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If you are a doctor, please answer the medical questions based on the patient's description. | The right kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.3 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. The left kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.9 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. There are two anechoic cystic lesions within the lower pole of the left kidney with increased through transmission and imperceptible walls without internal septations, calcification, or internal color Doppler blood flow compatible with benign simple renal cysts. The more superior lesion measures 9 x 7 x 7 mm and the more inferior lesion measures 1.3 x 0.8 x 0.8 cm. The urinary bladder appears normal.Findings of hyperechogenicity and decreased corticomedullary differentiation are suggestive of medical renal disease. Clinical correlation is advised.Can someone please tell me what the findings mean? Am I going into Kidney Failure. I have no toher medical conditions. I had a routine UA done over a week ago and protein was noted in myurine so my doctor sent me for an ultrasound. My creatine was normal and all other test. I am 44 and Im an AA Female. thank you. | HelloGenerally hyperechoic(bright) echo texture of kidney suggest renal parenchymal disease. It may be due to many reasons like chronic hypertension, chronic diabetes mellitus, glomerulonephritis etc. Besides clinical evaluation, you may need further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, complete renal function test(include serum urea, creatinine,creatinine clearance), GFR,serum sodium, potassium,chloride, bicarbonate,phosphate,24 hour protein clearance. Further investigations can be done if needed. Simple cysts in kidneys are generally benign findings and only need follow up. It rarely needs treatment. These are age related developmental findings. You should go for proper checkup. Get well soon. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The right kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.3 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. The left kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.9 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. There are two anechoic cystic lesions within the lower pole of the left kidney with increased through transmission and imperceptible walls without internal septations, calcification, or internal color Doppler blood flow compatible with benign simple renal cysts. The more superior lesion measures 9 x 7 x 7 mm and the more inferior lesion measures 1.3 x 0.8 x 0.8 cm. The urinary bladder appears normal.Findings of hyperechogenicity and decreased corticomedullary differentiation are suggestive of medical renal disease. Clinical correlation is advised.Can someone please tell me what the findings mean? Am I going into Kidney Failure. I have no toher medical conditions. I had a routine UA done over a week ago and protein was noted in myurine so my doctor sent me for an ultrasound. My creatine was normal and all other test. I am 44 and Im an AA Female. thank you."
},
{
"from": "gpt",
"value": "Output: HelloGenerally hyperechoic(bright) echo texture of kidney suggest renal parenchymal disease. It may be due to many reasons like chronic hypertension, chronic diabetes mellitus, glomerulonephritis etc. Besides clinical evaluation, you may need further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, complete renal function test(include serum urea, creatinine,creatinine clearance), GFR,serum sodium, potassium,chloride, bicarbonate,phosphate,24 hour protein clearance. Further investigations can be done if needed. Simple cysts in kidneys are generally benign findings and only need follow up. It rarely needs treatment. These are age related developmental findings. You should go for proper checkup. Get well soon. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have upper abdominal pain that radiates to my back, eventually I start having severe gagging & vomit. After the retching/gagging subsides, the pain subsides. I have had my gall bladder removed several years ago. Had an upper endoscopy in Feb. 2013, had double hernia repair with mesh 3/20/13. thought that was causing this pain but i started having it again about 2 weeks ago. I have had this for over 2 years & there is a pattern that it comes and goes. Any Ideas? | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have upper abdominal pain, radiates to back, have gagging and vomit then pain subsided. Endoscopy done double hernia found and repaired with mesh, pain recurred 2 weeks back the pain comes and goes. Gall bladder removed several years ago. It appears that the pain is due to gastric irritation due to irritant foods, like spicy foods, junk foods, and oily foods, and some foods which your stomach is allergic like milk and milk products. Wishing for a quick and complete recovery. Best regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have upper abdominal pain that radiates to my back, eventually I start having severe gagging & vomit. After the retching/gagging subsides, the pain subsides. I have had my gall bladder removed several years ago. Had an upper endoscopy in Feb. 2013, had double hernia repair with mesh 3/20/13. thought that was causing this pain but i started having it again about 2 weeks ago. I have had this for over 2 years & there is a pattern that it comes and goes. Any Ideas?"
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have upper abdominal pain, radiates to back, have gagging and vomit then pain subsided. Endoscopy done double hernia found and repaired with mesh, pain recurred 2 weeks back the pain comes and goes. Gall bladder removed several years ago. It appears that the pain is due to gastric irritation due to irritant foods, like spicy foods, junk foods, and oily foods, and some foods which your stomach is allergic like milk and milk products. Wishing for a quick and complete recovery. Best regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello sir, almost 2 years has passed but my wife did not pregnant, I am normal and she has a little bit problem about periods, she was treated by the doctor and now her periods are in routine, but still she is not pregnant what should we do regarding this,the last date of her starting period is 18 January.and one more question which I want to ask how many time i should have to do intercourse? thanks | Hi, Thanks for writing to Chat Doctor. I understand your concern. I would suggest your wife to get her follicular study done. By this you will come to know she is producing eggs or not and also the timing. In 30 days cycle average time of egg formation will be on 13 to 15th day. If she is normally ovulating then you can try between 12 to 16th day which is called fertile period. Daily once intercourse will be fine. As egg will be alive for 1 day and sperm for 3 to 4 days. If she is not ovulating then ovulation inducing Chat Doctor. You may discuss this with your doctor. Hope I have been helpful. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir, almost 2 years has passed but my wife did not pregnant, I am normal and she has a little bit problem about periods, she was treated by the doctor and now her periods are in routine, but still she is not pregnant what should we do regarding this,the last date of her starting period is 18 January.and one more question which I want to ask how many time i should have to do intercourse? thanks"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing to Chat Doctor. I understand your concern. I would suggest your wife to get her follicular study done. By this you will come to know she is producing eggs or not and also the timing. In 30 days cycle average time of egg formation will be on 13 to 15th day. If she is normally ovulating then you can try between 12 to 16th day which is called fertile period. Daily once intercourse will be fine. As egg will be alive for 1 day and sperm for 3 to 4 days. If she is not ovulating then ovulation inducing Chat Doctor. You may discuss this with your doctor. Hope I have been helpful. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My three year old son has white crusty scabs on his scalp. I have noticed the dry patches before, but they were usually not attached. I have now found quite a few patches that are attached. They feel like lumps on his head but peel off. Can you tell me what they are? | Hi read your question Your child has crusty scab no the scalp Which was attache with scalp Its mostly seborrhea dermatitis For this u have to use antifungal shampoo twice-weekly To soften thick patch first, rub mineral oil onto the area and brush gently to help peel scales off. Use warm water and massage the affected area Avoid scratching of head. If not improve then show your pediatrician or skin specialist | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My three year old son has white crusty scabs on his scalp. I have noticed the dry patches before, but they were usually not attached. I have now found quite a few patches that are attached. They feel like lumps on his head but peel off. Can you tell me what they are?"
},
{
"from": "gpt",
"value": "Output: Hi read your question Your child has crusty scab no the scalp Which was attache with scalp Its mostly seborrhea dermatitis For this u have to use antifungal shampoo twice-weekly To soften thick patch first, rub mineral oil onto the area and brush gently to help peel scales off. Use warm water and massage the affected area Avoid scratching of head. If not improve then show your pediatrician or skin specialist"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. Im scared I accidentally ripped my gum upwards. Theres no significant pain but a little red around the right socket. Also, ive been really nauseous and theres a tingling in my throat that has been present for the last 4 days. Should I be worried? | Hi, Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check-up. 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 got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. Im scared I accidentally ripped my gum upwards. Theres no significant pain but a little red around the right socket. Also, ive been really nauseous and theres a tingling in my throat that has been present for the last 4 days. Should I be worried?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check-up. Hope this helps. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My wife suffered from sciatica(based on symptoms such as pain from hip to toe etc) for past 7 years. The symptom occurred only after her delivery.Is is curable? what test need to be taken to prove it is sciatica and what medication we need to take | hither should be physical examination of spine first and if need be x-ray /MRI should be done to locate the cause of referred pain in legs. It is manageable with back exercises, massage and medicines and fomentation, avoiding lifting heavy objects. Backache is common after delivery since there is overstretching of back and pelvic muscles during delivery, but settles with exercises, rest assured. Some pain medicines may be taken | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My wife suffered from sciatica(based on symptoms such as pain from hip to toe etc) for past 7 years. The symptom occurred only after her delivery.Is is curable? what test need to be taken to prove it is sciatica and what medication we need to take"
},
{
"from": "gpt",
"value": "Output: hither should be physical examination of spine first and if need be x-ray /MRI should be done to locate the cause of referred pain in legs. It is manageable with back exercises, massage and medicines and fomentation, avoiding lifting heavy objects. Backache is common after delivery since there is overstretching of back and pelvic muscles during delivery, but settles with exercises, rest assured. Some pain medicines may be taken"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello,I was recently turned away from a colonoscopy because my blood pressure was too high (170/110). I understand there is a proper way to take blood pressure readings and improper ways to take them.I am taking my blood pressure daily and logging it for my next doctors visit. What is the proper procedure for taking my blood pressure?Thank you, | Hi welcome to Chat Doctor Dear, You may need to take your BP at home if you have hypertension (high BP) or hypotension (low BP). High BP increases your risk for stroke, heart attack, or kidney disease. Low BP may cause you to feel dizzy or like you are going to pass out. This usually happens when you stand up quickly. You may need to take medicine to keep your BP at a normal level. Start the procedure with few dos and don'ts for accurate reading Do not check your blood pressure within 30 minutes of smoking, Chat Doctor. These may affect your BP reading. Do not take a BP reading in an arm that is injured or has an IV or a shunt. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Both of your feet should be flat on the floor. The device has a built-in pump that inflates the cuff. Put the cuff about 1 inch (2.5 cm) above your elbow. Wrap the cuff snugly around your arm. The BP reading may not be correct if the cuff is too loose. Turn on the BP monitor and follow the directions. Write down your BP, the date, the time, and which arm you used to take the BP. If possible, take your blood pressure twice and write down both readings. These BP readings can be 1 minute apart. Let the air out of the cuff. Turn off the monitor and take off the BP cuff. Take your BP at least twice a day. Take your BP at the same times each day, such as the morning and evening for accurate reading. Hope this helps solve your query. All the best.Don't hesitate to get back if you have any further query | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello,I was recently turned away from a colonoscopy because my blood pressure was too high (170/110). I understand there is a proper way to take blood pressure readings and improper ways to take them.I am taking my blood pressure daily and logging it for my next doctors visit. What is the proper procedure for taking my blood pressure?Thank you,"
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor Dear, You may need to take your BP at home if you have hypertension (high BP) or hypotension (low BP). High BP increases your risk for stroke, heart attack, or kidney disease. Low BP may cause you to feel dizzy or like you are going to pass out. This usually happens when you stand up quickly. You may need to take medicine to keep your BP at a normal level. Start the procedure with few dos and don'ts for accurate reading Do not check your blood pressure within 30 minutes of smoking, Chat Doctor. These may affect your BP reading. Do not take a BP reading in an arm that is injured or has an IV or a shunt. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Both of your feet should be flat on the floor. The device has a built-in pump that inflates the cuff. Put the cuff about 1 inch (2.5 cm) above your elbow. Wrap the cuff snugly around your arm. The BP reading may not be correct if the cuff is too loose. Turn on the BP monitor and follow the directions. Write down your BP, the date, the time, and which arm you used to take the BP. If possible, take your blood pressure twice and write down both readings. These BP readings can be 1 minute apart. Let the air out of the cuff. Turn off the monitor and take off the BP cuff. Take your BP at least twice a day. Take your BP at the same times each day, such as the morning and evening for accurate reading. Hope this helps solve your query. All the best.Don't hesitate to get back if you have any further query"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a tongue biopsy last week - 19Dec - under general anaesthetic due to a recurring ulcer that I have been bothered with for more than a year. This was on the right side of my tongue very near to the front/tip. The surgeon took a slice of my tongue and cauterised the wound without suturing. It has been very sore and uncomfortable to talk, eat or drink, and is very swollen around the wound. The last 24 hours I have noticed that the lymph node under my jaw on the right side (where the section was taken) just in front of my ear is very tender and hurts to touch. Getting a bit concerned as Xmas is in 36 hours and I really thought it would have well settled by now (4 days). Any advice would be greatly appreciated. I am 60 years old and a smoker (I know, I know!!) | Hello, Actually tongue is a muscular organ with high vascular supply (blood supply) so the wounds heal on its own and early that is why the doctor must not have given any stitch. But some packs and medications like antibiotics and painkillers are given for support, I think you should visit the dentist again for the medications. As well, you should quit smoking at least for 1 week as it will also delay healing. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a tongue biopsy last week - 19Dec - under general anaesthetic due to a recurring ulcer that I have been bothered with for more than a year. This was on the right side of my tongue very near to the front/tip. The surgeon took a slice of my tongue and cauterised the wound without suturing. It has been very sore and uncomfortable to talk, eat or drink, and is very swollen around the wound. The last 24 hours I have noticed that the lymph node under my jaw on the right side (where the section was taken) just in front of my ear is very tender and hurts to touch. Getting a bit concerned as Xmas is in 36 hours and I really thought it would have well settled by now (4 days). Any advice would be greatly appreciated. I am 60 years old and a smoker (I know, I know!!)"
},
{
"from": "gpt",
"value": "Output: Hello, Actually tongue is a muscular organ with high vascular supply (blood supply) so the wounds heal on its own and early that is why the doctor must not have given any stitch. But some packs and medications like antibiotics and painkillers are given for support, I think you should visit the dentist again for the medications. As well, you should quit smoking at least for 1 week as it will also delay healing. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | a pin pricking feeling on my right side..just above the thigh where i was given a painkiller injection two weeks back. i was hospitalised for kidney stone and was on antibiotics till last sunday. This pricking started on tuesday. i was afraid it may be an abscess so started antibiotics on friday again. today is the third day of that but pricking feeling not gone. what could it be? | Intramuscular injection may sometimes lead to nerve damage. Generally there will be loss of sensation/ numbness in the area supplied by particular nerve. This pin pricking sensation could be sign of neuronal regeneration. Abscess will have symptoms like fever, pain, swelling and redness in that area. If you have these symptoms you should consult surgeon as may need Chat Doctor. Hopefully it should subside within a week if its secondary to mild nerve damage. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: a pin pricking feeling on my right side..just above the thigh where i was given a painkiller injection two weeks back. i was hospitalised for kidney stone and was on antibiotics till last sunday. This pricking started on tuesday. i was afraid it may be an abscess so started antibiotics on friday again. today is the third day of that but pricking feeling not gone. what could it be?"
},
{
"from": "gpt",
"value": "Output: Intramuscular injection may sometimes lead to nerve damage. Generally there will be loss of sensation/ numbness in the area supplied by particular nerve. This pin pricking sensation could be sign of neuronal regeneration. Abscess will have symptoms like fever, pain, swelling and redness in that area. If you have these symptoms you should consult surgeon as may need Chat Doctor. Hopefully it should subside within a week if its secondary to mild nerve damage."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello all. I am from Bangalore. Actually I got a wound(Red colour) in my pennies ball from 2 weeks back. I am really suffering because of this. I am not able to sleep , I am not able to walk properly. 3 weeks back I had sex with one of my friend. After 1 week it happened to me. I dont know what to do. Please suggest me about this. | HelloThanks for your query, based on the facts that you have posted it appears that you have a wound around glans penis after having sex with your girlfriend. This could be a wound due to Chat Doctor. You need to get basic tests like screening test for STD and Swab test of fluid from the wound done to rule out STD. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello all. I am from Bangalore. Actually I got a wound(Red colour) in my pennies ball from 2 weeks back. I am really suffering because of this. I am not able to sleep , I am not able to walk properly. 3 weeks back I had sex with one of my friend. After 1 week it happened to me. I dont know what to do. Please suggest me about this."
},
{
"from": "gpt",
"value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you have a wound around glans penis after having sex with your girlfriend. This could be a wound due to Chat Doctor. You need to get basic tests like screening test for STD and Swab test of fluid from the wound done to rule out STD. You need to take broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 8 year old daughter came home from school yesterday with a fever of 102 f. She is c/o headache i left temple, and has been throwing up. Appears hydrated, and we are pushing fluids. Early this am she had to throw up but because her belly was empty she had green bile. Her left eye is red perioribital to her nose. I thought she was rubbing her eye too hard, but there is a little swelling below the eyebrow. wondering if she needs to be seen or handle it at home.. fevers have been 99.5 to 101 | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of severe vomiting, headache and fever. Well there can be many reasons for symptoms you mention in query like food poisoning, improper digestion, poor metabolism, electrolyte imbalance and due to acute gastritis. Need not worry. I would suggest you to do warm saline gargles several times a day. You should keep your head elevated while sleeping. Avoid eating spicy and heavy food, reduce intake of dairy products. You should take plenty of fluids. Consult pediatrician for proper examination. Doctor may order test like swab test, blood test and will do physical examination. Doctor may prescribe antibacterial or antiviral depending upon the diagnosis along with antiemetic medications. 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: my 8 year old daughter came home from school yesterday with a fever of 102 f. She is c/o headache i left temple, and has been throwing up. Appears hydrated, and we are pushing fluids. Early this am she had to throw up but because her belly was empty she had green bile. Her left eye is red perioribital to her nose. I thought she was rubbing her eye too hard, but there is a little swelling below the eyebrow. wondering if she needs to be seen or handle it at home.. fevers have been 99.5 to 101"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of severe vomiting, headache and fever. Well there can be many reasons for symptoms you mention in query like food poisoning, improper digestion, poor metabolism, electrolyte imbalance and due to acute gastritis. Need not worry. I would suggest you to do warm saline gargles several times a day. You should keep your head elevated while sleeping. Avoid eating spicy and heavy food, reduce intake of dairy products. You should take plenty of fluids. Consult pediatrician for proper examination. Doctor may order test like swab test, blood test and will do physical examination. Doctor may prescribe antibacterial or antiviral depending upon the diagnosis along with antiemetic medications. 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. | Hello, I recently ordered a night guard for grinding my teeth from my dentist. I used it for one night, and I put it in tonight and it feels really loose, and feels like its falling out of my mouth... I was wondering if this is normal and if theres any way I can fix it? thanks. | Hi. Thanks for the query. Night guards are used to prevent the teeth from wearing away due to grinding. If it is loose then it can have further damaging effects on the teeth and gums. It is not normal for the night guard to get loose in a day only, and you should consult a Dentist and get evaluated. It will be better to get a custom-made night guard prepared as per the fit of the oral tissues, and then it will ft appropriately. For now avoid wearing the loose night guard. 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: Hello, I recently ordered a night guard for grinding my teeth from my dentist. I used it for one night, and I put it in tonight and it feels really loose, and feels like its falling out of my mouth... I was wondering if this is normal and if theres any way I can fix it? thanks."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. Night guards are used to prevent the teeth from wearing away due to grinding. If it is loose then it can have further damaging effects on the teeth and gums. It is not normal for the night guard to get loose in a day only, and you should consult a Dentist and get evaluated. It will be better to get a custom-made night guard prepared as per the fit of the oral tissues, and then it will ft appropriately. For now avoid wearing the loose night guard. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband had the Whipple procedure for pancreatic cancer and still has diarrhea issues 8 months later. He lost 60 lbs and is gaining it back slowly. On TPN food bags for the last 2 months and still on them and I would like to start using a juicer for him but dont know what fruits or veggies to use for this type of cancer. Presently his CA19-9 tumor markers are at 160 after surgery they were at 24. This concerns me. Any ideas to get those tumor markers down? He has already gone through the radiation and chemo treatments. Thank you. Dawn Skiba | Hi and thank you so much for this query am so sorry to hear about this persistent diarrhea and the rising tumor markers. The rising tumor markers mean that the tumor was not completely removed and nothing else can be done to ad Chat Doctor. It is rather unfortunate but a majority of persons with incompletely excised pancreatic cancer would most likely not be alive after 6\u00a0months. There is nothing that can be done about this diarrhea as it is due to digestive secretions that flow through especially bile. About starting a juicer, talk to his treating doctor to give his accord. I hope this ad | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband had the Whipple procedure for pancreatic cancer and still has diarrhea issues 8 months later. He lost 60 lbs and is gaining it back slowly. On TPN food bags for the last 2 months and still on them and I would like to start using a juicer for him but dont know what fruits or veggies to use for this type of cancer. Presently his CA19-9 tumor markers are at 160 after surgery they were at 24. This concerns me. Any ideas to get those tumor markers down? He has already gone through the radiation and chemo treatments. Thank you. Dawn Skiba"
},
{
"from": "gpt",
"value": "Output: Hi and thank you so much for this query am so sorry to hear about this persistent diarrhea and the rising tumor markers. The rising tumor markers mean that the tumor was not completely removed and nothing else can be done to ad Chat Doctor. It is rather unfortunate but a majority of persons with incompletely excised pancreatic cancer would most likely not be alive after 6\\u00a0months. There is nothing that can be done about this diarrhea as it is due to digestive secretions that flow through especially bile. About starting a juicer, talk to his treating doctor to give his accord. I hope this ad"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my 6 month old started throwing her head back and forth for no reason. She does it when she is happy and she does it when she is upset but she always looks up then slams her head back down forward is this something i should be concerned about? She also rubs her nose a lot pretty much constantly. | Hi Read your question As u said your baby had fall aback and forth with no reason Mostly 6-month-old baby may fall hard back and forth in excitement and upset. But if she not holds head stand straight after that then u have to worry and Show your pediatrician and ask for it First u have not given birth history of your baby and other thing when your baby hold neck straight. If neck holding was delay then it was normal But u show your pediatrician asap for that if u have confused | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my 6 month old started throwing her head back and forth for no reason. She does it when she is happy and she does it when she is upset but she always looks up then slams her head back down forward is this something i should be concerned about? She also rubs her nose a lot pretty much constantly."
},
{
"from": "gpt",
"value": "Output: Hi Read your question As u said your baby had fall aback and forth with no reason Mostly 6-month-old baby may fall hard back and forth in excitement and upset. But if she not holds head stand straight after that then u have to worry and Show your pediatrician and ask for it First u have not given birth history of your baby and other thing when your baby hold neck straight. If neck holding was delay then it was normal But u show your pediatrician asap for that if u have confused"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello sir Due to accident my left hand arm injured and doctor put a Stich before 10 days and they suggested to take taking tablet Pantocid one tab every morning & Emanzen D, Augpen 625 Bid (Twice in a day) for 5 day after dosage completed i stoped. now still i am getting pain in woond place and it also may be swelling so what should do now again that tab continue or what should do suggest me sir | Hi, thank you for providing the brief history of you. As you had a stitch 10 days before and the wound still hurts, this is a normal phenomenon of healing, and it will heal soon, for which you shouldn't get worry more. Continuing the medication by the advice of the same physician should be helpful, but I will recommend you to do quick icing around the wound area and keep it under sunlight for healing. As most wounds heal within 10-15 days of time post stitching you should keep patience to allow it to heal. With gods grace everything will be alright. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir Due to accident my left hand arm injured and doctor put a Stich before 10 days and they suggested to take taking tablet Pantocid one tab every morning & Emanzen D, Augpen 625 Bid (Twice in a day) for 5 day after dosage completed i stoped. now still i am getting pain in woond place and it also may be swelling so what should do now again that tab continue or what should do suggest me sir"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for providing the brief history of you. As you had a stitch 10 days before and the wound still hurts, this is a normal phenomenon of healing, and it will heal soon, for which you shouldn't get worry more. Continuing the medication by the advice of the same physician should be helpful, but I will recommend you to do quick icing around the wound area and keep it under sunlight for healing. As most wounds heal within 10-15 days of time post stitching you should keep patience to allow it to heal. With gods grace everything will be alright. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | While they are doing laparoscopic gallbladder surgery, can they tell if there are stones in the ducts immediately or do they usually find out ahead of time? Does a sonagram show stones in the ducts? If so can they remove them right then while in surgery, instead of waiting to see if they create problems later? | Hello, Acute cholecystitis due to gallstones may need surgical excision after controlling the Infection. If stone obstructing the bile duct may need ERCP removal. If stone in the gallbladder asymptomatic may not need surgery. Yes, they may find out by ultrasound abdomen or CT abdomen. Only after scan they will plan for procedure unless it is emergency. Hope I have answered your query. Let me know if I can assist you further. Regard | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: While they are doing laparoscopic gallbladder surgery, can they tell if there are stones in the ducts immediately or do they usually find out ahead of time? Does a sonagram show stones in the ducts? If so can they remove them right then while in surgery, instead of waiting to see if they create problems later?"
},
{
"from": "gpt",
"value": "Output: Hello, Acute cholecystitis due to gallstones may need surgical excision after controlling the Infection. If stone obstructing the bile duct may need ERCP removal. If stone in the gallbladder asymptomatic may not need surgery. Yes, they may find out by ultrasound abdomen or CT abdomen. Only after scan they will plan for procedure unless it is emergency. Hope I have answered your query. Let me know if I can assist you further. Regard"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello my name is Sandra hall I have been having blood test I have a infiction that the doctor can not fine. my red cells have does not have a lot oxygen. I itches all over my body. white cell are going up platlets are going down .can you tell me what I should do? | Hello and welcome to Chat Doctor, Infection especially bacterial infection can lead to increased white blood cell count. Among the white blood cells, neutrophils are elevated. Red cells not having enough oxygen suggests low hemoglobin or anemia. Itchiness can occur due to many causes namely,1. Polycythemia2. High bile salts in body3. Skin ailments etc. A clinical assessment is required to look for focus of infection and site on body whether itchiness is more. In case of low hemoglobin, relevant investigations are required to know the type of anemia. Thanks and take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello my name is Sandra hall I have been having blood test I have a infiction that the doctor can not fine. my red cells have does not have a lot oxygen. I itches all over my body. white cell are going up platlets are going down .can you tell me what I should do?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, Infection especially bacterial infection can lead to increased white blood cell count. Among the white blood cells, neutrophils are elevated. Red cells not having enough oxygen suggests low hemoglobin or anemia. Itchiness can occur due to many causes namely,1. Polycythemia2. High bile salts in body3. Skin ailments etc. A clinical assessment is required to look for focus of infection and site on body whether itchiness is more. In case of low hemoglobin, relevant investigations are required to know the type of anemia. Thanks and take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i forgot to take my bp med yesterday but remembered just before i went to bed so i took it, then again when i woke up this morning, this evening i was very dizzy, very tired and by pulse rate was lower than usual bp was good though, is this because i took med dose to close together? or should i be worried its something more? | Hellothanks for posting here. Looks like you are on beta blocker medications for blood pressure control. Beta blockers have an additional effect of lowering the heart rate asking with lowering blood pressure. So since you took two doses in short intervals that's why you had slow heart rate and symptoms. You may skip your routine evening dose and start again from the next morning. Beta blockers are very beneficial for blood pressure and also have a protecting effect from a cardiac event. So please continue taking them. In case you have similar symptoms you can skip one dose and then continue there forth. If these symptoms persist then you must see your doctor. As of now there is nothing to worry. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i forgot to take my bp med yesterday but remembered just before i went to bed so i took it, then again when i woke up this morning, this evening i was very dizzy, very tired and by pulse rate was lower than usual bp was good though, is this because i took med dose to close together? or should i be worried its something more?"
},
{
"from": "gpt",
"value": "Output: Hellothanks for posting here. Looks like you are on beta blocker medications for blood pressure control. Beta blockers have an additional effect of lowering the heart rate asking with lowering blood pressure. So since you took two doses in short intervals that's why you had slow heart rate and symptoms. You may skip your routine evening dose and start again from the next morning. Beta blockers are very beneficial for blood pressure and also have a protecting effect from a cardiac event. So please continue taking them. In case you have similar symptoms you can skip one dose and then continue there forth. If these symptoms persist then you must see your doctor. As of now there is nothing to worry. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My Girlfriend is Pregnant, and we went to planned parent to get the confermation, she said we were about 5 weeks, then last night she was not feeling well so I took her to the ER and her BETA level was 36 and they wanted to re-check her so we decided tonight to go and it went up to 64.11 They said she was only a few days pregnant? How is this possiable | Hallow Dear, You can locate the duration of pregnancy by following ways | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My Girlfriend is Pregnant, and we went to planned parent to get the confermation, she said we were about 5 weeks, then last night she was not feeling well so I took her to the ER and her BETA level was 36 and they wanted to re-check her so we decided tonight to go and it went up to 64.11 They said she was only a few days pregnant? How is this possiable"
},
{
"from": "gpt",
"value": "Output: Hallow Dear, You can locate the duration of pregnancy by following ways"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have been getting dizzy when standing suddenly. This happens when standing up suddenly from a laying or prolonged sitting position. I am familiar with orthostatic hypostension. Hopefully that s spelled correctly. The intensity of the dizziness has started to increase, as well as the frequency. Earlier today I was laying down using my laptop, and got up. The dizziness was very intense, the initial onset I experienced a 6 second period where my vision was black and white only. I did what I normally do when I experience these symptoms | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Good to know you are familiar with orthostatic or postural hypotension.2. Making slow movements during changing of position is the most important aspect.3. Venous stockings to the lower limbs can avoid pooling of blood in lower limbs and sudden variations in blood pressure.4. Also take plenty of water. Corticosteroids may be necessary, when orthostatic hypotension is severe. Hope it helps. Any further queries, happy to help again. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have been getting dizzy when standing suddenly. This happens when standing up suddenly from a laying or prolonged sitting position. I am familiar with orthostatic hypostension. Hopefully that s spelled correctly. The intensity of the dizziness has started to increase, as well as the frequency. Earlier today I was laying down using my laptop, and got up. The dizziness was very intense, the initial onset I experienced a 6 second period where my vision was black and white only. I did what I normally do when I experience these symptoms"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Good to know you are familiar with orthostatic or postural hypotension.2. Making slow movements during changing of position is the most important aspect.3. Venous stockings to the lower limbs can avoid pooling of blood in lower limbs and sudden variations in blood pressure.4. Also take plenty of water. Corticosteroids may be necessary, when orthostatic hypotension is severe. Hope it helps. Any further queries, happy to help again."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have red blotches that itch and have appeared on my left cheek and back of left hand, also on the back of my right hand and another on my right fore arm. In addition to these spots that are red, round and itch, my lips were also swollen when I got up this morning. There are no blisters or previous injury. Benadryl cream helps with itching. No fever but do have headache. I have had this happen a few times the past year and each time the spots come back on the same areas. It lasts about a week. It s really bothers me when my lips and face swell up. | Hi, You seem to suffer from urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some triggering factor. Try to find out. It may be some dietary factors like seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. If needed, oral steroid in tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have red blotches that itch and have appeared on my left cheek and back of left hand, also on the back of my right hand and another on my right fore arm. In addition to these spots that are red, round and itch, my lips were also swollen when I got up this morning. There are no blisters or previous injury. Benadryl cream helps with itching. No fever but do have headache. I have had this happen a few times the past year and each time the spots come back on the same areas. It lasts about a week. It s really bothers me when my lips and face swell up."
},
{
"from": "gpt",
"value": "Output: Hi, You seem to suffer from urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some triggering factor. Try to find out. It may be some dietary factors like seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. If needed, oral steroid in tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear doctor, my name is Temitayo Steven from Nigeria. For the past 8 days, I have been experiencing fever that would start around the afternoon period and disappear in the morning, slight headache and chest pain. Some days before this I had rashes around my anus. I went for a test 5 days ago and below is the result; S.typhi(O 1 | Hi, Temitayo Steven, did the doctors check anything besides for S. type? Your symptoms are nonspecific and could be almost any kind of infection. A lot more tests might be needed. The first test you did for S. type only indicates you have been infected at some time; it may not be an acute infection. Some things I would consider are strep, pneumonia, malaria, other parasitic infections, HIV, herpes, certain other STDs, tuberculosis, atypical mycobacterial infections, other bacterial infections. Many bacterial infections require a different antibiotic than Ciprofloxacin. You need to have a good examination, to describe the rash, and get more testing done to see what this could be. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear doctor, my name is Temitayo Steven from Nigeria. For the past 8 days, I have been experiencing fever that would start around the afternoon period and disappear in the morning, slight headache and chest pain. Some days before this I had rashes around my anus. I went for a test 5 days ago and below is the result; S.typhi(O 1"
},
{
"from": "gpt",
"value": "Output: Hi, Temitayo Steven, did the doctors check anything besides for S. type? Your symptoms are nonspecific and could be almost any kind of infection. A lot more tests might be needed. The first test you did for S. type only indicates you have been infected at some time; it may not be an acute infection. Some things I would consider are strep, pneumonia, malaria, other parasitic infections, HIV, herpes, certain other STDs, tuberculosis, atypical mycobacterial infections, other bacterial infections. Many bacterial infections require a different antibiotic than Ciprofloxacin. You need to have a good examination, to describe the rash, and get more testing done to see what this could be. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, I have a red rash all over my body - when I itch it leaves red marks, and it has not responded to anti histamine . I thought it might bean allergy to washing powered, but even parts of my body not in contact with fabric are itching. It started as a bumpy, blisters rash between my fingers and ow my whole body. I am worried I might have shingles again? Thank you for ay advice you can offer. | Hi, Thanks for writing in. The rashes can be contact dermatitis, insect bite reaction, dermatitis herpetiformis, chickenpox etc. Apply cooling and soothing lotion like aloe vera over the area. Shingle occurs in particular dermatome, and it would not spread to all over the body. Take tablet fexofenadine 180 mg twice daily.Also, oral steroids can help a lot in stopping the spread of the lesions. Hope this helps. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, I have a red rash all over my body - when I itch it leaves red marks, and it has not responded to anti histamine . I thought it might bean allergy to washing powered, but even parts of my body not in contact with fabric are itching. It started as a bumpy, blisters rash between my fingers and ow my whole body. I am worried I might have shingles again? Thank you for ay advice you can offer."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. The rashes can be contact dermatitis, insect bite reaction, dermatitis herpetiformis, chickenpox etc. Apply cooling and soothing lotion like aloe vera over the area. Shingle occurs in particular dermatome, and it would not spread to all over the body. Take tablet fexofenadine 180 mg twice daily.Also, oral steroids can help a lot in stopping the spread of the lesions. Hope this helps. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor ,I m 30 years old and doctor predicted that i have follicular ovarian cyst .Presently i am taking Metformin 500mg tablet(twice a day).Really i got stressed nowadays.I got married before 4 yrs.And after 1.5 yrs got one miscarriage also.Is that cyst is recoverable problem or not?Can i go for IVF?Can you pls suggest good gynaecologist in chennai.Thanks for your reply in advance | Hello could have been given metformin for PCs, high blood sugar. The cyst can be of 2 types. Either it's a single large cyst or polycystic ovaries. You need to thoroughly evaluated as to what the problem might be apart from the cyst.Accordingly, treatment is variable.IVF is the last resort. Before that there are other factors to consider.It's a lengthy process. You should consult a good ORGAN /fertility specialist. Try Apollo Hosp in Chennai. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor ,I m 30 years old and doctor predicted that i have follicular ovarian cyst .Presently i am taking Metformin 500mg tablet(twice a day).Really i got stressed nowadays.I got married before 4 yrs.And after 1.5 yrs got one miscarriage also.Is that cyst is recoverable problem or not?Can i go for IVF?Can you pls suggest good gynaecologist in chennai.Thanks for your reply in advance"
},
{
"from": "gpt",
"value": "Output: Hello could have been given metformin for PCs, high blood sugar. The cyst can be of 2 types. Either it's a single large cyst or polycystic ovaries. You need to thoroughly evaluated as to what the problem might be apart from the cyst.Accordingly, treatment is variable.IVF is the last resort. Before that there are other factors to consider.It's a lengthy process. You should consult a good ORGAN /fertility specialist. Try Apollo Hosp in Chennai."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had the same boyfriend for about 8 months now and have been consistently sexually active with him. Sometimes my vaginal area is a little sore the next day, but this time it is itchy, red and irritated and I recently felt little bumps or ridges inside my vagina. My discharge smells and looks completely normal except for when I ve tried to put itch cream on it and it gets a little thicker and whiter. My boyfriend is completely fine with no irritation at all to his genitals. We tried having sex again a day after I noticed it hurting and there was a very sharp pain when he tried to enter that nearly left me crying in pain. There is some burning during urination but I feel like that happens only if I ve recently been scratching the area. I have been having these symptoms for about 4 days now with no change and it may just be getting worse since I can t help scratching and messing with it. | Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of this red itchy vaginal lump, I would come up with three possibilities, these include | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had the same boyfriend for about 8 months now and have been consistently sexually active with him. Sometimes my vaginal area is a little sore the next day, but this time it is itchy, red and irritated and I recently felt little bumps or ridges inside my vagina. My discharge smells and looks completely normal except for when I ve tried to put itch cream on it and it gets a little thicker and whiter. My boyfriend is completely fine with no irritation at all to his genitals. We tried having sex again a day after I noticed it hurting and there was a very sharp pain when he tried to enter that nearly left me crying in pain. There is some burning during urination but I feel like that happens only if I ve recently been scratching the area. I have been having these symptoms for about 4 days now with no change and it may just be getting worse since I can t help scratching and messing with it."
},
{
"from": "gpt",
"value": "Output: Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of this red itchy vaginal lump, I would come up with three possibilities, these include"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctor. I m 27 n last yr i had miscarriage after that i had infection and hormonal imbalance. Now we r planning pregnancy n in this month my dr. Prescribed me Meprate to support pregnancy, but every time i feel abs pain after using meprate. So my question is will i have safe pregnancy? | Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about...can u have safe pregnancy after an infection and hormonal imbalance post miscarriage.right.my answer is.YES.there are chances of safer pregnancy in the future. Usually after miscarriage it is routine that doctor will advise for ultrasound to conform that whether is miscarriage is COMPLETE (that means all products of conception are expelled out from the womb) or INCOMPLETE (there is retained product of conception inside the womb). In both the cases usually antibiotics are prescribed to prevent infection and incomplete miscarriage usually required minor surgery for removal of retained products so that chances of infection further decreases. As u told that u had miscarriage in last year, but u didn't give whether it was complete or incomplete. U had taken antibiotics or not. So it is difficult for me to comment on this. After miscarriage there is hormonal imbalance usually happens, but in most of the cases it will correct spontaneously. Some women required medication for correlation of it. This hormonal imbalance usually effects the menses, due to that menses will be irregular.u told that u have hormonal imbalance but didn't give info regarding your menses whether it is regular or irregular. So it is difficult for me to comment on this.u also told that u have taking separate which cause pain in your abs, for that u can take alternative medicine after discussing with your treating doctor. With the above information u can try out my suggestions-1. RELAX...DON'T WORRY. there are chances of safer pregnancy in your case. So KEEP PATIENCE.2. If your infection had resolved n u have regular menses then there is DOUBLE CHANCE of getting pregnant in your case.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. .DON'T WORRY.everything will be alright. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor. I m 27 n last yr i had miscarriage after that i had infection and hormonal imbalance. Now we r planning pregnancy n in this month my dr. Prescribed me Meprate to support pregnancy, but every time i feel abs pain after using meprate. So my question is will i have safe pregnancy?"
},
{
"from": "gpt",
"value": "Output: Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about...can u have safe pregnancy after an infection and hormonal imbalance post miscarriage.right.my answer is.YES.there are chances of safer pregnancy in the future. Usually after miscarriage it is routine that doctor will advise for ultrasound to conform that whether is miscarriage is COMPLETE (that means all products of conception are expelled out from the womb) or INCOMPLETE (there is retained product of conception inside the womb). In both the cases usually antibiotics are prescribed to prevent infection and incomplete miscarriage usually required minor surgery for removal of retained products so that chances of infection further decreases. As u told that u had miscarriage in last year, but u didn't give whether it was complete or incomplete. U had taken antibiotics or not. So it is difficult for me to comment on this. After miscarriage there is hormonal imbalance usually happens, but in most of the cases it will correct spontaneously. Some women required medication for correlation of it. This hormonal imbalance usually effects the menses, due to that menses will be irregular.u told that u have hormonal imbalance but didn't give info regarding your menses whether it is regular or irregular. So it is difficult for me to comment on this.u also told that u have taking separate which cause pain in your abs, for that u can take alternative medicine after discussing with your treating doctor. With the above information u can try out my suggestions-1. RELAX...DON'T WORRY. there are chances of safer pregnancy in your case. So KEEP PATIENCE.2. If your infection had resolved n u have regular menses then there is DOUBLE CHANCE of getting pregnant in your case.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. .DON'T WORRY.everything will be alright. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im looking for a non narcotic pain medicine. I have been diagnose with fibromyalgia, I have low back pain as well. My Dr. wants to put me on Lyrica, but I don t want to go on it because of the side effects. I am taking 800 mg. of Gabapitin, I have an appointment on Wed and was wanting to know what I could ask her for. I have pain all over, it is making it hard to walk and work. I am not over weight and I am trying to eliminate the foods that cause inflammation. | HiT his is an agonizing disease, but now good remedial measures are possible.if you are attending Fibromyalgia clinics, then trust your doctor for the prescriptions, if you tolerate gabapentin, there's no need to fear side effects of Lyrical unless you had taken previously and suffered its side effects...some patients report even side effects to gabapentin too, so it's not necessary you would too.likewise for lyrical...some rheumatologists prescribe methycobalamin and amytryptalline too along with gabapentin or lyrical.meanwhile do take physical therapy if not taking, it would relieve symptomatically, see a physical therapist too. Best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im looking for a non narcotic pain medicine. I have been diagnose with fibromyalgia, I have low back pain as well. My Dr. wants to put me on Lyrica, but I don t want to go on it because of the side effects. I am taking 800 mg. of Gabapitin, I have an appointment on Wed and was wanting to know what I could ask her for. I have pain all over, it is making it hard to walk and work. I am not over weight and I am trying to eliminate the foods that cause inflammation."
},
{
"from": "gpt",
"value": "Output: HiT his is an agonizing disease, but now good remedial measures are possible.if you are attending Fibromyalgia clinics, then trust your doctor for the prescriptions, if you tolerate gabapentin, there's no need to fear side effects of Lyrical unless you had taken previously and suffered its side effects...some patients report even side effects to gabapentin too, so it's not necessary you would too.likewise for lyrical...some rheumatologists prescribe methycobalamin and amytryptalline too along with gabapentin or lyrical.meanwhile do take physical therapy if not taking, it would relieve symptomatically, see a physical therapist too. Best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter has many health problems including repaired ToF, repaired imperforate anus, urinary reflux, agenesis of corpus callosum, and repaired bilateral cleft lip and palate and multiple vertabrae fusions they are worried about problems developing in the future. She loses weight a lot she is almost 3 and 20lbs, she has what seems to be enlarged inguinal lymph nodes, and she gets dark bruises along her spine for no reason. I just want to know what are possible causes for the lymph nodes and bruising... should i be worried or am i just being paranoid from past history?? | Hi, dear. I have gone through your question. I can understand your concern. She may have reactive lymph node enlargement or may have tuberculosis or malignancy. You should go for fine needle aspiration cytology to search the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter has many health problems including repaired ToF, repaired imperforate anus, urinary reflux, agenesis of corpus callosum, and repaired bilateral cleft lip and palate and multiple vertabrae fusions they are worried about problems developing in the future. She loses weight a lot she is almost 3 and 20lbs, she has what seems to be enlarged inguinal lymph nodes, and she gets dark bruises along her spine for no reason. I just want to know what are possible causes for the lymph nodes and bruising... should i be worried or am i just being paranoid from past history??"
},
{
"from": "gpt",
"value": "Output: Hi, dear. I have gone through your question. I can understand your concern. She may have reactive lymph node enlargement or may have tuberculosis or malignancy. You should go for fine needle aspiration cytology to search the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health......... | HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission. This is a normal phenomenon to get night emission at the age of adolescence and nothing to be worried about it. It well get resolved itself without any treatment over a period of time. Try to practice moderate exercise every day for 45 minutes and take high protein diet with fruits and vegetables and vitamins. This will help to built up your general health. And to get good sound sleep. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health........."
},
{
"from": "gpt",
"value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission. This is a normal phenomenon to get night emission at the age of adolescence and nothing to be worried about it. It well get resolved itself without any treatment over a period of time. Try to practice moderate exercise every day for 45 minutes and take high protein diet with fruits and vegetables and vitamins. This will help to built up your general health. And to get good sound sleep. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | for the past few weeks weve been noticing unexplained bruises on the lower part of her right leg. when they seem to be going away they get darker . she now has more bruising and more are appearing on her left leg. shell be 2 in june and I suffered from severe anemia during my pregnancy with her as well as dvt . can any of this be related? | Hello, Thanks for posting your query. Bruises over leg can be due to blood disorders, infection,coagulopathy, vasculitis or autoimmune disease. As you have history of anemia and DVT, then Disseminated Intravascular Coagulation should also be ruled out. You should visit your doctor and get tests like CBC, ESR,PT, APTT, D-dimer,serum fibrinogen, C-reactive protein. Then it will be easier to reach a proper diagnosis. Hope it helps. Take Care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: for the past few weeks weve been noticing unexplained bruises on the lower part of her right leg. when they seem to be going away they get darker . she now has more bruising and more are appearing on her left leg. shell be 2 in june and I suffered from severe anemia during my pregnancy with her as well as dvt . can any of this be related?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting your query. Bruises over leg can be due to blood disorders, infection,coagulopathy, vasculitis or autoimmune disease. As you have history of anemia and DVT, then Disseminated Intravascular Coagulation should also be ruled out. You should visit your doctor and get tests like CBC, ESR,PT, APTT, D-dimer,serum fibrinogen, C-reactive protein. Then it will be easier to reach a proper diagnosis. Hope it helps. Take Care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter age 6 chked on a sweet 2 days ago, a woman helped to dislodge it by hitting my daughter on the back. She appears ok however I am noticing that she seems to be burping lots now and also says it feels like something is stuck in her throat when eating. | Hi, when something like you said sweet had stuck in the throat and was dislodged by thrust on back, can produce inflammation at point of stuck. And till this inflammation persists your child will feel that something has stuck there or lump like feeling. There is no need to worry, these symptoms will subside on its own in 1 week. 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 daughter age 6 chked on a sweet 2 days ago, a woman helped to dislodge it by hitting my daughter on the back. She appears ok however I am noticing that she seems to be burping lots now and also says it feels like something is stuck in her throat when eating."
},
{
"from": "gpt",
"value": "Output: Hi, when something like you said sweet had stuck in the throat and was dislodged by thrust on back, can produce inflammation at point of stuck. And till this inflammation persists your child will feel that something has stuck there or lump like feeling. There is no need to worry, these symptoms will subside on its own in 1 week. 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. | I am having pain in my left upper gums for last many days. Probably, some particle seems to be entrapped between a tooth and gum. Is there any home remedy to dislodge the same? I am rinsing with salt water. Otherwise what is the clinical remedy and cost? | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have some food particle int raped, don't worry you if it is interdental areas you Do Floss interdental, may this will you help you For this if possible you should consult dentist and if there is Periodontal pocket formation then go for Oral Prophylaxis, and it is not costly procedure it will not cost much, go for Scaling and Root planning, Do warm saline gargle 3 - 4 times a day Hope it will help you. Wishing you good health, Regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having pain in my left upper gums for last many days. Probably, some particle seems to be entrapped between a tooth and gum. Is there any home remedy to dislodge the same? I am rinsing with salt water. Otherwise what is the clinical remedy and cost?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have some food particle int raped, don't worry you if it is interdental areas you Do Floss interdental, may this will you help you For this if possible you should consult dentist and if there is Periodontal pocket formation then go for Oral Prophylaxis, and it is not costly procedure it will not cost much, go for Scaling and Root planning, Do warm saline gargle 3 - 4 times a day Hope it will help you. Wishing you good health, Regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello , I appear to be in good health , a little weight gain but stays pretty steady. Had a check last year all came good. Recently this Saturday as laid down to rest for the evening, I experienced a very different issue. I rested on left side with left arm folded up by my ear and under a pillow. Some time after that I gently strength our my arm and immediately experienced a very painful pain run up my left arm, then a good hit to my chest after immediately i began to sweat cold with chills and felt light headed and dizzy and a bit nauseous. Not sure were this came from, but was worried if a mild heart attack I may have experienced. Could this be possible . From that on I am still feeling a little light headed, and nauseous with my left are just week. Was this some type of a heart attack ?? Thank you Marie Nanez | Hello Marie, the kind of pain you described more likely due a transient neural (nerve) compression because of the position of your arm, cardiac pain is more dull aching like heaviness in the chest, which will be persistent. So be assured, however because a week has gone by, and you are still anxious, it would be ok if you can get a EKG done, which will give us some idea about the heart. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello , I appear to be in good health , a little weight gain but stays pretty steady. Had a check last year all came good. Recently this Saturday as laid down to rest for the evening, I experienced a very different issue. I rested on left side with left arm folded up by my ear and under a pillow. Some time after that I gently strength our my arm and immediately experienced a very painful pain run up my left arm, then a good hit to my chest after immediately i began to sweat cold with chills and felt light headed and dizzy and a bit nauseous. Not sure were this came from, but was worried if a mild heart attack I may have experienced. Could this be possible . From that on I am still feeling a little light headed, and nauseous with my left are just week. Was this some type of a heart attack ?? Thank you Marie Nanez"
},
{
"from": "gpt",
"value": "Output: Hello Marie, the kind of pain you described more likely due a transient neural (nerve) compression because of the position of your arm, cardiac pain is more dull aching like heaviness in the chest, which will be persistent. So be assured, however because a week has gone by, and you are still anxious, it would be ok if you can get a EKG done, which will give us some idea about the heart. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My question is i have old x-ray the result finding FIBROTIC AND REticular opacities are seen at the right upper lobes,the trachea is at midline,the hemidiaphragms and costophrenic sulci intact visualized soft tissue and osseous structure unremarkable....i want to know if i applying a job and take medical x-ray it mean fit to work or unfit.....impression PTB FIBROSIS CAN YOU HELP ME CAN EXPLAIN IF I HAVE A CHANCE TO WORK...THANKS I WAIT YOUR ANSWER? | Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. It is old healed Scar lesion from previous TB infection. These lesions are inactive and seen life long. So for work visa, we need to prove that these lesions are not active, infectious. So get done CT thorax and bronchoscopy. If they are negative for active infection then you can definitely apply for work visa. 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: My question is i have old x-ray the result finding FIBROTIC AND REticular opacities are seen at the right upper lobes,the trachea is at midline,the hemidiaphragms and costophrenic sulci intact visualized soft tissue and osseous structure unremarkable....i want to know if i applying a job and take medical x-ray it mean fit to work or unfit.....impression PTB FIBROSIS CAN YOU HELP ME CAN EXPLAIN IF I HAVE A CHANCE TO WORK...THANKS I WAIT YOUR ANSWER?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. It is old healed Scar lesion from previous TB infection. These lesions are inactive and seen life long. So for work visa, we need to prove that these lesions are not active, infectious. So get done CT thorax and bronchoscopy. If they are negative for active infection then you can definitely apply for work visa. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi it is now my 5th day since i had my wisdom tooth extracted (growing in wisdom tooth) lately ive been feeling this itchy hurt. And it was still bleeding this morning . Im not sur if its still bleeding right now coz i just finish eating but then i looked at in the mirror and theres this kinda whitish thing then theres a black thing on top of it not sure but it doesnt hurt really bad but it hurts a little kinda feeling the nerve then to my ear is that normal .. I dont want to go to the sentist again coz its expensive i dont have an insuranceAlso can i now brush my teeth with toothpaste (colgate optic white).? | Hi, Thanks for asking the query, Pain and swelling are most common after wisdom tooth extraction, and they subside after sometimes, according to your clinical symptoms I suppose that you might have some trauma to the nerve at the time of extraction. I would suggest you to take multivitamin supplements for 15 days. Take lukewarm saline rinses. Take antiseptic mouthwash gargles. Avoid smoking and consumption of hot and spicy food stuffs. If the symptoms persists or worsen then you have to visit to the concerned Dentist and get the checkup done. Hope you find this as helpful, Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi it is now my 5th day since i had my wisdom tooth extracted (growing in wisdom tooth) lately ive been feeling this itchy hurt. And it was still bleeding this morning . Im not sur if its still bleeding right now coz i just finish eating but then i looked at in the mirror and theres this kinda whitish thing then theres a black thing on top of it not sure but it doesnt hurt really bad but it hurts a little kinda feeling the nerve then to my ear is that normal .. I dont want to go to the sentist again coz its expensive i dont have an insuranceAlso can i now brush my teeth with toothpaste (colgate optic white).?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking the query, Pain and swelling are most common after wisdom tooth extraction, and they subside after sometimes, according to your clinical symptoms I suppose that you might have some trauma to the nerve at the time of extraction. I would suggest you to take multivitamin supplements for 15 days. Take lukewarm saline rinses. Take antiseptic mouthwash gargles. Avoid smoking and consumption of hot and spicy food stuffs. If the symptoms persists or worsen then you have to visit to the concerned Dentist and get the checkup done. Hope you find this as helpful, Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I started the pill yaz flex in october/november 2013 and got some breakthrough bleeding during the first or second month using it so i just took the 4 day break and everything was fine. 3 weeks ago I went overseas and the plane trips in total equaled about 25 hours. I had sex a few times but my boyfriend pulled out before he did anything and most of the time we used condoms. Then i got my period and it has lasted about 2 weeks and during this time we had sex but again he pulled out. The bleeding has ranged from heavy and red to light and brown.. Now that I am back home I have started the 4 day break and it has been 2 days and i still only have brown discharge. Is it quite unlikely that I could be pregnant due to the fact i took the pill correctly (usually on time but if not only about an hour late) and that he never came inside me? Ive read that the 2 weeks of bleeding can be due to hormones changing from change of lifestyle and things (like being overseas) and also that the body is getting used to the pill, is this correct? I have a habit of overthinking things and stressing myself out so it would be helpful to have a second opinion thank you. | I think you are right that you are stressing yourself out needlessly. The fact that you were taking the pills properly is quite reliable in preventing pregnancy. The fact that he pulled out might help a little too, but that doesn't work very well to prevent pregnancy. Some people may have a bit of discharge during the pill free time, but as long as it is not too bothersome, you don't need to worry about it. It is also true that travel and life changes can affect your cycles. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I started the pill yaz flex in october/november 2013 and got some breakthrough bleeding during the first or second month using it so i just took the 4 day break and everything was fine. 3 weeks ago I went overseas and the plane trips in total equaled about 25 hours. I had sex a few times but my boyfriend pulled out before he did anything and most of the time we used condoms. Then i got my period and it has lasted about 2 weeks and during this time we had sex but again he pulled out. The bleeding has ranged from heavy and red to light and brown.. Now that I am back home I have started the 4 day break and it has been 2 days and i still only have brown discharge. Is it quite unlikely that I could be pregnant due to the fact i took the pill correctly (usually on time but if not only about an hour late) and that he never came inside me? Ive read that the 2 weeks of bleeding can be due to hormones changing from change of lifestyle and things (like being overseas) and also that the body is getting used to the pill, is this correct? I have a habit of overthinking things and stressing myself out so it would be helpful to have a second opinion thank you."
},
{
"from": "gpt",
"value": "Output: I think you are right that you are stressing yourself out needlessly. The fact that you were taking the pills properly is quite reliable in preventing pregnancy. The fact that he pulled out might help a little too, but that doesn't work very well to prevent pregnancy. Some people may have a bit of discharge during the pill free time, but as long as it is not too bothersome, you don't need to worry about it. It is also true that travel and life changes can affect your cycles."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a back pain for 1 week and I m dizzy and I felt nausea and they thought I had a urinary tract infection, so they gave me an antibiotic and I took it for one week and it did not work. So I got a higher dosage and different brand and I finished it and I still have the pain and it comes and goes, and my groin. hurts and my lower back hurts and I still feel nausea and headaches. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like acute back injury, whiplash, sciatica, osteoarthritis or fibromyalgia. I would suggest you consult orthopedic surgeon for proper examination. Doctor may CT scan or MRI along with physical examination. Doctor may prescribe anti-inflammatory, muscle relaxant nerve supplement, anti-emetic Chat Doctor. For now apply warm compresses to back and neck and take ibuprofen or acetaminophen for pain. Doctor may also recommend surgery in case of disc problem. Also avoid bending forward. Hope your concern has been resolved. Get Well Soon. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a back pain for 1 week and I m dizzy and I felt nausea and they thought I had a urinary tract infection, so they gave me an antibiotic and I took it for one week and it did not work. So I got a higher dosage and different brand and I finished it and I still have the pain and it comes and goes, and my groin. hurts and my lower back hurts and I still feel nausea and headaches."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like acute back injury, whiplash, sciatica, osteoarthritis or fibromyalgia. I would suggest you consult orthopedic surgeon for proper examination. Doctor may CT scan or MRI along with physical examination. Doctor may prescribe anti-inflammatory, muscle relaxant nerve supplement, anti-emetic Chat Doctor. For now apply warm compresses to back and neck and take ibuprofen or acetaminophen for pain. Doctor may also recommend surgery in case of disc problem. Also avoid bending forward. 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 started a cold and dry cough two days ago. This afternoon I noticed some burning inside my mouth when eating warm soup and I have some red areas and irritation in the back of my throat, roof of my mouth and sides. There are no white patches as of yet. What should I do to prevent this from getting worse, do you think this could be strep throat ? | Hi. Thanks for the query. Symptoms of cold and cough with red areas on the palate, inner cheeks and throat area is all due to infection only. As the mucosal surfaces are irritated and inflamed due to infection, therefore there is burning sensation while eating or Chat Doctor. . So my suggestion is to consult an Emergency room and get a throat swab culture done. It will help in ruling out whether it is bacterial or viral throat infection. At times there is viral infection with secondary bacterial infection. In that case you will be advised antibiotics like Azithromycin, anti-inflammatory painkillers like Advil, Alive etc., do warm saline gargles, antiseptic mouthwash gargles and suck throat lozenges. You can also suck lozenges with numbing agents to reduce pain and burning. 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 started a cold and dry cough two days ago. This afternoon I noticed some burning inside my mouth when eating warm soup and I have some red areas and irritation in the back of my throat, roof of my mouth and sides. There are no white patches as of yet. What should I do to prevent this from getting worse, do you think this could be strep throat ?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. Symptoms of cold and cough with red areas on the palate, inner cheeks and throat area is all due to infection only. As the mucosal surfaces are irritated and inflamed due to infection, therefore there is burning sensation while eating or Chat Doctor. . So my suggestion is to consult an Emergency room and get a throat swab culture done. It will help in ruling out whether it is bacterial or viral throat infection. At times there is viral infection with secondary bacterial infection. In that case you will be advised antibiotics like Azithromycin, anti-inflammatory painkillers like Advil, Alive etc., do warm saline gargles, antiseptic mouthwash gargles and suck throat lozenges. You can also suck lozenges with numbing agents to reduce pain and burning. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi - i have sciatica with pain going down my right leg when it occurs! i did a mantoux test that says i have Mycobacterium TB of the spine. Have been taking pyrazinamide-rifampicin-isoniazid-ethambutol for about 6months now!! Please, any suggestions to ease the leg cramps and sciatica?? Thanks, Aminu, nigeria. | Hi Amino, thanks for asking from Chat Doctor. I can understand your concern. You are suffering from Potts spine (TB of spine). You are already taking 4 first line anti-tubercular therapy, which is ideal treatment of Potts spine. The therapy is long, around 9 to 15 months. There is no standard treatment guidelines. The duration can be decided based on your physician decision and your symptoms. Now coming to your symptoms, leg cramps and sciatica. These symptoms are most probably due to compression and collapse of vertebrae, collection of pus in spinal canal and compression of nerves. To get relief, you should-Avoid any kind of weight-bearing- Avoid flexion and extension at spine-Wear back supporting belt like thoracolumbar corset.- For pain relief, you can take tablet pregabalin after proper prescription. Usual adult is 75 to 150 mg twice a day. If still no relief, you can take tablet amitriptyline after proper prescription.- For cramps, do physiotherapy and take tablet baclofen after proper prescription.- Also increase your protein and calcium intake for strengthening bones. If still no relief and symptoms worsen, repeat MRI spine to rule out any progressively increasing compression of spinal cord or nerves. Sometimes surgery (less than 10% cases) may be needed to relieve pressure symptoms. Hope it will help you. If still in doubt, do let me know. Thanks. Take care. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi - i have sciatica with pain going down my right leg when it occurs! i did a mantoux test that says i have Mycobacterium TB of the spine. Have been taking pyrazinamide-rifampicin-isoniazid-ethambutol for about 6months now!! Please, any suggestions to ease the leg cramps and sciatica?? Thanks, Aminu, nigeria."
},
{
"from": "gpt",
"value": "Output: Hi Amino, thanks for asking from Chat Doctor. I can understand your concern. You are suffering from Potts spine (TB of spine). You are already taking 4 first line anti-tubercular therapy, which is ideal treatment of Potts spine. The therapy is long, around 9 to 15 months. There is no standard treatment guidelines. The duration can be decided based on your physician decision and your symptoms. Now coming to your symptoms, leg cramps and sciatica. These symptoms are most probably due to compression and collapse of vertebrae, collection of pus in spinal canal and compression of nerves. To get relief, you should-Avoid any kind of weight-bearing- Avoid flexion and extension at spine-Wear back supporting belt like thoracolumbar corset.- For pain relief, you can take tablet pregabalin after proper prescription. Usual adult is 75 to 150 mg twice a day. If still no relief, you can take tablet amitriptyline after proper prescription.- For cramps, do physiotherapy and take tablet baclofen after proper prescription.- Also increase your protein and calcium intake for strengthening bones. If still no relief and symptoms worsen, repeat MRI spine to rule out any progressively increasing compression of spinal cord or nerves. Sometimes surgery (less than 10% cases) may be needed to relieve pressure symptoms. Hope it will help you. If still in doubt, do let me know. Thanks. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i want to know that my gyeno has recommended me femilon conterceptive pills but how to take it and after sex or before it and she has also told me to take it after my second day of my periods?and at what time in the whole day?and after taking these tablets how many times we can have sex in a month? | Hi, Felon is a combined oral contraception pill commonly used for prevent an unwanted pregnancy. Take one active pill (with hormones) once daily for 21 days in a row. If you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row after you have taken the last active pill. If you start taking the pill within 5 days after your period starts, you will be protected from pregnancy straight away. If you start combination pills any other time, you will not be protected from an unwanted pregnancy you need to take another method of birth control like a condom during your first week on the pill if you wish to have sex. The pill should be taken on regular basis at the same time of the day. You can have sex as long as you are comfortable but remember, although these pills can prevent an unwanted pregnancy, but they do not prevent any sexually transmitted disease like HIV. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i want to know that my gyeno has recommended me femilon conterceptive pills but how to take it and after sex or before it and she has also told me to take it after my second day of my periods?and at what time in the whole day?and after taking these tablets how many times we can have sex in a month?"
},
{
"from": "gpt",
"value": "Output: Hi, Felon is a combined oral contraception pill commonly used for prevent an unwanted pregnancy. Take one active pill (with hormones) once daily for 21 days in a row. If you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row after you have taken the last active pill. If you start taking the pill within 5 days after your period starts, you will be protected from pregnancy straight away. If you start combination pills any other time, you will not be protected from an unwanted pregnancy you need to take another method of birth control like a condom during your first week on the pill if you wish to have sex. The pill should be taken on regular basis at the same time of the day. You can have sex as long as you are comfortable but remember, although these pills can prevent an unwanted pregnancy, but they do not prevent any sexually transmitted disease like HIV. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor,i am chaitanya.age 28,from hyderabad.my problem is ....i got thyroid in my frist preganacy .my delivary date was on july 24th 2009 but on july 6th early morning around 7 oclock suddenly heany bleeding started and i rushed to the hospital but they could not save the baby(boy)...i lost my frist baby.then after 6 month i concevied again but doctors said that baby is having some heart problem and the sevarity of the problem can be known after the baby birth and i should go for a planned delivery.doctors did a c section on cotober 21 2010.doctors said that babys problem is not that serious but it is a heart problem so we need wait and see for 7 days.on 5th day the baby is dead.i want to know is their any problem in me that it is happing like this...do i need o go for any test before planning for next baby.i had 2 c section till now.what are the chances for me for the next baby.how long do i need to wait and plan for next preganacy. | Hi, Thanks for the query. I am sorry to know about the mishaps in both of your pregnancies. I have read your query carefully, I feel both the times there were different causes forth outcome.(First time may be fall /hit to abdomen, high blood pressure or UN diagnosed placenta prefix & second time due to family history / viral infection like Rubella in first three months of pregnancy) Still You need to plan your next pregnancy with due precautions as follows. - Both of you get full physical check up & relevant investigations to rule out any existing health problem./ get safe alterations in regular medication for chronic illness. If any. Have a healthy lifestyle for 3 months prier to conception, see that you don't get any health problem & do not need any medication in those days. - Get Rubella vaccination 3-4 months before you plan pregnancy. If a pregnant lady gets rubella infection in first three months of pregnancy . The fetus gets congenital defects, one of them being heart problem. - Get you thyroid profile done before you plan for pregnancy. Normal thyroid hormone is essential for fetal developmental If you have any thyroid problem. It must be controlled before pregnancy & normal levels maintained throughout pregnancy with endocrinologists advise Once you get pregnant, be careful to follow doctors advise after regular pregnancy check-ups./ have healthy lifestyle/nutritious diet/ exercises & sleep. With a planned pregnancy & careful follow-ups you would be blessed with a bony baby. Rest assured. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor,i am chaitanya.age 28,from hyderabad.my problem is ....i got thyroid in my frist preganacy .my delivary date was on july 24th 2009 but on july 6th early morning around 7 oclock suddenly heany bleeding started and i rushed to the hospital but they could not save the baby(boy)...i lost my frist baby.then after 6 month i concevied again but doctors said that baby is having some heart problem and the sevarity of the problem can be known after the baby birth and i should go for a planned delivery.doctors did a c section on cotober 21 2010.doctors said that babys problem is not that serious but it is a heart problem so we need wait and see for 7 days.on 5th day the baby is dead.i want to know is their any problem in me that it is happing like this...do i need o go for any test before planning for next baby.i had 2 c section till now.what are the chances for me for the next baby.how long do i need to wait and plan for next preganacy."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for the query. I am sorry to know about the mishaps in both of your pregnancies. I have read your query carefully, I feel both the times there were different causes forth outcome.(First time may be fall /hit to abdomen, high blood pressure or UN diagnosed placenta prefix & second time due to family history / viral infection like Rubella in first three months of pregnancy) Still You need to plan your next pregnancy with due precautions as follows. - Both of you get full physical check up & relevant investigations to rule out any existing health problem./ get safe alterations in regular medication for chronic illness. If any. Have a healthy lifestyle for 3 months prier to conception, see that you don't get any health problem & do not need any medication in those days. - Get Rubella vaccination 3-4 months before you plan pregnancy. If a pregnant lady gets rubella infection in first three months of pregnancy . The fetus gets congenital defects, one of them being heart problem. - Get you thyroid profile done before you plan for pregnancy. Normal thyroid hormone is essential for fetal developmental If you have any thyroid problem. It must be controlled before pregnancy & normal levels maintained throughout pregnancy with endocrinologists advise Once you get pregnant, be careful to follow doctors advise after regular pregnancy check-ups./ have healthy lifestyle/nutritious diet/ exercises & sleep. With a planned pregnancy & careful follow-ups you would be blessed with a bony baby. Rest assured. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi guys, Good a bit of issue, about 2 weeks ago, I noticed a pea size lump on my anus rim. Prior to that about a week before I was traveling oversea in South E. Asia and got diarrhea for about 2 days and had very red stools. I went to the clinic and they suspected food poisoning gave so medication to solidify my stool. To date, the pea sized lump is virtually gone, however I have noticed a white pimple spot near the anus. A bit worried about it, I ll definitely be seeing the doc next week when I have time off. Seeking a bit of insight to put my mind at easy. Look forward to your assistance. | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for pea size lump around anus-In my opinion your small perianal lump is -Sentinel pile, which would need confirmation from ER Surgeon, as it appears to be there long back, simultaneously and got detected now. This is non-malignant condition but needs treatment by an ER Surgeon.Hence, stop worrying about it, as it is not a CANCER as you fear and think, but do check it up from ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi guys, Good a bit of issue, about 2 weeks ago, I noticed a pea size lump on my anus rim. Prior to that about a week before I was traveling oversea in South E. Asia and got diarrhea for about 2 days and had very red stools. I went to the clinic and they suspected food poisoning gave so medication to solidify my stool. To date, the pea sized lump is virtually gone, however I have noticed a white pimple spot near the anus. A bit worried about it, I ll definitely be seeing the doc next week when I have time off. Seeking a bit of insight to put my mind at easy. Look forward to your assistance."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for pea size lump around anus-In my opinion your small perianal lump is -Sentinel pile, which would need confirmation from ER Surgeon, as it appears to be there long back, simultaneously and got detected now. This is non-malignant condition but needs treatment by an ER Surgeon.Hence, stop worrying about it, as it is not a CANCER as you fear and think, but do check it up from ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I went to er Friday night for severe lower back pain. They did a ct scan and it was normal. They said it was probably a muscle strain and gave me pain meds and muscle relaxer. It s been 2 days and I m still in pretty severe pain. I can t walk, sit down, stand up, sit up from laying without a lot of help. The pain radiates into my hips,legs and sometimes groin area. I can t reach far with my arms without causing pain in my back. I can t move my legs very much without pain, I can t even wipe myself when going to the bathroom. The only relief I get is slightly reclining in a reclining chair and thats still painful. Should I go to my primary doctor tomorrow or give it a few more days? | Hi, You said you underwent a CT scan, and it is normal. Then it will be literally a muscle spasm. By meeting up a physical therapist he will help you a lot. Ask for a Therapeutic Ultrasound therapy and TENS for the pain. It will help you reduce the spasm and pain as well. Doing a little of core stability exercises will surely help and make your core stronger to avoid any aches and pain in the future. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to er Friday night for severe lower back pain. They did a ct scan and it was normal. They said it was probably a muscle strain and gave me pain meds and muscle relaxer. It s been 2 days and I m still in pretty severe pain. I can t walk, sit down, stand up, sit up from laying without a lot of help. The pain radiates into my hips,legs and sometimes groin area. I can t reach far with my arms without causing pain in my back. I can t move my legs very much without pain, I can t even wipe myself when going to the bathroom. The only relief I get is slightly reclining in a reclining chair and thats still painful. Should I go to my primary doctor tomorrow or give it a few more days?"
},
{
"from": "gpt",
"value": "Output: Hi, You said you underwent a CT scan, and it is normal. Then it will be literally a muscle spasm. By meeting up a physical therapist he will help you a lot. Ask for a Therapeutic Ultrasound therapy and TENS for the pain. It will help you reduce the spasm and pain as well. Doing a little of core stability exercises will surely help and make your core stronger to avoid any aches and pain in the future."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i am 50 years old male living with wife and have a son and a daughter,both are studying. for a few weeks a am feeling giddiness in my head . my work includes computer related work. i consulted a physician and he advised me x-ray of my neck. after seeing the x-ray film he advised me 6 hours use of cervical collar and neck exercises.on 18th of june, at about 11.30 in the night i felt very high heart pulpitation.i recorded my b.p.with a digital machine,it was about 160/100, pulserate 124. myhands and legs had been very cold,i felt very restless. i was taken to the local govt. hospital where they used saline and some injection. next day i consulted a physician(MD, Cardiologist). he advised me petri beta-10 in the night and after ECG diagnosed anxiety and stress. the other day ,i went to patna and consulted a DM Cardiologst.he did HOLTERMONITER TEST AND TMT and said that i have no cardiac problem and advised Rivotril 2.5, half tablet every night. i came back to my place and started doing neck exercises. on 25 june ,i took harassment due to certain marriage ceremonies and in tne night my B.P. again shoot to 177/90, pulse 115. I took one full tab. og rivotril and again went to the hospital where they gave me dexona and some emergency medicines.but on this day i was more relaxed than the previous one. last night my B.P. again shooted to 160/90, pulse rate 125. i took half tab of rivotril and one tab of petril beta . after half an hour , imy B.P. was normal i.e. 116/76, pulse 75. my question is what should be my next step of treatment and why is my B.P. going high suddenly., why my heart beat excelerates so much and if it happens in the night , what damage it can do. | Degree understand your concerns went through your description. I suggest you not to worry much. From the given details, I can surely suggest that you are anxious. Stress and anxiety go hand in hand. The high blood pressure with tachycardia without any cardiac or digestive symptoms surely points at anxiety and apprehension. You should learn to relax and handle the stress and anxiety. Do not take self medications. You may also be obsessed with blood pressure monitor. The moment you tie into your arm, the BP rises, but in actuality it is not. Therefore, please do not take BP medicine without expert advise. Continue the current medicines, exercise, do relaxation exercises, meditation etc. Psychotherapy treatment should also help you immensely. If you still require my services on this aspect, you may post a direct query to me on this portal. Please include as many details as possible. I shall provide psychotherapy treatment tailor made for you which should help you good. Hope this answers your query. Available for further clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i am 50 years old male living with wife and have a son and a daughter,both are studying. for a few weeks a am feeling giddiness in my head . my work includes computer related work. i consulted a physician and he advised me x-ray of my neck. after seeing the x-ray film he advised me 6 hours use of cervical collar and neck exercises.on 18th of june, at about 11.30 in the night i felt very high heart pulpitation.i recorded my b.p.with a digital machine,it was about 160/100, pulserate 124. myhands and legs had been very cold,i felt very restless. i was taken to the local govt. hospital where they used saline and some injection. next day i consulted a physician(MD, Cardiologist). he advised me petri beta-10 in the night and after ECG diagnosed anxiety and stress. the other day ,i went to patna and consulted a DM Cardiologst.he did HOLTERMONITER TEST AND TMT and said that i have no cardiac problem and advised Rivotril 2.5, half tablet every night. i came back to my place and started doing neck exercises. on 25 june ,i took harassment due to certain marriage ceremonies and in tne night my B.P. again shoot to 177/90, pulse 115. I took one full tab. og rivotril and again went to the hospital where they gave me dexona and some emergency medicines.but on this day i was more relaxed than the previous one. last night my B.P. again shooted to 160/90, pulse rate 125. i took half tab of rivotril and one tab of petril beta . after half an hour , imy B.P. was normal i.e. 116/76, pulse 75. my question is what should be my next step of treatment and why is my B.P. going high suddenly., why my heart beat excelerates so much and if it happens in the night , what damage it can do."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your description. I suggest you not to worry much. From the given details, I can surely suggest that you are anxious. Stress and anxiety go hand in hand. The high blood pressure with tachycardia without any cardiac or digestive symptoms surely points at anxiety and apprehension. You should learn to relax and handle the stress and anxiety. Do not take self medications. You may also be obsessed with blood pressure monitor. The moment you tie into your arm, the BP rises, but in actuality it is not. Therefore, please do not take BP medicine without expert advise. Continue the current medicines, exercise, do relaxation exercises, meditation etc. Psychotherapy treatment should also help you immensely. If you still require my services on this aspect, you may post a direct query to me on this portal. Please include as many details as possible. I shall provide psychotherapy treatment tailor made for you which should help you good. Hope this answers your query. Available for further clarifications. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was on my normal 5 mile walk yesterday and all of a sudden going up a hill I got this sudden sharp pain that ran thought my knee cap. Almost like an electrical shock. Only lasted a few seconds but started walking and it happened again. Got home did the whole ice, elevate and did some stretching. Doesn t bother me to kneel or go up stairs. Today I ve has a few (3) episodes. It s totally random. I do have osteo arthritis. Any thoughts? | Hi I did review your concern. Your electric shock like sensation over knee could be due to nerve root irritation in the back like lumbar spinal stenosis and typically occurs when you extend you back or walk on toes. I would advise you to consult an orthopedic surgeon who can help you with diagnosis or a neurologist who can also run tests like Nerve conduction tests. A spinal MRI after detailed neurological test would be highly advantageous here. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was on my normal 5 mile walk yesterday and all of a sudden going up a hill I got this sudden sharp pain that ran thought my knee cap. Almost like an electrical shock. Only lasted a few seconds but started walking and it happened again. Got home did the whole ice, elevate and did some stretching. Doesn t bother me to kneel or go up stairs. Today I ve has a few (3) episodes. It s totally random. I do have osteo arthritis. Any thoughts?"
},
{
"from": "gpt",
"value": "Output: Hi I did review your concern. Your electric shock like sensation over knee could be due to nerve root irritation in the back like lumbar spinal stenosis and typically occurs when you extend you back or walk on toes. I would advise you to consult an orthopedic surgeon who can help you with diagnosis or a neurologist who can also run tests like Nerve conduction tests. A spinal MRI after detailed neurological test would be highly advantageous here. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my wife has a dry cough for sometime now, and had a history of Asthma long back in the history, and was told by the doctor then that although it is cured now, it can relapse after forty. She is 34 now, and the doctor yesterday prescribed her to take foracort 200 inhaler from Cipla for 6 weeks, and said that it is not for Asthma but the component in it addresses Allergic condition that she is prevailing now due to which the cough is occurring. Can you please confirm if the use of this inhaler can tend to become habit or is a curable method? | Hi, Thanks for posting your query. As your wife has past history of asthma, there is high chances of persisting asthma. Foracort 200 is meant for the same purpose. Still you should consult with internal medicine specialist/ chest physician and should go for thorough check up. Inhalational therapy (by forecourt) has been defined the best therapy. By this route, medicine directly reach up to the lungs and whole body is prevented from the side effects of the medicines. Medicines available in inhaler is in microgram while medicine taken orally is in milligram, so by this route body is exposed to less dosage. Asthma is an allergic disease and if it is occurring in adult age then chances of permanent cure is least likely. It can be controlled but can't be eradicated. If body needs use of inhaler for getting relief then it can't be labeled as habit. Take care, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my wife has a dry cough for sometime now, and had a history of Asthma long back in the history, and was told by the doctor then that although it is cured now, it can relapse after forty. She is 34 now, and the doctor yesterday prescribed her to take foracort 200 inhaler from Cipla for 6 weeks, and said that it is not for Asthma but the component in it addresses Allergic condition that she is prevailing now due to which the cough is occurring. Can you please confirm if the use of this inhaler can tend to become habit or is a curable method?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting your query. As your wife has past history of asthma, there is high chances of persisting asthma. Foracort 200 is meant for the same purpose. Still you should consult with internal medicine specialist/ chest physician and should go for thorough check up. Inhalational therapy (by forecourt) has been defined the best therapy. By this route, medicine directly reach up to the lungs and whole body is prevented from the side effects of the medicines. Medicines available in inhaler is in microgram while medicine taken orally is in milligram, so by this route body is exposed to less dosage. Asthma is an allergic disease and if it is occurring in adult age then chances of permanent cure is least likely. It can be controlled but can't be eradicated. If body needs use of inhaler for getting relief then it can't be labeled as habit. Take care,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am Sarmistha . I want to know about my fathers health. At pre sent he has creatinine level 1.5Now he had done a X-ray report and ultra sonography . In ultra sonography report there is no calculus found, but in X-ray report there is upper pelvis multiple calcification. Is it very serious problem? | Hi Samantha, Looking at the radiological and ultrasound findings, in my opinion these are normal age related changes. The pelvic calcifications seen are due to calcium depositions in the pelvic veins. It is normal age related degenerative change. The ultrasound findings are normal and there are no stones. Creatinine levels are dependent on muscle mass and exercise. 1.5 mg could be normal. Require further history of diabetes or hypertension or any renal related abnormalities to further confirm. Any further queries, happy to help again. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am Sarmistha . I want to know about my fathers health. At pre sent he has creatinine level 1.5Now he had done a X-ray report and ultra sonography . In ultra sonography report there is no calculus found, but in X-ray report there is upper pelvis multiple calcification. Is it very serious problem?"
},
{
"from": "gpt",
"value": "Output: Hi Samantha, Looking at the radiological and ultrasound findings, in my opinion these are normal age related changes. The pelvic calcifications seen are due to calcium depositions in the pelvic veins. It is normal age related degenerative change. The ultrasound findings are normal and there are no stones. Creatinine levels are dependent on muscle mass and exercise. 1.5 mg could be normal. Require further history of diabetes or hypertension or any renal related abnormalities to further confirm. Any further queries, happy to help again."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi there.i was diagnosed with sgot 103 and sgpt 168.it was down from a high of 203 last month but sgot was up from 83.i need to lower down this figures within 1 week.what could be the best thing to do?please help,i feel a lot of pressure right now.tnx in advnce. | Dear Friend, greetings from Chat Doctor. I understand your concern. You need to fund out the reason for high GOT and SGPT levels. It could be some inflammation and as the inflammation of liver subsides even the liver enzymes also come down. You do not take alcohol, avoid more of carboy Chat Doctor. Take more of green leafy vegetables, fruits. Do walk daily for an hour. You will be alright. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi there.i was diagnosed with sgot 103 and sgpt 168.it was down from a high of 203 last month but sgot was up from 83.i need to lower down this figures within 1 week.what could be the best thing to do?please help,i feel a lot of pressure right now.tnx in advnce."
},
{
"from": "gpt",
"value": "Output: Dear Friend, greetings from Chat Doctor. I understand your concern. You need to fund out the reason for high GOT and SGPT levels. It could be some inflammation and as the inflammation of liver subsides even the liver enzymes also come down. You do not take alcohol, avoid more of carboy Chat Doctor. Take more of green leafy vegetables, fruits. Do walk daily for an hour. You will be alright. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had breast reduction surgery four days ago and I have a slight yellow discharge coming from the incision, it is constant slow drainage, it took all day to soak through a piece of gauze. I also have a small blood blister on the incision..is either an infection? Should I caal my doctor? | Hi, Welcome to Chat Doctor. I understand your concern and yellow discharge and a blister does indicate infection. Thick yellow discharge and foul smell indicates infection by bacteria like staphylococcus. You might be prescribed antibiotics and painkillers to be taken after the surgery. I suggest you get in touch with your doctor and get the prescription for antibiotics extended for 7-10 days. Also get the wound Chat Doctor. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had breast reduction surgery four days ago and I have a slight yellow discharge coming from the incision, it is constant slow drainage, it took all day to soak through a piece of gauze. I also have a small blood blister on the incision..is either an infection? Should I caal my doctor?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. I understand your concern and yellow discharge and a blister does indicate infection. Thick yellow discharge and foul smell indicates infection by bacteria like staphylococcus. You might be prescribed antibiotics and painkillers to be taken after the surgery. I suggest you get in touch with your doctor and get the prescription for antibiotics extended for 7-10 days. Also get the wound Chat Doctor. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My dad had a compression of D10-D12 vertebrae because of a fall. He is completely on bed. how long will it take for him to get better. As a follow on, what is the diet he should follow so that he can regain the spinal strength. Will he be able to lead a pain free life. | Hello. I have been through your question and understand your concern. Generally after a fracture of this kind of it is stable (like I suppose in this case, otherwise your dad would have had spinal fixation) it is recommended a 6-week bed rest. Afterwards he can return to his normal activities with certain precautions. Generally these cases go well. He might have some back pain, but not serious or debilitating kind of pain. Wish your dad the best health. Please feel free using MHC again. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My dad had a compression of D10-D12 vertebrae because of a fall. He is completely on bed. how long will it take for him to get better. As a follow on, what is the diet he should follow so that he can regain the spinal strength. Will he be able to lead a pain free life."
},
{
"from": "gpt",
"value": "Output: Hello. I have been through your question and understand your concern. Generally after a fracture of this kind of it is stable (like I suppose in this case, otherwise your dad would have had spinal fixation) it is recommended a 6-week bed rest. Afterwards he can return to his normal activities with certain precautions. Generally these cases go well. He might have some back pain, but not serious or debilitating kind of pain. Wish your dad the best health. Please feel free using MHC again."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I would really appreciate if some one could he ll me with this. I used to be on a lot of mood stabilizers but my doctor felt I was on too much of the same things. Since November last year I came off 800mg of Epilum and 100mg of Seroqual. My doctor says I m still irritable and hyperactive because of the withdrawal. After this time period is it still possible? Many thanks | Hello, Thanks for choosing Chat Doctor for posting your query. With Chat Doctor. If you are having bipolar mood disorder, then you are prone to develop anxiety disorder as well. You should visit your psychiatrist and insist him to add up a benzodiazepine until you recover with your symptoms. CBT will also help you a lot. Take proper diet and plenty of exercise. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I would really appreciate if some one could he ll me with this. I used to be on a lot of mood stabilizers but my doctor felt I was on too much of the same things. Since November last year I came off 800mg of Epilum and 100mg of Seroqual. My doctor says I m still irritable and hyperactive because of the withdrawal. After this time period is it still possible? Many thanks"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. With Chat Doctor. If you are having bipolar mood disorder, then you are prone to develop anxiety disorder as well. You should visit your psychiatrist and insist him to add up a benzodiazepine until you recover with your symptoms. CBT will also help you a lot. Take proper diet and plenty of exercise. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi sir, i am 30 years, male. i am masturbating since i was 12 years old, now over the years it become my habit, i do it every night now. sometimes 2 times in night. result is i am underweight, seek person, i got tired easly. my penis erection is not as hard as it used to be, also i ejaculate early. even if when i am not doing masturbation but looking/reading/thinking any erotic thing, something like waters come out from my penis continuously. please help me | Degree understand your concerns went through your details. Let me assure you, masturbation in moderation is good for health and is a stress buster. Moderation means, in your age, thrice a week or so. Never twice daily. This habit also shows, you are not engaged in any other physical activities and job related activities, and you have enough leisure time. Exercise rigorously and be active and take interest in your job. Automatically the masturbation addiction comes down. I don't see masturbation directly affecting your health. But anxiety based on masturbation can affect your mental health. You could need psychological counseling. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi sir, i am 30 years, male. i am masturbating since i was 12 years old, now over the years it become my habit, i do it every night now. sometimes 2 times in night. result is i am underweight, seek person, i got tired easly. my penis erection is not as hard as it used to be, also i ejaculate early. even if when i am not doing masturbation but looking/reading/thinking any erotic thing, something like waters come out from my penis continuously. please help me"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. Let me assure you, masturbation in moderation is good for health and is a stress buster. Moderation means, in your age, thrice a week or so. Never twice daily. This habit also shows, you are not engaged in any other physical activities and job related activities, and you have enough leisure time. Exercise rigorously and be active and take interest in your job. Automatically the masturbation addiction comes down. I don't see masturbation directly affecting your health. But anxiety based on masturbation can affect your mental health. You could need psychological counseling. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my husband has had a by pass 10 years ago in 3 major veins he also had a stent put in one of his veins lately. HE ALSO HAS DIABETES.He stopped all his heart pills except those of diabetes.He is now spitting blood especially in the morning. Do you think that this is because of the stent? Thank you | Hi, dear. I have gone through your question. I can understand your concern. Spitting of blood may be due to many reasons. He may have cirrhosis of liver or some problems in lung. You should go for ultrasound abdomen and x-ray chest. Search the cause and take treatment accordingly. It's not due to stent. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband has had a by pass 10 years ago in 3 major veins he also had a stent put in one of his veins lately. HE ALSO HAS DIABETES.He stopped all his heart pills except those of diabetes.He is now spitting blood especially in the morning. Do you think that this is because of the stent? Thank you"
},
{
"from": "gpt",
"value": "Output: Hi, dear. I have gone through your question. I can understand your concern. Spitting of blood may be due to many reasons. He may have cirrhosis of liver or some problems in lung. You should go for ultrasound abdomen and x-ray chest. Search the cause and take treatment accordingly. It's not due to stent. 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 9 year old son fell and hit his forehead near the hairline on a slide at the playground today. Its bruised around the site but its indented. Ive never seen this before. He says it hurts to touch, no headache or any other symptoms. Should I take him in? | Hello, Welcome to Chat Doctor, As the injury is on forehead and indented, there are chances that there is an underlying fracture of the skull bones. You should take him to a nearby hospital and get it checked as early as possible. Please get an X-ray/CT scan to rule out fracture. For the time being, you can give him Arica 200, 1 dose now and second dose tomorrow. It will help in reducing pain and speedy healing. Hope it sorts your problem. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 9 year old son fell and hit his forehead near the hairline on a slide at the playground today. Its bruised around the site but its indented. Ive never seen this before. He says it hurts to touch, no headache or any other symptoms. Should I take him in?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, As the injury is on forehead and indented, there are chances that there is an underlying fracture of the skull bones. You should take him to a nearby hospital and get it checked as early as possible. Please get an X-ray/CT scan to rule out fracture. For the time being, you can give him Arica 200, 1 dose now and second dose tomorrow. It will help in reducing pain and speedy healing. Hope it sorts your problem."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Dr. From past few days i feel mild pain on my stomach (i believe its due to because of my tight pants) and 4days before when i was pooing solid semen came out from my penis.. when i tried to discharge the stool liquid semen also coming... same thing happened yesterday also? can u please advise me wht i have to do? | Hello, There could be simple logical explanation for this problem is that you might have retrograde ejaculation means semen enters your bladder instead of coming out of urethra or there is some semen left in urethra after the last ejaculation. However, it's not possible to have semen in bowels, that whitish discharge could be due to mucus in stool which could be a due number of reasons like infections, fissures, bowel obstruction or Crohn's disease. I suggest you to visit your doctor for detailed checkup regarding your problems and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Dr. From past few days i feel mild pain on my stomach (i believe its due to because of my tight pants) and 4days before when i was pooing solid semen came out from my penis.. when i tried to discharge the stool liquid semen also coming... same thing happened yesterday also? can u please advise me wht i have to do?"
},
{
"from": "gpt",
"value": "Output: Hello, There could be simple logical explanation for this problem is that you might have retrograde ejaculation means semen enters your bladder instead of coming out of urethra or there is some semen left in urethra after the last ejaculation. However, it's not possible to have semen in bowels, that whitish discharge could be due to mucus in stool which could be a due number of reasons like infections, fissures, bowel obstruction or Crohn's disease. I suggest you to visit your doctor for detailed checkup regarding your problems and treat you accordingly. 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. | Please excuse my writing skills as I am a construction worker and truck driver. I am off a recent bout with pneumonia and plurasy (no idea how to spell that) I was in the emergency room three time in jan with both lungs spotted with pneumonia and could not breath deep could not stop coughing its april now and just went back to work concreting and lost my breath very fast and powered through it but had a coughing fit and it feels like I have been kicked in the ribs, its in one spot on the bottom in the back on the right what can I do. it hurt before and was better but never comfortable. I hope this makes sense and thank you for reading | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Travelling is a risk factor for pneumonia. So in your case, since you are still having coughing and chest pain, better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Repeat chest x-ray is needed to rule out worsening of pneumonia. PFT is needed to rule out bronchitis as this is common after pneumonia. You may need inhaled bronchodilators and antihistamine Chat Doctor. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Please excuse my writing skills as I am a construction worker and truck driver. I am off a recent bout with pneumonia and plurasy (no idea how to spell that) I was in the emergency room three time in jan with both lungs spotted with pneumonia and could not breath deep could not stop coughing its april now and just went back to work concreting and lost my breath very fast and powered through it but had a coughing fit and it feels like I have been kicked in the ribs, its in one spot on the bottom in the back on the right what can I do. it hurt before and was better but never comfortable. I hope this makes sense and thank you for reading"
},
{
"from": "gpt",
"value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Travelling is a risk factor for pneumonia. So in your case, since you are still having coughing and chest pain, better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Repeat chest x-ray is needed to rule out worsening of pneumonia. PFT is needed to rule out bronchitis as this is common after pneumonia. You may need inhaled bronchodilators and antihistamine Chat Doctor. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Squeezing pain under my left breast Q | Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. 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: Squeezing pain under my left breast Q"
},
{
"from": "gpt",
"value": "Output: Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. 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. | Dear Sir , I have baby Boy age is 14 Month. He start walking in the end of 9th month. he was dancing & capable of walking without support. But from last 25 days first he started disbalancing in his walk later in 10n -14 days he stoped walk. now condition is that he can not stand with out support. he has started some shaking of body parts. from last two or three days his eyes are also not stable once he see on the upside his forhead. for few seconds he was doing it but now he is doing this activity frequesntly. Please help to understans about this problem. MRI for brain & Spine is normal. EEG is also normal.Please help.... | HI...by what you quote I feel that your kid is presenting with a classical history suggestive of - 1. A neurodegenerative disorder or2. A sub-acute form of cerebellums most probably viral in origin or post viral. If it is neurodegenerative disorder - normal MRI doesn't rule it out in the early stages. But acute or sub-acute cerebellums should have been picked in the MRI brain. I suggest you consult a pediatric neurologist for this. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir , I have baby Boy age is 14 Month. He start walking in the end of 9th month. he was dancing & capable of walking without support. But from last 25 days first he started disbalancing in his walk later in 10n -14 days he stoped walk. now condition is that he can not stand with out support. he has started some shaking of body parts. from last two or three days his eyes are also not stable once he see on the upside his forhead. for few seconds he was doing it but now he is doing this activity frequesntly. Please help to understans about this problem. MRI for brain & Spine is normal. EEG is also normal.Please help...."
},
{
"from": "gpt",
"value": "Output: HI...by what you quote I feel that your kid is presenting with a classical history suggestive of - 1. A neurodegenerative disorder or2. A sub-acute form of cerebellums most probably viral in origin or post viral. If it is neurodegenerative disorder - normal MRI doesn't rule it out in the early stages. But acute or sub-acute cerebellums should have been picked in the MRI brain. I suggest you consult a pediatric neurologist for this. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have 3 small boils on my sac, one on the base and 2 on the sides. They are painful to touch and it is also making walking difficult. I have not had sex for more than a month now. Should I regulate my diet/ take any specific medication/ topical cream? Please advice. | His understand your concern. If some patient walk in my clinic with this complain then I prefer both local and systemic antibiotics. Local application of TB ACT. Or neomycine cream over boils three times in a day. Systemic antibiotic like definite or cefuroxime for 7 days. Take analgesic like diclofenac with paracetamol to relive pain. Avoid sex till healing and use loose undergarment, wash with warm water. I hope I have answered your query. Still have a query then feel free to ask. Thank you. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i have 3 small boils on my sac, one on the base and 2 on the sides. They are painful to touch and it is also making walking difficult. I have not had sex for more than a month now. Should I regulate my diet/ take any specific medication/ topical cream? Please advice."
},
{
"from": "gpt",
"value": "Output: His understand your concern. If some patient walk in my clinic with this complain then I prefer both local and systemic antibiotics. Local application of TB ACT. Or neomycine cream over boils three times in a day. Systemic antibiotic like definite or cefuroxime for 7 days. Take analgesic like diclofenac with paracetamol to relive pain. Avoid sex till healing and use loose undergarment, wash with warm water. I hope I have answered your query. Still have a query then feel free to ask. Thank you. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Red spotted rash on face, bilateral arms and legs, torso, chest and shoulders and upper back. Vitals normal. Now having chest pain that radiates through to right of my thoracic spine. The chest pain mimics heart burn and seems to be coming in waves. Finished (dental prescription post root canal) oral clindamycin treatment 4 days ago, during end of treatment I did notice some slight redness to my left cheek, but figured it was the sun or heat. | Hi I do care for your concern. The red rashes may be caused due to sun exposure or even trivial exposure to allergens, and to some extent caused by the rug that you are taking. The higher antibiotic such as Linda may cause heart burn. If I were your treating doctor then I would advise, To start on oral anti ulcer Chat Doctor. Hope I have answered your question. If you have more doubts feel free to ask. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Red spotted rash on face, bilateral arms and legs, torso, chest and shoulders and upper back. Vitals normal. Now having chest pain that radiates through to right of my thoracic spine. The chest pain mimics heart burn and seems to be coming in waves. Finished (dental prescription post root canal) oral clindamycin treatment 4 days ago, during end of treatment I did notice some slight redness to my left cheek, but figured it was the sun or heat."
},
{
"from": "gpt",
"value": "Output: Hi I do care for your concern. The red rashes may be caused due to sun exposure or even trivial exposure to allergens, and to some extent caused by the rug that you are taking. The higher antibiotic such as Linda may cause heart burn. If I were your treating doctor then I would advise, To start on oral anti ulcer Chat Doctor. Hope I have answered your question. If you have more doubts feel free to ask. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir, Recently I have gone medical checkup, it was noticed that Liver size is normal with increased echopattern. The IHBR aree dilated. No focal SOL is seen. Portal vein is normal in callibar What it means, what are the symptons normally we see in this regards. what do you suggest, whether is it serious in nature. | HelloIncreased echo texture of liver may indicate fatty changes in liver. It may be due to many reasons like obesity, sedentary lifestyle, hepatitis,alcohol intake, altered lipid profile, diabetes mellitus, medicines etc. You may need few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. Other findings in liver are normal. Intrahepatic biliary articles(IRS), portal vein are normal. You should increase your physical activity and avoid fried and fatty food. Fatty liver is a reversible condition. Get well soon. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, Recently I have gone medical checkup, it was noticed that Liver size is normal with increased echopattern. The IHBR aree dilated. No focal SOL is seen. Portal vein is normal in callibar What it means, what are the symptons normally we see in this regards. what do you suggest, whether is it serious in nature."
},
{
"from": "gpt",
"value": "Output: HelloIncreased echo texture of liver may indicate fatty changes in liver. It may be due to many reasons like obesity, sedentary lifestyle, hepatitis,alcohol intake, altered lipid profile, diabetes mellitus, medicines etc. You may need few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. Other findings in liver are normal. Intrahepatic biliary articles(IRS), portal vein are normal. You should increase your physical activity and avoid fried and fatty food. Fatty liver is a reversible condition. Get well soon. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Yes, I have been having some watery red spotting after I wipe when I go pee pee. I have been the the doctor three times and I gave them a urine specimen. The first time, doctor diagnosed me with a UTI, but wasnt sure if it could also be a yeast infection. So, she prescribed Bacterim for 5 days but it gave me diahhrea so Dr. changed it to Cipro, which worked fine. She also gave me a one time pill to take for the yeast infection after finishing the Cipro. I took all my medication. During treatment, I saw a little spotting of watered down blood after wiping my pee pee. Dr. took another urine exam. Said I never had UTI but that I definitely had a yeast infection. I finished all my meds so I waited to see if I would be okay and it seemed as though I was. Yesterday, when I went pee pee, I wiped and saw some more watered down red spots on the tissue. I returned to the Dr. today who ordered a urinalysis. He is having me worked up for bladder or kidney cancer just as a precaution. Still dont know what is causing the sporadic blood spots. Pls. advise. | HIT hank for asking to ChatDoctorI really appreciate your concern, you gave your history in detail but the important things you missed here, your age and gender which is extremely required in your case, just think it about you are asking a medical person without saying anything, who you are Male or Female what the age, how I would be able to advise you, on other hand your complaint is dam related with your age and gender, next time take care, bye | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yes, I have been having some watery red spotting after I wipe when I go pee pee. I have been the the doctor three times and I gave them a urine specimen. The first time, doctor diagnosed me with a UTI, but wasnt sure if it could also be a yeast infection. So, she prescribed Bacterim for 5 days but it gave me diahhrea so Dr. changed it to Cipro, which worked fine. She also gave me a one time pill to take for the yeast infection after finishing the Cipro. I took all my medication. During treatment, I saw a little spotting of watered down blood after wiping my pee pee. Dr. took another urine exam. Said I never had UTI but that I definitely had a yeast infection. I finished all my meds so I waited to see if I would be okay and it seemed as though I was. Yesterday, when I went pee pee, I wiped and saw some more watered down red spots on the tissue. I returned to the Dr. today who ordered a urinalysis. He is having me worked up for bladder or kidney cancer just as a precaution. Still dont know what is causing the sporadic blood spots. Pls. advise."
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI really appreciate your concern, you gave your history in detail but the important things you missed here, your age and gender which is extremely required in your case, just think it about you are asking a medical person without saying anything, who you are Male or Female what the age, how I would be able to advise you, on other hand your complaint is dam related with your age and gender, next time take care, bye"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | What would you say is the problem if I m experiencing more bloating than normal, specifically in the face, and I notice I m more sensitive to alcohol, experiencing blackouts after drinking alcohol but not what I would consider an excessive amount... Could this be a sign I need to cleanse my liver? Or could I have Candid overgrowth? | Hi, thanks for using Chat Doctor If you are experiencing black-outs in response to alcohol use, it would be best to discontinue the use of alcohol even if you are only using small quantities. It is possible that alcohol use can affect the liver particularly if it is used repeatedly but liver disease itself, unless very severe, would not normally cause loss of consciousness. In terms of candida overgrowth, this is not a known cause of black-outs. Other potential causes would be electrolyte disorders, heart disease, low blood pressure, deny Chat Doctor. I hope this helps | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What would you say is the problem if I m experiencing more bloating than normal, specifically in the face, and I notice I m more sensitive to alcohol, experiencing blackouts after drinking alcohol but not what I would consider an excessive amount... Could this be a sign I need to cleanse my liver? Or could I have Candid overgrowth?"
},
{
"from": "gpt",
"value": "Output: Hi, thanks for using Chat Doctor If you are experiencing black-outs in response to alcohol use, it would be best to discontinue the use of alcohol even if you are only using small quantities. It is possible that alcohol use can affect the liver particularly if it is used repeatedly but liver disease itself, unless very severe, would not normally cause loss of consciousness. In terms of candida overgrowth, this is not a known cause of black-outs. Other potential causes would be electrolyte disorders, heart disease, low blood pressure, deny Chat Doctor. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi...I have a 4 year old girl and she has been sick fir a few days (fever and not very hungry). I noticed today that she want able to make itvuo the bathroom in time, so she urinated on herself. The urine smelled weird...kind of fishy, but definitely strong. I am concerned at what it could bevand whether I should take her to the doctor. Please help me. Thank you. | Hi, thank you for the question. It looks from your history that your child might be having a urinary tract infection which can be confirmed with a urinalysis and if confirmed can be treated with a course of antibiotics like definite. You need not worry about the loss of appetite which is due to fever, once your child is started on treatment and the fever starts coming down the appetite improves. You should take your doctor to a pediatrician. Chil Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi...I have a 4 year old girl and she has been sick fir a few days (fever and not very hungry). I noticed today that she want able to make itvuo the bathroom in time, so she urinated on herself. The urine smelled weird...kind of fishy, but definitely strong. I am concerned at what it could bevand whether I should take her to the doctor. Please help me. Thank you."
},
{
"from": "gpt",
"value": "Output: Hi, thank you for the question. It looks from your history that your child might be having a urinary tract infection which can be confirmed with a urinalysis and if confirmed can be treated with a course of antibiotics like definite. You need not worry about the loss of appetite which is due to fever, once your child is started on treatment and the fever starts coming down the appetite improves. You should take your doctor to a pediatrician. Chil Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have my first test tomorrow in my history class and today I woke up feeling very tired and weak. I have had body aches all day and my throat sort of hurts. I recently got a flu shot about a week and a half ago because the flu had been going around the college I attend. Am I coming down with something? | His have gone through the question and understand your concerned symptoms that you are having are quite common after flu shot as body shows some reaction while building resistance against a particular antigen. So, no need to worry about it as it will subside within a week. Although if it stays for more than a week, then you should consult your physician. Hope this was of helped me know if you have other queries. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have my first test tomorrow in my history class and today I woke up feeling very tired and weak. I have had body aches all day and my throat sort of hurts. I recently got a flu shot about a week and a half ago because the flu had been going around the college I attend. Am I coming down with something?"
},
{
"from": "gpt",
"value": "Output: His have gone through the question and understand your concerned symptoms that you are having are quite common after flu shot as body shows some reaction while building resistance against a particular antigen. So, no need to worry about it as it will subside within a week. Although if it stays for more than a week, then you should consult your physician. Hope this was of helped me know if you have other queries. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | About 1.5 years ago I started with a wart on mid-finger (rt) hand. I have tried OTC remedies i.e. compound W and Freeze Away. It would kill the top surface of the skin, but would continue to grow afterwards. ( Seemed as though it fertilized them). What started as one went to 5 on mid finger, 1 on ring finger, 2 on index finger, 1 on knuckle on rt. hand m.( index ). as well as one on left thumb knuckle joint. The big one on mid finger is cracked in 2 different places and occasionally bleeds. I m sure this has some to do with the Papilona HIV. virus. Can these be burned off by a dermatologists? | Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Wart is caused by the HPV virus. Not HIV. Yes it can be burnt of by the phenol by the dermatologist. But wide variety of the treatment is available for wart to treat depending on the size, location and severity of the infection. Visiting the nearby doctor can help you further. OTC remedies won't help in your case instead it worsens the case. So please do not take the OTC medication. If you are sexually active and genital warts, please take the treatment from both the partner and avoid sexual contacts till you are receiving treatment. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About 1.5 years ago I started with a wart on mid-finger (rt) hand. I have tried OTC remedies i.e. compound W and Freeze Away. It would kill the top surface of the skin, but would continue to grow afterwards. ( Seemed as though it fertilized them). What started as one went to 5 on mid finger, 1 on ring finger, 2 on index finger, 1 on knuckle on rt. hand m.( index ). as well as one on left thumb knuckle joint. The big one on mid finger is cracked in 2 different places and occasionally bleeds. I m sure this has some to do with the Papilona HIV. virus. Can these be burned off by a dermatologists?"
},
{
"from": "gpt",
"value": "Output: Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Wart is caused by the HPV virus. Not HIV. Yes it can be burnt of by the phenol by the dermatologist. But wide variety of the treatment is available for wart to treat depending on the size, location and severity of the infection. Visiting the nearby doctor can help you further. OTC remedies won't help in your case instead it worsens the case. So please do not take the OTC medication. If you are sexually active and genital warts, please take the treatment from both the partner and avoid sexual contacts till you are receiving treatment. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my name is Greg Bernstein and my x-wife has filed for her fifth divorce and has blamed all ex-husband.Bottom line,I didnt want one. I was a fine human being and was a very good husband. Sidney is morbidly inconsiderate of others and her husband of thirteen especialy me because of close quarter living and never showed remorse but would blame me for verbal abuse when I was angry with a just cause. She was a chronic blamer with constant excuses for her behavior, she lied through omisson , lied for no reason, had a mask,or fascasde ,front, act, lived in denial, extremely defensive, even with mild criticism, nerver could hold her self accountable or take responsibility, manipulative in ways that were suttle unforgiving,bring petty little things from a long ago past,remembering things that I repented and redeemed myself of before before I was repentive talk the talk,uncoperative, arrogant, defiant, mocking insolent,Very knowledgeable of Bible Road Less Traveled and never applied any of it. As her husband and a good one, she is absolutely shameless about her 5 divorces and I was nowhere on her priority list. She could be very sweet and angelic to the public and performed excellent as a hopice nurse and was a a workaholic and entirely unavailable . Her Father was a violent Alcoholic that she was terrified of and had an unloving mother. Her Father divorced 5 more times. I have OCD; what is wrong with Sidney? My OCD has been in remission for many years. Thank you Greg | Hi and thank you so much for this query. I am so sorry to hear about this. It can be so overwhelming to have a wife who portrays all these characteristics. I can only imagine how difficult she is to deal with. Having gone through 5 divorces, there must be something fundamentally wrong with her attitude that needs to be ad Chat Doctor. I cannot think all the 5different men are the problem. Well, I think she needs some serious counseling. Look for someone that she really respects and identifies with to try and ad | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my name is Greg Bernstein and my x-wife has filed for her fifth divorce and has blamed all ex-husband.Bottom line,I didnt want one. I was a fine human being and was a very good husband. Sidney is morbidly inconsiderate of others and her husband of thirteen especialy me because of close quarter living and never showed remorse but would blame me for verbal abuse when I was angry with a just cause. She was a chronic blamer with constant excuses for her behavior, she lied through omisson , lied for no reason, had a mask,or fascasde ,front, act, lived in denial, extremely defensive, even with mild criticism, nerver could hold her self accountable or take responsibility, manipulative in ways that were suttle unforgiving,bring petty little things from a long ago past,remembering things that I repented and redeemed myself of before before I was repentive talk the talk,uncoperative, arrogant, defiant, mocking insolent,Very knowledgeable of Bible Road Less Traveled and never applied any of it. As her husband and a good one, she is absolutely shameless about her 5 divorces and I was nowhere on her priority list. She could be very sweet and angelic to the public and performed excellent as a hopice nurse and was a a workaholic and entirely unavailable . Her Father was a violent Alcoholic that she was terrified of and had an unloving mother. Her Father divorced 5 more times. I have OCD; what is wrong with Sidney? My OCD has been in remission for many years. Thank you Greg"
},
{
"from": "gpt",
"value": "Output: Hi and thank you so much for this query. I am so sorry to hear about this. It can be so overwhelming to have a wife who portrays all these characteristics. I can only imagine how difficult she is to deal with. Having gone through 5 divorces, there must be something fundamentally wrong with her attitude that needs to be ad Chat Doctor. I cannot think all the 5different men are the problem. Well, I think she needs some serious counseling. Look for someone that she really respects and identifies with to try and ad"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN | Hello. Welcome to Chat Doctor. I have read your question and understand your concerns. Once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for lifetime.2. Kidney transplantation. My advice to you is-1. If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile, maintain regular dialysis is essential for continuation of life. We can't stop dialysis of a failing kidney otherwise person cant survive more than few weeks.2. The symptoms you have mentioned are all due to kidney failure. Just ask your doc about in.erythropoietin to increase his HE levels. Avoid excessive salt and water use. Avoid any type of painkillers and excessive protein diet.3. Do his kidney profile every monthly and keep in regular followup of your nephrologist. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN"
},
{
"from": "gpt",
"value": "Output: Hello. Welcome to Chat Doctor. I have read your question and understand your concerns. Once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for lifetime.2. Kidney transplantation. My advice to you is-1. If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile, maintain regular dialysis is essential for continuation of life. We can't stop dialysis of a failing kidney otherwise person cant survive more than few weeks.2. The symptoms you have mentioned are all due to kidney failure. Just ask your doc about in.erythropoietin to increase his HE levels. Avoid excessive salt and water use. Avoid any type of painkillers and excessive protein diet.3. Do his kidney profile every monthly and keep in regular followup of your nephrologist. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My wife took a postpone tablet on the 28th day of her cycle and on the same day we had unprotected sex. She also took a emergency contraceptive pill (iPill) after 48 hours of our intercourse. She has not got her periods yet. and today is 32nd day after her last period. Is there any chance that she is pregnant? | Assuming that she took the pill within 72 hours of intercourse as you describe, she shouldn't be pregnant. The fact that her period is delayed may be a result of the pill which can sometimes cause irregular periods. However, if you also had intercourse at any other time in the cycle, without taking the pill or using another form of birth control, then she could be pregnant. I would recommend taking a pregnancy test either way, just to make sure she isn't pregnant. I hope this answers your question, please let me know if you need any more information. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My wife took a postpone tablet on the 28th day of her cycle and on the same day we had unprotected sex. She also took a emergency contraceptive pill (iPill) after 48 hours of our intercourse. She has not got her periods yet. and today is 32nd day after her last period. Is there any chance that she is pregnant?"
},
{
"from": "gpt",
"value": "Output: Assuming that she took the pill within 72 hours of intercourse as you describe, she shouldn't be pregnant. The fact that her period is delayed may be a result of the pill which can sometimes cause irregular periods. However, if you also had intercourse at any other time in the cycle, without taking the pill or using another form of birth control, then she could be pregnant. I would recommend taking a pregnancy test either way, just to make sure she isn't pregnant. I hope this answers your question, please let me know if you need any more information."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 50 yr old female I had mono last February and I have the same symptoms again. Low fever daily constant fatigue. is it possible that it has just returned. The Dr. couldn t do anything for it the last time should I make another appointment to see him. | Greetings from Chat Doctor. Thanks for posting your query. Fever and fatigue can be caused by any infection. Infection most commonly happens due to Virus or bacteria. Even MONO is a viral infection. Among viral and bacterial infection, most of the viral infections are self limiting, means there will get cured by itself in 2-4 days. So my advice it to wait for 2-3 days, you can take Tylenol for fever, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 50 yr old female I had mono last February and I have the same symptoms again. Low fever daily constant fatigue. is it possible that it has just returned. The Dr. couldn t do anything for it the last time should I make another appointment to see him."
},
{
"from": "gpt",
"value": "Output: Greetings from Chat Doctor. Thanks for posting your query. Fever and fatigue can be caused by any infection. Infection most commonly happens due to Virus or bacteria. Even MONO is a viral infection. Among viral and bacterial infection, most of the viral infections are self limiting, means there will get cured by itself in 2-4 days. So my advice it to wait for 2-3 days, you can take Tylenol for fever,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor,i have done liver test. In the result, SGOT is high as 140 but SGPT is in normal value. let me know whehter there is any problem due to this value. i have undergone treatement for TB 7 years back and for jaundice 12 years back. will it be a reason for this high level | Hi thanks for asking question. You have not mentioned which type of jaundice do you had in past?? You have taken antitb treatment which can lead hepatotoxicity and lead to hepatitis. So Chat Doctor. Just now viral cause for hepatitis has to be ruled to put by doing viral marker.Bag carrier can lead its elevated value. Fatty liver also can lead its elevated value.USG will be helpful for that. Sometimes previous heart attack and muscle injury can lead to elevated liver enzymes. It is better to repeat value after 3 months if cause is not clear. If still cause not clear and value increasing then USG and FNAC can be done as further work up. For that consult gastric surgeon. I hope I have solved your query. Regards; | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor,i have done liver test. In the result, SGOT is high as 140 but SGPT is in normal value. let me know whehter there is any problem due to this value. i have undergone treatement for TB 7 years back and for jaundice 12 years back. will it be a reason for this high level"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. You have not mentioned which type of jaundice do you had in past?? You have taken antitb treatment which can lead hepatotoxicity and lead to hepatitis. So Chat Doctor. Just now viral cause for hepatitis has to be ruled to put by doing viral marker.Bag carrier can lead its elevated value. Fatty liver also can lead its elevated value.USG will be helpful for that. Sometimes previous heart attack and muscle injury can lead to elevated liver enzymes. It is better to repeat value after 3 months if cause is not clear. If still cause not clear and value increasing then USG and FNAC can be done as further work up. For that consult gastric surgeon. I hope I have solved your query. Regards;"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. 43 year old Male. I have a small red lump under my tongue, at the base of the Frenulm area. It showed up yesterday. It had a whitehead on it, but red now b/c I was squeezing at it thinking it would pop. Its not painful. And just feels a bit weird, like extra flap of skin at the base of the tongue. From what Im reading, blocked saliva gland or small cyst it sounds like... but Im not sure. Should I be concerned? Thanks. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The symptom you mention in query are clearly indicate that it is a swelling of connective tissue filled with much leaked from rupture salivary gland duct due to minor injury. The condition is known as manual. Small manual do not require any treatment. I would suggest you to consult oral surgeon for proper examination and treatment. Doctor may order biography, sialendoscopy, ultrasound or CT scan. Doctor may Chat Doctor. Doctor may also go for steroid medication. 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. 43 year old Male. I have a small red lump under my tongue, at the base of the Frenulm area. It showed up yesterday. It had a whitehead on it, but red now b/c I was squeezing at it thinking it would pop. Its not painful. And just feels a bit weird, like extra flap of skin at the base of the tongue. From what Im reading, blocked saliva gland or small cyst it sounds like... but Im not sure. Should I be concerned? Thanks."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The symptom you mention in query are clearly indicate that it is a swelling of connective tissue filled with much leaked from rupture salivary gland duct due to minor injury. The condition is known as manual. Small manual do not require any treatment. I would suggest you to consult oral surgeon for proper examination and treatment. Doctor may order biography, sialendoscopy, ultrasound or CT scan. Doctor may Chat Doctor. Doctor may also go for steroid medication. 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. | My cousin who is 58 year old male is having certain signs of physic whcih needs treatment | Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your brothers psychological problems. From the limited information that you have provided it is not possible to pinpoint a definitive diagnosis. A detailed history and proper psychological assessment is necessary for this. Regarding the medication that he is on - Proven (Paroxetine) is an anti-depressant medication and Located (Clonazepam) is a sedative / antianxiety medication. Without confirming the diagnosis, it is not possible to say whether this medication are appropriate for him or not. I'm not sure if he has been seen by a doctor and then prescribed this medication. If not, please take him to a psychiatrist for a detailed evaluation and further treatment. 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: My cousin who is 58 year old male is having certain signs of physic whcih needs treatment"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your brothers psychological problems. From the limited information that you have provided it is not possible to pinpoint a definitive diagnosis. A detailed history and proper psychological assessment is necessary for this. Regarding the medication that he is on - Proven (Paroxetine) is an anti-depressant medication and Located (Clonazepam) is a sedative / antianxiety medication. Without confirming the diagnosis, it is not possible to say whether this medication are appropriate for him or not. I'm not sure if he has been seen by a doctor and then prescribed this medication. If not, please take him to a psychiatrist for a detailed evaluation and further treatment. Wish you all the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been diagnosed with degenerative disc disease. I am 66 yrs old, physically active, working as an RN. I have experienced back issues for years and am under the care of a Chiropractor. This week, XRays revealed above dx. Was told I had the spine of a 90 yr old and needed to be careful. Shocking as well as frightening. Looking at the reviews of Instaflex , and pondering the validity of the claims. Thanks so much, | Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been diagnosed with degenerative disc disease. I am 66 yrs old, physically active, working as an RN. I have experienced back issues for years and am under the care of a Chiropractor. This week, XRays revealed above dx. Was told I had the spine of a 90 yr old and needed to be careful. Shocking as well as frightening. Looking at the reviews of Instaflex , and pondering the validity of the claims. Thanks so much,"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello.. Im wondering if there is a difference between a torn disk, herniated disc, bulging disc. are they different or basically mean the same thing.. ? a mri has shown 2 tears with mild bulging in my l5 s1 disc and herniation in l4 l5? what should I expect from this? I have already had surgery on l5 s1 in 2009. just wondering if I will need another surgery for this? | Hi the various conditions you have described as torn disk, herniated disc, bulging disc. Are stages of the same processes. First annular ligament is torn and a part of disc bulges out, then it goes beyond the boundary of disc into neural space(herniation). Only these conditions don't determine whether you need to be operated or treated conservatively. Majority of disc diseases do not need operation. I suggest you take painkillers, muscle relaxants and physiotherapy, and if there is no relief then go for orthopedic consultation. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello.. Im wondering if there is a difference between a torn disk, herniated disc, bulging disc. are they different or basically mean the same thing.. ? a mri has shown 2 tears with mild bulging in my l5 s1 disc and herniation in l4 l5? what should I expect from this? I have already had surgery on l5 s1 in 2009. just wondering if I will need another surgery for this?"
},
{
"from": "gpt",
"value": "Output: Hi the various conditions you have described as torn disk, herniated disc, bulging disc. Are stages of the same processes. First annular ligament is torn and a part of disc bulges out, then it goes beyond the boundary of disc into neural space(herniation). Only these conditions don't determine whether you need to be operated or treated conservatively. Majority of disc diseases do not need operation. I suggest you take painkillers, muscle relaxants and physiotherapy, and if there is no relief then go for orthopedic consultation."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My son is eight years old, he has got beside his knee black rash, it looks, as if boil water or oil spills it was looking like a boil, Initially i thought boil water would have splashed, but now it is black flat rash. This rash is dry and itches for him, and nearby the rash small black rashes also started appearing, i consulted the doctor they gave him a cream ( iam sorry unable to remember the name of the cream) and every night one small table he has to have, after having this tablet and applying the cream, no changes, what could be the reason plz help | Hi, The rash could be a keloid or a hypertrophic scar. But there is another possible diagnosis too. So, it is very important to confirm the diagnosis by proper clinical examination before initiating the treatment. I request you to consult your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My son is eight years old, he has got beside his knee black rash, it looks, as if boil water or oil spills it was looking like a boil, Initially i thought boil water would have splashed, but now it is black flat rash. This rash is dry and itches for him, and nearby the rash small black rashes also started appearing, i consulted the doctor they gave him a cream ( iam sorry unable to remember the name of the cream) and every night one small table he has to have, after having this tablet and applying the cream, no changes, what could be the reason plz help"
},
{
"from": "gpt",
"value": "Output: Hi, The rash could be a keloid or a hypertrophic scar. But there is another possible diagnosis too. So, it is very important to confirm the diagnosis by proper clinical examination before initiating the treatment. I request you to consult your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, my dad has eosinophilia and for the last few months, right before bed, starts acting extremely strange, he forgets that his sons are home and I guess he just acts like a zombie, very strange. He also sometimes gets dizzy, sweats, nausea, and pain in different spots, including minor chest pain. Could any of these symptoms be caused by eosinophilia? | Hi, dairy have gone through your question. I can understand your concern. Her forgetfulness is not due to eosinophilic. Dizziness or sweating are also not related. He should search the cause of eosinophilic. Asthma, allergy, hypersensitivity, parasitic infection etc. can lead eosinophilic. Investigate for the cause and start 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, my dad has eosinophilia and for the last few months, right before bed, starts acting extremely strange, he forgets that his sons are home and I guess he just acts like a zombie, very strange. He also sometimes gets dizzy, sweats, nausea, and pain in different spots, including minor chest pain. Could any of these symptoms be caused by eosinophilia?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Her forgetfulness is not due to eosinophilic. Dizziness or sweating are also not related. He should search the cause of eosinophilic. Asthma, allergy, hypersensitivity, parasitic infection etc. can lead eosinophilic. Investigate for the cause and start 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. | hi i am a gay man and have noticed that when ejaculate my semen is clear with a slight brown tinge to it ..this been happening now for the last couple of weeks..I am now experiencing a pain in my scrotum ..i had an ultra sound a week ago and was found to be clear of anything.. i am also experiencing a slight burn sensation when i pee.. | Good Day, and thank you for being with Chat Doctor ! I would suggest doing an urinalysis to check for infection. A semen analysis with culture would also help determine if there is an infection. Most common cause of brownish discoloration of the semen is still blood brought about by inflammation and rigorous sexual activity. Pain in the testis could be inflammation also from trauma and will resolve with rest and adequate pain relievers. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at | [
{
"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 gay man and have noticed that when ejaculate my semen is clear with a slight brown tinge to it ..this been happening now for the last couple of weeks..I am now experiencing a pain in my scrotum ..i had an ultra sound a week ago and was found to be clear of anything.. i am also experiencing a slight burn sensation when i pee.."
},
{
"from": "gpt",
"value": "Output: Good Day, and thank you for being with Chat Doctor ! I would suggest doing an urinalysis to check for infection. A semen analysis with culture would also help determine if there is an infection. Most common cause of brownish discoloration of the semen is still blood brought about by inflammation and rigorous sexual activity. Pain in the testis could be inflammation also from trauma and will resolve with rest and adequate pain relievers. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had sore throat since last Monday, I have trouble breathing since Tuesday morning. Saw doctor that evening and he said i have throat and lung infection and gave me antibiotics. Today is Sunday and I am still coughing, no more runny nose, at times I cough out pleghm with blood and I notice a tiny black dot on my throat and 2 white spots (look like ulcer) inner throat near tonsil. What could this mean? | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having hemoptysis (blood in sputum). And it is seen in following conditions. 1. Tuberculosis2. Pneumonia3. Bronchitis4. Lung cancer etc. So better to get done1. Chest x-ray. 2. PUT (pulmonary function test). 3. CT thorax if required. Chest x-ray and CT thorax are needed to rule out tuberculosis, pneumonia and lung cancer. PFT is needed to rule out bronchitis. 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 sore throat since last Monday, I have trouble breathing since Tuesday morning. Saw doctor that evening and he said i have throat and lung infection and gave me antibiotics. Today is Sunday and I am still coughing, no more runny nose, at times I cough out pleghm with blood and I notice a tiny black dot on my throat and 2 white spots (look like ulcer) inner throat near tonsil. What could this mean?"
},
{
"from": "gpt",
"value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having hemoptysis (blood in sputum). And it is seen in following conditions. 1. Tuberculosis2. Pneumonia3. Bronchitis4. Lung cancer etc. So better to get done1. Chest x-ray. 2. PUT (pulmonary function test). 3. CT thorax if required. Chest x-ray and CT thorax are needed to rule out tuberculosis, pneumonia and lung cancer. PFT is needed to rule out bronchitis. 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. | dr. im 42 years old, my first baby expired before four years who was 10months.my and my hsbnd reports are fine.why i cnt concieve again .he dnt want I.V.F.how i can concieve natarully.wht is my healyh problem.i want to concieve naturully as soon as possible not by i.v.f.can m2 tone help for it. | Hi, I guess your concern is about getting pregnant, naturally without IVF, at the age of 42 years. You have mentioned that you are taking medicine - M2 tone for regularization of menses. The dose and since when you have started taking the medicine is not shared by you. After taking the medicines whether the menses have become regular or not, it is also not shared by you. It is natures rule, as we get older the functions of our body will be decreased quantitatively and qualitatively. The ovaries also decrease in its function as women become old. The reproductive age group, that is maximum chances of conceiving is more usually at 20 to 40 years. Around the age of 50 to 52 years, women stop her menses. This indicates she can't conceive anymore. The age 45-48 years is a transition zone from highly reproductive age group to the age group where menses stop. And here the chances of getting pregnant are not as high as reproductive age group and not low as 50- 52 yrs of age. But still there are a chances of getting pregnant in this transition age, and you are at 42, so there is a hope of getting pregnant. Be positive and don't lose hope. However, irregular menses at this age decreases the chances of pregnancy. But, as you are on medicine for irregular menses, once the menses becomes regular, the chances of getting pregnancy increases. So there is double positive hope for you. Some people thought they are in reproductive age group, because of problem, either in husband and wife, chances of getting pregnancy decreases. You have told that MY AND MY HUSBAND REPORTS ARE FINE. So there is triple positive hope. As you have lost your first child, and you are at the transition zone, it's better to go for an accelerated method of pregnancy. The accelerated methods are-IVF, GIFT, GIFT, CSI. The advantage of accelerated methods is getting twins of triplets is also there. My suggestions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dr. im 42 years old, my first baby expired before four years who was 10months.my and my hsbnd reports are fine.why i cnt concieve again .he dnt want I.V.F.how i can concieve natarully.wht is my healyh problem.i want to concieve naturully as soon as possible not by i.v.f.can m2 tone help for it."
},
{
"from": "gpt",
"value": "Output: Hi, I guess your concern is about getting pregnant, naturally without IVF, at the age of 42 years. You have mentioned that you are taking medicine - M2 tone for regularization of menses. The dose and since when you have started taking the medicine is not shared by you. After taking the medicines whether the menses have become regular or not, it is also not shared by you. It is natures rule, as we get older the functions of our body will be decreased quantitatively and qualitatively. The ovaries also decrease in its function as women become old. The reproductive age group, that is maximum chances of conceiving is more usually at 20 to 40 years. Around the age of 50 to 52 years, women stop her menses. This indicates she can't conceive anymore. The age 45-48 years is a transition zone from highly reproductive age group to the age group where menses stop. And here the chances of getting pregnant are not as high as reproductive age group and not low as 50- 52 yrs of age. But still there are a chances of getting pregnant in this transition age, and you are at 42, so there is a hope of getting pregnant. Be positive and don't lose hope. However, irregular menses at this age decreases the chances of pregnancy. But, as you are on medicine for irregular menses, once the menses becomes regular, the chances of getting pregnancy increases. So there is double positive hope for you. Some people thought they are in reproductive age group, because of problem, either in husband and wife, chances of getting pregnancy decreases. You have told that MY AND MY HUSBAND REPORTS ARE FINE. So there is triple positive hope. As you have lost your first child, and you are at the transition zone, it's better to go for an accelerated method of pregnancy. The accelerated methods are-IVF, GIFT, GIFT, CSI. The advantage of accelerated methods is getting twins of triplets is also there. My suggestions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Is there any evidence , of any sort, that connects pseudocholinesterase deficiency to an inability to process alcohol? or any evidence that suggests pseudocholinesterase deficiency could amplify the effects of alcohol on the liver? I have a relative that has liver cirrhosis and claims that she was told that her pseudocholinesterase deficiency accelerated her liver problems as it caused her to not be able to process alcohol as well. I have not been allowed to talk to her doctor, but all the research I have seen on pseudocholinesterase deficiency says that it only effects the bodies ability to deal with specific drugs in anestecis. Just trying to figure out the truth. | HIT hank for asking to ChatDoctorI really appreciate your concern if this is the case of liver cirrhosis then here truth is this that alcohol has done the job and the degenerative process have been started there now if the deficiency of pseudo cholinesterase if taken into consideration then this is of no value or does not prove anything or it won't help the patient in the prognosis, hope this information helps you have nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Is there any evidence , of any sort, that connects pseudocholinesterase deficiency to an inability to process alcohol? or any evidence that suggests pseudocholinesterase deficiency could amplify the effects of alcohol on the liver? I have a relative that has liver cirrhosis and claims that she was told that her pseudocholinesterase deficiency accelerated her liver problems as it caused her to not be able to process alcohol as well. I have not been allowed to talk to her doctor, but all the research I have seen on pseudocholinesterase deficiency says that it only effects the bodies ability to deal with specific drugs in anestecis. Just trying to figure out the truth."
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI really appreciate your concern if this is the case of liver cirrhosis then here truth is this that alcohol has done the job and the degenerative process have been started there now if the deficiency of pseudo cholinesterase if taken into consideration then this is of no value or does not prove anything or it won't help the patient in the prognosis, hope this information helps you have nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir; my seminal analysis is as following | Hellothank you for trusting ChatDoctordear nothing to worry your semen analysis is normal. Below some values of semen analysisVolume | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir; my seminal analysis is as following"
},
{
"from": "gpt",
"value": "Output: Hellothank you for trusting ChatDoctordear nothing to worry your semen analysis is normal. Below some values of semen analysisVolume"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my daughter who is nearly 17 has breath that smells like metal, we went to the doctors about 2 months ago because she was having bloating feeling and mentioned the breath then, he gave her some tablets for her stomach and said it should help the breath aswell, but the metal smell is still there, She has had it for a long time now?? | Welcome to ChatDoctorI have read and understood your query and appreciate your health concern for your daughters of all you need to check few things is your daughter having oral ulceration. Dies she Has gum bleeds? Or there are recurrent episodes of cold flu or sinusitis? Bad breath can arise more commonly due to tongue, nose and gum problems beside other reasons. Your daughter can do few things to overcome this problems her to brush her teeth after every meal, use garlic and onions less in meals, gargle with mouth wash for at least 30 seconds. Floss the teeth. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter who is nearly 17 has breath that smells like metal, we went to the doctors about 2 months ago because she was having bloating feeling and mentioned the breath then, he gave her some tablets for her stomach and said it should help the breath aswell, but the metal smell is still there, She has had it for a long time now??"
},
{
"from": "gpt",
"value": "Output: Welcome to ChatDoctorI have read and understood your query and appreciate your health concern for your daughters of all you need to check few things is your daughter having oral ulceration. Dies she Has gum bleeds? Or there are recurrent episodes of cold flu or sinusitis? Bad breath can arise more commonly due to tongue, nose and gum problems beside other reasons. Your daughter can do few things to overcome this problems her to brush her teeth after every meal, use garlic and onions less in meals, gargle with mouth wash for at least 30 seconds. Floss the teeth. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My friend in London has been to every doctor there and still has such painful stomach problems she believes to be caused by parasites. She asked me to find out if there is a doctor here in the U.S. That specializes in this area that will do telephone consultation. She traveled extensively, is in so much pain she wants to die. | Hi. Thanks for your query and concern for your friend in London. Your history says that she had been to every Doctor there, has painful stomach problems. What she believes like having parasites may not be tried, and can be diagnosed and treated well. This is a treatable problem and once you get rid of the parasites, the pain should have been well controlled. The main issue is the pain in abdomen not getting OK in spite of visits to May Doctors suggest me the most probable cause as IBS, the Irritable Bowel Syn Chat Doctor. Yes, she can consult the Gastroenterologist in U.S. Second opinion of a Gynecologist to be sought after just to rule out any problems related to it. I hope this should solve her problems. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend in London has been to every doctor there and still has such painful stomach problems she believes to be caused by parasites. She asked me to find out if there is a doctor here in the U.S. That specializes in this area that will do telephone consultation. She traveled extensively, is in so much pain she wants to die."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and concern for your friend in London. Your history says that she had been to every Doctor there, has painful stomach problems. What she believes like having parasites may not be tried, and can be diagnosed and treated well. This is a treatable problem and once you get rid of the parasites, the pain should have been well controlled. The main issue is the pain in abdomen not getting OK in spite of visits to May Doctors suggest me the most probable cause as IBS, the Irritable Bowel Syn Chat Doctor. Yes, she can consult the Gastroenterologist in U.S. Second opinion of a Gynecologist to be sought after just to rule out any problems related to it. I hope this should solve her problems."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have swollen ankle, discoloration of the leg, above the swollen ankle for 6inches, the area of skin has turned black almost a band around the entire leg,above that the entire right leg is swollen and painful.I was advised to take motrin for the swelling. i have taken ibuprofen and the pain has eased. i am a black man in my mid 50es. what the cause. | Hi, thank-you for providing the brief history of you. As there is no mention the mechanism of injury in the history it appears more of the systemic issue and needs a thorough clinical assessment. As you are 50 years old this could be degenerative changes happening in the body. This is a normal human physiological process. Also, checking the kidney function test and vascular insufficiency will make understand the cause of the discoloration of the skin and swelling. The swelling without any Injury can occur due to two factors like kidney issue or the vascular insufficiency. Kidney function Test and Doppler scan Will help understand the possible causes and treatment will be guided accordingly. Regards 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 swollen ankle, discoloration of the leg, above the swollen ankle for 6inches, the area of skin has turned black almost a band around the entire leg,above that the entire right leg is swollen and painful.I was advised to take motrin for the swelling. i have taken ibuprofen and the pain has eased. i am a black man in my mid 50es. what the cause."
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. As there is no mention the mechanism of injury in the history it appears more of the systemic issue and needs a thorough clinical assessment. As you are 50 years old this could be degenerative changes happening in the body. This is a normal human physiological process. Also, checking the kidney function test and vascular insufficiency will make understand the cause of the discoloration of the skin and swelling. The swelling without any Injury can occur due to two factors like kidney issue or the vascular insufficiency. Kidney function Test and Doppler scan Will help understand the possible causes and treatment will be guided accordingly. Regards Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir, I am suffering from hives since last two weeks. I have itching all over my body, most of the time on back, legs and arms with red patches and swelling with some welts on the skin. I consult to doctor and then they have given Atarax 10 mg, Cetzine medicines. Last 1 day back My doctor had given my blood test report in which all of the things was normal except ESR. My ESR 37 shows high little bit higher than normal. I was suffering from cold and cough and when these test has taken. Please consult me, what can be cause to get high ESR in my blood test report. How it can be controlled. Is this related to any cancer or This is to only due to allergy in my body as hives. | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Sir, I am suffering from hives since last two weeks. I have itching all over my body, most of the time on back, legs and arms with red patches and swelling with some welts on the skin. I consult to doctor and then they have given Atarax 10 mg, Cetzine medicines. Last 1 day back My doctor had given my blood test report in which all of the things was normal except ESR. My ESR 37 shows high little bit higher than normal. I was suffering from cold and cough and when these test has taken. Please consult me, what can be cause to get high ESR in my blood test report. How it can be controlled. Is this related to any cancer or This is to only due to allergy in my body as hives."
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good day,sirMy wife is suffering with typhoid fever at 99-99.5 degree for the last 1 month.he is taking medicines, but no recovery. temprature does not go to 98.4 from 99-99.5. doctor has not given any tablet for temprature like crocin.he said fever is due to infection.pl advice. | Hello, Welcome o Chat Doctor, As your wife is having fever for last one month it may be a fever of unknown origin (DUO) which should be thoroughly evaluated to find out the causes for the fever. As she is having for last one month all the relevant investigations should be done to rule out the cause of fever. As your doctor has prescribed paracetamol to reduce the fever, this Chat Doctor. The source of infection should be found out by the investigations. To confirm it has typhoid after having fever for last one month your wife should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good day,sirMy wife is suffering with typhoid fever at 99-99.5 degree for the last 1 month.he is taking medicines, but no recovery. temprature does not go to 98.4 from 99-99.5. doctor has not given any tablet for temprature like crocin.he said fever is due to infection.pl advice."
},
{
"from": "gpt",
"value": "Output: Hello, Welcome o Chat Doctor, As your wife is having fever for last one month it may be a fever of unknown origin (DUO) which should be thoroughly evaluated to find out the causes for the fever. As she is having for last one month all the relevant investigations should be done to rule out the cause of fever. As your doctor has prescribed paracetamol to reduce the fever, this Chat Doctor. The source of infection should be found out by the investigations. To confirm it has typhoid after having fever for last one month your wife should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | had a teeth pulled 5/21. molar plus front 3 upper for partial denture. had descaling 6/16.. came down with parotis 6/20. hospitalized and treated. now have lump on outer gum of pulled molar that hurts. also, cannot open jaw..what needs to be done? | Thanks for using Chat Doctor. Read your query. The symptoms you have mentioned in the query, suggests the non-healing of the tooth socket and also there is a formation of abscess which is causing you the pain and difficulty in opening the mouth. I would advise you to visit your dentist so that he will have a look at it and if there is an abscess he can do the required treatment to induce the healing of the socket.Additionally, you will require antibiotic like amoxicillin three times a day and metro tablets, ibuprofen (if you are not allergic to any medication). Warm saline gargling will be of major help to you. Maintain a good oral hygiene and avoid vigorous gargling. Hope this was helpful. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: had a teeth pulled 5/21. molar plus front 3 upper for partial denture. had descaling 6/16.. came down with parotis 6/20. hospitalized and treated. now have lump on outer gum of pulled molar that hurts. also, cannot open jaw..what needs to be done?"
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. The symptoms you have mentioned in the query, suggests the non-healing of the tooth socket and also there is a formation of abscess which is causing you the pain and difficulty in opening the mouth. I would advise you to visit your dentist so that he will have a look at it and if there is an abscess he can do the required treatment to induce the healing of the socket.Additionally, you will require antibiotic like amoxicillin three times a day and metro tablets, ibuprofen (if you are not allergic to any medication). Warm saline gargling will be of major help to you. Maintain a good oral hygiene and avoid vigorous gargling. Hope this was helpful. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my ten month old son just refused to eat his food n always in demand for breast milk n today he is having motions few days back he has got a very bad cough n the cough syrup prescribed by the doctor has got such effect over stomach but now he is not taking the syrup any more n got motions | Hello, The child may refuse to eat during coughing and cold due to the simple nose block. When there is a fever, appetite can go down naturally. You just need to HY Chat Doctor. If your child is active and playing well, no need to worry. He may start feeding, once cough and cold settles. If there is a high fever (102f or above), fast breathing or decreased activity, you need to consult a pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my ten month old son just refused to eat his food n always in demand for breast milk n today he is having motions few days back he has got a very bad cough n the cough syrup prescribed by the doctor has got such effect over stomach but now he is not taking the syrup any more n got motions"
},
{
"from": "gpt",
"value": "Output: Hello, The child may refuse to eat during coughing and cold due to the simple nose block. When there is a fever, appetite can go down naturally. You just need to HY Chat Doctor. If your child is active and playing well, no need to worry. He may start feeding, once cough and cold settles. If there is a high fever (102f or above), fast breathing or decreased activity, you need to consult a pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | last night i had a terrible headache with lots of pressure in my head. i also had nausea, palpitations, confusion and weakness. i almost felt like i was out of my body watching what i was doing. i had chills for several hours and then suddenly i was incredibly hot and clammy. tonight i still feel a little lightheaded and my hands are kind of weak feeling. | DearWelcome to ChatDoctorWe understand your concerns went through your details. From the look and feel of the symptoms, it seems that, last night you had nocturnal panic attack. The cause most probably could be your stress. Try to recollect, were you stressed in the near past or are you doing something (job or burden) which continuously stresses you? Also recollect whether you had any abdominal or digestion problems or disorders on these days. It is quite natural, after panic attack, the symptoms do wander around. In any case, you should consult a physician for an investigation and further advise. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: last night i had a terrible headache with lots of pressure in my head. i also had nausea, palpitations, confusion and weakness. i almost felt like i was out of my body watching what i was doing. i had chills for several hours and then suddenly i was incredibly hot and clammy. tonight i still feel a little lightheaded and my hands are kind of weak feeling."
},
{
"from": "gpt",
"value": "Output: DearWelcome to ChatDoctorWe understand your concerns went through your details. From the look and feel of the symptoms, it seems that, last night you had nocturnal panic attack. The cause most probably could be your stress. Try to recollect, were you stressed in the near past or are you doing something (job or burden) which continuously stresses you? Also recollect whether you had any abdominal or digestion problems or disorders on these days. It is quite natural, after panic attack, the symptoms do wander around. In any case, you should consult a physician for an investigation and further advise. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son had a large patch of ringworm on back of his scalp. Lost his hair, took a whole bottle of oral meds to clear it. Seemed to be doing ok. Hair grew back. Now, same area, there s a patch of hard bumps. Some red, some pussi. Could it have not cleared up completely? | Hello, Welcome to Chat Doctor, I understand your concern regarding your skin problem and I hope I am able to help you in the same. Your child seems to have developed Tina wapitis which is a fungal infection of the hair which occurs mostly in young child Chat Doctor. The most important part of its treatment is the intake of oral antifungals which your child will start taking in few days. For the associated pain, you can give a simple painkiller like paracetamol in the right dose which is determined by her weight. Maintain proper hygiene of the surrounding hair also. Avoid use of hair oil. Wash the hair properly. This problem might take at least three to six weeks to completely heal. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son had a large patch of ringworm on back of his scalp. Lost his hair, took a whole bottle of oral meds to clear it. Seemed to be doing ok. Hair grew back. Now, same area, there s a patch of hard bumps. Some red, some pussi. Could it have not cleared up completely?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, I understand your concern regarding your skin problem and I hope I am able to help you in the same. Your child seems to have developed Tina wapitis which is a fungal infection of the hair which occurs mostly in young child Chat Doctor. The most important part of its treatment is the intake of oral antifungals which your child will start taking in few days. For the associated pain, you can give a simple painkiller like paracetamol in the right dose which is determined by her weight. Maintain proper hygiene of the surrounding hair also. Avoid use of hair oil. Wash the hair properly. This problem might take at least three to six weeks to completely heal. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been having heart palpitations for about six weeks. It started only when I layed down but now it happens more often. I do not smoke drink or even drink caffeine. It agrivates my gerd. I am 41 weigh 169 and am 6 1. My biological died of cardiopathy in his early 40 s. Most of what I read says not to worry but should I? | Hello, Herd is a common problem and It's rarely also related to heart disease. Most of the time, there is no need to worry. However, since you have a history of heart diseases, it's better to get ECG done and stress test like treadmill test which will rule out your concern. For Herd, 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. Elevate head end of the bed or use pillows during sleep or rest. You can 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: I have been having heart palpitations for about six weeks. It started only when I layed down but now it happens more often. I do not smoke drink or even drink caffeine. It agrivates my gerd. I am 41 weigh 169 and am 6 1. My biological died of cardiopathy in his early 40 s. Most of what I read says not to worry but should I?"
},
{
"from": "gpt",
"value": "Output: Hello, Herd is a common problem and It's rarely also related to heart disease. Most of the time, there is no need to worry. However, since you have a history of heart diseases, it's better to get ECG done and stress test like treadmill test which will rule out your concern. For Herd, 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. Elevate head end of the bed or use pillows during sleep or rest. You can 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. | Hi, my name is Mrs.Farhana i am 30 having 67kg wieght. My last date was 1st January,2012 I am using (Dirogest 10mg) Once a day as per my Doctor s advice .. i need to know that how long i have to take this medicine is there any side effects..? and also please let me know that this medicine be helpfull for me getting pregnant. looking forward for a positive come back .. | Hi, Generally it is well tolerated. Digest is a synthetic form of female hormone progesterone that is commonly prescribed for delayed period, irregular or heavy menstrual bleeding, endometriosis and other conditions. By regularizing your cycle it will help in getting you pregnancy. To regularize the period it is usually given from cycle days 5 to 25. Its common side effects include nausea, vomiting, headache, and breast pain/tenderness. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my name is Mrs.Farhana i am 30 having 67kg wieght. My last date was 1st January,2012 I am using (Dirogest 10mg) Once a day as per my Doctor s advice .. i need to know that how long i have to take this medicine is there any side effects..? and also please let me know that this medicine be helpfull for me getting pregnant. looking forward for a positive come back .."
},
{
"from": "gpt",
"value": "Output: Hi, Generally it is well tolerated. Digest is a synthetic form of female hormone progesterone that is commonly prescribed for delayed period, irregular or heavy menstrual bleeding, endometriosis and other conditions. By regularizing your cycle it will help in getting you pregnancy. To regularize the period it is usually given from cycle days 5 to 25. Its common side effects include nausea, vomiting, headache, and breast pain/tenderness. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 3 year old son had a basic allergen profile blood test. It showed low allergy to milk and undetermined allergy to egg whites and wheat. Doc will not refer him to an allergist for further testing. He just wants us to try an elimination diet for a few weeks. His only symptoms that we noticed are a rash (keratosis pilaris) and a runny nose. The allergen profile only tests for a few things. Should we insist on seeing an allergist? | Hello, If symptoms of allergy like a rash or runny nose improve after eliminating egg or milk, then probably you don't need to go for further testing. More than food other allergens like pollen, dust, mites, artificial flavors in candies, chocolates, juices, etcetera, can cause allergy. If symptoms are not improving, you need to go to an immunologist. In the meantime, you may have antihistamines medicine for symptom relief. 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: My 3 year old son had a basic allergen profile blood test. It showed low allergy to milk and undetermined allergy to egg whites and wheat. Doc will not refer him to an allergist for further testing. He just wants us to try an elimination diet for a few weeks. His only symptoms that we noticed are a rash (keratosis pilaris) and a runny nose. The allergen profile only tests for a few things. Should we insist on seeing an allergist?"
},
{
"from": "gpt",
"value": "Output: Hello, If symptoms of allergy like a rash or runny nose improve after eliminating egg or milk, then probably you don't need to go for further testing. More than food other allergens like pollen, dust, mites, artificial flavors in candies, chocolates, juices, etcetera, can cause allergy. If symptoms are not improving, you need to go to an immunologist. In the meantime, you may have antihistamines medicine for symptom relief. 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 am 40 years old - trying to conceive - have been on Clomid 50 mg for past 2 months - both times had 4 folicals ready - ovulated just fine - Progestherone levels very high after tested on day 23 of cycle- or 10 dayse after ovulation .Dr ask me to see him on day 16 after ovulation because he thought I might be pregnant - on day 24 I had like an light implant bleeding - and then on day 26 had like a period but only for 24 hours - even less - not that heavy as always only for 24 hours - I phone my dr and he wanted to see me straight away - then on day 28 I went and see dr - he did a sonar and then saw the fetus well to him it looks like the fruit bag and then also told me to start using Duphaston one a day for 10 days and toldm me that if I do not start with heavy period after day 7 of using it then have to go to do a blood pregnancy test - i did a homepregnancy test on the 3rd day of using the progesterone medicine and it was negative - what is the changes of doing it perhaps to early - what is the reasonf for me to test if possitive only on day 7 of usage on Duphaston?He also told me to contact him immediately if I would start with my period while on the progesterone . | Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. I will suggest you to get pregnancy test done at least 20 days after your ovulation date. It can be inconclusive before that. Please get mornings first sample of urine tested for pregnancy. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Days of Phaeton tablet has no effect or relation with urine pregnancy test. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 40 years old - trying to conceive - have been on Clomid 50 mg for past 2 months - both times had 4 folicals ready - ovulated just fine - Progestherone levels very high after tested on day 23 of cycle- or 10 dayse after ovulation .Dr ask me to see him on day 16 after ovulation because he thought I might be pregnant - on day 24 I had like an light implant bleeding - and then on day 26 had like a period but only for 24 hours - even less - not that heavy as always only for 24 hours - I phone my dr and he wanted to see me straight away - then on day 28 I went and see dr - he did a sonar and then saw the fetus well to him it looks like the fruit bag and then also told me to start using Duphaston one a day for 10 days and toldm me that if I do not start with heavy period after day 7 of using it then have to go to do a blood pregnancy test - i did a homepregnancy test on the 3rd day of using the progesterone medicine and it was negative - what is the changes of doing it perhaps to early - what is the reasonf for me to test if possitive only on day 7 of usage on Duphaston?He also told me to contact him immediately if I would start with my period while on the progesterone ."
},
{
"from": "gpt",
"value": "Output: Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. I will suggest you to get pregnancy test done at least 20 days after your ovulation date. It can be inconclusive before that. Please get mornings first sample of urine tested for pregnancy. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Days of Phaeton tablet has no effect or relation with urine pregnancy test. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am 31 year old and have 2 year old son. I was expecting my second baby in this june. Pregnancy went well till 38.4 weeks with all reports being normal. I do not have blood pressure or diabetes or any other health problems. Pregnancy went normal without any events. On 5th I did scan and babies weight was 3.0. Doctor asked us to take c-section date and we choose 14th june. Tuesday on 8th, I was feeling extremely tired and had cramps in my legs. I also was feeling less baby movements. I went to doctor and they checked heartbeats. It was 148. So, they told us baby is fine and come for final checkup on 11th. I went on 11th and doctor couldnt find babies heartbeats. What could be the reason for this? I had to take out still born child immediately with second c-section. Is it okay to try conceiving for second baby now? I had one cycle of my menstrual period in August. What kind of care should I take and what are the chances of getting similar even repeated? Doctor told me that there was blood clot in umbilical cord and so babies heartbeat stopped suddenly.Cheers,Shweta | Hello, I am very sorry for what you had to go through. Since you had a cesarean section just a couple of months ago, I would ask you to wait for a year before planning another pregnancy. This helps you to recoup, and the wound also heals in the meantime. The cause of the fetal demise is not a recurrent one. It calls for extra care during your next pregnancy in fetal monitoring. Please have a healthy diet and adequate rest. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am 31 year old and have 2 year old son. I was expecting my second baby in this june. Pregnancy went well till 38.4 weeks with all reports being normal. I do not have blood pressure or diabetes or any other health problems. Pregnancy went normal without any events. On 5th I did scan and babies weight was 3.0. Doctor asked us to take c-section date and we choose 14th june. Tuesday on 8th, I was feeling extremely tired and had cramps in my legs. I also was feeling less baby movements. I went to doctor and they checked heartbeats. It was 148. So, they told us baby is fine and come for final checkup on 11th. I went on 11th and doctor couldnt find babies heartbeats. What could be the reason for this? I had to take out still born child immediately with second c-section. Is it okay to try conceiving for second baby now? I had one cycle of my menstrual period in August. What kind of care should I take and what are the chances of getting similar even repeated? Doctor told me that there was blood clot in umbilical cord and so babies heartbeat stopped suddenly.Cheers,Shweta"
},
{
"from": "gpt",
"value": "Output: Hello, I am very sorry for what you had to go through. Since you had a cesarean section just a couple of months ago, I would ask you to wait for a year before planning another pregnancy. This helps you to recoup, and the wound also heals in the meantime. The cause of the fetal demise is not a recurrent one. It calls for extra care during your next pregnancy in fetal monitoring. Please have a healthy diet and adequate rest. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am a 21 year old man and am having a dry skin , accompanied by severe pains and itchiness every second of the day. The skin disease is located at my ankle joint and it started gradually from childhood. Now it has become so serious that sometimes i even want to cut that part of my skin off. i have also conducted a lab test and it came up that it was fungal spores. I have taken drugs like ketoconazol, flucloxacillin , rhizin, fluconazole but it didnt help. please help me as am really suffering. i have taken pictures of it and wish to send to you so you know exactly how it looks like. Please can i get your email so i mail it to you? | Hi, thank you for your query. The fungi infecting skin are called dermatophytes. These are the parasitic fungi that cause skin infections such as athletes foot and Tina courts. Most dermatophyte fungi take the form of a mold or spore when cultured. What you are suffering from is called Athletes foot. Is a fungal infection of the foot. It causes peeling, redness, itching, burning, and sometimes blisters and sores. Athletes foot is a very common infection. The fungus grows best in a warm, moist environment such as shoes, socks, swimming pools.to treat athletes foot you should treat the current infection and prevent any further infection treat the current infectionTopical antifungal medication should be compulsorily used along with oral Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am a 21 year old man and am having a dry skin , accompanied by severe pains and itchiness every second of the day. The skin disease is located at my ankle joint and it started gradually from childhood. Now it has become so serious that sometimes i even want to cut that part of my skin off. i have also conducted a lab test and it came up that it was fungal spores. I have taken drugs like ketoconazol, flucloxacillin , rhizin, fluconazole but it didnt help. please help me as am really suffering. i have taken pictures of it and wish to send to you so you know exactly how it looks like. Please can i get your email so i mail it to you?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for your query. The fungi infecting skin are called dermatophytes. These are the parasitic fungi that cause skin infections such as athletes foot and Tina courts. Most dermatophyte fungi take the form of a mold or spore when cultured. What you are suffering from is called Athletes foot. Is a fungal infection of the foot. It causes peeling, redness, itching, burning, and sometimes blisters and sores. Athletes foot is a very common infection. The fungus grows best in a warm, moist environment such as shoes, socks, swimming pools.to treat athletes foot you should treat the current infection and prevent any further infection treat the current infectionTopical antifungal medication should be compulsorily used along with oral Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 11 month old daughter has over the last 3 weeks got a large smooth non tender liver, her abdomen is distorted by it.She is otherwise well except over last few days she occasionally appears to posset some food again. She was given azithromycin for a presumed mycoplasma infection for 2 months atopped in may and had a tonsillitis in may with high fevers for 10 days. At present she is well but this mass is very concerning. We are seeing a paediatrician soon do you have any thoughts. | In infancy liver is normally palpable. Its pathological only if the liver span or its actual size is increased. As u said cytoplasm infection which can cause respiratory symptoms can cause pushed down liver which can be why it's palpable. So unless there is visible jaundice or high colored stools or clay stools you need not worry. Repeated vomiting and loss of appetite can be symptoms of hepatitis. I would suggest an ultrasound abdomen and liver function tests to rule out liver pathology | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 11 month old daughter has over the last 3 weeks got a large smooth non tender liver, her abdomen is distorted by it.She is otherwise well except over last few days she occasionally appears to posset some food again. She was given azithromycin for a presumed mycoplasma infection for 2 months atopped in may and had a tonsillitis in may with high fevers for 10 days. At present she is well but this mass is very concerning. We are seeing a paediatrician soon do you have any thoughts."
},
{
"from": "gpt",
"value": "Output: In infancy liver is normally palpable. Its pathological only if the liver span or its actual size is increased. As u said cytoplasm infection which can cause respiratory symptoms can cause pushed down liver which can be why it's palpable. So unless there is visible jaundice or high colored stools or clay stools you need not worry. Repeated vomiting and loss of appetite can be symptoms of hepatitis. I would suggest an ultrasound abdomen and liver function tests to rule out liver pathology"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have this feeling in my chest like something is in there and its kind of difficult for me to breath, it has me coughing but nothings coming up, i am 6 months pregnant, so what should i do? the doctor gave me a chest xray lastnight but couldnt see nothing, what other test shuld i do, they gave me rocephen saying that its a upper respirtory infection, but when i jump out of my sleep i feel numb all over until my blood catches up i guess | Thanks for your question on Chat Doctor. I can understand your concern. Coughing, chest congestion, tightness with normal chest x-ray are commonly seen with bronchitis. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC) (bucolic and expectorant Chat Doctor. 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: i have this feeling in my chest like something is in there and its kind of difficult for me to breath, it has me coughing but nothings coming up, i am 6 months pregnant, so what should i do? the doctor gave me a chest xray lastnight but couldnt see nothing, what other test shuld i do, they gave me rocephen saying that its a upper respirtory infection, but when i jump out of my sleep i feel numb all over until my blood catches up i guess"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Coughing, chest congestion, tightness with normal chest x-ray are commonly seen with bronchitis. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC) (bucolic and expectorant Chat Doctor. 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. | I have been using the treadmil for years now, the last week i have noticed the longer i stand or put any pressure on my right leg a small lump appears on my lower leg 4-5 inches above my ankle. It is squishy but does not hurt and is very noticeable. Is this something to worry about? | Hi, Dear,Thanks for your query to Chat Doctor. I studied and understood your query details. Based on the facts of your query, In My opinion you seem to suffer from CUES(Chronic Compartment Exertional Syn Chat Doctor. this lump is due to the Incompetent Perforator Vein, which pops out form the leg fascia-when the right leg is pressed or stressed or put to strain. You don't have to worry as being benign and Venous lump and as it is non-cancerous Lump. Color Doppler study of the leg veins would fix the diagnosis. Hope this reply would help you to resolve your Anxiety. ThnksGood Day!! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been using the treadmil for years now, the last week i have noticed the longer i stand or put any pressure on my right leg a small lump appears on my lower leg 4-5 inches above my ankle. It is squishy but does not hurt and is very noticeable. Is this something to worry about?"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for your query to Chat Doctor. I studied and understood your query details. Based on the facts of your query, In My opinion you seem to suffer from CUES(Chronic Compartment Exertional Syn Chat Doctor. this lump is due to the Incompetent Perforator Vein, which pops out form the leg fascia-when the right leg is pressed or stressed or put to strain. You don't have to worry as being benign and Venous lump and as it is non-cancerous Lump. Color Doppler study of the leg veins would fix the diagnosis. Hope this reply would help you to resolve your Anxiety. ThnksGood Day!!"
}
]
|
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