself talking or make sense of it..when that happens i hear voices..scary voices...it makes me so scares i panic, cover my ears, crawl into a small space and scream...is something wrong with me?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are true to the best of your knowledge, you may need psychiatric intervention for paranoid schizophrenia. You are possibly having illusions. Please understand, timely diagnosis and treatment can cure your problem. 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. | My normal temp is 98.6, but it s been all day dropping little by little it is at 97.4. I have been feeling sick for more than a weak, nausea, stomach ache,and headache. I have been very weak and sleepy, I know that I have several gallstones in my bladder for some time, could that b the reason for this ? | Hi.noted history of gallbladder stones. It is best if you do a follow-up consult with your doctor, preferably a general surgeon, for physical examination and clinical evaluation. The usual clinical symptoms of a gallstone disease are abdominal pain (usually epigastric to right upper qua Chat Doctor. If there is obstruction, patient may also experience yellowing of the skin and mucosa and elevated bilirubin levels. Abdominal ultrasound and liver function tests may also be requested for further evaluation. Other diagnostics and management (medical and/or surgical, cholecystectomy, if indications are found) will be directed accordingly. Hope this helps. Good day!!~ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My normal temp is 98.6, but it s been all day dropping little by little it is at 97.4. I have been feeling sick for more than a weak, nausea, stomach ache,and headache. I have been very weak and sleepy, I know that I have several gallstones in my bladder for some time, could that b the reason for this ?"
},
{
"from": "gpt",
"value": "Output: Hi.noted history of gallbladder stones. It is best if you do a follow-up consult with your doctor, preferably a general surgeon, for physical examination and clinical evaluation. The usual clinical symptoms of a gallstone disease are abdominal pain (usually epigastric to right upper qua Chat Doctor. If there is obstruction, patient may also experience yellowing of the skin and mucosa and elevated bilirubin levels. Abdominal ultrasound and liver function tests may also be requested for further evaluation. Other diagnostics and management (medical and/or surgical, cholecystectomy, if indications are found) will be directed accordingly. Hope this helps. Good day!!~"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain on my left side, right beneath my breast, in my lower rib area. It only hurts when I exhale deeply, especially if I hold my breath. It didnt start to hurt until after I vomited 2 days ago. What is wrong with me? YYYY@YYYY | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Acute Gastritis? Acute EnteroColitis.? Acute on Chronic Hepatitis. Your submitted history is self-explanatory, that You had this under left rib pain under your left breast only after your Vomiting attack 2 days back. I would suggest You, to Consult Physician, who would physically check you and would rule out the various causes as discussed above. After investigation, he would treat You accordingly to relieve you of your under rib cage pain on left breast. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain on my left side, right beneath my breast, in my lower rib area. It only hurts when I exhale deeply, especially if I hold my breath. It didnt start to hurt until after I vomited 2 days ago. What is wrong with me? YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Acute Gastritis? Acute EnteroColitis.? Acute on Chronic Hepatitis. Your submitted history is self-explanatory, that You had this under left rib pain under your left breast only after your Vomiting attack 2 days back. I would suggest You, to Consult Physician, who would physically check you and would rule out the various causes as discussed above. After investigation, he would treat You accordingly to relieve you of your under rib cage pain on left breast. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | The bottom of my stomach was hurting than it worked to the right side of my body. so when i lay down it hurt and so many prositions unless i lay on my back. Than it would go up to my shoulder making a sharp pain down to my chest . than it would move over to my chest. I thought i might been pregnant at first . but now i have bleedin from my vagainal area for like a month. | Dear Miss, there are many conditions that can cause the symptoms that you described, but It seems to me like abdominal or gynecological \"story\". First, it would be helpful to know your age and your medical history. Pregnancy must be always excluded, but it can also be some kind of missed or early abortion that causes vaginal bleeding. Pain that you are describing seems like position-dependent pain, and it can be signed of serious abdominal infection (including pelvic infection) such as intra-abdominal or tuboovarian abscesses. The most common vaginal bleeding is benign, and it is called dysfunctional uterine bleeding, but without more information I cannot give you the right answer. I should know does it bleed after intercourse, during menstruation or all the time? Shoulder pain is usually referred pain from other place like abdominal cavity (for example abdominal infection as I've mentioned before) and also you can feel it associated with abdominal discomfort(especially when you're feeling bloated because bloated stomach makes pressure on Phoenix nerve). My opinion is that there is high possibility that you suffer from endometriosis... So I advise you to do this | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The bottom of my stomach was hurting than it worked to the right side of my body. so when i lay down it hurt and so many prositions unless i lay on my back. Than it would go up to my shoulder making a sharp pain down to my chest . than it would move over to my chest. I thought i might been pregnant at first . but now i have bleedin from my vagainal area for like a month."
},
{
"from": "gpt",
"value": "Output: Dear Miss, there are many conditions that can cause the symptoms that you described, but It seems to me like abdominal or gynecological \\\"story\\\". First, it would be helpful to know your age and your medical history. Pregnancy must be always excluded, but it can also be some kind of missed or early abortion that causes vaginal bleeding. Pain that you are describing seems like position-dependent pain, and it can be signed of serious abdominal infection (including pelvic infection) such as intra-abdominal or tuboovarian abscesses. The most common vaginal bleeding is benign, and it is called dysfunctional uterine bleeding, but without more information I cannot give you the right answer. I should know does it bleed after intercourse, during menstruation or all the time? Shoulder pain is usually referred pain from other place like abdominal cavity (for example abdominal infection as I've mentioned before) and also you can feel it associated with abdominal discomfort(especially when you're feeling bloated because bloated stomach makes pressure on Phoenix nerve). My opinion is that there is high possibility that you suffer from endometriosis... So I advise you to do this"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi , My wife has wheezing from her childhood ( from age 8). She doesnt take continious medicine. she takes theozilin if she suffers.Now i want to take her to a doctor for diagnositics and treatment. Which specialist doctor should i visit. ENT or lung specialist. I am based at coimbatore.Thanks a lot | Thanks for your question on Chat Doctor. I can understand your concern. You should consult pulmonologist (lung specialist) for your wife. She is mostly having asthma. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). 3. Chest x-ray. Chest x-ray is needed to rule other lung pathology.PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She needs regular inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi , My wife has wheezing from her childhood ( from age 8). She doesnt take continious medicine. she takes theozilin if she suffers.Now i want to take her to a doctor for diagnositics and treatment. Which specialist doctor should i visit. ENT or lung specialist. I am based at coimbatore.Thanks a lot"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You should consult pulmonologist (lung specialist) for your wife. She is mostly having asthma. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). 3. Chest x-ray. Chest x-ray is needed to rule other lung pathology.PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She needs regular inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | mam, i m 22 yr old married,29 weeks pregnant,edd is 25 august 2010.since my perids were irregilar ,i came to know only at my 26th week,till now i hav not taken my iron tablets or tt injection,yesterday usg was taken it s found dat single fetus wid cephalic presentation,150/min-FHR.active fetal movements seen ,fetal kidney liver bladder spine normal,no congenital anomalies detectable and cervical length is 2.8cm.and the expected fetal wt is 1229gms.BPD-71mm,HC-260mm,AC-232mm,FL-56mm, mam,i need to know whether any problem 4 my child and for for not taking early medicatons,i m very much anxios since my delivery date is near.and v r having daily intercourse with no dificultes rather it gives me gud slep.is it permittable?it will be so kind of u 2 reply me via phone.pls sought out my doubts to relieve my tension . urs sincerely mrs.simiwaseem. | Hello dear, I understand your concern. In my opinion the absence of intake of medicines might not hamper your pregnancy in your case. Because till now the growth of the fetus is adequate for the gestational age. I suggest you to get your blood work up done to know the HE status. From now on its enough if you take iron rich diet like green leafy veggies, dates,figs, zaggery, liver etc. and iron supplements. The dosage of iron tablet will be based on your HE status. Coming to TT injections you can complete the TT injection 2 doses during the course of pregnancy before delivery.2 doses are given each one month apart. Also take calcium rich diet and calcium supplements. Take healthy nutritional diet. Adequate fluids up to 3 liters per day to prevent urinary tract infection (UTI) is needed. Just I want to tell you regarding the cervical length of 2.8 cm whicChatDoctores to be near to term short cervix. So take strict bed rest. Avoid physical strain to prevent complications.Also, the intercourse might be better avoided keeping in view the short cervix. Usually stick is applied for short cervix but as you are 28 weeks the application of stick might not be that useful. Anyway discuss regarding that with your doctor.Otherwise, nothing to worry. Hope this helps. Best regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: mam, i m 22 yr old married,29 weeks pregnant,edd is 25 august 2010.since my perids were irregilar ,i came to know only at my 26th week,till now i hav not taken my iron tablets or tt injection,yesterday usg was taken it s found dat single fetus wid cephalic presentation,150/min-FHR.active fetal movements seen ,fetal kidney liver bladder spine normal,no congenital anomalies detectable and cervical length is 2.8cm.and the expected fetal wt is 1229gms.BPD-71mm,HC-260mm,AC-232mm,FL-56mm, mam,i need to know whether any problem 4 my child and for for not taking early medicatons,i m very much anxios since my delivery date is near.and v r having daily intercourse with no dificultes rather it gives me gud slep.is it permittable?it will be so kind of u 2 reply me via phone.pls sought out my doubts to relieve my tension . urs sincerely mrs.simiwaseem."
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. In my opinion the absence of intake of medicines might not hamper your pregnancy in your case. Because till now the growth of the fetus is adequate for the gestational age. I suggest you to get your blood work up done to know the HE status. From now on its enough if you take iron rich diet like green leafy veggies, dates,figs, zaggery, liver etc. and iron supplements. The dosage of iron tablet will be based on your HE status. Coming to TT injections you can complete the TT injection 2 doses during the course of pregnancy before delivery.2 doses are given each one month apart. Also take calcium rich diet and calcium supplements. Take healthy nutritional diet. Adequate fluids up to 3 liters per day to prevent urinary tract infection (UTI) is needed. Just I want to tell you regarding the cervical length of 2.8 cm whicChatDoctores to be near to term short cervix. So take strict bed rest. Avoid physical strain to prevent complications.Also, the intercourse might be better avoided keeping in view the short cervix. Usually stick is applied for short cervix but as you are 28 weeks the application of stick might not be that useful. Anyway discuss regarding that with your doctor.Otherwise, nothing to worry. Hope this helps. Best regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 8 year old daughter has a thistle stuck in her finger, and it has become reddened and looks dark. There is no swelling, but you can see a darker spot in the middle of the wound. I cannot see anything to be able to remove it now. Will it go away on its own? | Hi dear, If there is anything stuck inside, we need to remove it to avoid foreign body reaction or secondary infection. Just have a look with a magnifying lens, if available, to look for anything stuck there. If not seen, try giving analgesics like paracetamol or ibuprofen 3 times a day for 2 days to reduce pain. A darker spot can be caused by the prick itself. If pain recurs or the area becomes progressively red and swollen, kindly take her to doctor, as this indicates thistle stuck there or secondary infection. Hope I have answered your Quertle me know if I can assist you further Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 8 year old daughter has a thistle stuck in her finger, and it has become reddened and looks dark. There is no swelling, but you can see a darker spot in the middle of the wound. I cannot see anything to be able to remove it now. Will it go away on its own?"
},
{
"from": "gpt",
"value": "Output: Hi dear, If there is anything stuck inside, we need to remove it to avoid foreign body reaction or secondary infection. Just have a look with a magnifying lens, if available, to look for anything stuck there. If not seen, try giving analgesics like paracetamol or ibuprofen 3 times a day for 2 days to reduce pain. A darker spot can be caused by the prick itself. If pain recurs or the area becomes progressively red and swollen, kindly take her to doctor, as this indicates thistle stuck there or secondary infection. Hope I have answered your Quertle me know if I can assist you further Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi,on my face black patches are coming can ypu pls tell me why these are coming and help me with remedy. | Hi!used, Welcome To Chat Doctor forum, I suppose by black patches you mean PLASMA, which is nothing but dark pigmentation over cheeks. This is usually due to hormonal changes or may be familial, and gets aggravated by sunlight. In females, we commonly see it after delivery or after taking oral contraceptive pills. These patches are very resistant to treatment and once cleared with medicines there is always a possibility of its recurrence. There are various remedies, best is to use a broad spectrum sunscreen daily three times. At night one can use de-pigmenting creams only on the spot. These creams either contain HY Chat Doctor. One can even go for chemical peels from a dermatologist at regular intervals. The latest is the use of lasers, but the results are not very promising as compared to the cost involved. I would advise you to consult a skin specialist and not get carried away by the promises given by a beauty therapist. Regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,on my face black patches are coming can ypu pls tell me why these are coming and help me with remedy."
},
{
"from": "gpt",
"value": "Output: Hi!used, Welcome To Chat Doctor forum, I suppose by black patches you mean PLASMA, which is nothing but dark pigmentation over cheeks. This is usually due to hormonal changes or may be familial, and gets aggravated by sunlight. In females, we commonly see it after delivery or after taking oral contraceptive pills. These patches are very resistant to treatment and once cleared with medicines there is always a possibility of its recurrence. There are various remedies, best is to use a broad spectrum sunscreen daily three times. At night one can use de-pigmenting creams only on the spot. These creams either contain HY Chat Doctor. One can even go for chemical peels from a dermatologist at regular intervals. The latest is the use of lasers, but the results are not very promising as compared to the cost involved. I would advise you to consult a skin specialist and not get carried away by the promises given by a beauty therapist. Regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have the mirena and had it for about 7 months and my my cycle has stayed on the same schedule and my cramping has gotten worse and I have already had my cycle this month and I am cramping all the time and tonight it is hurting even worse on right side and sorda hurtin and in my back close my spine .... and I m wondering why or what it could be | Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have the mirena and had it for about 7 months and my my cycle has stayed on the same schedule and my cramping has gotten worse and I have already had my cycle this month and I am cramping all the time and tonight it is hurting even worse on right side and sorda hurtin and in my back close my spine .... and I m wondering why or what it could be"
},
{
"from": "gpt",
"value": "Output: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Ive been on the implant for over 3 years and had it renewed in October however for the last 3 weeks ive been bleeding not to much to use anything but when I wipe there is either blood or a browny colour discharge . Ive alwmso had a head ache for a week feeking dizzy and sick. I feel tired too. Wjats wrong with me? | Hello, Implant is sub dermal hormonal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period, headache, Weight change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen & some hormone test to rule out underlying pathology if any. Take some analgesic for headache and multivitamin supplements with your diet. Avoid stress, control body wt by regular light exercise, Chat Doctor. If you need further consultation with me, then you can visit http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. Ive been on the implant for over 3 years and had it renewed in October however for the last 3 weeks ive been bleeding not to much to use anything but when I wipe there is either blood or a browny colour discharge . Ive alwmso had a head ache for a week feeking dizzy and sick. I feel tired too. Wjats wrong with me?"
},
{
"from": "gpt",
"value": "Output: Hello, Implant is sub dermal hormonal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period, headache, Weight change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen & some hormone test to rule out underlying pathology if any. Take some analgesic for headache and multivitamin supplements with your diet. Avoid stress, control body wt by regular light exercise, Chat Doctor. If you need further consultation with me, then you can visit http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello i had unprotected sex on 8/5/10 and my period was due on 9/5/10 and i came on it as usual. however it was a bit lighter than usual and i was worried if i had become pregnant, although many say that if your period came as normal you are not pregnant, and it wasnt within the few days which im fertile. i am still at this stage really worried and stressed about it, my next period after that which began 10/6/10 and finished on 15/6/10 was to a bit light, but i wondered if that was because i have been stressing my self about it. i went to the clinic on 27/5/10 and my test came back negative, and the doctor said there was very little chance that i was pregnant and to wait to see if my next period came in which it did (luckily). i have been getting a few symptoms of pregnancy e.g. tiredness, stomach pain, constipation! although these symptoms can relate to stress and anxiety symptoms also! please please please help me, im worrying myself all too much till i know for certain | Hi, Thanks for your query. I understand your concern. - Sex one day before expected day of menses can not cause pregnancy provided the menstrual cycle is regular. Again in spite of all the pregnancy like symptoms, your pregnancy test was -ve... which is confirmatory. - Following two cycles were also in time. But somewhat lesser bleeding. The associated symptoms of fatigue/ constipation/stomach pain are signs of psychological stress & actually your menstrual stress can cause hormonal disturbance & scanty period -Hormonal imbalance due to thyroid problems/ ovarian problems POD fibroid uterus . Also cause problem like you. * Consultation of a gynecologist/ USG abdomen/ thyroid tests would find cause as well as satisfy you about absence of pregnancy. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello i had unprotected sex on 8/5/10 and my period was due on 9/5/10 and i came on it as usual. however it was a bit lighter than usual and i was worried if i had become pregnant, although many say that if your period came as normal you are not pregnant, and it wasnt within the few days which im fertile. i am still at this stage really worried and stressed about it, my next period after that which began 10/6/10 and finished on 15/6/10 was to a bit light, but i wondered if that was because i have been stressing my self about it. i went to the clinic on 27/5/10 and my test came back negative, and the doctor said there was very little chance that i was pregnant and to wait to see if my next period came in which it did (luckily). i have been getting a few symptoms of pregnancy e.g. tiredness, stomach pain, constipation! although these symptoms can relate to stress and anxiety symptoms also! please please please help me, im worrying myself all too much till i know for certain"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. I understand your concern. - Sex one day before expected day of menses can not cause pregnancy provided the menstrual cycle is regular. Again in spite of all the pregnancy like symptoms, your pregnancy test was -ve... which is confirmatory. - Following two cycles were also in time. But somewhat lesser bleeding. The associated symptoms of fatigue/ constipation/stomach pain are signs of psychological stress & actually your menstrual stress can cause hormonal disturbance & scanty period -Hormonal imbalance due to thyroid problems/ ovarian problems POD fibroid uterus . Also cause problem like you. * Consultation of a gynecologist/ USG abdomen/ thyroid tests would find cause as well as satisfy you about absence of pregnancy. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My doctor take menstrual blood and my report shows mycobacterial dna pcr detected and tuberculosis complex is found. Can I get pregnant after 5-9 months course. She told us that after this she may take some more test of tubes if any problem will raise. I am worried about my pregnancy that can I conceive the baby if everything will fine after this, plz guide me. | Hello, Welcome to Chat Doctor, Menstrual blood Tb PCR is an outdated test, I suggest u go in for endometrial biopsy n the sample to b sent for Tb PCR RNA(NOT DNA), PCR RNA detects only live bacilli whereas PCR DNA also detects dead bacilli. If PCR RNA is positive u need to take treatment for at least 6 months, Following which u may require diagnostic hysterolaproscopy. Today due to advancing technology it is possible to obtain pregnancy in almost any case, al the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My doctor take menstrual blood and my report shows mycobacterial dna pcr detected and tuberculosis complex is found. Can I get pregnant after 5-9 months course. She told us that after this she may take some more test of tubes if any problem will raise. I am worried about my pregnancy that can I conceive the baby if everything will fine after this, plz guide me."
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, Menstrual blood Tb PCR is an outdated test, I suggest u go in for endometrial biopsy n the sample to b sent for Tb PCR RNA(NOT DNA), PCR RNA detects only live bacilli whereas PCR DNA also detects dead bacilli. If PCR RNA is positive u need to take treatment for at least 6 months, Following which u may require diagnostic hysterolaproscopy. Today due to advancing technology it is possible to obtain pregnancy in almost any case, al the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | STAGE 3 CKD ,HOW LONG WILL A PERSON NORMALLY LIVE ? AND HOW LONG CAN YOU LIVE AT STAGE 5 WITHOUT DIALISES OR TRANSPLANT ? IS STAGE 3 REVERSEABLE WITH MEDS OR HERBS OR ? is there any studies out there,i can get into for help or to help others .I live in Minnesota | HelloThanks for query. Chronic Kidney Disease is a progressive disease that damage the Renal Tubules and there by gradually affect the kidney function of eliminating waste products of protein metabolism like urea and creatinine in urine, These waste products start accumulating in blood and if left untreated result into renal failure and finally death of patient. Since it is an irreversible disease it can not be cured by medicine. A person with stage 5 CKD can survive only for few months without dialysis or renal transplant. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: STAGE 3 CKD ,HOW LONG WILL A PERSON NORMALLY LIVE ? AND HOW LONG CAN YOU LIVE AT STAGE 5 WITHOUT DIALISES OR TRANSPLANT ? IS STAGE 3 REVERSEABLE WITH MEDS OR HERBS OR ? is there any studies out there,i can get into for help or to help others .I live in Minnesota"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Chronic Kidney Disease is a progressive disease that damage the Renal Tubules and there by gradually affect the kidney function of eliminating waste products of protein metabolism like urea and creatinine in urine, These waste products start accumulating in blood and if left untreated result into renal failure and finally death of patient. Since it is an irreversible disease it can not be cured by medicine. A person with stage 5 CKD can survive only for few months without dialysis or renal transplant. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im 26 years old male and currently about an hour ago i was trying to sleep and i couldnt cause i was horny and my penis was really straight usually i come a little on its own. But this time i came like when i have sex. But this time mu sperm was really thick and the smell of my sperm is really strong and not just that my penis is irritated.! Me and my partner havent been with nobody else but ourselves | Degree understand your concerns went through your details. I think your problem is nocturnal emission, but it is a premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist. 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: Hi im 26 years old male and currently about an hour ago i was trying to sleep and i couldnt cause i was horny and my penis was really straight usually i come a little on its own. But this time i came like when i have sex. But this time mu sperm was really thick and the smell of my sperm is really strong and not just that my penis is irritated.! Me and my partner havent been with nobody else but ourselves"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I think your problem is nocturnal emission, but it is a premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist. If you require more of my help in this aspect, please use this URL. http"
}
]
|
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