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If you are a doctor, please answer the medical questions based on the patient's description. | I get allergic cold everytime there is a change of climate. I also allergic to dust, kerosine, pesticides,smoke,etc. It starts with sneezing and then broncial infection and it linger for a few day. I also tend to get throatirritation and cough. I have done all the allergic tests, etc; seen all the doctors possible the ENT, Chest specialists, etc. For some time I am okayand then after about 4 months it reaccures. In such a case what do I do? | 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: I get allergic cold everytime there is a change of climate. I also allergic to dust, kerosine, pesticides,smoke,etc. It starts with sneezing and then broncial infection and it linger for a few day. I also tend to get throatirritation and cough. I have done all the allergic tests, etc; seen all the doctors possible the ENT, Chest specialists, etc. For some time I am okayand then after about 4 months it reaccures. In such a case what do I do?"
},
{
"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. | My wife that is 31yrs old had a major operation 6mos ago. She had thymic cancer with 3 large malignant thymomas pressed against her right lung her heart and her liver ..they removed her right lung and removed then reconstructed part of her pericardium (lining of her heart) and the tumor on her liver was completely encapsulated so they didn t take a slice of her liver like he though he would have to . Dr. Calhoun of uc davis who is a straight up stud removed 100% of the tumors it looks like so far. Her first 3mos checkup was fine last week for her second checkup they said it was still OK. They called us today and said she needs to come back for another ct scan because they just noticed dark spots on her liver..what would you think this could be?...they think her tumors were very slow growing so it wouldn t make sense that already it would be showing up..but this is a very very rare case. So they don t have a lot of other cases they can refer to. She spent a month in ICU because of every complication in the book..a lot of infections (cdif etc..) I am hoping it s just something like that. what do you think the odds are for all the different possibilities it could be ? | Thanks for the query from the history it is quite evident your wife had shad a very tough time but from the diagnosis of malignant Thomas I have to tell you that it means the liver has got metastasis from the Thomas that is what they mean by the dark spots in the liver, and mostly they want to resect it now I would suggest you talk to the oncologist who's in charge of the case for a clear-cut explanation take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife that is 31yrs old had a major operation 6mos ago. She had thymic cancer with 3 large malignant thymomas pressed against her right lung her heart and her liver ..they removed her right lung and removed then reconstructed part of her pericardium (lining of her heart) and the tumor on her liver was completely encapsulated so they didn t take a slice of her liver like he though he would have to . Dr. Calhoun of uc davis who is a straight up stud removed 100% of the tumors it looks like so far. Her first 3mos checkup was fine last week for her second checkup they said it was still OK. They called us today and said she needs to come back for another ct scan because they just noticed dark spots on her liver..what would you think this could be?...they think her tumors were very slow growing so it wouldn t make sense that already it would be showing up..but this is a very very rare case. So they don t have a lot of other cases they can refer to. She spent a month in ICU because of every complication in the book..a lot of infections (cdif etc..) I am hoping it s just something like that. what do you think the odds are for all the different possibilities it could be ?"
},
{
"from": "gpt",
"value": "Output: Thanks for the query from the history it is quite evident your wife had shad a very tough time but from the diagnosis of malignant Thomas I have to tell you that it means the liver has got metastasis from the Thomas that is what they mean by the dark spots in the liver, and mostly they want to resect it now I would suggest you talk to the oncologist who's in charge of the case for a clear-cut explanation take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 30 years, trying to concieve for the past 6 months, I am advised to take Glycomet SR 500, Folic acid and from today being 16th Day Duphston.I have been given HuCOG today and under folical monitoring. Wanted to check what are my chances of getting pregnant | Hallow Dear, Humor is a Chat Doctor preparation which helps the release of the egg (ovulation) from a matured follicle. Gluconate with Camphene citrate helps the maturity of the follicles. Phaeton would work better if given after injection of Chat Doctor. In fact, when Chat Doctor is given, Phaeton becomes optional medicine. Folic acid helps the endometrium to grow and the follicle to be healthy. Please monitor the ovulation by ultrasonography. Mostly within 24 hours after the Humor injection, ovulation will take place. So have daily intercourse for next 48 hours. This will increase the possibility of pregnancy. I hope this clarifies your doubts. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 30 years, trying to concieve for the past 6 months, I am advised to take Glycomet SR 500, Folic acid and from today being 16th Day Duphston.I have been given HuCOG today and under folical monitoring. Wanted to check what are my chances of getting pregnant"
},
{
"from": "gpt",
"value": "Output: Hallow Dear, Humor is a Chat Doctor preparation which helps the release of the egg (ovulation) from a matured follicle. Gluconate with Camphene citrate helps the maturity of the follicles. Phaeton would work better if given after injection of Chat Doctor. In fact, when Chat Doctor is given, Phaeton becomes optional medicine. Folic acid helps the endometrium to grow and the follicle to be healthy. Please monitor the ovulation by ultrasonography. Mostly within 24 hours after the Humor injection, ovulation will take place. So have daily intercourse for next 48 hours. This will increase the possibility of pregnancy. I hope this clarifies your doubts."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 40 year old female. Today, my Dr. put silver nitrate on canker sores on the insides of my lips. My lips are now swollen and black on the insides. When will the black stains disappear & the swelling go down & is there anything I can do to speed up the process? | Thanks for using Chat Doctor. Read your query. Some medical professional do use silver nitrate to be applied for canker sore. It chemically cauterizes the nerve endings in the area and usually result is a potentially longer lasting ulcer but it doesn't hurt during the healing period. The swelling and the stain will take an around a week to resolve and get the normal tissue. Do salt water gargling and if painful, you can apply denote /McCoppin ointment to relieve symptoms. If the swelling and blackness is still persisting after a week or so, please report back to your doctor. 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: I am a 40 year old female. Today, my Dr. put silver nitrate on canker sores on the insides of my lips. My lips are now swollen and black on the insides. When will the black stains disappear & the swelling go down & is there anything I can do to speed up the process?"
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. Some medical professional do use silver nitrate to be applied for canker sore. It chemically cauterizes the nerve endings in the area and usually result is a potentially longer lasting ulcer but it doesn't hurt during the healing period. The swelling and the stain will take an around a week to resolve and get the normal tissue. Do salt water gargling and if painful, you can apply denote /McCoppin ointment to relieve symptoms. If the swelling and blackness is still persisting after a week or so, please report back to your doctor. Hope this was helpful. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Last month i felt a small peas like on my underarm. I didnt pay much attention until this morning. I was worried when i stretched my skin on my right shoulder and i saw multiple peas like on my skin. While im having my shower this evening i also felt the same way when i palpated my upper back. Im so worried. Could you please give me some advise on what to do? | Hi ! Good morning. I am Chat Doctor answering your query. It might not be possible to reach even at an approximate diagnosis only with your history over the net. I would suggest you to please visit a general surgeon in your area for a clinical examination and further management of the problem to avoid any related complication. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. Last month i felt a small peas like on my underarm. I didnt pay much attention until this morning. I was worried when i stretched my skin on my right shoulder and i saw multiple peas like on my skin. While im having my shower this evening i also felt the same way when i palpated my upper back. Im so worried. Could you please give me some advise on what to do?"
},
{
"from": "gpt",
"value": "Output: Hi ! Good morning. I am Chat Doctor answering your query. It might not be possible to reach even at an approximate diagnosis only with your history over the net. I would suggest you to please visit a general surgeon in your area for a clinical examination and further management of the problem to avoid any related complication. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter had mild cold symptoms with little drainage and very minor cough last week. Takes vitamins daily. Shes still feeling run down, her throat has hurt a couple days and has lost her voice. She has not had a fever at all. Is this just a lingering seasonal cold? She plays outdoor soccer in the cooler temps and the rain. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of cold and cough which seems to be due to upper respiratory tract infection or poor immunity of body. Infection is spreading to larynx region as well leading to inflammation of vocal cords. Need not worry. Avoid intake of cold carbonated beverages. Avoid intake of sharp spicy food. You should apply mist humidifiers in room and take throat lozenges. Visit ENT specialist once and get it examined and start treatment after proper prescription. You should maintain oral hygiene. Do warm saline gargles. You can go for blood and sputum tests as well. You should take proper course of antibiotics along with anti-inflammatory 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 daughter had mild cold symptoms with little drainage and very minor cough last week. Takes vitamins daily. Shes still feeling run down, her throat has hurt a couple days and has lost her voice. She has not had a fever at all. Is this just a lingering seasonal cold? She plays outdoor soccer in the cooler temps and the rain."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of cold and cough which seems to be due to upper respiratory tract infection or poor immunity of body. Infection is spreading to larynx region as well leading to inflammation of vocal cords. Need not worry. Avoid intake of cold carbonated beverages. Avoid intake of sharp spicy food. You should apply mist humidifiers in room and take throat lozenges. Visit ENT specialist once and get it examined and start treatment after proper prescription. You should maintain oral hygiene. Do warm saline gargles. You can go for blood and sputum tests as well. You should take proper course of antibiotics along with anti-inflammatory 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. | My son has been hospitalized for the 5 time for mental health issues. He is 14 and this all started with tics. Little did I know then how much worse things would get. 4 years later and he was choking me this past Friday and our butcher knife is missing. We come from a good home. He has had the best childhood. He says now that he is hearing a voice telling him to do bad things. Weve tried many medications. They have prescribed Geodon. I know after many different types, that antipsychotics cause him to get worse. Im really worried for him and for me. Is Electroconvulsive therapy an alternative for someone his age in Ohio? I feel like he is getting worse every month that goes by. I miss my son and how fun he used to be. Im afraid that in 4 more years he could be worse. I want to get ECT for him. What are your thoughts? | Dear serve understand your concerns went through your details. Electroconvulsive therapy (ECT), were originally used for the treatment of catatonic schizophrenia, and there is little doubt that ECT remains an effective intervention for the treatment of schizophrenia. Usually Electron Convulsive Therapy is decided after careful psychiatric discussions. Please let the psychiatrist decide on this matter. If you require more of my help in this aspect, please use this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son has been hospitalized for the 5 time for mental health issues. He is 14 and this all started with tics. Little did I know then how much worse things would get. 4 years later and he was choking me this past Friday and our butcher knife is missing. We come from a good home. He has had the best childhood. He says now that he is hearing a voice telling him to do bad things. Weve tried many medications. They have prescribed Geodon. I know after many different types, that antipsychotics cause him to get worse. Im really worried for him and for me. Is Electroconvulsive therapy an alternative for someone his age in Ohio? I feel like he is getting worse every month that goes by. I miss my son and how fun he used to be. Im afraid that in 4 more years he could be worse. I want to get ECT for him. What are your thoughts?"
},
{
"from": "gpt",
"value": "Output: Dear serve understand your concerns went through your details. Electroconvulsive therapy (ECT), were originally used for the treatment of catatonic schizophrenia, and there is little doubt that ECT remains an effective intervention for the treatment of schizophrenia. Usually Electron Convulsive Therapy is decided after careful psychiatric discussions. Please let the psychiatrist decide on this matter. If you require more of my help in this aspect, please use this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor, I am male 43, I am doing masturbation every three days, what my observation is, when I am doing masturbation I am feeling very tidy and week. and also I am suffering with headache and eyes are paining. when I am not doing that day s I am feeling healthy. Is there any problem when doing masturbation? | You have asked a very relevant question, and it will benefit many. Modern medicine doesn't pay heed to loss of semen but AYURVEDA does. Excess loss of semen deteriorates other status (elements) of the body too, and it gives rise to various vat Rojas i.e. nerve disorders, nutritional problems, strength, Libido etc. and its well accepted proven fact. To overcome rushy group of medicines enhancing semen are required. Selection of herbs will depend on your current condition and little history. If you agree, pl give more information and current condition through direct question for further advise. Hope you find it helpful. | [
{
"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 male 43, I am doing masturbation every three days, what my observation is, when I am doing masturbation I am feeling very tidy and week. and also I am suffering with headache and eyes are paining. when I am not doing that day s I am feeling healthy. Is there any problem when doing masturbation?"
},
{
"from": "gpt",
"value": "Output: You have asked a very relevant question, and it will benefit many. Modern medicine doesn't pay heed to loss of semen but AYURVEDA does. Excess loss of semen deteriorates other status (elements) of the body too, and it gives rise to various vat Rojas i.e. nerve disorders, nutritional problems, strength, Libido etc. and its well accepted proven fact. To overcome rushy group of medicines enhancing semen are required. Selection of herbs will depend on your current condition and little history. If you agree, pl give more information and current condition through direct question for further advise. Hope you find it helpful."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my sister is having burning pain in her kidneys, no signs of kidney stones, she would be in much more pain. she has had for about four hours. has had abdominal pain off and on for some time now. not sure of fibro. not all smptoms.has had back pain off and on, can you come up with some thing? or just a little help, please? | HIT hank for asking to ChatDoctorYour sisters symptoms are very much vague of course she might be having some kind of trouble, but that might not be related with kidney, we need to think something else beside the kidney, first the antispasmodic(Dicyclomine) should be tried, I think the problem will go away with this even if it does not go away then she needs to be examined, but I think this will come around have nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my sister is having burning pain in her kidneys, no signs of kidney stones, she would be in much more pain. she has had for about four hours. has had abdominal pain off and on for some time now. not sure of fibro. not all smptoms.has had back pain off and on, can you come up with some thing? or just a little help, please?"
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorYour sisters symptoms are very much vague of course she might be having some kind of trouble, but that might not be related with kidney, we need to think something else beside the kidney, first the antispasmodic(Dicyclomine) should be tried, I think the problem will go away with this even if it does not go away then she needs to be examined, but I think this will come around have nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! For the past year, I have had a small lump on my upper palate, in the middle, by the incisives. It goes from being felt to disappear. It has been painful at times, while other times is not. Feels like a needle up my gums up to the nose. Sometimes seems like there is a discharge, no colour, but saliva gets a bit foamy. Went to 2 different dentists in the past 9 months, they both took a scan & they say there is nothing wrong, just floss & use Corsodyl. Did that but pain & discomfort comes back at times. Especially after drinking alcohol at weekends. Or using e-cigarettes which I have been smoking (instead of normal cigarettes) since almost a year. Chewing ginger helps a lot, but I am still concerned. Could both dentists miss some other gum problems? Herpes, sdts or else? Told them I had a little fish bone hurting the upper palate a year ago, but the scan only shows receding gums & nothing else. Tks in advance. K | Hello, As per your query, you have symptoms of lump on the upper palate. Well, there can be many reasons for your condition such as muscle, constant irritation of mucosa, tooth infection, torus palatines, and sometimes cancerous condition. Need not worry. I would suggest you avoid intake of sharp and spicy food. Do not touch or press it. Maintain complete oral hygiene. You should consult an oral pathologist for proper examination. The Doctor may order CT scan, blood test, biopsy and examine it physically. The doctor may further extend the course of antibiotics along with the anti-inflammatory Chat Doctor. Get it examined properly once and start treatment 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: Hi! For the past year, I have had a small lump on my upper palate, in the middle, by the incisives. It goes from being felt to disappear. It has been painful at times, while other times is not. Feels like a needle up my gums up to the nose. Sometimes seems like there is a discharge, no colour, but saliva gets a bit foamy. Went to 2 different dentists in the past 9 months, they both took a scan & they say there is nothing wrong, just floss & use Corsodyl. Did that but pain & discomfort comes back at times. Especially after drinking alcohol at weekends. Or using e-cigarettes which I have been smoking (instead of normal cigarettes) since almost a year. Chewing ginger helps a lot, but I am still concerned. Could both dentists miss some other gum problems? Herpes, sdts or else? Told them I had a little fish bone hurting the upper palate a year ago, but the scan only shows receding gums & nothing else. Tks in advance. K"
},
{
"from": "gpt",
"value": "Output: Hello, As per your query, you have symptoms of lump on the upper palate. Well, there can be many reasons for your condition such as muscle, constant irritation of mucosa, tooth infection, torus palatines, and sometimes cancerous condition. Need not worry. I would suggest you avoid intake of sharp and spicy food. Do not touch or press it. Maintain complete oral hygiene. You should consult an oral pathologist for proper examination. The Doctor may order CT scan, blood test, biopsy and examine it physically. The doctor may further extend the course of antibiotics along with the anti-inflammatory Chat Doctor. Get it examined properly once and start treatment 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. | hi, i have been suffering from hepatitis a, jaundice since last 2 months! Earlier my sgpt was 1953 and total bilirubin was 4.0 and now after 2 months sgpt is 60-70 whereas total bilirubin is 33.0 Bilirubin reached to 37 then goes down to 17 and now again rises to 33.0. Taking udiliv 300 vitamin B12 as prescribed by My gastroenterologist. I want to ask how much time it takes normally for this much of bilirubin and what is your advice regarding it! | Hi there, Thanks for posting your query. It usually takes 2-3 months for complete recovery from hepatitis A infection. In a subset of patients, it may prolong a little more. Since your bilirubin level had a second rise, other causes of liver injury should be ruled out. Other viral infections like Hepatitis B and C should be tested. Try to avoid alcohol and also medications that affect the liver. In addition to Ad\u00edlio, also take silymarin after consulting your doctor. I hope that answers your query. | [
{
"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 suffering from hepatitis a, jaundice since last 2 months! Earlier my sgpt was 1953 and total bilirubin was 4.0 and now after 2 months sgpt is 60-70 whereas total bilirubin is 33.0 Bilirubin reached to 37 then goes down to 17 and now again rises to 33.0. Taking udiliv 300 vitamin B12 as prescribed by My gastroenterologist. I want to ask how much time it takes normally for this much of bilirubin and what is your advice regarding it!"
},
{
"from": "gpt",
"value": "Output: Hi there, Thanks for posting your query. It usually takes 2-3 months for complete recovery from hepatitis A infection. In a subset of patients, it may prolong a little more. Since your bilirubin level had a second rise, other causes of liver injury should be ruled out. Other viral infections like Hepatitis B and C should be tested. Try to avoid alcohol and also medications that affect the liver. In addition to Ad\\u00edlio, also take silymarin after consulting your doctor. I hope that answers your query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctor,i had my periods on 8th of Feb, bleeding continued till 17th Feb, i had unprotected sex on 17th but my husband dint discharge in me..he ejaculated out, but not sure ..he thinks that the discharge touched my outer vaginal lips. i washed myself after that then again had sex. v continued to have sex even i was bleeding on 18th and 19th also ,but he dint discharge in me..he always discharged outside. is it possible for me to get pregnant.age 22, | Hello dear, I understand your concern. In my opinion there might be rarely any chance for pregnancy. Because the semen was not ejaculated inside the vagina. And moreover you have washed your genitals after intercourse. So there might not be any remnants of semen and Just touching of very little amount of semen will not be able to cause pregnancy. A minimum of 2 ml of semen might be necessary to cause pregnancy. Though the intercourse was done on successive days none of the times' semen was ejaculated inside. So relax. Nothing to worry. There is no chance of pregnancy. Hope this helps. Best regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor,i had my periods on 8th of Feb, bleeding continued till 17th Feb, i had unprotected sex on 17th but my husband dint discharge in me..he ejaculated out, but not sure ..he thinks that the discharge touched my outer vaginal lips. i washed myself after that then again had sex. v continued to have sex even i was bleeding on 18th and 19th also ,but he dint discharge in me..he always discharged outside. is it possible for me to get pregnant.age 22,"
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. In my opinion there might be rarely any chance for pregnancy. Because the semen was not ejaculated inside the vagina. And moreover you have washed your genitals after intercourse. So there might not be any remnants of semen and Just touching of very little amount of semen will not be able to cause pregnancy. A minimum of 2 ml of semen might be necessary to cause pregnancy. Though the intercourse was done on successive days none of the times' semen was ejaculated inside. So relax. Nothing to worry. There is no chance of pregnancy. Hope this helps. Best regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am having a problem with mouth ulcers, I get one after another, not all the time but once I get one then several others follow. I have quite a painful one at the moment( had two or three a week ago) and despite trying many products this one is still causing a problem. Many thanks Chrissie | Hi. Thanks for the query. As per your complaint and presentation of symptoms you are suffering from RECURRENT AUTHORS ULCERS / RECURRENT CANKER SORES. It can occur due to a number of conditions like Nutritional deficiencies, hormonal fluctuations, acid reflux, stress, etc. At times, it can occur without any underlying cause as the exact cause of authors ulcers is still unknown. In case if the ulcers does not respond to any other Medication or remedy then Steroid therapy is the ultimate treatment. You should consult a dentist and get evaluated. He can start with a loading dose of steroid followed by tapering the same. Gargle with 1 | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am having a problem with mouth ulcers, I get one after another, not all the time but once I get one then several others follow. I have quite a painful one at the moment( had two or three a week ago) and despite trying many products this one is still causing a problem. Many thanks Chrissie"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. As per your complaint and presentation of symptoms you are suffering from RECURRENT AUTHORS ULCERS / RECURRENT CANKER SORES. It can occur due to a number of conditions like Nutritional deficiencies, hormonal fluctuations, acid reflux, stress, etc. At times, it can occur without any underlying cause as the exact cause of authors ulcers is still unknown. In case if the ulcers does not respond to any other Medication or remedy then Steroid therapy is the ultimate treatment. You should consult a dentist and get evaluated. He can start with a loading dose of steroid followed by tapering the same. Gargle with 1"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have viral fever 101.8 last week after take medicine from doctor fever has gone . since i reguraly take medicine i feel ok and dont have fever but tester again i have fever of 101 and after take medicie its gone but now again i m feeling sick and week and i dont want to eat anything and i dont feel hungry let me know what i do? | Hello are having fever since 7-8 days and regularly taking medicines. Still there is fever (sick) , anorexia (loss of appetite), weakness, these symptoms may be due to these reasons, these include.1 Typhoid fever, as this may be the reason of such long duration fever and all these symptoms are an indication of typhoid fever. Diagnosis can be confirmed by Tidal test as well as stool examination for salmonella.2 Tuberculosis is another reason of such long-standing fever. Diagnosis can be confirmed by X-ray chest as well as blood for C B C, E S R (if > 100 mm strongly suggestive of some chronic disease or tuberculosis), sputum for A EF B.3 Jaundice, as I have noted in my so many patients who visit my clinic with these symptoms have Jaundice. Diagnosis can be confirmed by liver function including serum bilirubin, S G O T, S G PT, hepatitis A, B C E.However, there are so many other reasons of such prolonged fever but deal as mentioned above. So consult a physician (2nd) and get his opinion. Hope this will be helpful for you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have viral fever 101.8 last week after take medicine from doctor fever has gone . since i reguraly take medicine i feel ok and dont have fever but tester again i have fever of 101 and after take medicie its gone but now again i m feeling sick and week and i dont want to eat anything and i dont feel hungry let me know what i do?"
},
{
"from": "gpt",
"value": "Output: Hello are having fever since 7-8 days and regularly taking medicines. Still there is fever (sick) , anorexia (loss of appetite), weakness, these symptoms may be due to these reasons, these include.1 Typhoid fever, as this may be the reason of such long duration fever and all these symptoms are an indication of typhoid fever. Diagnosis can be confirmed by Tidal test as well as stool examination for salmonella.2 Tuberculosis is another reason of such long-standing fever. Diagnosis can be confirmed by X-ray chest as well as blood for C B C, E S R (if > 100 mm strongly suggestive of some chronic disease or tuberculosis), sputum for A EF B.3 Jaundice, as I have noted in my so many patients who visit my clinic with these symptoms have Jaundice. Diagnosis can be confirmed by liver function including serum bilirubin, S G O T, S G PT, hepatitis A, B C E.However, there are so many other reasons of such prolonged fever but deal as mentioned above. So consult a physician (2nd) and get his opinion. Hope this will be helpful for you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...I was on my period December 25-29 had severe cramping the 26th and 27th. I was exercising a few days later and had a light pink blood in my shorts. I read this could be implantation and took a test. It was positive. I just took two now only 9 days later and they re negative. What is wrong? Am I pregnant or not? | Hello, If you had a normal menstrual cycle, your chances of pregnancy are very, very rare. The positive pregnancy test could be an artifact. This is because the successive tests you took were negative. Yet, a clarification can be had through an estimation of the serum beta-ChatDoctor titles. Exercise can sometimes cause spotting, if the workout is rigorous. You can see a specialist for further evaluation of this spotting and also get a trans-vaginal sonogram to know the status of the pelvic organs. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...I was on my period December 25-29 had severe cramping the 26th and 27th. I was exercising a few days later and had a light pink blood in my shorts. I read this could be implantation and took a test. It was positive. I just took two now only 9 days later and they re negative. What is wrong? Am I pregnant or not?"
},
{
"from": "gpt",
"value": "Output: Hello, If you had a normal menstrual cycle, your chances of pregnancy are very, very rare. The positive pregnancy test could be an artifact. This is because the successive tests you took were negative. Yet, a clarification can be had through an estimation of the serum beta-ChatDoctor titles. Exercise can sometimes cause spotting, if the workout is rigorous. You can see a specialist for further evaluation of this spotting and also get a trans-vaginal sonogram to know the status of the pelvic organs. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI, THERE DOC. my age is 24.i have been married for 7 years.Me & my hubby r trying to conceive for last 1 years. but still no result. I am a SLE paitent. My SLE is stable right now. Do i need to stop my SLE medicines to conceive. I am taking reconil 200mg (1.5+0+0). i HAVE GOT PCO ALSO.I AM TAKING OVACARE(0+0+1) EVERYDAY. | Hi, first you're suffering from SHE which one is a multi system chronic autoimmune disease which cover many system/organ of over body. And you have told that at present you have stable SHE. Means your treatment of line has control over SHE. So don't think to stop for medicine or treatment. And you have developed the pod which may be a consequence of SHE. As per your infertility problem you have to consult to your physician for SHE and gynecologist for pod and infertility both. But you need both specialist. Get well soon. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI, THERE DOC. my age is 24.i have been married for 7 years.Me & my hubby r trying to conceive for last 1 years. but still no result. I am a SLE paitent. My SLE is stable right now. Do i need to stop my SLE medicines to conceive. I am taking reconil 200mg (1.5+0+0). i HAVE GOT PCO ALSO.I AM TAKING OVACARE(0+0+1) EVERYDAY."
},
{
"from": "gpt",
"value": "Output: Hi, first you're suffering from SHE which one is a multi system chronic autoimmune disease which cover many system/organ of over body. And you have told that at present you have stable SHE. Means your treatment of line has control over SHE. So don't think to stop for medicine or treatment. And you have developed the pod which may be a consequence of SHE. As per your infertility problem you have to consult to your physician for SHE and gynecologist for pod and infertility both. But you need both specialist. Get well soon."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I AM A CKD PATIENT NOW ON CAPD. NEED TRANSPLANT. MY KIDNEYS NOT BEEN DONE ANY BIOPSY BUT MY DR. IN KUWAIT IS TELLING KIDNEY FAILED DUE TO ANTI GBM ANTIBODY.I HAVE SKIN DISEASE FOR 35 YRS AND I THINK THERE IS RELATION BETWEEN THIS SKIN DISEASE AND KIDNEY DISEASE.IF I GO FOR TRANSPLANT, DOES THIS PROBLEM AFFECT MY NEW TRANSPLANTED KIDNEY? | Hi, A lot of research is going on the topic of anti-glomerular basement membrane (anti GBM) antibody disease recurrence after transplantation. Anti-glomerular basement membrane (GBM) antibody disease may progress to end-stage renal failure, requiring either dialysis or renal transplantation. There are only six reported cases of symptomatic recurrent anti-GBM disease in the literature. The incidence of recurrent linear Immunoglobulin G (Egg) staining in the transplant may be as high as 50 percent. However, most patients remain asymptomatic. You may discuss this point with your doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I AM A CKD PATIENT NOW ON CAPD. NEED TRANSPLANT. MY KIDNEYS NOT BEEN DONE ANY BIOPSY BUT MY DR. IN KUWAIT IS TELLING KIDNEY FAILED DUE TO ANTI GBM ANTIBODY.I HAVE SKIN DISEASE FOR 35 YRS AND I THINK THERE IS RELATION BETWEEN THIS SKIN DISEASE AND KIDNEY DISEASE.IF I GO FOR TRANSPLANT, DOES THIS PROBLEM AFFECT MY NEW TRANSPLANTED KIDNEY?"
},
{
"from": "gpt",
"value": "Output: Hi, A lot of research is going on the topic of anti-glomerular basement membrane (anti GBM) antibody disease recurrence after transplantation. Anti-glomerular basement membrane (GBM) antibody disease may progress to end-stage renal failure, requiring either dialysis or renal transplantation. There are only six reported cases of symptomatic recurrent anti-GBM disease in the literature. The incidence of recurrent linear Immunoglobulin G (Egg) staining in the transplant may be as high as 50 percent. However, most patients remain asymptomatic. You may discuss this point with your doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother has just been diagnosed with Dementia. MRI results said moderate dementia. I m not sure what they mean by moderate, would that be considered early stages? We have not gotten the EEG test results. She is 78 years. Has had both knees replaced. Both surgery s were very hard on her. The anesthesiologist gave her to much when she was in surgery. This happened both times they had a very difficult time waking her up, to the point we almost lost her on the 1st surgery. This was suppose to be noted in her chart. We know that after the 2nd surgery being put to sleep did affect her. So she doesn t need to be put to sleep ever again. My question what medications are available to help slow the progression of this disease, Dementia ? | Hello! I am glad to attend you on Chat Doctor ! I agree with you that general anesthesia can have some influence on Dementia. You should know that the degree of Dementia is not only evaluated based on the MRI findings, but also based on the cognitive test results. Anyway, regarding the treatments, there are different treatment options, including Cholinesterase inhibitors (Donepezil, Rivastigmine, Gallant amine) or Meantime(which is an N -methyl-D-aspartate (MDA) antagonist). I would also recommend checking vitamin D, vitamin E and vitamin B12 plasma levels for possible deficiency and her thyroid hormone levels for thyroid dysfunction. Hope you will find this answer helpful! Kind regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother has just been diagnosed with Dementia. MRI results said moderate dementia. I m not sure what they mean by moderate, would that be considered early stages? We have not gotten the EEG test results. She is 78 years. Has had both knees replaced. Both surgery s were very hard on her. The anesthesiologist gave her to much when she was in surgery. This happened both times they had a very difficult time waking her up, to the point we almost lost her on the 1st surgery. This was suppose to be noted in her chart. We know that after the 2nd surgery being put to sleep did affect her. So she doesn t need to be put to sleep ever again. My question what medications are available to help slow the progression of this disease, Dementia ?"
},
{
"from": "gpt",
"value": "Output: Hello! I am glad to attend you on Chat Doctor ! I agree with you that general anesthesia can have some influence on Dementia. You should know that the degree of Dementia is not only evaluated based on the MRI findings, but also based on the cognitive test results. Anyway, regarding the treatments, there are different treatment options, including Cholinesterase inhibitors (Donepezil, Rivastigmine, Gallant amine) or Meantime(which is an N -methyl-D-aspartate (MDA) antagonist). I would also recommend checking vitamin D, vitamin E and vitamin B12 plasma levels for possible deficiency and her thyroid hormone levels for thyroid dysfunction. Hope you will find this answer helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | yes please Iwas diagnose at age 3 with aplastic anemia.&was treated by ely lilly (experimentaly) & had a miraculis remission.WHEN I WAS 42 I RELAPSED & HAVE BEEN HOSPITALIZED 8 OR 10 TIMES SINCE 2002.HOWEVER NOW THEY CALL IT PRCA. CAN THIS CUSE MEMORY PROBLEMS????? | His had gone through your query. Anemia or nutritional deficiency may cause MCI.MCI means mild cognitive impairment. Memory affects in form of registration and recall.MUSE means mini mental status examination will give idea about MCI and its severity. Anemia or nutritional memory loss are reversible when we started to give supplement or treat it. Investigation like MRI can help to find area which are affected due to it. So consult neurologist for better assistance. Still have a query then 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: yes please Iwas diagnose at age 3 with aplastic anemia.&was treated by ely lilly (experimentaly) & had a miraculis remission.WHEN I WAS 42 I RELAPSED & HAVE BEEN HOSPITALIZED 8 OR 10 TIMES SINCE 2002.HOWEVER NOW THEY CALL IT PRCA. CAN THIS CUSE MEMORY PROBLEMS?????"
},
{
"from": "gpt",
"value": "Output: His had gone through your query. Anemia or nutritional deficiency may cause MCI.MCI means mild cognitive impairment. Memory affects in form of registration and recall.MUSE means mini mental status examination will give idea about MCI and its severity. Anemia or nutritional memory loss are reversible when we started to give supplement or treat it. Investigation like MRI can help to find area which are affected due to it. So consult neurologist for better assistance. Still have a query then feel free to ask. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...hi,,i had a tooth pulled 5 days ago,,i had it packed 2 days ago(dry socket) it fell out after 4 hours,,im on my 3rd day on metronidazole..i now have pain all along the palette...im in so much pain what can i do? | Thanks for using Chat Doctor. Read your query. Chat Doctor. I would suggests continuing doing salt water gargling, but avoid gargling vigorously. Relax and do not keep on probing the socket. For pain Ibuprofen can be taken (if you are not allergic). Antibiotics like amoxicillin 500\u00a0mg and Metro lag 400\u00a0mg as prescribed is to continue. Pain and the infection will gradually subside. If the symptoms increase, have it reviewed by your dentist. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...hi,,i had a tooth pulled 5 days ago,,i had it packed 2 days ago(dry socket) it fell out after 4 hours,,im on my 3rd day on metronidazole..i now have pain all along the palette...im in so much pain what can i do?"
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. Chat Doctor. I would suggests continuing doing salt water gargling, but avoid gargling vigorously. Relax and do not keep on probing the socket. For pain Ibuprofen can be taken (if you are not allergic). Antibiotics like amoxicillin 500\\u00a0mg and Metro lag 400\\u00a0mg as prescribed is to continue. Pain and the infection will gradually subside. If the symptoms increase, have it reviewed by your dentist."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good evening I seem to have a sebaceous cyst on the right side of my neck its pretty big now about the size of a marble.Unfortunately I do not have health insurance.I tried to puncture it with a syringe to see if that would help but it did not.Do I have to have it cut out by a doc??It only hurts a bit but it has gotten harder,and its unsightly I definitely want it out what should I do and what kind of doctor do I go to??Thank you for your help. | Hi Dear, don't worry I will help you out-My Diagnosis and advise about it- 1- its messed up punctured oozing-Sebaceous cyst of rt neck.2- Consult Surgeon and take -Treatment -as follows from him ugly -a-start antibiotics tb of lox- Oz x 5 days b- tb baclofen. X 5 days time- antiseptic padded Chat Doctor. Hope this would solve your messes up sebaceous cyst care and cure. Wellcome for any mote help. Wishing good health. Good Night. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good evening I seem to have a sebaceous cyst on the right side of my neck its pretty big now about the size of a marble.Unfortunately I do not have health insurance.I tried to puncture it with a syringe to see if that would help but it did not.Do I have to have it cut out by a doc??It only hurts a bit but it has gotten harder,and its unsightly I definitely want it out what should I do and what kind of doctor do I go to??Thank you for your help."
},
{
"from": "gpt",
"value": "Output: Hi Dear, don't worry I will help you out-My Diagnosis and advise about it- 1- its messed up punctured oozing-Sebaceous cyst of rt neck.2- Consult Surgeon and take -Treatment -as follows from him ugly -a-start antibiotics tb of lox- Oz x 5 days b- tb baclofen. X 5 days time- antiseptic padded Chat Doctor. Hope this would solve your messes up sebaceous cyst care and cure. Wellcome for any mote help. Wishing good health. Good Night."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband (57) was sitting on his motorcycle this afternoon, it was hot, he got lightheaded and passed out. He fell on his right side with his motorcycle on his right leg. Passing out is not normal for him. He came home but after returning home he has sever burning sensation in his left hamstring and tingling & numbness in the calf. His right foot hurts but is more worried about the left leg. He wondered if it has to do with circulation as well as causing him to pass out? | Hello! Welcome on Chat Doctor 1I read carefully your question and understand your concern. The fainting does not seem to be related to the leg pain. Maybe the leg pain is caused by a trauma in this region during the fall. Coming to this point, I would recommend consulting with his GP for a careful physical exam and some tests to investigate for the possible causes of fainting (cardiac arrhythmia, epilepsy, low blood pressure, low fasting glucose, etc.). For this reason, it is necessary performing some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband (57) was sitting on his motorcycle this afternoon, it was hot, he got lightheaded and passed out. He fell on his right side with his motorcycle on his right leg. Passing out is not normal for him. He came home but after returning home he has sever burning sensation in his left hamstring and tingling & numbness in the calf. His right foot hurts but is more worried about the left leg. He wondered if it has to do with circulation as well as causing him to pass out?"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor 1I read carefully your question and understand your concern. The fainting does not seem to be related to the leg pain. Maybe the leg pain is caused by a trauma in this region during the fall. Coming to this point, I would recommend consulting with his GP for a careful physical exam and some tests to investigate for the possible causes of fainting (cardiac arrhythmia, epilepsy, low blood pressure, low fasting glucose, etc.). For this reason, it is necessary performing some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Krueger,I am SM Malhotra form Delhi I Cousin had a Cancer and operation of Intestine Two years ago.With the passage of time ,It spred to secondary region of Liver and enlargement of the liver has been declared unfit to operate,Having treatment at All india Medical Sciences Chemo is going on of advance nature,Feeling too uneasy unable to eat and digest,To-day Doc are doing endoscopy what it coul be pl. | Hi, dairy have gone through your question. I can understand your concern. You have intestinal cancer spread to the liver. SO it is stage 4 cancer. Surgery is not possible at this stage. Only treatment options are chemotherapy and radiotherapy. Explain like Chat Doctor. Consult your doctor and take treatment accordingly. Endoscopy is done for to check inside intestine. GO for it according to your doctors' advice. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Krueger,I am SM Malhotra form Delhi I Cousin had a Cancer and operation of Intestine Two years ago.With the passage of time ,It spred to secondary region of Liver and enlargement of the liver has been declared unfit to operate,Having treatment at All india Medical Sciences Chemo is going on of advance nature,Feeling too uneasy unable to eat and digest,To-day Doc are doing endoscopy what it coul be pl."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You have intestinal cancer spread to the liver. SO it is stage 4 cancer. Surgery is not possible at this stage. Only treatment options are chemotherapy and radiotherapy. Explain like Chat Doctor. Consult your doctor and take treatment accordingly. Endoscopy is done for to check inside intestine. GO for it according to your doctors' advice. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im a 17 year old female and have been having terrible chest pains just under my sternum for the past 3 months, Ive also find it hard to breathe at times and lose my appetite to eating or socialising a lot lately. My father has had two heart attacks before I was born and has diabetes as well, but my health doesnt include any of his medical history; at times I even find myself becoming dizzy or being really weak on my knees.Ive had trouble breathing before but the doctors said Im not asthmatic, Im starting to get a little worried? | Hi, Since you are young the possibility of heart disease is less. The various possibilities are acidity and gastroesophageal reflux disease, do you any upper abdominal pain, bloating, nausea, sour water coming in mouth, does it increase after food, if yes it supports the diagnosis. Till the time diagnosis is confirmed, you should avoid spicy and fatty foods, avoid heavy meals, maintain regular sleep habits, have some walk after meals. You may try tab Pantoprazole. Does this pain increase on deep breath, any fever, or cough. If yes let me know, you will further investigation like chest x-ray and other test. 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: Im a 17 year old female and have been having terrible chest pains just under my sternum for the past 3 months, Ive also find it hard to breathe at times and lose my appetite to eating or socialising a lot lately. My father has had two heart attacks before I was born and has diabetes as well, but my health doesnt include any of his medical history; at times I even find myself becoming dizzy or being really weak on my knees.Ive had trouble breathing before but the doctors said Im not asthmatic, Im starting to get a little worried?"
},
{
"from": "gpt",
"value": "Output: Hi, Since you are young the possibility of heart disease is less. The various possibilities are acidity and gastroesophageal reflux disease, do you any upper abdominal pain, bloating, nausea, sour water coming in mouth, does it increase after food, if yes it supports the diagnosis. Till the time diagnosis is confirmed, you should avoid spicy and fatty foods, avoid heavy meals, maintain regular sleep habits, have some walk after meals. You may try tab Pantoprazole. Does this pain increase on deep breath, any fever, or cough. If yes let me know, you will further investigation like chest x-ray and other test. 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 live in Canada - a recent blood test reveals I m borderline in my potassium level 3.3 (range 3.3 - 5.1) I m a senior 79 years old - only medication is a water pill 2.5mg daily for blood pressure problem - last reading 130/78 and an adult coated aspirin 81mg taken daily. My doctor has suggested I take 1 x APO-K - Potassium Chloride - Slow-Release 600mg tablet daily - I would like your opinion. | HI, thanks for using Chat Doctor The potassium level is just within range. It is possible that it may remain in this normal range but with the use of the diuretic (the water pill that you mentioned), it may go below normal. You can consider the use of the potassium replacement therapy, but it may not need to be taken daily e.g. alternate days may be enough. Your doctor should also monitor potassium to make sure it does not go above the upper limit. 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: I live in Canada - a recent blood test reveals I m borderline in my potassium level 3.3 (range 3.3 - 5.1) I m a senior 79 years old - only medication is a water pill 2.5mg daily for blood pressure problem - last reading 130/78 and an adult coated aspirin 81mg taken daily. My doctor has suggested I take 1 x APO-K - Potassium Chloride - Slow-Release 600mg tablet daily - I would like your opinion."
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor The potassium level is just within range. It is possible that it may remain in this normal range but with the use of the diuretic (the water pill that you mentioned), it may go below normal. You can consider the use of the potassium replacement therapy, but it may not need to be taken daily e.g. alternate days may be enough. Your doctor should also monitor potassium to make sure it does not go above the upper limit. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am concurned about my boyfriend John. He is 16 years old and I fear he may be undiagnosed bipolar. Ive researched online and I am almost convinced but i think i need an expert opinion.He suffers from extream depression and has terrible mood swings that can occur at almost any time. Ive had to talk him down from a suicide attempt twice in the last 3 to 4 months.He feels extreamly agitated and hopless, and is constantly anxious. He has what looks like panic attacks and he is also has trouble sleeping most nights.His anger causes him to act out and snap and yell at people. Earlier this month he flipped off the dean to our school! His behavior is unpredictable and quite scary.He used to cut and burn himself, but ive managed to get him to stop that, and he still occasionally abuses Marijunana, but not as much as he did at one point.his parents are in the dark about his problems and are not very involved with him. Hes afraid to confront them about anything, because they do not see eye to eye. Im concurned and frightened, but I am also, only 16(almost 17). What can he do and what can I do as his girlfriend and best friend to help him?Thank you,Mariah | Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that your boyfriend could be troubled by schizophrenia, not bipolar. He is showing the classical symptoms of the depressive side of bipolar disorder, but not showing the exhilarated state. In any case, he needs psychiatric treatment. First take him to a psychologist who can help you to assess and diagnose the correct problem with the help of psychometric tests. Then psychiatric medicines should help him recover. Please do not delay any further. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am concurned about my boyfriend John. He is 16 years old and I fear he may be undiagnosed bipolar. Ive researched online and I am almost convinced but i think i need an expert opinion.He suffers from extream depression and has terrible mood swings that can occur at almost any time. Ive had to talk him down from a suicide attempt twice in the last 3 to 4 months.He feels extreamly agitated and hopless, and is constantly anxious. He has what looks like panic attacks and he is also has trouble sleeping most nights.His anger causes him to act out and snap and yell at people. Earlier this month he flipped off the dean to our school! His behavior is unpredictable and quite scary.He used to cut and burn himself, but ive managed to get him to stop that, and he still occasionally abuses Marijunana, but not as much as he did at one point.his parents are in the dark about his problems and are not very involved with him. Hes afraid to confront them about anything, because they do not see eye to eye. Im concurned and frightened, but I am also, only 16(almost 17). What can he do and what can I do as his girlfriend and best friend to help him?Thank you,Mariah"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that your boyfriend could be troubled by schizophrenia, not bipolar. He is showing the classical symptoms of the depressive side of bipolar disorder, but not showing the exhilarated state. In any case, he needs psychiatric treatment. First take him to a psychologist who can help you to assess and diagnose the correct problem with the help of psychometric tests. Then psychiatric medicines should help him recover. Please do not delay any further. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have cervical lymph node swelling just on the left side, I have begun snoring incredibly loud at night- so loud that I wake myself as well as my spouse, and I have a constant ache in my left upper arm and left shoulder. I went to my PCP today, and she ordered TSH level and a CT of the neck and chest. Anything else I ought to ask my MD to check? I am 40 yrs old with a negative health hx, no tobacco hx, and min. ETOH use. Since my time for taking care of myself is limited due to other commitments, I just want to make sure that I can be as efficient as possible when I do go see my MD. | Hello, I have studied your case. If your neck lymph node is enlarged then you should get needle tests. If there is any pus or any cell then it can be checked under microscope. Most probably it will be infection, and you will require Antibiotics. For your snoring you need to see an ENT specialist. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have cervical lymph node swelling just on the left side, I have begun snoring incredibly loud at night- so loud that I wake myself as well as my spouse, and I have a constant ache in my left upper arm and left shoulder. I went to my PCP today, and she ordered TSH level and a CT of the neck and chest. Anything else I ought to ask my MD to check? I am 40 yrs old with a negative health hx, no tobacco hx, and min. ETOH use. Since my time for taking care of myself is limited due to other commitments, I just want to make sure that I can be as efficient as possible when I do go see my MD."
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. If your neck lymph node is enlarged then you should get needle tests. If there is any pus or any cell then it can be checked under microscope. Most probably it will be infection, and you will require Antibiotics. For your snoring you need to see an ENT specialist. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had been prescribed percecet for injuries in past ( last time about year ago )with no problem. I have just fractured fibula and Ortho prescribed generic for me (oxycodone- acetaminophen 5-325). Tried to take twice. One time when hadnt eaten reaction was severe - felt really weird - like I couldnt breathe, nauseous, light headed, heart doing something weird. I tried taking it once again before bed; but couldnt sleep after, felt again like heart was racing a bit. I take wellbutrim twice a day. Depakote three times a day. And Aderall in morning. All are generic. Thanks Bonnie | Respected Bonnie, hi I evaluated your query thoroughly. Dear it's your body is not tolerating oxycodone-acetaminophen to certain extent giving rise to your said symptoms. So simply you have to avoid it as your body is sensitive to certain molecules. In rest of the medicines you have no problem, so you can continue with it. Hope this clears your query. Thanks for using Chat Doctor and taking time to read my answer. RegardsTake nearby Dear. Wishing you a happy healthy life ahead. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had been prescribed percecet for injuries in past ( last time about year ago )with no problem. I have just fractured fibula and Ortho prescribed generic for me (oxycodone- acetaminophen 5-325). Tried to take twice. One time when hadnt eaten reaction was severe - felt really weird - like I couldnt breathe, nauseous, light headed, heart doing something weird. I tried taking it once again before bed; but couldnt sleep after, felt again like heart was racing a bit. I take wellbutrim twice a day. Depakote three times a day. And Aderall in morning. All are generic. Thanks Bonnie"
},
{
"from": "gpt",
"value": "Output: Respected Bonnie, hi I evaluated your query thoroughly. Dear it's your body is not tolerating oxycodone-acetaminophen to certain extent giving rise to your said symptoms. So simply you have to avoid it as your body is sensitive to certain molecules. In rest of the medicines you have no problem, so you can continue with it. Hope this clears your query. Thanks for using Chat Doctor and taking time to read my answer. RegardsTake nearby Dear. Wishing you a happy healthy life ahead."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Got stung by a wasp on my left arm near my wrist and it swlled the first 3 days then became itchy after the first day it had widen out over the days and was hot to the touch. Put benadryl cream on it now its finally stopped itching but now where the reaction happened on my arm is turning kinda purpleish. Is this bad? Also got stung again on bottom of my foot test now itches bad but cream won t help. Thanks | Hello, Welcome to Chat Doctor, Bee stings most often trigger allergies. However, most people are not allergic to insect stings and may mistake a normal sting reaction for an allergic reaction. Symptoms of a severe bee sting allergy may include one or more of the following Difficulty breathing, Hives that appear as a red, itchy rash and spread to areas beyond the sting, Swelling of the face, throat, or mouth tissueWheezing or difficulty swallowing, Restlessness and anxiety. Severe allergic sting reactions are treated with a Chat Doctor. Usually, this injection will stop the development of a more severe allergic reaction. Intravenous fluids, oxygen and other treatments are also necessary. People who have had previous allergic reactions to bee sting must seek immediate medical attention. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Got stung by a wasp on my left arm near my wrist and it swlled the first 3 days then became itchy after the first day it had widen out over the days and was hot to the touch. Put benadryl cream on it now its finally stopped itching but now where the reaction happened on my arm is turning kinda purpleish. Is this bad? Also got stung again on bottom of my foot test now itches bad but cream won t help. Thanks"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, Bee stings most often trigger allergies. However, most people are not allergic to insect stings and may mistake a normal sting reaction for an allergic reaction. Symptoms of a severe bee sting allergy may include one or more of the following Difficulty breathing, Hives that appear as a red, itchy rash and spread to areas beyond the sting, Swelling of the face, throat, or mouth tissueWheezing or difficulty swallowing, Restlessness and anxiety. Severe allergic sting reactions are treated with a Chat Doctor. Usually, this injection will stop the development of a more severe allergic reaction. Intravenous fluids, oxygen and other treatments are also necessary. People who have had previous allergic reactions to bee sting must seek immediate medical attention. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Your thoughts would be appreciated | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible vasculitis associated with bile duct injury.2. Liver function near normal. Mild obstruction seen at level of bile ducts. Immunosuppression necessary to avoid further damage.3. Complete hologram essential to evaluate for hemolytic anemia. Need further clinical details and lab results for further opinion. 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: Your thoughts would be appreciated"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible vasculitis associated with bile duct injury.2. Liver function near normal. Mild obstruction seen at level of bile ducts. Immunosuppression necessary to avoid further damage.3. Complete hologram essential to evaluate for hemolytic anemia. Need further clinical details and lab results for further opinion. 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. | Sometimes, when I sit, I feel like there s sudden beating between and below my lungs, somewhere in diaphragm I guess, it s not hurt or anything, it s only beating like a heart, but only once or twice per day. It has never happened before. And it starts last week. Is it normal, and what is that beating feeling exactly, and where it takes place actually, because I m not sure either, whether it s spleen or diaphragm | Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to spleen or diaphragm. In my opinion, we should rule out arrhythmia (rhythm disturbances in heart) first because this can also cause unusual beating sensations below lungs. So consult doctor and get ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can similar feeling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sometimes, when I sit, I feel like there s sudden beating between and below my lungs, somewhere in diaphragm I guess, it s not hurt or anything, it s only beating like a heart, but only once or twice per day. It has never happened before. And it starts last week. Is it normal, and what is that beating feeling exactly, and where it takes place actually, because I m not sure either, whether it s spleen or diaphragm"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to spleen or diaphragm. In my opinion, we should rule out arrhythmia (rhythm disturbances in heart) first because this can also cause unusual beating sensations below lungs. So consult doctor and get ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can similar feeling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My sister has a form of alzhimers called aphasia. She recently took cipro for a UTI and seems to have gotten much worse in her verbal skills. Could cipro have an effect on her or is this perhaps coincidence and she is just slipping away on course. Her mind is still functioning fairly well but can t verbally communicate. Hard to see this happen. | Ciprofloxacin is not known to cause or worsen verbal skills in a patient of Alzheimer's- Aphasia. I would like to look for any other cause before attributing it to ciprofloxacin. If not found any other obvious reason, worsening verbal skills is seen as natural course of Alzheimer's. And worsening verbal skills with ciprofloxacin is just a coincidence in my opinion. Also, I would like to suggest you to consult your treating psychiatrist about this worsening to rule out any pathology with brain imaging. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My sister has a form of alzhimers called aphasia. She recently took cipro for a UTI and seems to have gotten much worse in her verbal skills. Could cipro have an effect on her or is this perhaps coincidence and she is just slipping away on course. Her mind is still functioning fairly well but can t verbally communicate. Hard to see this happen."
},
{
"from": "gpt",
"value": "Output: Ciprofloxacin is not known to cause or worsen verbal skills in a patient of Alzheimer's- Aphasia. I would like to look for any other cause before attributing it to ciprofloxacin. If not found any other obvious reason, worsening verbal skills is seen as natural course of Alzheimer's. And worsening verbal skills with ciprofloxacin is just a coincidence in my opinion. Also, I would like to suggest you to consult your treating psychiatrist about this worsening to rule out any pathology with brain imaging."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i had sex with my boyfriend 15 days back , we used the condom but it slipped , and now i missed my date yesterday...generally i dont miss my dates on the contrary i get it 2 to 3 days earlier...but now i m really very confused of being pregnant please suggest me what should i do ? or how will my date start.....? | Hi dear, and thanks for your query. If your cycle is regular and if you haven't had any delay periods, you should get a pregnancy test to rule out pregnancy. If the test is positiver than consult with a doctor to have other examination done, like transvaginal ultrasound. If the test is negative there are many other reasons that can cause delay periods. You can take duration 10 mg 2 * 1 per 5 days, to breakthrough periods. ALL THE BEST | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had sex with my boyfriend 15 days back , we used the condom but it slipped , and now i missed my date yesterday...generally i dont miss my dates on the contrary i get it 2 to 3 days earlier...but now i m really very confused of being pregnant please suggest me what should i do ? or how will my date start.....?"
},
{
"from": "gpt",
"value": "Output: Hi dear, and thanks for your query. If your cycle is regular and if you haven't had any delay periods, you should get a pregnancy test to rule out pregnancy. If the test is positiver than consult with a doctor to have other examination done, like transvaginal ultrasound. If the test is negative there are many other reasons that can cause delay periods. You can take duration 10 mg 2 * 1 per 5 days, to breakthrough periods. ALL THE BEST"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doc, i have a 2-year old niece and she was diagnosed with TB...could you kindly explain to me how serious this disease for child like her age...And other than medication, what will be the proper treatment for her for her fast recovery...thanks and God bless | Hi... I appreciate your concern. But your question can be appropriately answered only if I know what type of TB it is - like which part of the body or area or region of the body is involved or infected with TB. I am telling this because different types of TB behave differently and need to be dealt with separately. Please get back to us with the above information, and we would be glad to help you out. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doc, i have a 2-year old niece and she was diagnosed with TB...could you kindly explain to me how serious this disease for child like her age...And other than medication, what will be the proper treatment for her for her fast recovery...thanks and God bless"
},
{
"from": "gpt",
"value": "Output: Hi... I appreciate your concern. But your question can be appropriately answered only if I know what type of TB it is - like which part of the body or area or region of the body is involved or infected with TB. I am telling this because different types of TB behave differently and need to be dealt with separately. Please get back to us with the above information, and we would be glad to help you out. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | What are the remedies of bronchitis?I am a young chap of 33 age and got very bad cough since long, visited an ENT specialist Dr.Ananda Brata Bose, who advised for a digital x-ray, report comes with a result of bronchitis! Now what should I maintain to over come from this diesis! | Thanks for your question on Chat Doctor. I can understand your concern. For in my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. Your cough will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).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: What are the remedies of bronchitis?I am a young chap of 33 age and got very bad cough since long, visited an ENT specialist Dr.Ananda Brata Bose, who advised for a digital x-ray, report comes with a result of bronchitis! Now what should I maintain to over come from this diesis!"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. For in my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. Your cough will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir, my wife now 3 month pergnet she is still in hospital , before 2 time she aborted . she now done ( utess stich ) doctoer tell make rest ( now she having all time bed rest in hospital ) now i am woking united areb emirats . wife in india | Hello dear, i understand your concern. In my opinion as per your information she might have undergone cervical encircle where in a stick is placed around the cervix. Yes after putting this stick bed rest is advised. Any type of physical strain is avoided. Incompetent or short cervix is the most common cause of recurrent abortions. And cervical stick helps in preventing them. The stick is removed after 37 weeks of pregnancy. Hospitalisation is needed for 48 hours after the surgery. So relax. Nothing to worry. Best regards.... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, my wife now 3 month pergnet she is still in hospital , before 2 time she aborted . she now done ( utess stich ) doctoer tell make rest ( now she having all time bed rest in hospital ) now i am woking united areb emirats . wife in india"
},
{
"from": "gpt",
"value": "Output: Hello dear, i understand your concern. In my opinion as per your information she might have undergone cervical encircle where in a stick is placed around the cervix. Yes after putting this stick bed rest is advised. Any type of physical strain is avoided. Incompetent or short cervix is the most common cause of recurrent abortions. And cervical stick helps in preventing them. The stick is removed after 37 weeks of pregnancy. Hospitalisation is needed for 48 hours after the surgery. So relax. Nothing to worry. Best regards...."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My boyfriend is has been having discomfort in his testicles lately. He has cysts that have been there for a while, but his doctors have told him that it is nothing serious. He wants to get a biopsy on it to see if it is cancerous or not. what would you suggest doing? | Hello, It depends on \"cyst\" size. Usually cyst is not common in the testicles. Rather there are tumors. It is not clear from your question whether he has cysts, tumors or just enlarged testicles. Most of the time, scrotal ultrasound gives information whether the testicular swelling are \"normal\" or \"cancerous\". In some cases, blood tests can also be helpful (beta Chat Doctor, AFP, LDH). 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 boyfriend is has been having discomfort in his testicles lately. He has cysts that have been there for a while, but his doctors have told him that it is nothing serious. He wants to get a biopsy on it to see if it is cancerous or not. what would you suggest doing?"
},
{
"from": "gpt",
"value": "Output: Hello, It depends on \\\"cyst\\\" size. Usually cyst is not common in the testicles. Rather there are tumors. It is not clear from your question whether he has cysts, tumors or just enlarged testicles. Most of the time, scrotal ultrasound gives information whether the testicular swelling are \\\"normal\\\" or \\\"cancerous\\\". In some cases, blood tests can also be helpful (beta Chat Doctor, AFP, LDH). 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. | My father never had high blood pressure until recently. This started happening after he was mowing the grass and got bit by something and it grew into a bullseye in which he had to be hospitalized. They tested him and dont know what bit him. Can a bit of any sort cause recurring hypertension? | Hello, thanks for posting a question. I understand your concern towards your dads issue with hypertension. There is no need to worry. Getting bit by an insect does not directly cause hypertension, but the emotional distress he encountered during the duration of events could increase his blood pressure. I have experienced patients that had hypertension shortly after a scorpion bite, but hypertension subsided a few days after. I wish your dad a quick recovery. Best regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father never had high blood pressure until recently. This started happening after he was mowing the grass and got bit by something and it grew into a bullseye in which he had to be hospitalized. They tested him and dont know what bit him. Can a bit of any sort cause recurring hypertension?"
},
{
"from": "gpt",
"value": "Output: Hello, thanks for posting a question. I understand your concern towards your dads issue with hypertension. There is no need to worry. Getting bit by an insect does not directly cause hypertension, but the emotional distress he encountered during the duration of events could increase his blood pressure. I have experienced patients that had hypertension shortly after a scorpion bite, but hypertension subsided a few days after. I wish your dad a quick recovery. Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have no health insurance and need to know if my symptoms warrant a trip to the ER. I am a 24 year old female and I Just moved to Prescott,AZ almost a month ago and am at a very I elevation. My symptoms are, very swollen and painful breast and nipples. All my joints and bones are beyond painful and stiff. I have noticed some swelling in my hands and haven t slept in 24 hours because of the pain, I have tried advil , hot baths, and even half a Vicodin and nothing touches it. I am also having a lot of asthma attacks and find my self waking up have to take heavy breaths like I was just running around. Originally these where slow onset about 2 weeks after being here but they hit me incredibly hard the last week. I keep waiting for it to go away but it just gets worse. Also I have celiacs , however I am religouse about my diet and haven t had ANYTHING with gluten in it for years. I am also having alot of dull, throbbing headaches. | The allergy asthma ad other problems slowly and slowly involves joints which is MIS diagnosed by arthritis if you have celiac disease you might be allergic to whole wheat proteins rather than gluten totally avoid wheat and wheat product snot take even gluten-free wheat you can get blood serum tested for food specific antibodies for wheat and other foods to rule out interference by other food yo can start twice-weekly dose of neotrextate tab methotrexate 2.5 mg twice a week this is immunosuppressant and I have used in my cases of asthma skin sinus and bone problems am still using and has got excellent results to prevent allergies in this dose and there are no side effects on long use others medicines can continue with this in painkillers avoid paracetamol broken dispirit dietary supplements as they increase the problem rather curing it | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have no health insurance and need to know if my symptoms warrant a trip to the ER. I am a 24 year old female and I Just moved to Prescott,AZ almost a month ago and am at a very I elevation. My symptoms are, very swollen and painful breast and nipples. All my joints and bones are beyond painful and stiff. I have noticed some swelling in my hands and haven t slept in 24 hours because of the pain, I have tried advil , hot baths, and even half a Vicodin and nothing touches it. I am also having a lot of asthma attacks and find my self waking up have to take heavy breaths like I was just running around. Originally these where slow onset about 2 weeks after being here but they hit me incredibly hard the last week. I keep waiting for it to go away but it just gets worse. Also I have celiacs , however I am religouse about my diet and haven t had ANYTHING with gluten in it for years. I am also having alot of dull, throbbing headaches."
},
{
"from": "gpt",
"value": "Output: The allergy asthma ad other problems slowly and slowly involves joints which is MIS diagnosed by arthritis if you have celiac disease you might be allergic to whole wheat proteins rather than gluten totally avoid wheat and wheat product snot take even gluten-free wheat you can get blood serum tested for food specific antibodies for wheat and other foods to rule out interference by other food yo can start twice-weekly dose of neotrextate tab methotrexate 2.5 mg twice a week this is immunosuppressant and I have used in my cases of asthma skin sinus and bone problems am still using and has got excellent results to prevent allergies in this dose and there are no side effects on long use others medicines can continue with this in painkillers avoid paracetamol broken dispirit dietary supplements as they increase the problem rather curing it"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I would like to know if the absorption of Vitamn B12 helps me keep bees away from my skin ... i am allergic and have strong reactions everytime im stung ... what would you recomend me ? Thanks PAT Age 62 height 1.70 wirght 66 kilos have no other allergic problem and am in good health on the whole ... treated for hyperthyroid problems ! | Cellophane You for contacting Chat Doctor. B12 as no such role in allergic response. I would suggest you following things for recurrent allergic problem | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I would like to know if the absorption of Vitamn B12 helps me keep bees away from my skin ... i am allergic and have strong reactions everytime im stung ... what would you recomend me ? Thanks PAT Age 62 height 1.70 wirght 66 kilos have no other allergic problem and am in good health on the whole ... treated for hyperthyroid problems !"
},
{
"from": "gpt",
"value": "Output: Cellophane You for contacting Chat Doctor. B12 as no such role in allergic response. I would suggest you following things for recurrent allergic problem"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, i have check my doctor and the result of my SGOT is high 64.6 and my sgpt is 27.8..what is the cause of high Sgot?before i correct already my sgpt before is 74.3 now become 27.8..iam take a medicine of silymarin capsule..i have also have problem before in kidney they found out an gravel stone on it but not yet stone and also they see mild fatty liver on it this is last 2months ago..but the kidney now is already clear as per doctore said.. | HelloWelcome to Chat Doctor. Your GOT and SGPT are mildly increased. It may be due to fatty liver. Mild increases also found now in patient infected with Hepatitis C. Liver enzymes increased in many conditions like liver injury due to hepatitis A or E, certain Chat Doctor. Alcohol also a cause. I think you have fatty liver that's why or medications you have taken for kidney stones in the past. If you are overweight than first try to reduce it by exercise and diet. If certain | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, i have check my doctor and the result of my SGOT is high 64.6 and my sgpt is 27.8..what is the cause of high Sgot?before i correct already my sgpt before is 74.3 now become 27.8..iam take a medicine of silymarin capsule..i have also have problem before in kidney they found out an gravel stone on it but not yet stone and also they see mild fatty liver on it this is last 2months ago..but the kidney now is already clear as per doctore said.."
},
{
"from": "gpt",
"value": "Output: HelloWelcome to Chat Doctor. Your GOT and SGPT are mildly increased. It may be due to fatty liver. Mild increases also found now in patient infected with Hepatitis C. Liver enzymes increased in many conditions like liver injury due to hepatitis A or E, certain Chat Doctor. Alcohol also a cause. I think you have fatty liver that's why or medications you have taken for kidney stones in the past. If you are overweight than first try to reduce it by exercise and diet. If certain"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I dont even know how to start, first things first i am a 21 year old female an im now terrified to go to the toilet because when i go it feels like my is been ripped to shreds when i do it bleeds and its so painful. the second thing is since my pregnancy with my daughter who is now 1 occurred my relationship with my partner is sinking because i always think he is against me i think he is cheating on me all the time i cause arguments with him for no reason i hate him touching me and i hate sex before my pregnancy i used to be happy now i feel down and stressed out i feel like someone has got there hands on both sides of my head and squeezing as hard as they can i dont know how to deal with it anymore i lye awake at night feeling guilty for different members of my family for no reason i keep myself up with thoughts i dont even know my concentration has like a 2 second spam i feel like everyone is against me an i just dont know why sometimes when me and my partner have arguments i lock myself in the bathroom because i imagine him coming at me with a knife even though i know he couldnt harm me i just scared of everything dogs the dark (i always think there is someone watching me) been in a car with my partner its ruining my life i dont know what to do anymore i wont go to a doctor because i think they will judge me i feel so sorry for my daughter in all this because im just to tired to do anything an its just not fair on her. I just need help but i dont know where to start i cant go to the doctor because he would think im attention seeking. | Hello, Your symptoms are bordering onto psychosis. Auspiciousness, difficulty in believing, fearfulness without appropriate reasons. Such symptoms have very good response with Aquitaine or olanzapine (2.5-5\u00a0mg initially) and later can be increased when there is some response. You will feel a lot better in few days after starting meds. Please donor worry, you can see a psychiatrist and start the Chat Doctor. Even other doctors won't feel that you are attention seeking because those patients are quite different. You can tell the symptoms so clearly that it is very helpful in diagnosing correctly. With | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I dont even know how to start, first things first i am a 21 year old female an im now terrified to go to the toilet because when i go it feels like my is been ripped to shreds when i do it bleeds and its so painful. the second thing is since my pregnancy with my daughter who is now 1 occurred my relationship with my partner is sinking because i always think he is against me i think he is cheating on me all the time i cause arguments with him for no reason i hate him touching me and i hate sex before my pregnancy i used to be happy now i feel down and stressed out i feel like someone has got there hands on both sides of my head and squeezing as hard as they can i dont know how to deal with it anymore i lye awake at night feeling guilty for different members of my family for no reason i keep myself up with thoughts i dont even know my concentration has like a 2 second spam i feel like everyone is against me an i just dont know why sometimes when me and my partner have arguments i lock myself in the bathroom because i imagine him coming at me with a knife even though i know he couldnt harm me i just scared of everything dogs the dark (i always think there is someone watching me) been in a car with my partner its ruining my life i dont know what to do anymore i wont go to a doctor because i think they will judge me i feel so sorry for my daughter in all this because im just to tired to do anything an its just not fair on her. I just need help but i dont know where to start i cant go to the doctor because he would think im attention seeking."
},
{
"from": "gpt",
"value": "Output: Hello, Your symptoms are bordering onto psychosis. Auspiciousness, difficulty in believing, fearfulness without appropriate reasons. Such symptoms have very good response with Aquitaine or olanzapine (2.5-5\\u00a0mg initially) and later can be increased when there is some response. You will feel a lot better in few days after starting meds. Please donor worry, you can see a psychiatrist and start the Chat Doctor. Even other doctors won't feel that you are attention seeking because those patients are quite different. You can tell the symptoms so clearly that it is very helpful in diagnosing correctly. With"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello how are u ? I have a pain in my knee I went to the doctor ,I did ray for knee and uric acid test and some blood test the doctor told me all results is ok but I have maybe low in glucosamine cz my pain in my Knee .He prescribe for me divido ,dorofen and mydocalm ,I m taking divido and dorofen only since 4 days and suddenly I have a terrible pain in my estomac .I stopped the medicine maybe cz for me this pain and I need alll this medicine to prevent my knee pain?suzan | Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with MRI of the knee. As the pain can be due to degenerative changes in the knee joint an MRI can suggest the possible changes. Also, by understanding the medication you are talking it looks they are mentioned for the cartilage related issues. As medicine are symptomatic and for long term rehabilitation physical therapy is recommended and research has good evidence on a positive note. In my clinical practice patients with knee pain are advised physical therapy, and they respond well. 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 how are u ? I have a pain in my knee I went to the doctor ,I did ray for knee and uric acid test and some blood test the doctor told me all results is ok but I have maybe low in glucosamine cz my pain in my Knee .He prescribe for me divido ,dorofen and mydocalm ,I m taking divido and dorofen only since 4 days and suddenly I have a terrible pain in my estomac .I stopped the medicine maybe cz for me this pain and I need alll this medicine to prevent my knee pain?suzan"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with MRI of the knee. As the pain can be due to degenerative changes in the knee joint an MRI can suggest the possible changes. Also, by understanding the medication you are talking it looks they are mentioned for the cartilage related issues. As medicine are symptomatic and for long term rehabilitation physical therapy is recommended and research has good evidence on a positive note. In my clinical practice patients with knee pain are advised physical therapy, and they respond well. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother 57 years old has had smelly white cheesy filled bumps on her back most of her life. I popped them last night for her tons of this yucky stuff came out and now she is very cold and has shortness of breath do you think the infection coming out could make her physically sick? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, severe infection (sepsis) is more likely cause for her symptoms. She might be having gluteal abscess. And the stuff you are talking about it pus only. Pus is liquefaction of tissue due to local infection which is uncontrolled. This severe form of infection can also spread to blood. This is known as sepsis. Sepsis is the most common cause fir hypotension (septic shock). And this hypotension causes shortness breath, cold clammy skin. So your mother is mostly having sepsis. Better to consult doctor and start antibiotics and surgical debridement of pus. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother 57 years old has had smelly white cheesy filled bumps on her back most of her life. I popped them last night for her tons of this yucky stuff came out and now she is very cold and has shortness of breath do you think the infection coming out could make her physically sick?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Yes, severe infection (sepsis) is more likely cause for her symptoms. She might be having gluteal abscess. And the stuff you are talking about it pus only. Pus is liquefaction of tissue due to local infection which is uncontrolled. This severe form of infection can also spread to blood. This is known as sepsis. Sepsis is the most common cause fir hypotension (septic shock). And this hypotension causes shortness breath, cold clammy skin. So your mother is mostly having sepsis. Better to consult doctor and start antibiotics and surgical debridement of pus. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi when i was ten i had fallopian tube torsion and had my right fallopian tube removed. I am now trying to have children and i have been activly having sex with no protection or birth control and can still not get pregnant. Could only having one fallopian tube be the problem? | Hello dear, I understand your concern. In my opinion single Fallopian tube will not be a in Chat Doctor. I suggest you to undergo hysterosalphinogram(HSG), diagnostic laparoscopy to rule out any tubal block or any adhesions around the tube or any. Adhesions can also be one of the causes for infertility. There is one more option like intrauterine insemination (GUI). This GUI can be tried.GUI offers good success rates in case of tubal abnormalities. Nothing to worry. As if one tube is patent and functioning there is good scope for pregnancy. Relax and avoid stress. As stress cause hormonal imbalance and delay fertility further. Hope this helps. Best regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi when i was ten i had fallopian tube torsion and had my right fallopian tube removed. I am now trying to have children and i have been activly having sex with no protection or birth control and can still not get pregnant. Could only having one fallopian tube be the problem?"
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. In my opinion single Fallopian tube will not be a in Chat Doctor. I suggest you to undergo hysterosalphinogram(HSG), diagnostic laparoscopy to rule out any tubal block or any adhesions around the tube or any. Adhesions can also be one of the causes for infertility. There is one more option like intrauterine insemination (GUI). This GUI can be tried.GUI offers good success rates in case of tubal abnormalities. Nothing to worry. As if one tube is patent and functioning there is good scope for pregnancy. Relax and avoid stress. As stress cause hormonal imbalance and delay fertility further. Hope this helps. Best regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have problem that during sex my liquid water come erlier due to this my penis will come down early before ejaculation...please help on it....this problem heppan since long back, in my teen age i had habbit that to see por video create feeling on as a sexuality | HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Premature Ejaculation, In absence of any major health issue cause of premature ejaculation is mind related and due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil Sidewall (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. 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 problem that during sex my liquid water come erlier due to this my penis will come down early before ejaculation...please help on it....this problem heppan since long back, in my teen age i had habbit that to see por video create feeling on as a sexuality"
},
{
"from": "gpt",
"value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Premature Ejaculation, In absence of any major health issue cause of premature ejaculation is mind related and due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil Sidewall (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. ."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am 29 years old Female having two daughters (6 years and 3 years). At present My ESR is 38 mm. I would like to know what does this mean....since 15 days i feel weakness very much. Also tell me that what i eat and do that my ESR is coming normal. | Hello and welcome to Chat Doctor, Raised ESR is not a disease. Raised ESR is actually an indication that some disease process is going in the body. In females the normal ESR should be between 0-20 mm in first hour. A value of 38 mm suggests there is one chronic disease process in the body. Accompanied weakness is probably due to same chronic disease process. You need to consult your primary health care provider for general physical examination to look for the cause of high ESR. Treatment of the underlying disease process will correct the raised ESR. No specific medication is required to correct raised ESR. It is actually the treatment of disease that is required. 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: Hi I am 29 years old Female having two daughters (6 years and 3 years). At present My ESR is 38 mm. I would like to know what does this mean....since 15 days i feel weakness very much. Also tell me that what i eat and do that my ESR is coming normal."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, Raised ESR is not a disease. Raised ESR is actually an indication that some disease process is going in the body. In females the normal ESR should be between 0-20 mm in first hour. A value of 38 mm suggests there is one chronic disease process in the body. Accompanied weakness is probably due to same chronic disease process. You need to consult your primary health care provider for general physical examination to look for the cause of high ESR. Treatment of the underlying disease process will correct the raised ESR. No specific medication is required to correct raised ESR. It is actually the treatment of disease that is required. Thanks and take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell off a scooter and got a chromosomal on my left hip. It s through the bruise stage now but yesterday d aye it s yt? Rated to look bigger. To daily there is a black wide bruise running from my hip to my knee area and I have numbness in both hands since it s happened. I m 47 @almost 48,have a husband and two small children. I ve been to a hospital yt? All twice where I was retooled I m governed x rated. I have been on abstention. 600 mg 3xs a day, methadone 3days@ day, clonazepam 1 mg 3 xxx a day and 5 mg of a blood pressured lysinoptril in the past 6 ?not h s and amitriptyline 10 mg at bed. They added torpedo for antoi inflammatory properties sin c e the f all and everything else I ve been on and off for years since a f all when 4 out a 3 story window, spinal issues, bursitis, degenerative v e disc disease, and problems in both lower and upper spine and k legs. Is the numbness something to b e concerned about? It s new and v Dr scary. | Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. You seem to have injured your thigh muscles which generally take around 3-4 weeks time to heel, if given adequate rest. The treatment you are taking is absolutely right, but I guess you are not taking sufficient rest. But still, it will eventually heal. Tingling sensations are caused by sort of hormonal, calcium or vitamin deficiency. Another possibility is neuropathy, that can be cured by pregabalin tablets. You can get a X-ray and Nerve Conduction studies to find out what's wrong. Take analgesics, anti-inflammatory tablets, crepe bandage, rest. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell off a scooter and got a chromosomal on my left hip. It s through the bruise stage now but yesterday d aye it s yt? Rated to look bigger. To daily there is a black wide bruise running from my hip to my knee area and I have numbness in both hands since it s happened. I m 47 @almost 48,have a husband and two small children. I ve been to a hospital yt? All twice where I was retooled I m governed x rated. I have been on abstention. 600 mg 3xs a day, methadone 3days@ day, clonazepam 1 mg 3 xxx a day and 5 mg of a blood pressured lysinoptril in the past 6 ?not h s and amitriptyline 10 mg at bed. They added torpedo for antoi inflammatory properties sin c e the f all and everything else I ve been on and off for years since a f all when 4 out a 3 story window, spinal issues, bursitis, degenerative v e disc disease, and problems in both lower and upper spine and k legs. Is the numbness something to b e concerned about? It s new and v Dr scary."
},
{
"from": "gpt",
"value": "Output: Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. You seem to have injured your thigh muscles which generally take around 3-4 weeks time to heel, if given adequate rest. The treatment you are taking is absolutely right, but I guess you are not taking sufficient rest. But still, it will eventually heal. Tingling sensations are caused by sort of hormonal, calcium or vitamin deficiency. Another possibility is neuropathy, that can be cured by pregabalin tablets. You can get a X-ray and Nerve Conduction studies to find out what's wrong. Take analgesics, anti-inflammatory tablets, crepe bandage, rest. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I feel little pressure in my left side of my chest and fell when i breathe is like i dont breathe right and sometime when i sleep i wake up and my mouth is dry and i cant breathe true my nose i vent to se a doktor the say nothing is wrong with my hart what could be | Thanks for asking your question completely understand your problem these symptoms like pressure over chest and chest pain while breathing may occur in pleural effusion. Nasal blockade can be due to sinusitis. For these symptoms you should visit a pulmonologist who can get a chest X-ray and a X-ray PNS to accurately diagnose the condition. If each test comes normal then it might be due to anxiety.thanks/regardsfeel free to ask more questions may god bless you with good health | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I feel little pressure in my left side of my chest and fell when i breathe is like i dont breathe right and sometime when i sleep i wake up and my mouth is dry and i cant breathe true my nose i vent to se a doktor the say nothing is wrong with my hart what could be"
},
{
"from": "gpt",
"value": "Output: Thanks for asking your question completely understand your problem these symptoms like pressure over chest and chest pain while breathing may occur in pleural effusion. Nasal blockade can be due to sinusitis. For these symptoms you should visit a pulmonologist who can get a chest X-ray and a X-ray PNS to accurately diagnose the condition. If each test comes normal then it might be due to anxiety.thanks/regardsfeel free to ask more questions may god bless you with good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I KEEP GETTING THESES PAINS IN MY STOMACHE MAINLY WHERE THE RIB CAGE MEETS IT COME WITH WHATEVER I EAT OR DRINK ITS ALL THE TIME EVERY NOW AND THEN IT WILL WAKE ME FROM A DEAD SLEEP IM IN SO MUCH PAIN THE ONLY THING THAT HELPS IS A HOT BATHE IT FEELS LIKE A ROCK IN THERE NO MATTER WHAT WAY I MOVE IT FEELS LIKE ITS MOVING WITH ME I HAVE HAD SEVERAL DOCTORS TELL ME THAT ITS GASTERNITIS BUT I KNOW ITS NOT THAT BECAUSE I DONT EVEN HAVE TO DRINK CAFFINE OR EAT CHOCOLATE AND I STILL GET THE PAIN LUS THIS PAIN IS MUCH DIFFRENT THAN THAT CAN ANYONE PLEASE TELL ME WHAT THE PROBLEM IS? | Hi, Ok, the stomach is near the bottom of the rib cage. Irritation there will usually cause pain there. Ok, 1 in 3 people have problems in that region that does not show up on tests and is treatable with the latest stomach medicines (PPI, Omeprazole, etc.). And, it is pretty common to have an enlarged hole in the diaphragm and the stomach to pop into the chest a little (hiatal hernia) the Chat Doctor. Surgery works. But the hole usually eventually comes back. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I KEEP GETTING THESES PAINS IN MY STOMACHE MAINLY WHERE THE RIB CAGE MEETS IT COME WITH WHATEVER I EAT OR DRINK ITS ALL THE TIME EVERY NOW AND THEN IT WILL WAKE ME FROM A DEAD SLEEP IM IN SO MUCH PAIN THE ONLY THING THAT HELPS IS A HOT BATHE IT FEELS LIKE A ROCK IN THERE NO MATTER WHAT WAY I MOVE IT FEELS LIKE ITS MOVING WITH ME I HAVE HAD SEVERAL DOCTORS TELL ME THAT ITS GASTERNITIS BUT I KNOW ITS NOT THAT BECAUSE I DONT EVEN HAVE TO DRINK CAFFINE OR EAT CHOCOLATE AND I STILL GET THE PAIN LUS THIS PAIN IS MUCH DIFFRENT THAN THAT CAN ANYONE PLEASE TELL ME WHAT THE PROBLEM IS?"
},
{
"from": "gpt",
"value": "Output: Hi, Ok, the stomach is near the bottom of the rib cage. Irritation there will usually cause pain there. Ok, 1 in 3 people have problems in that region that does not show up on tests and is treatable with the latest stomach medicines (PPI, Omeprazole, etc.). And, it is pretty common to have an enlarged hole in the diaphragm and the stomach to pop into the chest a little (hiatal hernia) the Chat Doctor. Surgery works. But the hole usually eventually comes back. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump about the size of a dime and its oval shaped. Its right between my vagina and my inner thigh. There is no head on it and it isn t hard. It doesn t hurt unless I mess with it and its red. I don t know what to do because I don t have insurance to go to the doctor. How do I get rid of it ? What could it be ? | Hello and welcome to Chat Doctor, A soft lump between vagina and inner thigh could be due to enlargement of inguinal lymph node. A clinical assessment of the lesion is necessary for treatment. Thus, you will have to consult your doctor. In addition, an aspiration cytology of the lump is also required. Aspiration cytology is an office procedure wherein cells are aspirated using a needle, cells are spread on a glass slide and stained wit appropriate stain. The cells are examined under microscope. This investigation determine the site and nature of the lesion. Depending on the type of lesion, appropriate management is planned. Enlargement of inguinal lymph nodes is common after genital tract or urinary tract infection / inflammation. 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: I have a lump about the size of a dime and its oval shaped. Its right between my vagina and my inner thigh. There is no head on it and it isn t hard. It doesn t hurt unless I mess with it and its red. I don t know what to do because I don t have insurance to go to the doctor. How do I get rid of it ? What could it be ?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, A soft lump between vagina and inner thigh could be due to enlargement of inguinal lymph node. A clinical assessment of the lesion is necessary for treatment. Thus, you will have to consult your doctor. In addition, an aspiration cytology of the lump is also required. Aspiration cytology is an office procedure wherein cells are aspirated using a needle, cells are spread on a glass slide and stained wit appropriate stain. The cells are examined under microscope. This investigation determine the site and nature of the lesion. Depending on the type of lesion, appropriate management is planned. Enlargement of inguinal lymph nodes is common after genital tract or urinary tract infection / inflammation. Thanks and take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have irritating cough along with accasional running nose WITHOUT having cold. Sometimes it is dry, sometimes cough is yellowish and sometimes it is dark in color. I visited ENT doc and he suggested Amoxycillin tab, LCZ plus and RESWAS syrup. After having taken for 5 days it is not yet perfectly ok. I had sinus problem in the past. | HelloIrritating cough, Running nose, Cough is associated with yellowish color phlegm or sometimes dark, An old case of sinus problem. Amoxycillin, lecoceterizine and cough syrup (res was) are not working. When patient with these symptoms visit my clinic I usually advise them to take montelukast+ albuterol tablet once or twice in day till complete cure. If sore throat is there I advise them to take levofloxacin 750 mg once in day for 5 days. I also advise my patient to avoid contact with mite, dust, pollen, mold, sudden change in temperature, fine dusting powder, hay. Because these are predisposing factors causing sinus problem and allergy (as you may have these symptoms due to asthmatic allergic bronchitis) . Hot coffee and steam inhalation also act as bronchodilators. All these symptoms are due to bronchoconstriction caused by these predisposing factors. Since these 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 irritating cough along with accasional running nose WITHOUT having cold. Sometimes it is dry, sometimes cough is yellowish and sometimes it is dark in color. I visited ENT doc and he suggested Amoxycillin tab, LCZ plus and RESWAS syrup. After having taken for 5 days it is not yet perfectly ok. I had sinus problem in the past."
},
{
"from": "gpt",
"value": "Output: HelloIrritating cough, Running nose, Cough is associated with yellowish color phlegm or sometimes dark, An old case of sinus problem. Amoxycillin, lecoceterizine and cough syrup (res was) are not working. When patient with these symptoms visit my clinic I usually advise them to take montelukast+ albuterol tablet once or twice in day till complete cure. If sore throat is there I advise them to take levofloxacin 750 mg once in day for 5 days. I also advise my patient to avoid contact with mite, dust, pollen, mold, sudden change in temperature, fine dusting powder, hay. Because these are predisposing factors causing sinus problem and allergy (as you may have these symptoms due to asthmatic allergic bronchitis) . Hot coffee and steam inhalation also act as bronchodilators. All these symptoms are due to bronchoconstriction caused by these predisposing factors. Since these Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been in pain lower back ,L4 L5 FOR 13 years been told by doctor they need replacing operation through the stomach others doctors said nothing wrong ,anyway I try lyrica last night got it of a friend today is the first time in 13 years I have no pain ,is it a safe drug doctor it has saved my live | Dear- Than for using our service and will give you my medical advice.First, it is not advisable to take a medication that has not been prescribed to you. Lyrics is a good Chat Doctor. You have disc disease with probably pinched nerve, so that is why you are suffering from neuropathy from that. Discuss with your doctor your situation and improvement after the medication and he/she will tell you if it is indicated for you. Hope my advice will be helpful | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been in pain lower back ,L4 L5 FOR 13 years been told by doctor they need replacing operation through the stomach others doctors said nothing wrong ,anyway I try lyrica last night got it of a friend today is the first time in 13 years I have no pain ,is it a safe drug doctor it has saved my live"
},
{
"from": "gpt",
"value": "Output: Dear- Than for using our service and will give you my medical advice.First, it is not advisable to take a medication that has not been prescribed to you. Lyrics is a good Chat Doctor. You have disc disease with probably pinched nerve, so that is why you are suffering from neuropathy from that. Discuss with your doctor your situation and improvement after the medication and he/she will tell you if it is indicated for you. Hope my advice will be helpful"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...my father has to undergo liver transplant .he is 52 years old and his blood group is AB+.which blood group doner can give him his liver .can a person of age 27 give him what r the risks involved for both the doner and the reciptent. | Hi, Recipients with blood type AB can receive a kidney from blood types A, B, AB and O (AB is the universal recipient). Also, he can receive it from 27 years old. Risk are higher for recipient but in most cases surgery goes well and there are no serious complications. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards, Ivan R. Rammstein | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...my father has to undergo liver transplant .he is 52 years old and his blood group is AB+.which blood group doner can give him his liver .can a person of age 27 give him what r the risks involved for both the doner and the reciptent."
},
{
"from": "gpt",
"value": "Output: Hi, Recipients with blood type AB can receive a kidney from blood types A, B, AB and O (AB is the universal recipient). Also, he can receive it from 27 years old. Risk are higher for recipient but in most cases surgery goes well and there are no serious complications. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards, Ivan R. Rammstein"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have slight trouble in my left knee. I feel mild pain for 20-30 seconds after standing from long sitting position. my uric acid level is 7.0. Doctor prescribed me FEBUGET 40 once daily for a month. Another doctor prescribe me Diacerin with Celecoxib two tab daily for two month and FEBUXOR-40 one tab daily for one month. Patholoigist just ask me that uric acid is within the normal range but on upper limit thus no need to start medication just take precautions only in food habit and life style. Pl Guide me | Hello welcome to. I have read your question and understand your concerns. High Uric acid levels may or may not be associated with gout and the knee pain you described. Medications are not mandatory at this blood levels. My advice to you is - 1. Strictly avoid non veg diet and alcohol intake. It will avoid rise in uric acid levels. There are other dietary modifications required like avoiding excessive citrus fruits, curd, high protein diet etc. 2. Ask your doctor that you want to stop Tab febuxosatat, you are taking right now. He will guide you how to gradually reduce the dose of medicines. DON'T ABRUPTLY STOP MEDICINES. 3. Do serum uric acid levels every 3 monthly. Next time you also do your whole kidney profile because damaged kidney may cause rise in uric acid levels. Thank you. Have a nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have slight trouble in my left knee. I feel mild pain for 20-30 seconds after standing from long sitting position. my uric acid level is 7.0. Doctor prescribed me FEBUGET 40 once daily for a month. Another doctor prescribe me Diacerin with Celecoxib two tab daily for two month and FEBUXOR-40 one tab daily for one month. Patholoigist just ask me that uric acid is within the normal range but on upper limit thus no need to start medication just take precautions only in food habit and life style. Pl Guide me"
},
{
"from": "gpt",
"value": "Output: Hello welcome to. I have read your question and understand your concerns. High Uric acid levels may or may not be associated with gout and the knee pain you described. Medications are not mandatory at this blood levels. My advice to you is - 1. Strictly avoid non veg diet and alcohol intake. It will avoid rise in uric acid levels. There are other dietary modifications required like avoiding excessive citrus fruits, curd, high protein diet etc. 2. Ask your doctor that you want to stop Tab febuxosatat, you are taking right now. He will guide you how to gradually reduce the dose of medicines. DON'T ABRUPTLY STOP MEDICINES. 3. Do serum uric acid levels every 3 monthly. Next time you also do your whole kidney profile because damaged kidney may cause rise in uric acid levels. Thank you. Have a nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi.. had a nova t380 fitted 2 months ago, i started my period 12days ago and theres no sign of it slowing down. i am anemic taking 3 iron tablets a day. because i have been bleeding with the pill, injection and i had a nova in 4 2months b4 this 1 and was bleeding, got sent 4 a scan and it was in the wrong place! is all this bleeding normal? | Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi.. had a nova t380 fitted 2 months ago, i started my period 12days ago and theres no sign of it slowing down. i am anemic taking 3 iron tablets a day. because i have been bleeding with the pill, injection and i had a nova in 4 2months b4 this 1 and was bleeding, got sent 4 a scan and it was in the wrong place! is all this bleeding normal?"
},
{
"from": "gpt",
"value": "Output: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had an open mri of my hand. MRI and xray normal. I clearly have pain and swelling between the index and middle metacarpals near the fingers on both sides of hand. (Between knuckles on both sides of hand). Pain goes down both fingers. Hand feels tight. Hurts most of day especially when gripping or twisting. Any information would be appreciated. I was shocked that mri was normal. | Thanks for your question on Chat Doctor. I can understand your concern. Since your MRI and x-ray is normal, no need to worry about major musculoskeletal cause for your hand pain. Sometimes, calcium, vitamin D3 and vitamin B12 deficiency can also cause similar kind of hand pain. So get done blood reports for calcium, vitamin D3 and vitamin B12 level. If there is deficiency then you have to start supplements. Application of warm water pad and ice packs alternatively will also give you symptomatic benefit. 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 had an open mri of my hand. MRI and xray normal. I clearly have pain and swelling between the index and middle metacarpals near the fingers on both sides of hand. (Between knuckles on both sides of hand). Pain goes down both fingers. Hand feels tight. Hurts most of day especially when gripping or twisting. Any information would be appreciated. I was shocked that mri was normal."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since your MRI and x-ray is normal, no need to worry about major musculoskeletal cause for your hand pain. Sometimes, calcium, vitamin D3 and vitamin B12 deficiency can also cause similar kind of hand pain. So get done blood reports for calcium, vitamin D3 and vitamin B12 level. If there is deficiency then you have to start supplements. Application of warm water pad and ice packs alternatively will also give you symptomatic benefit. 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. | hello, my baby is 5 months old. from the last 2/3 days she is suffering from indigestion & gas problem. doctor prescribed decolic drops & neopeptine susp. she was ok yesterday, but now she has become restless & crying a lot. Any advice will be appreciable. thanks. ajit | Hi, Thank you for asking question on Chat Doctor. Bottle feeding babies usually ingest gas while feeding. Either breastfeeding or feeding with cup and spoon will prevent gas. What your doctor prescribed is OK, continue the same medicines. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, my baby is 5 months old. from the last 2/3 days she is suffering from indigestion & gas problem. doctor prescribed decolic drops & neopeptine susp. she was ok yesterday, but now she has become restless & crying a lot. Any advice will be appreciable. thanks. ajit"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for asking question on Chat Doctor. Bottle feeding babies usually ingest gas while feeding. Either breastfeeding or feeding with cup and spoon will prevent gas. What your doctor prescribed is OK, continue the same medicines. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Im a 17 year old girl, I had unprotected sex about two months ago and I got my period but I feel a very small lump in my pelvic area on the right side and when I put pressure on it, it really hurts. I dont know what it is, maybe pregnant or a cyste? | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query pregnancy lump cannot be felt so easily. You need to be pregnant for sometime before you can feel it. I would like some more information however-Is the lump hard/soft? If soft, does it feel dense, or like fluid filled? Is it mobile? I would also suggest an x-ray of the pelvis and USG, since I cannot examine it. If possible, upload an image of it and this may help in diagnosing what it may BEI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Im a 17 year old girl, I had unprotected sex about two months ago and I got my period but I feel a very small lump in my pelvic area on the right side and when I put pressure on it, it really hurts. I dont know what it is, maybe pregnant or a cyste?"
},
{
"from": "gpt",
"value": "Output: Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query pregnancy lump cannot be felt so easily. You need to be pregnant for sometime before you can feel it. I would like some more information however-Is the lump hard/soft? If soft, does it feel dense, or like fluid filled? Is it mobile? I would also suggest an x-ray of the pelvis and USG, since I cannot examine it. If possible, upload an image of it and this may help in diagnosing what it may BEI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, I have been experiencing a tingling prickly sensation when I touch stuff, for example my cell phone which is a touch screen, grip tightly a cup and even when I type on my computer keyboard. This sensation is only located on my finger tips. Towards the end of the day my hands (palms and fingertips feel relief when I hold something cool). This has been going on for about five days now. please do help! | Hello dear, The symptoms as mentioned in your post can be attributed to | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, I have been experiencing a tingling prickly sensation when I touch stuff, for example my cell phone which is a touch screen, grip tightly a cup and even when I type on my computer keyboard. This sensation is only located on my finger tips. Towards the end of the day my hands (palms and fingertips feel relief when I hold something cool). This has been going on for about five days now. please do help!"
},
{
"from": "gpt",
"value": "Output: Hello dear, The symptoms as mentioned in your post can be attributed to"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | The other day out of no where in my right inner elbow I found these two separate little circles of raised non itchy bumps, a little while later I started noticing these little bumps traveling up my arm,and then anotherNon itchy group appeared then theres a line of three red bumps on my shoulder. On my chest there is a group of more bumps that are close together but do not gotten a circle like the other spots. On my legs I have like this red rash that is not bumpy or raised traveling from my ankle all the way up to my thigh. I woke up Monday with a sore throat, then I developed a horrible cough and terrible naseousnes. I have had shingles, I have also have tinea versicolor I think Is what its called my skin is always really dry and my skin just peels of taking my pigment with it... I am very concerned because in 2008 I had necrotizing fasciitis... | Hi I understood your query and concern Circular bumps u explained can be Tina corporal .yes sometimes it is associated with Tina tricolor.both are fungal infections .they should be treated with oral fluconazole 150\u00a0mg weekly once for 4-6weeks and application of neural ointment over the both the lesions can treat the condition. Regarding shingles use antiviral treatment. As these are coming together rule out immunocompromised disease like bag or HIV | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The other day out of no where in my right inner elbow I found these two separate little circles of raised non itchy bumps, a little while later I started noticing these little bumps traveling up my arm,and then anotherNon itchy group appeared then theres a line of three red bumps on my shoulder. On my chest there is a group of more bumps that are close together but do not gotten a circle like the other spots. On my legs I have like this red rash that is not bumpy or raised traveling from my ankle all the way up to my thigh. I woke up Monday with a sore throat, then I developed a horrible cough and terrible naseousnes. I have had shingles, I have also have tinea versicolor I think Is what its called my skin is always really dry and my skin just peels of taking my pigment with it... I am very concerned because in 2008 I had necrotizing fasciitis..."
},
{
"from": "gpt",
"value": "Output: Hi I understood your query and concern Circular bumps u explained can be Tina corporal .yes sometimes it is associated with Tina tricolor.both are fungal infections .they should be treated with oral fluconazole 150\\u00a0mg weekly once for 4-6weeks and application of neural ointment over the both the lesions can treat the condition. Regarding shingles use antiviral treatment. As these are coming together rule out immunocompromised disease like bag or HIV"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my name is julita. I never had this feeling before . I m a smoker and I ate Chinese food but after that I felt like I had a little panic attack which I always got. My question is I have a burning feeling in my stomach ever since I ate the Chinese food . Am I okay or should I go to the er because I m a little worried about this feeling. | Hi, May be the Chinese food was too spicy or something that has caused gastritis. Burning sensation in stomach may be the features of gastritis. SMOKING ITSELF CAN GIVE RISE TO GASTRITIS. You may take medicine like machine gel 2 SF 3/4 times to get relief from the burning. If the symptom persists you may take petard d 1 daily for few days.getting a check-up from physician will be helpful Hope you be all right. | [
{
"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 julita. I never had this feeling before . I m a smoker and I ate Chinese food but after that I felt like I had a little panic attack which I always got. My question is I have a burning feeling in my stomach ever since I ate the Chinese food . Am I okay or should I go to the er because I m a little worried about this feeling."
},
{
"from": "gpt",
"value": "Output: Hi, May be the Chinese food was too spicy or something that has caused gastritis. Burning sensation in stomach may be the features of gastritis. SMOKING ITSELF CAN GIVE RISE TO GASTRITIS. You may take medicine like machine gel 2 SF 3/4 times to get relief from the burning. If the symptom persists you may take petard d 1 daily for few days.getting a check-up from physician will be helpful Hope you be all right."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am looking at having a knee replacement and my doctor is strongly urging me to wait as long as possible before getting it done. Why? At this point I am unable to do normal activities such as walking without pain. I cannot even stand for any length of time without pain. He wants me to lose some weight to help out the knee joint but I can t do that unless I can walk further or hike. Is it time for me to get the surgery? | For severe knee arthritis the surgery is must. But here your doctor is also right if you are very much over weight then post surgery the rehabilitation may become difficult. Here I suggest to start physiotherapy first and take a dietician consultation to plan your diet. Now here with physiotherapy treatment it will help to relax your soft tissue and knee inflammation. At the same time do take suggestion on how to reduce weight without doing weight-bearing exercises? One way is by cycling. Also take a complete exercise program on knee strengthening exercise and follow it. This will help you to recover fast after surgery. Follow this for some time and reduce your weight and strengthen your knee. I am sure with this your knee pain will also reduce as well for doctor also it will be easy to take a call on surgery. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am looking at having a knee replacement and my doctor is strongly urging me to wait as long as possible before getting it done. Why? At this point I am unable to do normal activities such as walking without pain. I cannot even stand for any length of time without pain. He wants me to lose some weight to help out the knee joint but I can t do that unless I can walk further or hike. Is it time for me to get the surgery?"
},
{
"from": "gpt",
"value": "Output: For severe knee arthritis the surgery is must. But here your doctor is also right if you are very much over weight then post surgery the rehabilitation may become difficult. Here I suggest to start physiotherapy first and take a dietician consultation to plan your diet. Now here with physiotherapy treatment it will help to relax your soft tissue and knee inflammation. At the same time do take suggestion on how to reduce weight without doing weight-bearing exercises? One way is by cycling. Also take a complete exercise program on knee strengthening exercise and follow it. This will help you to recover fast after surgery. Follow this for some time and reduce your weight and strengthen your knee. I am sure with this your knee pain will also reduce as well for doctor also it will be easy to take a call on surgery. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is 44, height is 58, weight around 300. He just went to the dr and found out he has a low sperm count and the sperm is misshapen. We just lost our insurance so we cant go to a specialist right now. What should he do to help his count get better for now until we get insurance again? Also we are wondering why the sperm is misshapen? Thanks, Frances | Hello, The low sperm count is called oligospermia. The causes include varicocele, low FSH, LH, mumps orchids, chronic epididymorchitis etc. I suggest you investigate primarily with ultrasonography testis, CBC, serum testosterone, FSH and LH estimation for primary work up. You can revert with reports once done. Meanwhile, you can take hey Forte or Maxima L like amino acid and l carnitine containing tablet. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is 44, height is 58, weight around 300. He just went to the dr and found out he has a low sperm count and the sperm is misshapen. We just lost our insurance so we cant go to a specialist right now. What should he do to help his count get better for now until we get insurance again? Also we are wondering why the sperm is misshapen? Thanks, Frances"
},
{
"from": "gpt",
"value": "Output: Hello, The low sperm count is called oligospermia. The causes include varicocele, low FSH, LH, mumps orchids, chronic epididymorchitis etc. I suggest you investigate primarily with ultrasonography testis, CBC, serum testosterone, FSH and LH estimation for primary work up. You can revert with reports once done. Meanwhile, you can take hey Forte or Maxima L like amino acid and l carnitine containing tablet. 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 daughter had a fever 2 nights ago with a sore throat. The fever is gone but she says her neck is sore, has a headache but no more sore throat but has some flem in the back of her throat. Treating with tylenol n she has been putting ice on her neck. Anything else we should be doing or concerned about? | Hi, Thanks for the query. I have gone through your clinical history, and it is a common problem in pediatric age group. I see many similar cases in my clinical practice. She is most probably having pharyngitis(inflammation of throat), If a kid with similar symptom comes to my clinic I would prescribe simple analgesics like paracetamol or acetaminophen (Tylenol is a brand name of acetaminophen) for fever and pain. I would also start a short course of antibiotics like amoxicillin dose of which depend on weight of the child. Warm saline gargles could provide symptomatic relief. Since the antibiotic dose has to be calculated according to the weight of the child I suggest you to consult your family doctor. If you have any further queries feel free to contact. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter had a fever 2 nights ago with a sore throat. The fever is gone but she says her neck is sore, has a headache but no more sore throat but has some flem in the back of her throat. Treating with tylenol n she has been putting ice on her neck. Anything else we should be doing or concerned about?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for the query. I have gone through your clinical history, and it is a common problem in pediatric age group. I see many similar cases in my clinical practice. She is most probably having pharyngitis(inflammation of throat), If a kid with similar symptom comes to my clinic I would prescribe simple analgesics like paracetamol or acetaminophen (Tylenol is a brand name of acetaminophen) for fever and pain. I would also start a short course of antibiotics like amoxicillin dose of which depend on weight of the child. Warm saline gargles could provide symptomatic relief. Since the antibiotic dose has to be calculated according to the weight of the child I suggest you to consult your family doctor. If you have any further queries feel free to contact. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | what is hepatitis A? what are the symptoms?what is the treatment of hepatitis A infection ? | Hepatitis A is a virus which causes an infection of the liver | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what is hepatitis A? what are the symptoms?what is the treatment of hepatitis A infection ?"
},
{
"from": "gpt",
"value": "Output: Hepatitis A is a virus which causes an infection of the liver"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have had problems with my heart skipping a beat every now and then for about 4 months or so. I have had a few ECG s and an ultra sound and not mucChatDoctore up. I have now had a 48 hour ECG but I am waiting for the results to come back.I am 26 years old 6 foot 2 inches tall and weigh about 189 pounds. I do regular exercise (running about 15 miles a week). I noticed my heart was skipping a beat quite regularly 2 weeks ago so I decided to not do any exercise last week to see if it stopped and it did! I really don t want to stop exercising, my aim is to run a marathon. Is my heart skipping a beat potentially dangerous, should I stop running? | Hi, Skipped heart beat could be simply PCs (extra contraction from a normal heart) which can occur with exercise, or it could be some other arrhythmia. Let the holder report come & further course of action will depend on its report. Holder is done when you are not exercising. I will also recommend you to undergo a TMT that will report these skipped heart beats during exercise. You can follow up with me after the report. ThanksTake care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have had problems with my heart skipping a beat every now and then for about 4 months or so. I have had a few ECG s and an ultra sound and not mucChatDoctore up. I have now had a 48 hour ECG but I am waiting for the results to come back.I am 26 years old 6 foot 2 inches tall and weigh about 189 pounds. I do regular exercise (running about 15 miles a week). I noticed my heart was skipping a beat quite regularly 2 weeks ago so I decided to not do any exercise last week to see if it stopped and it did! I really don t want to stop exercising, my aim is to run a marathon. Is my heart skipping a beat potentially dangerous, should I stop running?"
},
{
"from": "gpt",
"value": "Output: Hi, Skipped heart beat could be simply PCs (extra contraction from a normal heart) which can occur with exercise, or it could be some other arrhythmia. Let the holder report come & further course of action will depend on its report. Holder is done when you are not exercising. I will also recommend you to undergo a TMT that will report these skipped heart beats during exercise. You can follow up with me after the report. ThanksTake care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | dear doctor , below is my semen analysis report COLUR | HelloThanks for query, Based on the report of your semen analysis that you have posted I would like to comment in details as below 1)The color, liquefaction time, reaction and fructose are within normal limits as compared to WHO standards 2)Sperm count is very low(Oligospermia) normal range being 35-50 millions /ml 3) Motility of sperm-Within normal accepted range 4) Morphology of sperm is within accepted range The presence of 3-4 pus cells suggests infection and needs to be treated with antibiotic like Doxycycline twice daily for 4-6 weeks. The (Oligospermia) sperm count can be increased by following general measures 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear doctor , below is my semen analysis report COLUR"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query, Based on the report of your semen analysis that you have posted I would like to comment in details as below 1)The color, liquefaction time, reaction and fructose are within normal limits as compared to WHO standards 2)Sperm count is very low(Oligospermia) normal range being 35-50 millions /ml 3) Motility of sperm-Within normal accepted range 4) Morphology of sperm is within accepted range The presence of 3-4 pus cells suggests infection and needs to be treated with antibiotic like Doxycycline twice daily for 4-6 weeks. The (Oligospermia) sperm count can be increased by following general measures 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am trying to treat my husband for low sperm count, motility and morphology. I have heard that low iron levels may cause problems here. I thought about buying him a multivitamin with iron added, but I want to be sure he needs it. Why dont multivitamins already have iron in them? | Hi welcome to Chat Doctor. I have gone through your question. Low sperm count, low motility and abnormal morphology should be investigated with color Doppler ultrasound of scrotum first, as varicocele is the major cause of low motility and low count. As far as multivitamin contains vitamin B complex is generally not having iron with in them. Multivitamins are nutritional supplements which provides only nutritional requirements, but don't help in cure the pathology if it's there. So I would advise consulting urologist. Hope I answered your question. Would be happy to help 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 am trying to treat my husband for low sperm count, motility and morphology. I have heard that low iron levels may cause problems here. I thought about buying him a multivitamin with iron added, but I want to be sure he needs it. Why dont multivitamins already have iron in them?"
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor. I have gone through your question. Low sperm count, low motility and abnormal morphology should be investigated with color Doppler ultrasound of scrotum first, as varicocele is the major cause of low motility and low count. As far as multivitamin contains vitamin B complex is generally not having iron with in them. Multivitamins are nutritional supplements which provides only nutritional requirements, but don't help in cure the pathology if it's there. So I would advise consulting urologist. Hope I answered your question. Would be happy to help you further. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My 12 year old son came home complaining about his testicals being sore. I have my own theories but want to make sure its natural. He plays Baseball and is a high driver so, I m a little concerned. Weeks ago he had what we refer to as poop cramps so we took him to the DR. we all thought it was cause by eating dairy. | Hello, The causes of testicular pain are | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, My 12 year old son came home complaining about his testicals being sore. I have my own theories but want to make sure its natural. He plays Baseball and is a high driver so, I m a little concerned. Weeks ago he had what we refer to as poop cramps so we took him to the DR. we all thought it was cause by eating dairy."
},
{
"from": "gpt",
"value": "Output: Hello, The causes of testicular pain are"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | a pyeloplasty of my left kidney was done about 16 yrs back now i am 53 yrs 5 months i was admittd to hospital on 1st april 2011 after having temp of 99 -99.5 degree since jan 2011 ,di agosed having uti routine urine had pus cells full field 7 culture sterile being given many antibiotics cipro, nitrofurantion group & many more since april 2011 .Also there is a pain on the left side at the outer side of the lower ribs .dtpa revealed kidneys are good with left kidney enlarged urologist says kidneys are functioning very good one of the Dr said may be it is chondritis/tumor as the Kidneys are much below .Drs are now giving me tuberclosis medicines ie--Rcinex 600, pza 750 chlorambutol pridoxine liv-50 &polybion .After about 1 0 days of this medicine urine routine pus cells were 10-12 & urine culture sterile. still i am having temp of 99degree B.P --122/88 Wt--56.6Ht- 4.6 feet today i am advised Bone Scan & CECT Urography please advise me | Hello and welcome to Chat Doctor. As a urologist, I can understand your anxiety. After an examination by Urologist, the proper test to do is a CENT. The creatinine level must be written. The urine is sterile. So no there's no UTI. Anti-t.b.treatment has been started empirically. Urine should've been sent for AFB culture. You may send the CENT and creatinine reports to me, for an expert opinion, as a direct question. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: a pyeloplasty of my left kidney was done about 16 yrs back now i am 53 yrs 5 months i was admittd to hospital on 1st april 2011 after having temp of 99 -99.5 degree since jan 2011 ,di agosed having uti routine urine had pus cells full field 7 culture sterile being given many antibiotics cipro, nitrofurantion group & many more since april 2011 .Also there is a pain on the left side at the outer side of the lower ribs .dtpa revealed kidneys are good with left kidney enlarged urologist says kidneys are functioning very good one of the Dr said may be it is chondritis/tumor as the Kidneys are much below .Drs are now giving me tuberclosis medicines ie--Rcinex 600, pza 750 chlorambutol pridoxine liv-50 &polybion .After about 1 0 days of this medicine urine routine pus cells were 10-12 & urine culture sterile. still i am having temp of 99degree B.P --122/88 Wt--56.6Ht- 4.6 feet today i am advised Bone Scan & CECT Urography please advise me"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. As a urologist, I can understand your anxiety. After an examination by Urologist, the proper test to do is a CENT. The creatinine level must be written. The urine is sterile. So no there's no UTI. Anti-t.b.treatment has been started empirically. Urine should've been sent for AFB culture. You may send the CENT and creatinine reports to me, for an expert opinion, as a direct question."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had hep c for 13 years. I now for a long time had an ache in my upper right abdomen , serious fatigue , don t ever sleep well or long, and for months on end, every day had loose stools . I ve never had jaundice , though. Could this be symptoms of something else such as gall bladder problems? Why the side pain and stools? I ve read that the liver problem wouldnt cause pain. This gnawing ache and daily diarreah is just terrible. Whath else could it be? I have also had small painful mouth ulcers in the past.I get hungry, but no fod seems good to me, and when I do eat, I can t seem to eat very much at all. | Dear batsman, You say you were diagnosed 13 years ago. Were you ever treated for this? There are highly effective treatments to clear the virus from your system and achieve \"Remission\" or cure of this condition, preventing complications from Help. C virus damage to the liver, such as liver coma or even cirrhosis(Scarred liver) or liver cancer. You do need to follow up with a digestive disease specialist or a liver specialist. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had hep c for 13 years. I now for a long time had an ache in my upper right abdomen , serious fatigue , don t ever sleep well or long, and for months on end, every day had loose stools . I ve never had jaundice , though. Could this be symptoms of something else such as gall bladder problems? Why the side pain and stools? I ve read that the liver problem wouldnt cause pain. This gnawing ache and daily diarreah is just terrible. Whath else could it be? I have also had small painful mouth ulcers in the past.I get hungry, but no fod seems good to me, and when I do eat, I can t seem to eat very much at all."
},
{
"from": "gpt",
"value": "Output: Dear batsman, You say you were diagnosed 13 years ago. Were you ever treated for this? There are highly effective treatments to clear the virus from your system and achieve \\\"Remission\\\" or cure of this condition, preventing complications from Help. C virus damage to the liver, such as liver coma or even cirrhosis(Scarred liver) or liver cancer. You do need to follow up with a digestive disease specialist or a liver specialist. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My baby was fair when she was born ...but day by day her skin become darker and darker... what should I do ...so that she get back her fair complexion. And other thing is happening with her is that she has green marks in her hips, back , hands, legs.....is it normal. | Hi...the green marks you quote on her hips, back, hands, legs are called Mongolian spots, and they will eventually disappear - do not worry. Regarding complexion too - it is normal for all the babies to be pink and fair skinned when born and gradually the genetic component takes over, and the baby will attain the complexion of her parents. There is no way a genetic skin complexion can be modified with Chat Doctor. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My baby was fair when she was born ...but day by day her skin become darker and darker... what should I do ...so that she get back her fair complexion. And other thing is happening with her is that she has green marks in her hips, back , hands, legs.....is it normal."
},
{
"from": "gpt",
"value": "Output: Hi...the green marks you quote on her hips, back, hands, legs are called Mongolian spots, and they will eventually disappear - do not worry. Regarding complexion too - it is normal for all the babies to be pink and fair skinned when born and gradually the genetic component takes over, and the baby will attain the complexion of her parents. There is no way a genetic skin complexion can be modified with Chat Doctor. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I donat blood and after that make all tests required and the result apaer reactive anti HBCII after that make other test anti HBS result is more than 1000 , my question what does mean that and I am not took any vaccines to protect from hepatitis , Is that mean I infected ? Pleas help me ? I am scared | Hi thanks for contacting Chat Doctor. You have protected antibody formation against hepatitis b. So yes you are infected with hepatitis b.... What is your liver enzymes report ??? Let me know you infection can occur through unprotected sex, contaminated syringe and needle, via blood sharing object with infected person etc.... Just now take rest with low fat diet. Fried food less. Take one tsp licorice with honey. Avoid alcohol. Fruit more like papaya.... Your report again done after six months for Bag detection via ELISA to rule out chronic case or carrier.... Hope your concern solved d. 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 donat blood and after that make all tests required and the result apaer reactive anti HBCII after that make other test anti HBS result is more than 1000 , my question what does mean that and I am not took any vaccines to protect from hepatitis , Is that mean I infected ? Pleas help me ? I am scared"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor. You have protected antibody formation against hepatitis b. So yes you are infected with hepatitis b.... What is your liver enzymes report ??? Let me know you infection can occur through unprotected sex, contaminated syringe and needle, via blood sharing object with infected person etc.... Just now take rest with low fat diet. Fried food less. Take one tsp licorice with honey. Avoid alcohol. Fruit more like papaya.... Your report again done after six months for Bag detection via ELISA to rule out chronic case or carrier.... Hope your concern solved d. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have woke up and my right arm is feeling heavy and weird. i have a strange feeling hard to describe in my shoulder, not pain but not pleasent. i also have the same pain near my spine under my right shoulder blade. Its quite warm, and I am stressed out over work related issues. please help. | Hi, Firstly, Sorry to hear about your condition. Coming to the history, I feel this is due to tightened trapezius muscle. This is a common condition in most people due to weakness of the muscle and this may lead to painful symptoms. This condition to be provisionally diagnosed as Trapeziums. It means inflammation of the trapezius muscle. Using hot water bag over the region and strengthening the neck and trapezius muscle should be of help. Many things this is a major condition but in my practice I feel one can get rid of symptoms if assessed properly and guided properly. Rest assured, performing regular exercise for the mentioned group of muscles you should be fine in 2-3 weeks of time maximum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have woke up and my right arm is feeling heavy and weird. i have a strange feeling hard to describe in my shoulder, not pain but not pleasent. i also have the same pain near my spine under my right shoulder blade. Its quite warm, and I am stressed out over work related issues. please help."
},
{
"from": "gpt",
"value": "Output: Hi, Firstly, Sorry to hear about your condition. Coming to the history, I feel this is due to tightened trapezius muscle. This is a common condition in most people due to weakness of the muscle and this may lead to painful symptoms. This condition to be provisionally diagnosed as Trapeziums. It means inflammation of the trapezius muscle. Using hot water bag over the region and strengthening the neck and trapezius muscle should be of help. Many things this is a major condition but in my practice I feel one can get rid of symptoms if assessed properly and guided properly. Rest assured, performing regular exercise for the mentioned group of muscles you should be fine in 2-3 weeks of time maximum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I;m going through spells of depression a few times a week and then it seems as though Im full of energy. Im sleeping a lot some days; then other days it seems as if I cant sleep at all and on those days Im full of energy and the lack of sleep does not affect my work performance. I cant concentrate, my thoughts race though my mind. My wanting of sex has increased. I have lost interest of the things I have once enjoyed, most of the time I just want to be left alone with my thoughts. Im afraid of talking to someone about this. | His understand your concern. Frequent episodes of depression need evaluation for different mood features. Mood reactivity need to evaluate properly. Frequent episode sometime may indicate bipolar disorder. So consult psychiatrist. After proper evaluation we are able to do proper treatment. It can be treated with SSRI and mood stabilizer. So consult and get help. Still if you 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: I;m going through spells of depression a few times a week and then it seems as though Im full of energy. Im sleeping a lot some days; then other days it seems as if I cant sleep at all and on those days Im full of energy and the lack of sleep does not affect my work performance. I cant concentrate, my thoughts race though my mind. My wanting of sex has increased. I have lost interest of the things I have once enjoyed, most of the time I just want to be left alone with my thoughts. Im afraid of talking to someone about this."
},
{
"from": "gpt",
"value": "Output: His understand your concern. Frequent episodes of depression need evaluation for different mood features. Mood reactivity need to evaluate properly. Frequent episode sometime may indicate bipolar disorder. So consult psychiatrist. After proper evaluation we are able to do proper treatment. It can be treated with SSRI and mood stabilizer. So consult and get help. Still if you 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. | I m a 22 year old male who weighs 160 pounds and I m 5 7. I ve been feeling dizzy and nauseous all day as well as going in and out of consciousness like blacking out, I had my blood pressure taken TWICE and both readings came at 152/92 is that serious and should I seek medical treatment? Or just lay down and drink some water? | Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is high. You have blacking out and loss of consciousness. You should consult the doctor urgently. Furthermore, you may have transient ischemic attack or some other pathology. Furthermore, you need antihypertensive medication. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m a 22 year old male who weighs 160 pounds and I m 5 7. I ve been feeling dizzy and nauseous all day as well as going in and out of consciousness like blacking out, I had my blood pressure taken TWICE and both readings came at 152/92 is that serious and should I seek medical treatment? Or just lay down and drink some water?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is high. You have blacking out and loss of consciousness. You should consult the doctor urgently. Furthermore, you may have transient ischemic attack or some other pathology. Furthermore, you need antihypertensive medication. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my baby is just 6 months 8 days, she is exclusively breastfed. From last Friday, she has been suffering from greenish stool for 3 to 4 times/ day. On Saturday, synflorix (3rd), rotateq (3rd) and OPV were administered.From Sunday morning onwards, she is on Enterogermina (2 amp daily dose). No improvement till date.What to do? | Hi...an exclusive breastfed baby having green stools is perfectly common and normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use Probiotics like Enterogermina. It is not about improvement as this is going to settle spontaneously buy itself in few days. It is unlikely to be related to vaccinations. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my baby is just 6 months 8 days, she is exclusively breastfed. From last Friday, she has been suffering from greenish stool for 3 to 4 times/ day. On Saturday, synflorix (3rd), rotateq (3rd) and OPV were administered.From Sunday morning onwards, she is on Enterogermina (2 amp daily dose). No improvement till date.What to do?"
},
{
"from": "gpt",
"value": "Output: Hi...an exclusive breastfed baby having green stools is perfectly common and normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use Probiotics like Enterogermina. It is not about improvement as this is going to settle spontaneously buy itself in few days. It is unlikely to be related to vaccinations. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | why do doctors do ex rays or ct scan for one thing and discover a dark spot on the kidney by accident and say dont worry its nothing and 2 years of bleeding pain pullups and other stuff then just to discover that when the patient questioned the doctor before was ignored and now diagnose with kidney cancer which could have been cured 2 years earlier tell me that answer hey why doctors play god and think were all dumb and how dare we question you guys. you may of went to school for this but does not mean you know everything.For example fen fen was a diuretic used for obese people but it took 50 years for doctors to fess up it destroyed hart vales why is that hey why you may think this may not be for you to answer but this applies to all doctors for all things also the cure for cancer if cancer is in all of us and some get it others dont its not an off switch its whats missing in the body it is like the game kerplunk pull too many sticks out it all falls apart leave them all in nothing happens . Its an enzyme people loose radiation and chemotherapy talk about old school do a study on what each cancer patient is missing sometimes it does not have to do anything it just has to be their to keep the rest in place . Yes call me crazy I do not care but long long time ago people believe a simple thing as a doctors washing their hands before surgery was a waste of time so I pose to you and your fellow doctors look for the block support of the body if we all carry cancer then our own bodies have the cure sometimes its so simple it is actually looking at you but every one cannot believe it because it goes against whats taught ---Good thing BEES do not believe in the Laws of physics or they would not fly amazing a big body tinny wings yet it defies all the laws of gravity physics etc imagine if doctors would think in the same path way I wonder you should too all good hiding places are in front of you too see yet blinded by the simplicity of it | Hi, Thanks for writing in. At times, features of a disease on an X-ray and CT scan is not characteristic and obvious to the eyes years before it manifests in to a disease that could be hurting. I guess unfortunately such an incident has occurred with you. The dark spot which you questioned was probably looking more normal and acceptable on the X-ray and CT scan earlier. Many doctors choose to follow up such findings and this is subjective. Therefore, any such normal findings might be passed as harmless. The patient is usually cautioned to follow up with the doctor. Many medicines are initially discovered for treatment on one disease condition and are later found to help in other conditions. There are clinical trials at multiple levels before a medicine for cancer might be implemented for regular use in patients. The topic about scrubbing before surgery is a time tested practice and confirmed to reduce chances of infection. There are many arguments in medicine and most are sorted out with research and evidence based medicine followed in modern day. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: why do doctors do ex rays or ct scan for one thing and discover a dark spot on the kidney by accident and say dont worry its nothing and 2 years of bleeding pain pullups and other stuff then just to discover that when the patient questioned the doctor before was ignored and now diagnose with kidney cancer which could have been cured 2 years earlier tell me that answer hey why doctors play god and think were all dumb and how dare we question you guys. you may of went to school for this but does not mean you know everything.For example fen fen was a diuretic used for obese people but it took 50 years for doctors to fess up it destroyed hart vales why is that hey why you may think this may not be for you to answer but this applies to all doctors for all things also the cure for cancer if cancer is in all of us and some get it others dont its not an off switch its whats missing in the body it is like the game kerplunk pull too many sticks out it all falls apart leave them all in nothing happens . Its an enzyme people loose radiation and chemotherapy talk about old school do a study on what each cancer patient is missing sometimes it does not have to do anything it just has to be their to keep the rest in place . Yes call me crazy I do not care but long long time ago people believe a simple thing as a doctors washing their hands before surgery was a waste of time so I pose to you and your fellow doctors look for the block support of the body if we all carry cancer then our own bodies have the cure sometimes its so simple it is actually looking at you but every one cannot believe it because it goes against whats taught ---Good thing BEES do not believe in the Laws of physics or they would not fly amazing a big body tinny wings yet it defies all the laws of gravity physics etc imagine if doctors would think in the same path way I wonder you should too all good hiding places are in front of you too see yet blinded by the simplicity of it"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. At times, features of a disease on an X-ray and CT scan is not characteristic and obvious to the eyes years before it manifests in to a disease that could be hurting. I guess unfortunately such an incident has occurred with you. The dark spot which you questioned was probably looking more normal and acceptable on the X-ray and CT scan earlier. Many doctors choose to follow up such findings and this is subjective. Therefore, any such normal findings might be passed as harmless. The patient is usually cautioned to follow up with the doctor. Many medicines are initially discovered for treatment on one disease condition and are later found to help in other conditions. There are clinical trials at multiple levels before a medicine for cancer might be implemented for regular use in patients. The topic about scrubbing before surgery is a time tested practice and confirmed to reduce chances of infection. There are many arguments in medicine and most are sorted out with research and evidence based medicine followed in modern day. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband was receiving chemo once a week for lung, liver cancer. Since the liver tumors have shrunk he was given some time off from chemo. However, he has not had any chemo now for about 4 weeks and is experiencing extreme fatigue, no energy, loss of appetite. Is this what happens? Please advise | Hi.yes. Those symptoms are most common post-chemotherapy. Your husbands immune system and physiologic state will eventually come back. It is best if you advise him to continue eating regularly despite his loss of appetite since his body will need nutrients. If available, you could consult with a clinical nutritionist to help/guide you with his daily diet/oral intake to meet his daily caloric needs. Hope this helps. Good day!!~ Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband was receiving chemo once a week for lung, liver cancer. Since the liver tumors have shrunk he was given some time off from chemo. However, he has not had any chemo now for about 4 weeks and is experiencing extreme fatigue, no energy, loss of appetite. Is this what happens? Please advise"
},
{
"from": "gpt",
"value": "Output: Hi.yes. Those symptoms are most common post-chemotherapy. Your husbands immune system and physiologic state will eventually come back. It is best if you advise him to continue eating regularly despite his loss of appetite since his body will need nutrients. If available, you could consult with a clinical nutritionist to help/guide you with his daily diet/oral intake to meet his daily caloric needs. Hope this helps. Good day!!~ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother aged 59 was diagnosed with Sarcoidosis at GB Pant hospital. The reports showed | Hi.as your concern your mother has ACIDOSIS. DOTS treatment had produced side effect on LIVER FUNCTION. Your doctor had changed the therapy regime to avoid toxicity of DOTS regime. Its only 7 days so better to have LIVER FUNCTION TEST after 10 -15 day.to see if present side effect is of changed regime or earlier one. Keep repeated LIVER FUNCTION TEST every 15 -20 days to see proper function of liver. And for gastric problems take medicine with milk or food. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother aged 59 was diagnosed with Sarcoidosis at GB Pant hospital. The reports showed"
},
{
"from": "gpt",
"value": "Output: Hi.as your concern your mother has ACIDOSIS. DOTS treatment had produced side effect on LIVER FUNCTION. Your doctor had changed the therapy regime to avoid toxicity of DOTS regime. Its only 7 days so better to have LIVER FUNCTION TEST after 10 -15 day.to see if present side effect is of changed regime or earlier one. Keep repeated LIVER FUNCTION TEST every 15 -20 days to see proper function of liver. And for gastric problems take medicine with milk or food."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have cirrhosis of the liver. three days ago my stool was accompanied by lots of blood which was very red and clear. Yesterday this bleeding stopped but now it has been bleeding again today. I have bowel movements at least 3 times a day sometimes more so it makes for quite a bit of blood lost. I am thinking this bleed is coming from burst hemoroids and small veins in that area but i am still concerned with the loss of blood as my cirrhosis is a level 4. | Thanks for posting your query on Chat Doctor! I can understand your problem. Blood in the stool (bleeding per rectum) occurs in patients with cirrhosis of liver due to abnormally dilated veins beneath the lining of food pipe and also in the lower part of rectum. This is due to increase pressure in the blood circulation (portal circulation) which involves the Chat Doctor. Bright red blood in the stool is highly suggestive of rupture of such abnormally dilated veins resulting in the bleeding which can cause anemia. You are advised to consult your doctor for proper assessment and treatment. Wishing you a good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have cirrhosis of the liver. three days ago my stool was accompanied by lots of blood which was very red and clear. Yesterday this bleeding stopped but now it has been bleeding again today. I have bowel movements at least 3 times a day sometimes more so it makes for quite a bit of blood lost. I am thinking this bleed is coming from burst hemoroids and small veins in that area but i am still concerned with the loss of blood as my cirrhosis is a level 4."
},
{
"from": "gpt",
"value": "Output: Thanks for posting your query on Chat Doctor! I can understand your problem. Blood in the stool (bleeding per rectum) occurs in patients with cirrhosis of liver due to abnormally dilated veins beneath the lining of food pipe and also in the lower part of rectum. This is due to increase pressure in the blood circulation (portal circulation) which involves the Chat Doctor. Bright red blood in the stool is highly suggestive of rupture of such abnormally dilated veins resulting in the bleeding which can cause anemia. You are advised to consult your doctor for proper assessment and treatment. Wishing you a good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father-in-law was recently diagnosed with dementia. I believe he is 75 years old. His father had alzheimers disease. My question is simply does someone start out with the diagnosis of dementia and then it possibly turn into alzheimers. I know that alzheimers is one of the most common forms of dementia. Just curious. | Hello, As you know, Alzheimer's is the most common form of dementia, but there is no definite test to diagnose Alzheimer. It is diagnosed on postmortem study. There is no definitive curable treatment for dementia. All medication helps in reducing the progression of disease. So doctor diagnosing dementia or Alzheimer's treatment will be same. 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 father-in-law was recently diagnosed with dementia. I believe he is 75 years old. His father had alzheimers disease. My question is simply does someone start out with the diagnosis of dementia and then it possibly turn into alzheimers. I know that alzheimers is one of the most common forms of dementia. Just curious."
},
{
"from": "gpt",
"value": "Output: Hello, As you know, Alzheimer's is the most common form of dementia, but there is no definite test to diagnose Alzheimer. It is diagnosed on postmortem study. There is no definitive curable treatment for dementia. All medication helps in reducing the progression of disease. So doctor diagnosing dementia or Alzheimer's treatment will be same. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have hives all over body that itch, upon hives i get runs, then break out in sweats and have severe stomach pain. after sweats i get chills. I sometimes vomit when this happens. had ultrasound of abdomen and ct of kidneys along with blood work last week. results only showed a fatty liver. what could cause this? colonoscopy is scheduled for Tuesday May 1 st. | Hi, Fatty liver is not usually related to hives. I request you to consult your Physician for managing your fatty liver. Coming to hives, management of hives is mainly by identifying and avoiding the causative agent. As sweating leads to your hives, you can use Clotrimazole dusting powder and Calamine lotion for preventing sweating. Also, you must take an antihistamine tablet for a week. If you do not get any improvement in a week, you should consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have hives all over body that itch, upon hives i get runs, then break out in sweats and have severe stomach pain. after sweats i get chills. I sometimes vomit when this happens. had ultrasound of abdomen and ct of kidneys along with blood work last week. results only showed a fatty liver. what could cause this? colonoscopy is scheduled for Tuesday May 1 st."
},
{
"from": "gpt",
"value": "Output: Hi, Fatty liver is not usually related to hives. I request you to consult your Physician for managing your fatty liver. Coming to hives, management of hives is mainly by identifying and avoiding the causative agent. As sweating leads to your hives, you can use Clotrimazole dusting powder and Calamine lotion for preventing sweating. Also, you must take an antihistamine tablet for a week. If you do not get any improvement in a week, you should consult your Dermatologist for further management. 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. | Fro Charlotte - My husband has the problem of a feeling of swelling of the head accompanied with dizziness and nausea. We have been to see our heart doctor and an ENT but both of the doctors felt his condition was not something that they could diagnose. | Hi thereby your question I am assuming that he feels there is a swelling of head while there actually is no real swelling of head this is associated with vertigo and nausea this may actually be a PCA infarct would suggest you get a MRI brain with Mr angiography as soon as possible please note my judgement is limited by the information you provided have no idea about his age, habits, prior medical issues and medicines best of luck | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Fro Charlotte - My husband has the problem of a feeling of swelling of the head accompanied with dizziness and nausea. We have been to see our heart doctor and an ENT but both of the doctors felt his condition was not something that they could diagnose."
},
{
"from": "gpt",
"value": "Output: Hi thereby your question I am assuming that he feels there is a swelling of head while there actually is no real swelling of head this is associated with vertigo and nausea this may actually be a PCA infarct would suggest you get a MRI brain with Mr angiography as soon as possible please note my judgement is limited by the information you provided have no idea about his age, habits, prior medical issues and medicines best of luck"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter (26) is just shy of being 6 months pregnant....she is experiencing kidney stone issues. Within the last 72 hours she ended up having a stent put in and they plan to leave it there until after the baby is born. She is on the antibiotic Macrobid and I was helping her look up information on this medication. She experienced an unusual discharge (vaginal) this morning - no pain, no blood...no cramps etc. Just a discharge she hasn t seen before and she called me to ask if I thought that was normal. (She is at work) so I looked it up and see that it is possible to have a vaginal discharge while taking macrobid. Question is - without pain, blood, cramps or anything - should she call her OB about the discharge or since she is taking the medication Macrobid and it says vaginal discharge is possible.....should she just see if she continues with this discharge. I also noticed it said not to take this medication while nursing and not to take it during the last 2-4 weeks of pregnancy. THAT bothers me - why is it safe for the baby NOW but not in the last few weeks of pregnancy?? Thanks | Hi there,Macro bid or nitrofurantoin is the recommended antibiotic for Urinary tract infections in pregnancy except after 38 weeks as it can cause a rare type of blood disorder called hemolytic anemia in the baby. It is safe in the remainder of pregnancy and is Category B (that is proven to be not harmful). It is recreated in breast milk which is why it's not prescribed to breastfeeding mothers. If she has discharge she should get examined by an obstetrician as vaginal infection can occur in pregnancy and these need to be treated promptly to avoid preterm delivery. 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: My daughter (26) is just shy of being 6 months pregnant....she is experiencing kidney stone issues. Within the last 72 hours she ended up having a stent put in and they plan to leave it there until after the baby is born. She is on the antibiotic Macrobid and I was helping her look up information on this medication. She experienced an unusual discharge (vaginal) this morning - no pain, no blood...no cramps etc. Just a discharge she hasn t seen before and she called me to ask if I thought that was normal. (She is at work) so I looked it up and see that it is possible to have a vaginal discharge while taking macrobid. Question is - without pain, blood, cramps or anything - should she call her OB about the discharge or since she is taking the medication Macrobid and it says vaginal discharge is possible.....should she just see if she continues with this discharge. I also noticed it said not to take this medication while nursing and not to take it during the last 2-4 weeks of pregnancy. THAT bothers me - why is it safe for the baby NOW but not in the last few weeks of pregnancy?? Thanks"
},
{
"from": "gpt",
"value": "Output: Hi there,Macro bid or nitrofurantoin is the recommended antibiotic for Urinary tract infections in pregnancy except after 38 weeks as it can cause a rare type of blood disorder called hemolytic anemia in the baby. It is safe in the remainder of pregnancy and is Category B (that is proven to be not harmful). It is recreated in breast milk which is why it's not prescribed to breastfeeding mothers. If she has discharge she should get examined by an obstetrician as vaginal infection can occur in pregnancy and these need to be treated promptly to avoid preterm delivery. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi.i am from delhi and my name is anshu. i have a dark complexion n have heard about this cream named meladerm.i dont trust this but i want to try this also.where can i get this cream in delhi and does it actually works? can i get a lighter complexion by appying this cream? | Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. Avoid MESODERM or any similar product as it contains ingredients which can actually damage your skin. I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi.i am from delhi and my name is anshu. i have a dark complexion n have heard about this cream named meladerm.i dont trust this but i want to try this also.where can i get this cream in delhi and does it actually works? can i get a lighter complexion by appying this cream?"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. Avoid MESODERM or any similar product as it contains ingredients which can actually damage your skin. I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Got a little cold this morning and placed a towel over the chest area and got warm, but realized the estimated 3 below the trach. and 2 left was a bit sore. The nickel size is right on the bone line of the collar bone. Right side is normal, flat and not puffed under skin. I do have sinus drainage and mild cough. Is this something to be concerned about? | Thanks for your question on Chat Doctor. I can understand your concern. If I understand you correctly you are talking about enlarged nodes in your neck with discharging sinus. If I am right it is a cause of concern and will require detailed evaluation and investigations for the same. Kindly consult your doctor at the earliest for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Got a little cold this morning and placed a towel over the chest area and got warm, but realized the estimated 3 below the trach. and 2 left was a bit sore. The nickel size is right on the bone line of the collar bone. Right side is normal, flat and not puffed under skin. I do have sinus drainage and mild cough. Is this something to be concerned about?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. If I understand you correctly you are talking about enlarged nodes in your neck with discharging sinus. If I am right it is a cause of concern and will require detailed evaluation and investigations for the same. Kindly consult your doctor at the earliest for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My granddaughter 10 years old on an island in the Irish sea is now getting pains on her chest and her left arm is getting very cold. At one time it was turning blue. As the arm was heated the blue went away. The current temperature there is now about 2 degree. Is it a heart attack or just the cold. | Hello dear, thanks for your question on Chat Doctor. I can understand your granddaughters situation and problem. Your granddaughter was having cyanosis (bluish discoloration of skin) in hands. And this can be seen in congenital heart disease and exposure to freezing. So better to rule out cardiac disease first. Consult cardiologist and get done1. Ecg2. 2d photo rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. Exposure to freezing can be the cause. So better to give her warm gloves in cold weather. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My granddaughter 10 years old on an island in the Irish sea is now getting pains on her chest and her left arm is getting very cold. At one time it was turning blue. As the arm was heated the blue went away. The current temperature there is now about 2 degree. Is it a heart attack or just the cold."
},
{
"from": "gpt",
"value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your granddaughters situation and problem. Your granddaughter was having cyanosis (bluish discoloration of skin) in hands. And this can be seen in congenital heart disease and exposure to freezing. So better to rule out cardiac disease first. Consult cardiologist and get done1. Ecg2. 2d photo rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. Exposure to freezing can be the cause. So better to give her warm gloves in cold weather."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I m isdro. I have a female friend her mouth its twist to the left side Her chick muscle didn t work she feels litle bid and she don t Have any problems to talk or to eat but her mouth its not Straight so she s don t know what kind of clinic or doctor to look for to ask what surgery or medicine needs to take | Hi, If it is present since birth then it's just a normal variation of the anatomy and nothing needs to be done apart for cosmetics purpose. If it is acquired later in life and is associated with other complications, it is then suggestive of facial nerve paralysis. Whatever is the cause you need a plastic surgeon to look after them. Take care. 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 I m isdro. I have a female friend her mouth its twist to the left side Her chick muscle didn t work she feels litle bid and she don t Have any problems to talk or to eat but her mouth its not Straight so she s don t know what kind of clinic or doctor to look for to ask what surgery or medicine needs to take"
},
{
"from": "gpt",
"value": "Output: Hi, If it is present since birth then it's just a normal variation of the anatomy and nothing needs to be done apart for cosmetics purpose. If it is acquired later in life and is associated with other complications, it is then suggestive of facial nerve paralysis. Whatever is the cause you need a plastic surgeon to look after them. Take care. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m an 18 year old girl and have had back problems for maybe 3 years. Went to doctor to get an X-Ray and they couldn t find anything. Sometimes it hurts on my lower back, sometimes upper, and sometimes all over. It hurts when I lay down, sit down, and stand up for maybe 45 minutes. Please tell me what it could be?? | Hello and welcome to Chat Doctor, Lower backache has to be investigated with appropriate investigations. MRI of the spine is the investigation wherein the soft tissue surrounding the spine are visualized. Soft tissue lesions are more commonly responsible for chronic backache. Treatment can be instituted after relevant investigations. Physiotherapy will also help to relieve the pain. I suggest you to consult an orthopedic for further management. 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: I m an 18 year old girl and have had back problems for maybe 3 years. Went to doctor to get an X-Ray and they couldn t find anything. Sometimes it hurts on my lower back, sometimes upper, and sometimes all over. It hurts when I lay down, sit down, and stand up for maybe 45 minutes. Please tell me what it could be??"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, Lower backache has to be investigated with appropriate investigations. MRI of the spine is the investigation wherein the soft tissue surrounding the spine are visualized. Soft tissue lesions are more commonly responsible for chronic backache. Treatment can be instituted after relevant investigations. Physiotherapy will also help to relieve the pain. I suggest you to consult an orthopedic for further management. Thanks and take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has had 3 attacks of vertigo this week. They all came early in the morning while in bed. This morning it was 3 | Hi, Thank you for posting your query. Vertigo is not caused by stress, the common causes are related to ear or brain dysfunction. Severe cervical spondylosis can also cause it.First, get him evaluated by a neurologist, to look for any abnormal findings on neurological examination. Then, an MRI of brain may be ordered if any abnormalities are found to rule out brain ischemia (lack of blood flow to brain). Secondly, your husband would require an ENT evaluation to exclude BPPV-benign paroxysmal positional vertigo, which is the commonest cause of recurrent vertigo. There is no need to worry, as all these are well treatable with medications. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has had 3 attacks of vertigo this week. They all came early in the morning while in bed. This morning it was 3"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. Vertigo is not caused by stress, the common causes are related to ear or brain dysfunction. Severe cervical spondylosis can also cause it.First, get him evaluated by a neurologist, to look for any abnormal findings on neurological examination. Then, an MRI of brain may be ordered if any abnormalities are found to rule out brain ischemia (lack of blood flow to brain). Secondly, your husband would require an ENT evaluation to exclude BPPV-benign paroxysmal positional vertigo, which is the commonest cause of recurrent vertigo. There is no need to worry, as all these are well treatable with medications. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello! I have been experiencing episodes of rapid sneezing, then followed by a period of time where I have an uncontrollable runny nose. I suspect they are being triggered by a rapid rise in temperature, as the symptoms occur after I exercise and after I take a hot shower. This has been happening for about 2 weeks. What could this be; a heat allergy, or something else? | Hi, Thanks for using Chat Doctor. Your symptoms look like vasomotor rhinitis that is usually triggered by change in temperature. The treatment for this ID avoiding sudden change in temperature. For the time being for symptomatic relief you can take antihistamine tablet like loratadine twice daily. This will help you. Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out. Wish you good health. Take care. 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 been experiencing episodes of rapid sneezing, then followed by a period of time where I have an uncontrollable runny nose. I suspect they are being triggered by a rapid rise in temperature, as the symptoms occur after I exercise and after I take a hot shower. This has been happening for about 2 weeks. What could this be; a heat allergy, or something else?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for using Chat Doctor. Your symptoms look like vasomotor rhinitis that is usually triggered by change in temperature. The treatment for this ID avoiding sudden change in temperature. For the time being for symptomatic relief you can take antihistamine tablet like loratadine twice daily. This will help you. Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out. Wish you good health. Take care. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a spermatocele which has grown to about double the size of a norman testical. It is not painful, but does make me aware through exercise, pants, etc, that \" something \" is down there. I have been informed that surgury is not reccommended at this time. Are there any homeopathic or herbal remedies that you can suggest? | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Spermatocele- which is a Cystic Swelling of the Va's difference Chat Doctor. Remedy-You should take Consults from Urologist and should take second Opinion from Surgeon, before thinking of any other path medicines. This is because, Surgical Treatment at the experts hands is the only permanent treatment for Spermatocyte. Treatment with Antibiotic cover+NSAIDs +Choral Forte-x 10- days would be needed before panning surgical Excision of the Spermatocyte. Herbal and HomeopatChatDoctoredicines may give you temporary relief in pain, but permanent regression is achieved by a Planned Surgery Only. So rethink about your confused decision and act fast for needful treatment from expert doctors. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a spermatocele which has grown to about double the size of a norman testical. It is not painful, but does make me aware through exercise, pants, etc, that \\\" something \\\" is down there. I have been informed that surgury is not reccommended at this time. Are there any homeopathic or herbal remedies that you can suggest?"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Spermatocele- which is a Cystic Swelling of the Va's difference Chat Doctor. Remedy-You should take Consults from Urologist and should take second Opinion from Surgeon, before thinking of any other path medicines. This is because, Surgical Treatment at the experts hands is the only permanent treatment for Spermatocyte. Treatment with Antibiotic cover+NSAIDs +Choral Forte-x 10- days would be needed before panning surgical Excision of the Spermatocyte. Herbal and HomeopatChatDoctoredicines may give you temporary relief in pain, but permanent regression is achieved by a Planned Surgery Only. So rethink about your confused decision and act fast for needful treatment from expert doctors. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife has endemetrial cancer stage 4 has had radical surgery and has had numerous chemo therapies,her liver is involved and she has a very distended stomach resembling a pregnancy in 8th month, bowel distress, alternating from constipation to diarrhea, Fecal discharge usually mucous or watery with no control. Any help available or in sjght, she sees an oncologist regularly but no symptom relief | Hi, Thanks for writing in. It is possible that she might have developed complications arising from endometrial cancer. The abdominal distension is possibly due to fluid accumulation and this is appearing bloated abdomen. She might also have developed bowel infection which is causing alternating diarrhea and constipation. You might try and give her more high protein foods with fiber content. This will increase the stool consistency and harden the stool. Liver involvement is a cause of concern and this is also to be treated with chemotherapy. Pain relief is important and adequate pain management. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife has endemetrial cancer stage 4 has had radical surgery and has had numerous chemo therapies,her liver is involved and she has a very distended stomach resembling a pregnancy in 8th month, bowel distress, alternating from constipation to diarrhea, Fecal discharge usually mucous or watery with no control. Any help available or in sjght, she sees an oncologist regularly but no symptom relief"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. It is possible that she might have developed complications arising from endometrial cancer. The abdominal distension is possibly due to fluid accumulation and this is appearing bloated abdomen. She might also have developed bowel infection which is causing alternating diarrhea and constipation. You might try and give her more high protein foods with fiber content. This will increase the stool consistency and harden the stool. Liver involvement is a cause of concern and this is also to be treated with chemotherapy. Pain relief is important and adequate pain management. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | For the last two years I have been suffering from a pain at my testis. not regularly by repeatedly. After that I am suffering a sexual disability...like my penis is stern as before. Earlier, at morning time it was very firm but now a days it is not happening. can u tell me why it is happening....I am 30 unmarried... | Degree understand your concerns went through your details. I am surprised, you are having this testicle pain for the last two years, and you did not consult a physician for treatment? I advise you to do so as early as possible. Furthermore, I suspect your erectile dysfunction is due to psychological reasons. But you should confirm there is no physical or organic reasons. Please consult a physician. 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: For the last two years I have been suffering from a pain at my testis. not regularly by repeatedly. After that I am suffering a sexual disability...like my penis is stern as before. Earlier, at morning time it was very firm but now a days it is not happening. can u tell me why it is happening....I am 30 unmarried..."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I am surprised, you are having this testicle pain for the last two years, and you did not consult a physician for treatment? I advise you to do so as early as possible. Furthermore, I suspect your erectile dysfunction is due to psychological reasons. But you should confirm there is no physical or organic reasons. Please consult a physician. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have this empty feeling in my stomach even after eating and I dont feel hungry though its just a hollow feeling and I also have shortness of breath sometimes and occasional sharp pains that will happen. I recently became began I dont know if that means anything... | Thanks for your question on Chat Doctor. I can understand your concern. You are having stomach problem with shortness of breath. So possibility of HERD (gastroesophageal reflux disease) induced bronchitis is more. HERD is known risk factor for bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). For stomach problem, take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have this empty feeling in my stomach even after eating and I dont feel hungry though its just a hollow feeling and I also have shortness of breath sometimes and occasional sharp pains that will happen. I recently became began I dont know if that means anything..."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having stomach problem with shortness of breath. So possibility of HERD (gastroesophageal reflux disease) induced bronchitis is more. HERD is known risk factor for bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). For stomach problem, take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have been experiencing some dizziness the last couple of days...not spinning, just feeling unstable on the feet, sometimes I feel like I step onto an uneven ground and kind of wobble a little...occasionally, I also feel sudden tingling/numb in the lower back of the head...the dizziness can last for hours but mostly when I am standing up and walking around...I was at the emergency room twice with some signs of heart attack (chest pain) but all test came back normal except with some imaging from stress test that indicated a potential insufficient blood to the heart...(very mild case and may not been conclusive according to my cardiologist)..heart CT scan is scheduled. I am otherwise very healthy with a little of thyroid issue and no family history of heart issue...I have continued with my exercise routine (cardio and strength training) and have not created any problems....Could I possibly had a mini stroke that they did not get picked up on?? I will need to travel (fly) for work and I am a little concern....thanks | Hello dear, The symptoms as mentioned in your post need to be evaluated in details before certifying you as fit for flying. The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have been experiencing some dizziness the last couple of days...not spinning, just feeling unstable on the feet, sometimes I feel like I step onto an uneven ground and kind of wobble a little...occasionally, I also feel sudden tingling/numb in the lower back of the head...the dizziness can last for hours but mostly when I am standing up and walking around...I was at the emergency room twice with some signs of heart attack (chest pain) but all test came back normal except with some imaging from stress test that indicated a potential insufficient blood to the heart...(very mild case and may not been conclusive according to my cardiologist)..heart CT scan is scheduled. I am otherwise very healthy with a little of thyroid issue and no family history of heart issue...I have continued with my exercise routine (cardio and strength training) and have not created any problems....Could I possibly had a mini stroke that they did not get picked up on?? I will need to travel (fly) for work and I am a little concern....thanks"
},
{
"from": "gpt",
"value": "Output: Hello dear, The symptoms as mentioned in your post need to be evaluated in details before certifying you as fit for flying. The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Am having irregular periods for the past one year. Last month my endometrium was thickened and i underwent a DNC. After that ,my doctor gave me REGESTORNE tablet through which i got my periods this month. Now my doctor has given me NOVELON tablets for 3 cycles to regularise my periods. Is it safe to use Novelon tablet? Am scared whether i ll put weight if i take the tablet. Will i not get my periods regularly without using Novelon tablets? | Hello, Any medication have little side effects. Same as the Chat Doctor. Spotting between periods (breakthrough bleeding).2. Possible weight gain or fluid retention.3. Breast swelling or tenderness.4. Nausea or upset stomach5. Mood changes. So don't worry if you observe above side effects then you may consult treating doctor she may change or treat with alternative medication. 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: Am having irregular periods for the past one year. Last month my endometrium was thickened and i underwent a DNC. After that ,my doctor gave me REGESTORNE tablet through which i got my periods this month. Now my doctor has given me NOVELON tablets for 3 cycles to regularise my periods. Is it safe to use Novelon tablet? Am scared whether i ll put weight if i take the tablet. Will i not get my periods regularly without using Novelon tablets?"
},
{
"from": "gpt",
"value": "Output: Hello, Any medication have little side effects. Same as the Chat Doctor. Spotting between periods (breakthrough bleeding).2. Possible weight gain or fluid retention.3. Breast swelling or tenderness.4. Nausea or upset stomach5. Mood changes. So don't worry if you observe above side effects then you may consult treating doctor she may change or treat with alternative medication. 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 i was diagnoised with A fib last year in AE very fast and irregular beat , some days i also have irregular beats with a normal rate seem to get it when im stressed or excited , these irregular beats make me feel really anxious, and i think the anxiety makes them worse, are these irregular beats also A fib? Should i be on medication ? Im a otherwise healthy 47 year old male. | Hi I will suggest that you should get your BP checked and get ECG done and chest X-ray. If there is a defect then get it treated. If all are normal then please go for ECG whenever you get episode of fast heart beat. Avoid smoking, alcohol and coffee. Get assessed for anxiety from a psychiatrist. You may try deep breathing during stressful state of mind. If you are satisfied with my answer then please vote helpful. With 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 i was diagnoised with A fib last year in AE very fast and irregular beat , some days i also have irregular beats with a normal rate seem to get it when im stressed or excited , these irregular beats make me feel really anxious, and i think the anxiety makes them worse, are these irregular beats also A fib? Should i be on medication ? Im a otherwise healthy 47 year old male."
},
{
"from": "gpt",
"value": "Output: Hi I will suggest that you should get your BP checked and get ECG done and chest X-ray. If there is a defect then get it treated. If all are normal then please go for ECG whenever you get episode of fast heart beat. Avoid smoking, alcohol and coffee. Get assessed for anxiety from a psychiatrist. You may try deep breathing during stressful state of mind. If you are satisfied with my answer then please vote helpful. With Regards Chat Doctor."
}
]
|
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