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If you are a doctor, please answer the medical questions based on the patient's description. | I had a uterin ablation and tubaligation 2 weeks ago. In my belly button I have pain to the touch. Today when I touched it a very small amount of white discharge came out with little blood. There was no swelling or redness before I touched my belly button. Do you think its infected? | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should avoid touching it.It's been two weeks and you are still having discharge from the button. Normally discharge can be seen only for the two to three days. But since its two days it is likely to be infection. I advise you to take Ampicillin and sulbactam under your doctors' guidance. You can apply newsprint powder over the discharge. Please maintain the local cleanliness by frequent Chat Doctor. I will be happy to answer your further concern, you can ask me on bit.ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a uterin ablation and tubaligation 2 weeks ago. In my belly button I have pain to the touch. Today when I touched it a very small amount of white discharge came out with little blood. There was no swelling or redness before I touched my belly button. Do you think its infected?"
},
{
"from": "gpt",
"value": "Output: Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should avoid touching it.It's been two weeks and you are still having discharge from the button. Normally discharge can be seen only for the two to three days. But since its two days it is likely to be infection. I advise you to take Ampicillin and sulbactam under your doctors' guidance. You can apply newsprint powder over the discharge. Please maintain the local cleanliness by frequent Chat Doctor. I will be happy to answer your further concern, you can ask me on bit.ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have chronic ibs,im in pain with it24/7,lately i have been having fellings in my upper abdomen of fullness and winded, it feels like ive been puntched in the stomach and it gives me goosebumps all over,it lasts between half an hour to 45 imns,is this comman for chronic ibs? joanne | Hi Joanne. Since you are a known patient of chronic IBS, it is possible that you are having more stress and / or anxiety at the moment. This is the most important cause of increase in your symptoms of feeling of full in the upper abdomen and feeling wind. The feeling of abdomen being punctured and goosebumps all over can be due to intestinal infection. I would advise you the following | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i have chronic ibs,im in pain with it24/7,lately i have been having fellings in my upper abdomen of fullness and winded, it feels like ive been puntched in the stomach and it gives me goosebumps all over,it lasts between half an hour to 45 imns,is this comman for chronic ibs? joanne"
},
{
"from": "gpt",
"value": "Output: Hi Joanne. Since you are a known patient of chronic IBS, it is possible that you are having more stress and / or anxiety at the moment. This is the most important cause of increase in your symptoms of feeling of full in the upper abdomen and feeling wind. The feeling of abdomen being punctured and goosebumps all over can be due to intestinal infection. I would advise you the following"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doc, I am 30yrs male & diagnosed with Typhoid, and my liver & spleen shows mild enlargement too. It s almost 9 days now i m on antibiotics. From the last 3 days there is absolute no fever and i am feeling much better (still on antibiotic & multi vitamins ). Just slight headache and pain in the eyes... Is it ok if i consume alcohol in limit? regards _AJ | Welcome to Chat Doctor! You must avoid alcohol till you recover completely. The fact that your liver and spleen are enlarged due BTO typhoid that means these organs are already diseased and on top of this if you consume alcohol whatever may be the quantity and quality it may be causing more harm to your liver. Besides, there are certain antibiotics used in the treatment of typhoid which may interact with alcohol producing toxic reactions. So, in view of the above-mentioned harmful effects, refrain from taking alcohol. Take care of your precious health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doc, I am 30yrs male & diagnosed with Typhoid, and my liver & spleen shows mild enlargement too. It s almost 9 days now i m on antibiotics. From the last 3 days there is absolute no fever and i am feeling much better (still on antibiotic & multi vitamins ). Just slight headache and pain in the eyes... Is it ok if i consume alcohol in limit? regards _AJ"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor! You must avoid alcohol till you recover completely. The fact that your liver and spleen are enlarged due BTO typhoid that means these organs are already diseased and on top of this if you consume alcohol whatever may be the quantity and quality it may be causing more harm to your liver. Besides, there are certain antibiotics used in the treatment of typhoid which may interact with alcohol producing toxic reactions. So, in view of the above-mentioned harmful effects, refrain from taking alcohol. Take care of your precious health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Can a patient with cirrhosis eat cooked crawfish or sea bass?My husband was told on Wed. his cirrhosis on a scale of 1-10 was an 8. Hes 50 now and and has been alcohol free since 5/12/2011. Doctor says he needs a transplant. So hes looking for foods that are safe to eat. Naturally, being from Louisiana, crawfish are in question.Thank you! | Hi thanks for contacting Chat Doctor... Your father having severe degree cirrhosis. So liver transplantation or stem cell transplantation is final mode of treatment.... As far as diet concerned fat diet taken less to rest liver.... Fried food and refined food less. In breakfast take salad of tomato, cucumber, carrot etc.... Vegetable soup and fruits taken more.... Avoid alcohol. Fried fish not taken. Boiled one can take... Take crushed papaya seed one tsp with lemon juice daily. Daily take grinned spinach and carrot juice daily.... Hope your concern solved. 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: Can a patient with cirrhosis eat cooked crawfish or sea bass?My husband was told on Wed. his cirrhosis on a scale of 1-10 was an 8. Hes 50 now and and has been alcohol free since 5/12/2011. Doctor says he needs a transplant. So hes looking for foods that are safe to eat. Naturally, being from Louisiana, crawfish are in question.Thank you!"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... Your father having severe degree cirrhosis. So liver transplantation or stem cell transplantation is final mode of treatment.... As far as diet concerned fat diet taken less to rest liver.... Fried food and refined food less. In breakfast take salad of tomato, cucumber, carrot etc.... Vegetable soup and fruits taken more.... Avoid alcohol. Fried fish not taken. Boiled one can take... Take crushed papaya seed one tsp with lemon juice daily. Daily take grinned spinach and carrot juice daily.... Hope your concern solved. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello i went to the doctor recently because of pain in my bottom right side of abdominal which the doctor thinks it may be endometriosis because ive been in so much pain. She saw a liquid filled sac really small that shes watching to see if its a cyst or not, or to see what happens. She did a ultrasound to take a better look and whatever was on the right side is gone but something on the left which shes watching. I still have really bad pain on the right only when i come on my menstraul and it lingers for a couple days after. Do you think this could be endometriosis. I also have noticed throught this that my cheeks on the inside of my mouth look swollen and i have looks like white patches on the gums and cheeks. The grey came first which looks like a line in the cheek. Also in the left corner of my mouth seems like there is irritation there sometimes. I do have some work that needs to be done on my teeth which the dentist said one tooth cannot be saved and the other tooth could but its also decaying also. So do you think that could be because of the bad teeth in my mouth? | Hi Brownappril, The problems you are describing as pain on the left side of your stomach can be because of many reasons. Endometriosis can the one of the important cause. Depending upon the pain description that you have more pain during the period, it shows that the chances of endometriosis is there, and it needs to be taken care. Now depending upon the severity of pain and duration of this problem and other investigation you can be prescribed some hormonal medications which can help to control this endometriosis and can regress this condition. Most of the time medication is sufficient to treat the condition, but some time other intervention may be required. In the meantime you also have to work up with the USG finding of cyst which may be the cause of the pain and after proper examination and investigation only something can be decided. The other problem of your oral cavity can be because of the problem which is because of the decaying tooth. I would suggest you to have consultation with your dentist at the earliest so that other complication associated with decaying tooth can be prevented and in the meantime try to maintain proper oral hygiene. Hope this will help you. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello i went to the doctor recently because of pain in my bottom right side of abdominal which the doctor thinks it may be endometriosis because ive been in so much pain. She saw a liquid filled sac really small that shes watching to see if its a cyst or not, or to see what happens. She did a ultrasound to take a better look and whatever was on the right side is gone but something on the left which shes watching. I still have really bad pain on the right only when i come on my menstraul and it lingers for a couple days after. Do you think this could be endometriosis. I also have noticed throught this that my cheeks on the inside of my mouth look swollen and i have looks like white patches on the gums and cheeks. The grey came first which looks like a line in the cheek. Also in the left corner of my mouth seems like there is irritation there sometimes. I do have some work that needs to be done on my teeth which the dentist said one tooth cannot be saved and the other tooth could but its also decaying also. So do you think that could be because of the bad teeth in my mouth?"
},
{
"from": "gpt",
"value": "Output: Hi Brownappril, The problems you are describing as pain on the left side of your stomach can be because of many reasons. Endometriosis can the one of the important cause. Depending upon the pain description that you have more pain during the period, it shows that the chances of endometriosis is there, and it needs to be taken care. Now depending upon the severity of pain and duration of this problem and other investigation you can be prescribed some hormonal medications which can help to control this endometriosis and can regress this condition. Most of the time medication is sufficient to treat the condition, but some time other intervention may be required. In the meantime you also have to work up with the USG finding of cyst which may be the cause of the pain and after proper examination and investigation only something can be decided. The other problem of your oral cavity can be because of the problem which is because of the decaying tooth. I would suggest you to have consultation with your dentist at the earliest so that other complication associated with decaying tooth can be prevented and in the meantime try to maintain proper oral hygiene. Hope this will help you. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am a 21 yr old female. I ve noticed and indentation in the top back of my skull . I haven t noticed how long I ve had it but its been awhile! It gets sore sometimes when I put my hair up or just randomly. I would like to get an idea of what this could be and if medical assistance is required. Please get back to me | Hello, Thanks for your query. Usually people come to know later in their lives about such little deformities having no much importance, however it can be Scalp Synesthesia in which patient may feel indentations, pain, burning, itching, crawling, lightness etc It can be treated with Domain or Amitriptyline. Maintaining optimum weight, proper diet, vitamin supplements, exercise, treating stress and depression which will help in reducing the symptoms. Visit your doctor for more information and management. Hope it helps. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am a 21 yr old female. I ve noticed and indentation in the top back of my skull . I haven t noticed how long I ve had it but its been awhile! It gets sore sometimes when I put my hair up or just randomly. I would like to get an idea of what this could be and if medical assistance is required. Please get back to me"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for your query. Usually people come to know later in their lives about such little deformities having no much importance, however it can be Scalp Synesthesia in which patient may feel indentations, pain, burning, itching, crawling, lightness etc It can be treated with Domain or Amitriptyline. Maintaining optimum weight, proper diet, vitamin supplements, exercise, treating stress and depression which will help in reducing the symptoms. Visit your doctor for more information and management. Hope it helps. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Helloo.. i am 17 years old.. ive been having bad cough since 4 years.. it comes and goes comes and goes.! yesterday ive had a bad headache,, my heart is beating so fast, and have 2 red eyes and i shiver in all my body parts.. i feel so weak and i cant do anything.. i really need your help.. i dnt knw whats wrong with me! | HelloWelcome in Chat Doctor I can understand your concern. According to the history you explain that it's been 4 years now for you with cough. I think you should do some blood tests for this situation as follows; Blood count EritrosedimentationCRPChest X RayPneumoalergens Spirometry testing my opinion this might be a viral situation. You can take some painkillers, liquids, have a rest and be careful. Having the above results the GP should advise you further. I wish you a fast recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Helloo.. i am 17 years old.. ive been having bad cough since 4 years.. it comes and goes comes and goes.! yesterday ive had a bad headache,, my heart is beating so fast, and have 2 red eyes and i shiver in all my body parts.. i feel so weak and i cant do anything.. i really need your help.. i dnt knw whats wrong with me!"
},
{
"from": "gpt",
"value": "Output: HelloWelcome in Chat Doctor I can understand your concern. According to the history you explain that it's been 4 years now for you with cough. I think you should do some blood tests for this situation as follows; Blood count EritrosedimentationCRPChest X RayPneumoalergens Spirometry testing my opinion this might be a viral situation. You can take some painkillers, liquids, have a rest and be careful. Having the above results the GP should advise you further. I wish you a fast recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor my daughter is 2yrs 10 months age.from day before yesterday she is suffering from caugh and mild fever.from yesterday started running nose and continuos sneezing with same mild fever today her fever raised to 101.7 i gave her meftal p.from day before ysterday we are giving Levolin and alerid by paediatrition suggestion.iam very much worrying about her health kindly suggest that we are following right medicine or not and when my daughter will get relief from fever,cold and caugh. | Hello! Welcome to Chat Doctor! It sounds like your daughter has a virus. To be honest, her fever is a good thing because we know her body is trying to fight off a nasty virus. I know it's not fun to see her sick, but her body is doing what it needs to. The medications you are giving sound like a good match. A cold virus can last several weeks. To be more thorough, a fever associated with a cold can last for up to 3 days. The nasal congestion can last up to 10-14 days as well as the cough. When your little girl has a fever, we don't want to turn it off with medication. The main goal is to keep her comfortable so only give the fever reducer if her fever is above 102. Of course, you can give it for other cold symptoms such as body aches and sore muscles. Give her plenty of fluids to keep her HY Chat Doctor. Hopefully your daughter will start to feel better soon! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor my daughter is 2yrs 10 months age.from day before yesterday she is suffering from caugh and mild fever.from yesterday started running nose and continuos sneezing with same mild fever today her fever raised to 101.7 i gave her meftal p.from day before ysterday we are giving Levolin and alerid by paediatrition suggestion.iam very much worrying about her health kindly suggest that we are following right medicine or not and when my daughter will get relief from fever,cold and caugh."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome to Chat Doctor! It sounds like your daughter has a virus. To be honest, her fever is a good thing because we know her body is trying to fight off a nasty virus. I know it's not fun to see her sick, but her body is doing what it needs to. The medications you are giving sound like a good match. A cold virus can last several weeks. To be more thorough, a fever associated with a cold can last for up to 3 days. The nasal congestion can last up to 10-14 days as well as the cough. When your little girl has a fever, we don't want to turn it off with medication. The main goal is to keep her comfortable so only give the fever reducer if her fever is above 102. Of course, you can give it for other cold symptoms such as body aches and sore muscles. Give her plenty of fluids to keep her HY Chat Doctor. Hopefully your daughter will start to feel better soon!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have felt lightheaded on and off for the past hour, especially when standing up and moving. My hands are also going numb and feel like they re trying to clench up against my will. I had a heavy amount of salt in soup broth a few hours ago on a pretty empty stomach and don t know if this is due to my salt intake or not. I m also on medication that does cause lightheadedness but I ve been on the medication for nearly a week and was on the medication years ago and have never experienced this reaction. I m currently having a lot of water (I m on my second glass) and the lightheadedness and hand numbness/clenching is starting to go away, but I m also sitting and as I said before, these symptoms only occur when I stand or am moving, not when I m sedentary. Please help! | Hello, Thanks for posting this question in ChatDoctorThe description of lightheaded feelings you have given suggest a possibility of postural hypo tension. I will request you to check the blood pressure in supine and standing position to know this. Once this is established, you need to meet a local physician to find out the cause for the same. Mostly this may be medicine related. Your Chat Doctor. Taking lot of water may not help Hope this clarifies | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have felt lightheaded on and off for the past hour, especially when standing up and moving. My hands are also going numb and feel like they re trying to clench up against my will. I had a heavy amount of salt in soup broth a few hours ago on a pretty empty stomach and don t know if this is due to my salt intake or not. I m also on medication that does cause lightheadedness but I ve been on the medication for nearly a week and was on the medication years ago and have never experienced this reaction. I m currently having a lot of water (I m on my second glass) and the lightheadedness and hand numbness/clenching is starting to go away, but I m also sitting and as I said before, these symptoms only occur when I stand or am moving, not when I m sedentary. Please help!"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting this question in ChatDoctorThe description of lightheaded feelings you have given suggest a possibility of postural hypo tension. I will request you to check the blood pressure in supine and standing position to know this. Once this is established, you need to meet a local physician to find out the cause for the same. Mostly this may be medicine related. Your Chat Doctor. Taking lot of water may not help Hope this clarifies"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am 25 year old. i have kidney stone (left side 4 mm and right side 4.5 mm) before 2 year now ,i have fever and in urine test found 8 pus cells and calcium oxalate(few) Jut today in sonography test now i have 4mm stone in left kidney. 4.5 mm stone has been passed via urine. So this fever can be occur due to kidney stone.? Thank You in advance | Hello., History noted, it's good that you have passed one stone. Kidney stone can cause urinary infection and in turn fever if that stone has caused obstruction to your urinary pathway. Since the sonography report does not show any obstruction, your urinary infection and kidney stones are co-incidental. Kindly consume a minimum of 3 liters a day regularly to wash out your stones as well as infection. Also take antibiotics as advice by your physician. Good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 25 year old. i have kidney stone (left side 4 mm and right side 4.5 mm) before 2 year now ,i have fever and in urine test found 8 pus cells and calcium oxalate(few) Jut today in sonography test now i have 4mm stone in left kidney. 4.5 mm stone has been passed via urine. So this fever can be occur due to kidney stone.? Thank You in advance"
},
{
"from": "gpt",
"value": "Output: Hello., History noted, it's good that you have passed one stone. Kidney stone can cause urinary infection and in turn fever if that stone has caused obstruction to your urinary pathway. Since the sonography report does not show any obstruction, your urinary infection and kidney stones are co-incidental. Kindly consume a minimum of 3 liters a day regularly to wash out your stones as well as infection. Also take antibiotics as advice by your physician. Good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had fluttering in the heart for 4 weeks. Had an echo and ekg and results were normal. Waiting for results from the holster monitoring. I have a thyroid condition and take synthroid and lexapro for depression. What do you thinkg it might be? | DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. You have thyroid condition, and you are under treatment for that. Your EKG and echo came clear means your heart is healthy. The nth problem you are facing could simply be anxiety disorder. Let me explain. Fear is objective and apprehension an anxiety are subjective. Your re apprehensive of something which makes you fearful and that is anxiety. Anxiety produces all those symptoms which fear produces, like palpitation, goose bumps, sweating, labored breathing etc. But not to worry. You should be treated for anxiety with the help of psychotherapy. Please post a direct question to me in this website mentioning ll the details about you. I shall then prescribe some psychotherapy methods which should help you to overcome anxiety and its symptoms. 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: I have had fluttering in the heart for 4 weeks. Had an echo and ekg and results were normal. Waiting for results from the holster monitoring. I have a thyroid condition and take synthroid and lexapro for depression. What do you thinkg it might be?"
},
{
"from": "gpt",
"value": "Output: DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. You have thyroid condition, and you are under treatment for that. Your EKG and echo came clear means your heart is healthy. The nth problem you are facing could simply be anxiety disorder. Let me explain. Fear is objective and apprehension an anxiety are subjective. Your re apprehensive of something which makes you fearful and that is anxiety. Anxiety produces all those symptoms which fear produces, like palpitation, goose bumps, sweating, labored breathing etc. But not to worry. You should be treated for anxiety with the help of psychotherapy. Please post a direct question to me in this website mentioning ll the details about you. I shall then prescribe some psychotherapy methods which should help you to overcome anxiety and its symptoms. 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. | Can the dietary supplement Lean EFX cause mouth sores? I have been taking it for ten days. It causes dry mouth so I am constantly drinking water. About three or four days ago I got a sore on my gums and swollen taste buds on the tip and side of my tongue. Today the entire tip of my tongue began to hurt and have a numb feeling. Very painful and hard to eat anything. I expect this will all go away in a couple days but I am wondering if it is from the Lean EFX. Any ideas??? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have Chat Doctor. Although this supplement not known cause such problem but in some people it is known to cause problem. Ingredients like diuretics and stimulants are known to cause side effects in some people, usually those who are suffering from some other medical condition or taking other medication. I would suggest stopping taking this supplement and consult dietitian and discuss the whole scenario. For now | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can the dietary supplement Lean EFX cause mouth sores? I have been taking it for ten days. It causes dry mouth so I am constantly drinking water. About three or four days ago I got a sore on my gums and swollen taste buds on the tip and side of my tongue. Today the entire tip of my tongue began to hurt and have a numb feeling. Very painful and hard to eat anything. I expect this will all go away in a couple days but I am wondering if it is from the Lean EFX. Any ideas???"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have Chat Doctor. Although this supplement not known cause such problem but in some people it is known to cause problem. Ingredients like diuretics and stimulants are known to cause side effects in some people, usually those who are suffering from some other medical condition or taking other medication. I would suggest stopping taking this supplement and consult dietitian and discuss the whole scenario. For now"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I recently noticed a painful lump on the joint closest to your hand on my middle finger. It s especially painful with pressure to the lump. I m guessing that the size is probably about 1/4 of an inch diameter. What could this be? Will it go away on its own or is it any cause for concern? | HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you Seem to be having -Ganglion / or could be rheumatoid nodule. Treatment-Consult orthoSurgeon-Get the X-ray / if need be CT of Handset Compresses/ and Infrared Heat therapyAnti-inflammatoryPainkillersIf no relief Rheumatologist opinion, who would do RA/CRP and would evaluate and would give needful treatment Ganglion on the hand on middle finger extensor tendons-Ganglion Excision by Endoscopic Laser Ablation of the Synovial Histiocytoma around the joint line and tendon near it. Other causes need to be ruled out by Second opinion from your doctor which would help you to plan treats in the future. Hope this would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I recently noticed a painful lump on the joint closest to your hand on my middle finger. It s especially painful with pressure to the lump. I m guessing that the size is probably about 1/4 of an inch diameter. What could this be? Will it go away on its own or is it any cause for concern?"
},
{
"from": "gpt",
"value": "Output: HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you Seem to be having -Ganglion / or could be rheumatoid nodule. Treatment-Consult orthoSurgeon-Get the X-ray / if need be CT of Handset Compresses/ and Infrared Heat therapyAnti-inflammatoryPainkillersIf no relief Rheumatologist opinion, who would do RA/CRP and would evaluate and would give needful treatment Ganglion on the hand on middle finger extensor tendons-Ganglion Excision by Endoscopic Laser Ablation of the Synovial Histiocytoma around the joint line and tendon near it. Other causes need to be ruled out by Second opinion from your doctor which would help you to plan treats in the future. Hope this would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I ve had bronchitis for the past week. I ve been to the doctor twice and put on antibiotics but now I have a sharp, stabbing pain on my left side. When I m sitting still it doesn t really hurt but if I cough, sneeze, take a deep breath, or turn I feel that bad pain. What is it and what cand I do? | Hi, Since you were suffering from bronchitis, the most likely cause of this pain is pleurisy(inflammation of pleura/lining of lungs). We also need to rule out any cardiac cause of pain. You might need evaluation in form of Complete Blood Counts, ESR, Chest X-ray and ECG. You can take painkillers for symptom relief and continue antibiotics. In case your symptoms persist, or you develop fever, then kindly consult your treating doctor, who can arrange for the above investigations. Hope it helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! I ve had bronchitis for the past week. I ve been to the doctor twice and put on antibiotics but now I have a sharp, stabbing pain on my left side. When I m sitting still it doesn t really hurt but if I cough, sneeze, take a deep breath, or turn I feel that bad pain. What is it and what cand I do?"
},
{
"from": "gpt",
"value": "Output: Hi, Since you were suffering from bronchitis, the most likely cause of this pain is pleurisy(inflammation of pleura/lining of lungs). We also need to rule out any cardiac cause of pain. You might need evaluation in form of Complete Blood Counts, ESR, Chest X-ray and ECG. You can take painkillers for symptom relief and continue antibiotics. In case your symptoms persist, or you develop fever, then kindly consult your treating doctor, who can arrange for the above investigations. Hope it helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, i have this itchy rash thing on my elbow joints, and on the back of legs (joints again) .. i looked it up and iv looked at pictures and this is exactly what it is (im almost certain) - Erythema annulare centrifugum .. what should i do about it?? | Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes on elbow and back of legs which is very common mainly due to fungal infection. Need not worry. I would suggest you to- Avoid wearing synthetic clothes and wear loose cotton track pants.- Keep this area clean and Chat Doctor. - Apply calamine lotion over rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood tests if required and may prescribe medications. Hope your concern has been resolved. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, i have this itchy rash thing on my elbow joints, and on the back of legs (joints again) .. i looked it up and iv looked at pictures and this is exactly what it is (im almost certain) - Erythema annulare centrifugum .. what should i do about it??"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes on elbow and back of legs which is very common mainly due to fungal infection. Need not worry. I would suggest you to- Avoid wearing synthetic clothes and wear loose cotton track pants.- Keep this area clean and Chat Doctor. - Apply calamine lotion over rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood tests if required and may prescribe medications. Hope your concern has been resolved. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | some nights when lieing in bed i feel as if my hart is fluttering and all of sudden i get a strange blood rush all over my body and if i get up i will be fine but if i stay lieing it will keep happening what could it be. also i was told i had vertigo last year but to me it felt like the feeling i get when lieing down and i nearly fell down. | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be caused by anxiety. Anyway, I would recommend consulting with your doctor for a routine check up | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: some nights when lieing in bed i feel as if my hart is fluttering and all of sudden i get a strange blood rush all over my body and if i get up i will be fine but if i stay lieing it will keep happening what could it be. also i was told i had vertigo last year but to me it felt like the feeling i get when lieing down and i nearly fell down."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be caused by anxiety. Anyway, I would recommend consulting with your doctor for a routine check up"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi. I have had this pain in my heart area for a long time now, i cant feel it when i breath half way and then sometimes i can feel it with every beat of my heart. I get dizzy when i stand up from doing gardening or low things. I have an irregular heart beat and my blood pressure is low as it runs in my family. | Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor. In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi. I have had this pain in my heart area for a long time now, i cant feel it when i breath half way and then sometimes i can feel it with every beat of my heart. I get dizzy when i stand up from doing gardening or low things. I have an irregular heart beat and my blood pressure is low as it runs in my family."
},
{
"from": "gpt",
"value": "Output: Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor. In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had a surgery done on a right hydrocele about a year ago, and recently the scar has developed a red lump under it. I am worried about this because I leave for basic training in about 2 weeks and I dont want it to make me fail my physical. It doesnt really hurt unless I put pressure on it. | Hello! Thank you for the query. A lump in the scar area after such long time usually indicates some tissues' irritation due to stitches which were left under the skin. This stitches usually get absorbed after 2-3 months. However, in some patients stitches can trigger inflammatory reaction. This results with lump creation. Other possibility is that your scar is growing and creating a keloid. Both conditions are not serious. But you should consult a surgeon with it. Hope this will help. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I had a surgery done on a right hydrocele about a year ago, and recently the scar has developed a red lump under it. I am worried about this because I leave for basic training in about 2 weeks and I dont want it to make me fail my physical. It doesnt really hurt unless I put pressure on it."
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. A lump in the scar area after such long time usually indicates some tissues' irritation due to stitches which were left under the skin. This stitches usually get absorbed after 2-3 months. However, in some patients stitches can trigger inflammatory reaction. This results with lump creation. Other possibility is that your scar is growing and creating a keloid. Both conditions are not serious. But you should consult a surgeon with it. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi,i have a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body. | Welcome to the ChatDoctorIt seems that your child has worm infestation most likely due to pin worms along with allergic episode. Stool examination many a time is not sufficient to rule out these infestations. To detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. Remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. To treat it completely I recommend my patients to take Albendazole (400 mg) on day 1 and 15. This should be along with trimming nails and good handwashing and hygiene. For allergic reaction, you may give your son Spy. Ben Chat Doctor. Apply lac to- calamine lotion on the skin lesions. It will reduce itching and redness. Hopefully this will help you. I would be glad to help you in any further questions. 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 a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body."
},
{
"from": "gpt",
"value": "Output: Welcome to the ChatDoctorIt seems that your child has worm infestation most likely due to pin worms along with allergic episode. Stool examination many a time is not sufficient to rule out these infestations. To detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. Remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. To treat it completely I recommend my patients to take Albendazole (400 mg) on day 1 and 15. This should be along with trimming nails and good handwashing and hygiene. For allergic reaction, you may give your son Spy. Ben Chat Doctor. Apply lac to- calamine lotion on the skin lesions. It will reduce itching and redness. Hopefully this will help you. I would be glad to help you in any further questions. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones? | Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones?"
},
{
"from": "gpt",
"value": "Output: Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks. | Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks."
},
{
"from": "gpt",
"value": "Output: Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello sir, my daughter is 17 months old..two days back she got severe fever so doctor started with paracetamol and enterogermina due to somewhat disturbed motion...yesterday her fever increased and consulted again so he added augmentin...now today she got very severe diarrhoea that was light colored and in bulk... i didnt stop augmentin ..but motion were somehwhat loose before antibiotic and got severe after it...fever got less. now on enterogermina, augmentin, zinc , mebarid...what should i do...? so situation doesnt worsen | Hi...this looks like a viral diarrhea. One of the side effects of Augustin is antibiotic associated diarrhea. STOP Augmenting. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. 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 antibiotics (LIKE AUGMENTING) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir, my daughter is 17 months old..two days back she got severe fever so doctor started with paracetamol and enterogermina due to somewhat disturbed motion...yesterday her fever increased and consulted again so he added augmentin...now today she got very severe diarrhoea that was light colored and in bulk... i didnt stop augmentin ..but motion were somehwhat loose before antibiotic and got severe after it...fever got less. now on enterogermina, augmentin, zinc , mebarid...what should i do...? so situation doesnt worsen"
},
{
"from": "gpt",
"value": "Output: Hi...this looks like a viral diarrhea. One of the side effects of Augustin is antibiotic associated diarrhea. STOP Augmenting. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. 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 antibiotics (LIKE AUGMENTING) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have tiny little red bumps that surround my pee hole on my penis head...They recur..I only hae had one partner for many years and we rarely have sex...but I do masturbate about 2-3 times per week...Occasionally these bumps will turn into an extremely small scab...do yo know what it is/ it does not hurt or itch | Degree understand your concerns went through your details. I suggest you not to worry much. The tiny red dots could possibly be inflammation of the tender skin in that urethra opening area. This happens to everyone and is natural. I don't hink there is anything to worry if there is no itching or burning. Wash they are with warm saline water a give two day holiday to masturbation, and it should be alright. 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: I have tiny little red bumps that surround my pee hole on my penis head...They recur..I only hae had one partner for many years and we rarely have sex...but I do masturbate about 2-3 times per week...Occasionally these bumps will turn into an extremely small scab...do yo know what it is/ it does not hurt or itch"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. The tiny red dots could possibly be inflammation of the tender skin in that urethra opening area. This happens to everyone and is natural. I don't hink there is anything to worry if there is no itching or burning. Wash they are with warm saline water a give two day holiday to masturbation, and it should be alright. 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. | hello, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant? | Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. For more details you can ask me through | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. For more details you can ask me through"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend. | Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception. The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you to figure out which intercourse is responsible for this pregnancy. The foolproof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend."
},
{
"from": "gpt",
"value": "Output: Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception. The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you to figure out which intercourse is responsible for this pregnancy. The foolproof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im 15 and Im not sexually active but Ive been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what Im going through be depression? | HiT hanks for writing to Chat Doctor The symptoms like decreased appetite, decreased sexual interest, agitation and moodiness could be suggestive of depression. As your mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts(about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps thanks and regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im 15 and Im not sexually active but Ive been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what Im going through be depression?"
},
{
"from": "gpt",
"value": "Output: HiT hanks for writing to Chat Doctor The symptoms like decreased appetite, decreased sexual interest, agitation and moodiness could be suggestive of depression. As your mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts(about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps thanks and regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply | Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. GUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. Regards | [
{
"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 married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply"
},
{
"from": "gpt",
"value": "Output: Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. GUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is | Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to you, thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is"
},
{
"from": "gpt",
"value": "Output: Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to you, thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a posterior capsule tear. Whats the best way to heal it and the fastest, Im an athlete, about 3 weeks ago I hyper extended my knee, no other torn ligaments at all. Have trouble bending my knee all the way back to my butt, doesnt go as far as the other one, without pain, any suggestions | Hi. As you wrote that you have posterior capsule tear without any other ligament torn. I presume that you confirmed the diagnosis made with an MRI as well. If their us posterior capsule tear... If I were your treating doctor. I would look to the grade of tear. And advent to move your knee and keep it immobilized.Don't keep pushing it to limits for checking its function often. The spasm could limit your movement by forcing it you are actually worsening and disturbing the healing. Do a lot of icing in the back of knee... Be patient as it would take around 6 Weeks to heal so don't be in a hurry to get back to your sport.once healed get proper rehabilitation and progress gradually to the sports... Hope this is helpful kindly Revert in case you need further clarification... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a posterior capsule tear. Whats the best way to heal it and the fastest, Im an athlete, about 3 weeks ago I hyper extended my knee, no other torn ligaments at all. Have trouble bending my knee all the way back to my butt, doesnt go as far as the other one, without pain, any suggestions"
},
{
"from": "gpt",
"value": "Output: Hi. As you wrote that you have posterior capsule tear without any other ligament torn. I presume that you confirmed the diagnosis made with an MRI as well. If their us posterior capsule tear... If I were your treating doctor. I would look to the grade of tear. And advent to move your knee and keep it immobilized.Don't keep pushing it to limits for checking its function often. The spasm could limit your movement by forcing it you are actually worsening and disturbing the healing. Do a lot of icing in the back of knee... Be patient as it would take around 6 Weeks to heal so don't be in a hurry to get back to your sport.once healed get proper rehabilitation and progress gradually to the sports... Hope this is helpful kindly Revert in case you need further clarification..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much ! | Hello, His symptoms do not seem to be related to Kendra adverse effects. Did he have these adverse effects while taking Dilation? Anyway, I would recommend consulting with his GP and performing some blood lab tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much !"
},
{
"from": "gpt",
"value": "Output: Hello, His symptoms do not seem to be related to Kendra adverse effects. Did he have these adverse effects while taking Dilation? Anyway, I would recommend consulting with his GP and performing some blood lab tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved | Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved"
},
{
"from": "gpt",
"value": "Output: Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My testicles and inner thighs have itched for months and nothing cures it anti fungus creme works for while but it comes backs daily have to keep it on there all the time to stop it from itching and some burning what can i do please help it effects my daily routine everyday | HelloYour symptoms may indicate fungal infection. It is usually due to candida infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar. You may need clotrimazole ointment or powder to apply locally. I also prescribe antihistamines like tablet cetirizine(10 mg) twice daily for 10 days. Try to maintain personal hygiene and don't keep private areas wet. Get well soon. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My testicles and inner thighs have itched for months and nothing cures it anti fungus creme works for while but it comes backs daily have to keep it on there all the time to stop it from itching and some burning what can i do please help it effects my daily routine everyday"
},
{
"from": "gpt",
"value": "Output: HelloYour symptoms may indicate fungal infection. It is usually due to candida infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar. You may need clotrimazole ointment or powder to apply locally. I also prescribe antihistamines like tablet cetirizine(10 mg) twice daily for 10 days. Try to maintain personal hygiene and don't keep private areas wet. Get well soon. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics? | Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some Chat Doctor. It can be bacterial infection. He should take antibiotics. Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics?"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some Chat Doctor. It can be bacterial infection. He should take antibiotics. Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me. | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me."
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had sex the other night, we used a condom, and I have been on birth control for a year taking it every morning without missing any. The condom broke and we noticed and immediately stopped. He had not came, but there was most likely precum in it. He peed before we started, and I ve read that most washes out any sperm that remains in the urethra. Could I be pregnant? Or am I just worrying for no reason | Hello dear. Understand your concerns.Don't worry dear, you are completely safe. As you are on oral contraceptive pill, no matter whether you have used condom or not. Regular use of Oral contraceptive pill is high effective in preventing the pregnancy and only 0.5% failure rate. Make habit to take OCP on regular time every day by putting reminder in the mobile. Enjoy your life. Avoid stress, eat healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had sex the other night, we used a condom, and I have been on birth control for a year taking it every morning without missing any. The condom broke and we noticed and immediately stopped. He had not came, but there was most likely precum in it. He peed before we started, and I ve read that most washes out any sperm that remains in the urethra. Could I be pregnant? Or am I just worrying for no reason"
},
{
"from": "gpt",
"value": "Output: Hello dear. Understand your concerns.Don't worry dear, you are completely safe. As you are on oral contraceptive pill, no matter whether you have used condom or not. Regular use of Oral contraceptive pill is high effective in preventing the pregnancy and only 0.5% failure rate. Make habit to take OCP on regular time every day by putting reminder in the mobile. Enjoy your life. Avoid stress, eat healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 8 year old daughter has been coughing severely for 7 weeks or so. When she was little she was diagnosed with asthma so we chalked it up to that. She is on inhalers and 4 days ago we took her to the doctor and she was given decongestants. These have not worked and on occasion she is coughing up white thick mucus . Her breathing is getting more and more restrictive. No fever or sweating present. I am getting concerned as this is not showing even the most remote signs of improving. We are thinking of taking her to the children s hospital for an X-ray . | Hi Welcome to healthcare Magic! At times the asthma gets exacerbated due to seasonal change or exposure to the factors that cause the bronchospasm. Different asthmatic persons have different triggers for precipitating an attack. Please keep the child away from dust smoke and open environment where pollen are in plenty. An intercurrent viral infection can also lead to increase in the problem. The idea of taken her to hospital is a timely and wise decision, she will get relief with nebulizations of bronchodilators and if required antibiotics can be instituted. Wish you a great health! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 8 year old daughter has been coughing severely for 7 weeks or so. When she was little she was diagnosed with asthma so we chalked it up to that. She is on inhalers and 4 days ago we took her to the doctor and she was given decongestants. These have not worked and on occasion she is coughing up white thick mucus . Her breathing is getting more and more restrictive. No fever or sweating present. I am getting concerned as this is not showing even the most remote signs of improving. We are thinking of taking her to the children s hospital for an X-ray ."
},
{
"from": "gpt",
"value": "Output: Hi Welcome to healthcare Magic! At times the asthma gets exacerbated due to seasonal change or exposure to the factors that cause the bronchospasm. Different asthmatic persons have different triggers for precipitating an attack. Please keep the child away from dust smoke and open environment where pollen are in plenty. An intercurrent viral infection can also lead to increase in the problem. The idea of taken her to hospital is a timely and wise decision, she will get relief with nebulizations of bronchodilators and if required antibiotics can be instituted. Wish you a great health!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had two facial fillings two days ago on my front two teeth. They gave me two shots of novocaine in the gums above my two front teeth and now I have a lesion above the right front tooth and I cant get my dentist on the phone since its the weekend. I have been swishing with peroxide and salt water but I am worried there is an infection. | Hi. Thanks for the query. As per your complaint lesion above the tooth that has undergone any dental treatment can be due a few reasons. It may be due to traumatic injection given to you during treatment. It can cause injury at the injection site leading to lesion formation and pain. Other reason can be that in case of deeply infected tooth if the filling is done accidentally directly over the tooth nerves and blood vessels present in the central portion of tooth can cause inflammation of pulp and pus formation near the root tips of tooth causing lesion formation and pain. One reason can be that during treatment any instrument got accidentally injured the gums or the filling material got impacted into the gums causing infection. Treatment can be decided only after clinical examination by a dentist to rule out the cause for infection. By the time you can take painkiller like Ibuprofen if u have pain and not allergic. If the cause is due to filling over the nerves' removal of filling followed by root canal treatment and antibiotics can resolve the lesion. If infection is ruled out antibiotics can be helpful. In case of any foreign material impacted in the gums can be treated by scaling... Hope your query is solved. 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 had two facial fillings two days ago on my front two teeth. They gave me two shots of novocaine in the gums above my two front teeth and now I have a lesion above the right front tooth and I cant get my dentist on the phone since its the weekend. I have been swishing with peroxide and salt water but I am worried there is an infection."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. As per your complaint lesion above the tooth that has undergone any dental treatment can be due a few reasons. It may be due to traumatic injection given to you during treatment. It can cause injury at the injection site leading to lesion formation and pain. Other reason can be that in case of deeply infected tooth if the filling is done accidentally directly over the tooth nerves and blood vessels present in the central portion of tooth can cause inflammation of pulp and pus formation near the root tips of tooth causing lesion formation and pain. One reason can be that during treatment any instrument got accidentally injured the gums or the filling material got impacted into the gums causing infection. Treatment can be decided only after clinical examination by a dentist to rule out the cause for infection. By the time you can take painkiller like Ibuprofen if u have pain and not allergic. If the cause is due to filling over the nerves' removal of filling followed by root canal treatment and antibiotics can resolve the lesion. If infection is ruled out antibiotics can be helpful. In case of any foreign material impacted in the gums can be treated by scaling... Hope your query is solved. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and dont have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I dont know what to do anymore. Any suggestions? I have to pay to get an answer? Figures | Hello..... As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolizes to chest and causes chest pain that is called Pulmonary embolism. With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off. Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advice is to start Tab Action with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank You | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and dont have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I dont know what to do anymore. Any suggestions? I have to pay to get an answer? Figures"
},
{
"from": "gpt",
"value": "Output: Hello..... As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolizes to chest and causes chest pain that is called Pulmonary embolism. With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off. Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advice is to start Tab Action with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank You"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a low sed rate now after 8 weeks of antibiotics to treat Staph Aures that was in the T9-T10 area. The MRI shows that there is still something going on there but no one can tell me if its infection or inflamation. How can I find out before doing an operation? | Hi thanks for asking question. Here staph infection should be resolved with use of antibiotic. But still to confirm about infection or inflammation do your CRP estimation. If it is elevated then suspect inflammation or infection. In infective case your CBC report might reveal high count with necrophilia. If infection is ruled out then inflammation might because for which anti-inflammatory Chat Doctor. I think before operation according to report and physical examination decision has to be taken by doctor to whether operate or not. I hope my suggestion will helpful. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a low sed rate now after 8 weeks of antibiotics to treat Staph Aures that was in the T9-T10 area. The MRI shows that there is still something going on there but no one can tell me if its infection or inflamation. How can I find out before doing an operation?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Here staph infection should be resolved with use of antibiotic. But still to confirm about infection or inflammation do your CRP estimation. If it is elevated then suspect inflammation or infection. In infective case your CBC report might reveal high count with necrophilia. If infection is ruled out then inflammation might because for which anti-inflammatory Chat Doctor. I think before operation according to report and physical examination decision has to be taken by doctor to whether operate or not. I hope my suggestion will helpful."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi My name is nikita and I m trying to conceive since 1 and half years. Once i got misscarrige before 2 year and now Me and my Husband done all the report. behind that. In my husband s report Low sperm count came near 50 million and sperm motality is 80%. And now my doctor started medicine for both of us. She recommended my husband for fertly M.[25mg] daily one at bed time and Provironum[25mg] at bed time. And for me OVA Shield and its come in 30 capsules pack. from 1 days of my period i have to start 2 tab for 5days in that 1 capsule contains 2.5mg letrozole and another is contains Astaxanthin 4 mg. After 5 days i have to take 1 capsule daily contain Astaxanthin 4mg. So i want to know what is the use of this. And how much is useful to me. When i have to take in the night or in the day after lunch. Waiting for prompt reply. | Welcome to ChatDoctorRead your prob, as per your report your husband has normal sperm count, it should be more than 15 million. N active form should be 40% of total count. You should rule out cause of infertility by getting hormonal assay for gonadal n thyroid Mormon. As hormonal imbalance is cause of it. You should get sonography of uterus n follicular study. Consult with your doc, reach to cause of infertility n start proper treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi My name is nikita and I m trying to conceive since 1 and half years. Once i got misscarrige before 2 year and now Me and my Husband done all the report. behind that. In my husband s report Low sperm count came near 50 million and sperm motality is 80%. And now my doctor started medicine for both of us. She recommended my husband for fertly M.[25mg] daily one at bed time and Provironum[25mg] at bed time. And for me OVA Shield and its come in 30 capsules pack. from 1 days of my period i have to start 2 tab for 5days in that 1 capsule contains 2.5mg letrozole and another is contains Astaxanthin 4 mg. After 5 days i have to take 1 capsule daily contain Astaxanthin 4mg. So i want to know what is the use of this. And how much is useful to me. When i have to take in the night or in the day after lunch. Waiting for prompt reply."
},
{
"from": "gpt",
"value": "Output: Welcome to ChatDoctorRead your prob, as per your report your husband has normal sperm count, it should be more than 15 million. N active form should be 40% of total count. You should rule out cause of infertility by getting hormonal assay for gonadal n thyroid Mormon. As hormonal imbalance is cause of it. You should get sonography of uterus n follicular study. Consult with your doc, reach to cause of infertility n start proper treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Thanks very much, I have a pain on the bottom of my foot, it feels like there is a lump or swelling. Had it for two days, it gets better with ice but when I walk on it for a while it gets worse and eventually too painful for walking. I have had these before, I was wondering if it could be gout, as I m lactose intolerant? | Hi you have a lump/ swelling on the bottom of your foot for two days, and you had these before-recurrent swelling which gets worse on walking on it and pain is relieved by Ice. Gout generally effect the joint of big toe and not the bottom of foot. I think you might be having plantar fasciitis. Take Pain killers for few days + Ice and soft heel footwear, if it does not help, then consult your doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Thanks very much, I have a pain on the bottom of my foot, it feels like there is a lump or swelling. Had it for two days, it gets better with ice but when I walk on it for a while it gets worse and eventually too painful for walking. I have had these before, I was wondering if it could be gout, as I m lactose intolerant?"
},
{
"from": "gpt",
"value": "Output: Hi you have a lump/ swelling on the bottom of your foot for two days, and you had these before-recurrent swelling which gets worse on walking on it and pain is relieved by Ice. Gout generally effect the joint of big toe and not the bottom of foot. I think you might be having plantar fasciitis. Take Pain killers for few days + Ice and soft heel footwear, if it does not help, then consult your doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My name is Roger. I am currently being treated for panic disorder with the use of clonazepam 2mg twice a day, however, this has proven to be ineffective and I have only just started taking this medication. I have used alprazolam in the past but had to discontinue its use because of adverse reactions. I have read about diazepam and lorazepam and their efficacy in treating panic disorder and anxiety and would like to know more on the subject. Please help. | His understand your concern. Panic and anxiety disorder can be treated with benzodiazepine like diazepam and lorazepam. Both Chat Doctor. Both can help in reduce anxiety but have sedative effect. Nowadays non-sedative anxiolytic like Mizoram is also useful to treat panic disorder. SSRI like paroxetine and Escitalopram in low dose can help. So it has various modality of treatment. Consult psychiatrist and get help. Still have query then feel free to ask. Wish yo a good health. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My name is Roger. I am currently being treated for panic disorder with the use of clonazepam 2mg twice a day, however, this has proven to be ineffective and I have only just started taking this medication. I have used alprazolam in the past but had to discontinue its use because of adverse reactions. I have read about diazepam and lorazepam and their efficacy in treating panic disorder and anxiety and would like to know more on the subject. Please help."
},
{
"from": "gpt",
"value": "Output: His understand your concern. Panic and anxiety disorder can be treated with benzodiazepine like diazepam and lorazepam. Both Chat Doctor. Both can help in reduce anxiety but have sedative effect. Nowadays non-sedative anxiolytic like Mizoram is also useful to treat panic disorder. SSRI like paroxetine and Escitalopram in low dose can help. So it has various modality of treatment. Consult psychiatrist and get help. Still have query then feel free to ask. Wish yo a good health. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | At total rest, especially at high room temp, I feel air is not enough for me. Pulse oximeter justifies my feeling, it does show some lowering in oxygen saturation down to 93-94%. Funny thing is this feeling totally dissapears if I breath cold air from AC or start exercizing even with very aerobic exercize, then everyting comes to normal and better, and my lung function becomes pretty good, concidering just two years ago I quit (heavy) smoking. Spirometry shows no COPD, and CT shows very very light emphysema signs, not justifying my uncomfortable feeling at rest. Any idea what other possible dama- ges could cause my peculiar symptoms? Thanks a lot, Nik. | Hi thanks for contacting Chat Doctor... As you have smoking history COPD chances more .... But CT scan normal for it . Second your symptoms could be from cardiac cause like heart failure that can lead dyspnea.... So for further work up investigate with....1. Blood pressure measurement 2.ECG 3.ECHO etc.... Avoid smoking ..... If blood oxygen very lower than oxygen therapy needs to be given.... Take care ... Consult pulmonologist or physician for this ... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: At total rest, especially at high room temp, I feel air is not enough for me. Pulse oximeter justifies my feeling, it does show some lowering in oxygen saturation down to 93-94%. Funny thing is this feeling totally dissapears if I breath cold air from AC or start exercizing even with very aerobic exercize, then everyting comes to normal and better, and my lung function becomes pretty good, concidering just two years ago I quit (heavy) smoking. Spirometry shows no COPD, and CT shows very very light emphysema signs, not justifying my uncomfortable feeling at rest. Any idea what other possible dama- ges could cause my peculiar symptoms? Thanks a lot, Nik."
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... As you have smoking history COPD chances more .... But CT scan normal for it . Second your symptoms could be from cardiac cause like heart failure that can lead dyspnea.... So for further work up investigate with....1. Blood pressure measurement 2.ECG 3.ECHO etc.... Avoid smoking ..... If blood oxygen very lower than oxygen therapy needs to be given.... Take care ... Consult pulmonologist or physician for this ..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a kind of small hole next to my back left tooth that feels like a sore it s like the skin split or the gum split . I put my finger on it as I look at it in the mirror and it kind of feels like I m touching the base of my lower wisdom tooth that never grew in fully . will this thing heal by itself? will skin or gum grow in soon to fill up this small oval shaped hole? YYYY@YYYY | Hello & welcomes you said that wisdom tooth never grew fully means that this tooth of yours is impacted & problem you are suffering here is peritonitis. This is gingival flap inflammation usually covers partially impacted teeth. Permanent cure for such type of problems is extraction of wisdom tooth, so I will advise you to visit your dentist as soon as possible. Rest maintain proper oral hygiene, start up with one antibiotic course including amoxicillin, metro, & painkiller ibuprofen along with Betadine rinses. Thanks & take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a kind of small hole next to my back left tooth that feels like a sore it s like the skin split or the gum split . I put my finger on it as I look at it in the mirror and it kind of feels like I m touching the base of my lower wisdom tooth that never grew in fully . will this thing heal by itself? will skin or gum grow in soon to fill up this small oval shaped hole? YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hello & welcomes you said that wisdom tooth never grew fully means that this tooth of yours is impacted & problem you are suffering here is peritonitis. This is gingival flap inflammation usually covers partially impacted teeth. Permanent cure for such type of problems is extraction of wisdom tooth, so I will advise you to visit your dentist as soon as possible. Rest maintain proper oral hygiene, start up with one antibiotic course including amoxicillin, metro, & painkiller ibuprofen along with Betadine rinses. Thanks & take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i think i could possibly be about 7 weeks pregnant i have had a constant fever from 99.3 to 100.0 for a few weeks now i have vomited twice the past couple weeks and feel nauseated all the time i have a pounding headache and feel so weak so dehydrated so sick constant back pain cramps in lower left side, i have pancreatic cancer and only have a very small percentage of my pancreas i was told that a pee test probably wouldnt show if i was pregnant or not could there be a chance that i am pregnant i have lots of the symptoms | The symptoms that you describe are unlikely to be due to pregnancy. However, in order to be sure, you should get an ultrasound of the abdomen done as the urine test maybe falsely negative. It would have helped had you given some more details about the cancer, what stage was it, when did you have it, what surgery did you have, etc. I don't want you to worry unnecessarily, but it is possible that you may have a recurrence of the disease and that can explain all the symptoms. Even that will become evident on the ultrasound. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i think i could possibly be about 7 weeks pregnant i have had a constant fever from 99.3 to 100.0 for a few weeks now i have vomited twice the past couple weeks and feel nauseated all the time i have a pounding headache and feel so weak so dehydrated so sick constant back pain cramps in lower left side, i have pancreatic cancer and only have a very small percentage of my pancreas i was told that a pee test probably wouldnt show if i was pregnant or not could there be a chance that i am pregnant i have lots of the symptoms"
},
{
"from": "gpt",
"value": "Output: The symptoms that you describe are unlikely to be due to pregnancy. However, in order to be sure, you should get an ultrasound of the abdomen done as the urine test maybe falsely negative. It would have helped had you given some more details about the cancer, what stage was it, when did you have it, what surgery did you have, etc. I don't want you to worry unnecessarily, but it is possible that you may have a recurrence of the disease and that can explain all the symptoms. Even that will become evident on the ultrasound."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I was diagnosed with Hepatitis-C and Liver Cirrosis. Before the treatment my TLC count was 4500. HB was 14.2 and Platelet count were 0000. So my hepatologist recommended a low dose 80 mcg of Peg- Interferon alpha-2b. Due to the low dose my RVR and EVR were negative. The virus count were undetectable only after 20 weeks. So the doctor increase my treatment to continue 72 weeks. During this process due to low TLC I was recommended a weely shot of filgrastim-30 mcg. Now the treatment has been completed a month before and the virus count remained undetected during 20th to 72th injection . The problem now is that the TLC is not normal till now. In my test yesterday it was 2500 with Neutrophils as 55%. Can you suggest any treatment / diet to improve this. Regards Kamal | Hi Kamal, there is nothing you can do in your diet to improve your white blood cells. This decrease that is seen on your labs is due to the interferon injections. The only thing that can be done is either stop the interferon, which i wouldn't recommend if you are undetectable and have not completed therapy; the other alternative is to continue filgrastrim injections to boost your cells. Just so you know new therapies without interferon should be coming out relatively soon - in 1-2 years, so be on the look for those if this treatment course fails. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I was diagnosed with Hepatitis-C and Liver Cirrosis. Before the treatment my TLC count was 4500. HB was 14.2 and Platelet count were 0000. So my hepatologist recommended a low dose 80 mcg of Peg- Interferon alpha-2b. Due to the low dose my RVR and EVR were negative. The virus count were undetectable only after 20 weeks. So the doctor increase my treatment to continue 72 weeks. During this process due to low TLC I was recommended a weely shot of filgrastim-30 mcg. Now the treatment has been completed a month before and the virus count remained undetected during 20th to 72th injection . The problem now is that the TLC is not normal till now. In my test yesterday it was 2500 with Neutrophils as 55%. Can you suggest any treatment / diet to improve this. Regards Kamal"
},
{
"from": "gpt",
"value": "Output: Hi Kamal, there is nothing you can do in your diet to improve your white blood cells. This decrease that is seen on your labs is due to the interferon injections. The only thing that can be done is either stop the interferon, which i wouldn't recommend if you are undetectable and have not completed therapy; the other alternative is to continue filgrastrim injections to boost your cells. Just so you know new therapies without interferon should be coming out relatively soon - in 1-2 years, so be on the look for those if this treatment course fails."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am going throgh medical treatment. My wisdom teetChatDoctore out long time ago.but recenty cheek behind the wppisdom teeth cut out by that teeth and i am feeling pain for 7 days. I am taking medicine is it sasafe to remove the teeth if the pain remains same | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have cheek batting due to wisdom tooth yes, treatment for this is Extraction (removal) of tooth. Go for extraction if your pain remains as same. Do warm saline gargle two - three times a day. You can apply ointment McCoppin or Colonel twice pain on cheek batting area it will give you relief. Hope this will help you. Wishing you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am going throgh medical treatment. My wisdom teetChatDoctore out long time ago.but recenty cheek behind the wppisdom teeth cut out by that teeth and i am feeling pain for 7 days. I am taking medicine is it sasafe to remove the teeth if the pain remains same"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have cheek batting due to wisdom tooth yes, treatment for this is Extraction (removal) of tooth. Go for extraction if your pain remains as same. Do warm saline gargle two - three times a day. You can apply ointment McCoppin or Colonel twice pain on cheek batting area it will give you relief. Hope this will help you. Wishing you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dr.,I have been diagnosed with Alopecia Areata & Lichen Planus. Just wanted more info on the co-existence of these two conditions and whether it is curable. I have hair loss across my body & also patches in my skin which look like it has been burnt.Also, What is Vitilex 150 used for?Regards,Reza (M/34/Hyd) | Hi, welcome to Chat Doctor, alopecia errata is an autoimmune disease. Etiology of lichen plans is unknown, but it is thought to be a T cell mediated autoimmune disease. But these two disorders are rarely associated. Alopecia errata is associated with thyroiditis, diabetes, vitiligo etc.virile 150 contains camisole commonly used to treat parasitic worm infestation. It is also a cellular immune enhancer and this property is utilized in some disease like vitiligo, chronic wound, lichen plans etc. Hope this will help you. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr.,I have been diagnosed with Alopecia Areata & Lichen Planus. Just wanted more info on the co-existence of these two conditions and whether it is curable. I have hair loss across my body & also patches in my skin which look like it has been burnt.Also, What is Vitilex 150 used for?Regards,Reza (M/34/Hyd)"
},
{
"from": "gpt",
"value": "Output: Hi, welcome to Chat Doctor, alopecia errata is an autoimmune disease. Etiology of lichen plans is unknown, but it is thought to be a T cell mediated autoimmune disease. But these two disorders are rarely associated. Alopecia errata is associated with thyroiditis, diabetes, vitiligo etc.virile 150 contains camisole commonly used to treat parasitic worm infestation. It is also a cellular immune enhancer and this property is utilized in some disease like vitiligo, chronic wound, lichen plans etc. Hope this will help you. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have low platelets, high wbc count, and now i find out i have a little blood in my urine. No infections. my wbc count has been high for a while (kinda up and down), so my doctor sent me to an oncologist-blood specialist, she just seems to think i am a puzzle, and a rare case of someone who just has high wbc, cause i smoke. all the symptoms i look up all have the word cancer some where in the diagnosis. Should i be worried, or just go get checked again in three months. | This is unlikely to be cancer. It is probably just a urinary tract infection. Because of infection the WBC count is on the higher end and because of this more number of platelets are getting destroyed in the blood (by the macrophages) . The bleeding manifestation Is because of this decreased platelet count. The patient should be started on antibiotics like nitrofurantoin and if any burning sensation is there during urination then can add a NSAID to your treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have low platelets, high wbc count, and now i find out i have a little blood in my urine. No infections. my wbc count has been high for a while (kinda up and down), so my doctor sent me to an oncologist-blood specialist, she just seems to think i am a puzzle, and a rare case of someone who just has high wbc, cause i smoke. all the symptoms i look up all have the word cancer some where in the diagnosis. Should i be worried, or just go get checked again in three months."
},
{
"from": "gpt",
"value": "Output: This is unlikely to be cancer. It is probably just a urinary tract infection. Because of infection the WBC count is on the higher end and because of this more number of platelets are getting destroyed in the blood (by the macrophages) . The bleeding manifestation Is because of this decreased platelet count. The patient should be started on antibiotics like nitrofurantoin and if any burning sensation is there during urination then can add a NSAID to your treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi .. i m 25 yrs old unmarried girl .. i have been suffering from skin lichen planus since i was 14yrs old ..from past 2 yrs i have switched to homeopathy treatment from allopathy(steroids) ..its improvin no doubt ..but i have blackish dark skin both the inner thigh ..which is increasin day by day ..it itches some time .. how i can i remove blackish dark skin ?? | Hi welcome to ChatDoctorThe lichen plans is very well curable by constitutional homeopathic treatment. The sign of improvement of lichen plans starts after treatment with homeopathy. As you were on steroid, so it will take a time to put its full curative effects. But as you are telling you are getting improvement that shows the treatment is on right tract. When the rash tends to heal that leave a blue-black or brownish discoloration that persists for a long time. But that is also a vital symptom for a homeopath. So consult your homeopath and narrate the new symptoms you have received then he is the best person to decide whether the potency of the existing medicines will be changed or medicines will be changed or to give gap in between two medicine that totally depends upon the treating doctor. So nothing to be worried just consult your homeopath and keep continuing the treatment. Yes you can apply Echinacea ointment in this patchy area but consult your homeopath before using. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi .. i m 25 yrs old unmarried girl .. i have been suffering from skin lichen planus since i was 14yrs old ..from past 2 yrs i have switched to homeopathy treatment from allopathy(steroids) ..its improvin no doubt ..but i have blackish dark skin both the inner thigh ..which is increasin day by day ..it itches some time .. how i can i remove blackish dark skin ??"
},
{
"from": "gpt",
"value": "Output: Hi welcome to ChatDoctorThe lichen plans is very well curable by constitutional homeopathic treatment. The sign of improvement of lichen plans starts after treatment with homeopathy. As you were on steroid, so it will take a time to put its full curative effects. But as you are telling you are getting improvement that shows the treatment is on right tract. When the rash tends to heal that leave a blue-black or brownish discoloration that persists for a long time. But that is also a vital symptom for a homeopath. So consult your homeopath and narrate the new symptoms you have received then he is the best person to decide whether the potency of the existing medicines will be changed or medicines will be changed or to give gap in between two medicine that totally depends upon the treating doctor. So nothing to be worried just consult your homeopath and keep continuing the treatment. Yes you can apply Echinacea ointment in this patchy area but consult your homeopath before using. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell and hit my left rib cage pretty hard a little over a week ago. I was stunned but okay. Is it normal for it to hurt more after a few days? This week it s hurt to inhale deeply and to sit up from a lying down position ... also hurts to laugh but not so much that I d think anything is broken ... almost like muscle pulls. No visible bruise on skin. Mary Jo | Thanks for your question on Chat Doctor. Causes of shortness of breath and chest pain after inhalation, in blunt chest trauma are1. Rib fracture.2. Muscular injury.3. Pneumothorax. 4. Pulmonary contusions. So chest x-ray is needed to rule out above things. So get done chest x-ray first. I think you are having muscle injury. Try to follow these.1. Avoid excessive movement on affected side.2. Avoid heavy weight lifting and heavy exertion.3. Take good painkillers and muscle relaxant.4. Apply warm water pad to the affected part.5. Avoid bad postures in sleep.6. Wear rib belt to avoid movement of painful segment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell and hit my left rib cage pretty hard a little over a week ago. I was stunned but okay. Is it normal for it to hurt more after a few days? This week it s hurt to inhale deeply and to sit up from a lying down position ... also hurts to laugh but not so much that I d think anything is broken ... almost like muscle pulls. No visible bruise on skin. Mary Jo"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. Causes of shortness of breath and chest pain after inhalation, in blunt chest trauma are1. Rib fracture.2. Muscular injury.3. Pneumothorax. 4. Pulmonary contusions. So chest x-ray is needed to rule out above things. So get done chest x-ray first. I think you are having muscle injury. Try to follow these.1. Avoid excessive movement on affected side.2. Avoid heavy weight lifting and heavy exertion.3. Take good painkillers and muscle relaxant.4. Apply warm water pad to the affected part.5. Avoid bad postures in sleep.6. Wear rib belt to avoid movement of painful segment."
}
]
|
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 have a girl baby .she is one and half year old she doesnt eat properly ..and frm 6 days she is not taking solid food .she is only on milk .plz advice me what should i do | Hi, At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding a good amount of ghee to it. 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, may I answer your health queries right now ? Please type your query here...i have a girl baby .she is one and half year old she doesnt eat properly ..and frm 6 days she is not taking solid food .she is only on milk .plz advice me what should i do"
},
{
"from": "gpt",
"value": "Output: Hi, At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding a good amount of ghee to it. 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. | for the last couple of days i have been having a clear liquid from the rectum when i urinate somestimes there a little pieces in it. have a little gas did have some cramping in the gut but not so much now feels like i have to take a bowel movement.when i go its a little gas and clear fluid.this is scary | Hello appreciate your concernLooking at your description that could be hemorrhoids or fissure in anus, and it can be caused by gastroenteritis, colitis or worm infestation So to be on safe side I would advise you to consult your doctor for per rectal examination and a colonoscopy if need be.Meanwhile, try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactuloseLignocaine ointment for pain and burning sensationPantoprazole or omeprazole as an antiacidity medicinesHave pots of fruits and vegetables with dietary fibers Hope this helps you wish you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: for the last couple of days i have been having a clear liquid from the rectum when i urinate somestimes there a little pieces in it. have a little gas did have some cramping in the gut but not so much now feels like i have to take a bowel movement.when i go its a little gas and clear fluid.this is scary"
},
{
"from": "gpt",
"value": "Output: Hello appreciate your concernLooking at your description that could be hemorrhoids or fissure in anus, and it can be caused by gastroenteritis, colitis or worm infestation So to be on safe side I would advise you to consult your doctor for per rectal examination and a colonoscopy if need be.Meanwhile, try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactuloseLignocaine ointment for pain and burning sensationPantoprazole or omeprazole as an antiacidity medicinesHave pots of fruits and vegetables with dietary fibers Hope this helps you wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I had my period on the firs of june for only like half a day and a week later I had some brown spotting for only half a day could I be pregnand we have been ttc for 8 monthes now and I really hope thad I could be pregnand my period always comes every month and last for 4to5 days but never start the same day please help my | Hello, Thanks for writing to us. As you have mentioned you are on treatment for last 8 months for infertility. You have not mentioned the date of your last normal period and whether any medications were taken? I suppose that first June was your expected date of period and that was scanty, and later you had brown spotting, so I will suggest you to undertake urine pregnancy test, ultrasound scan and consult a gynecologist for further management. Good Luck. 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 had my period on the firs of june for only like half a day and a week later I had some brown spotting for only half a day could I be pregnand we have been ttc for 8 monthes now and I really hope thad I could be pregnand my period always comes every month and last for 4to5 days but never start the same day please help my"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for writing to us. As you have mentioned you are on treatment for last 8 months for infertility. You have not mentioned the date of your last normal period and whether any medications were taken? I suppose that first June was your expected date of period and that was scanty, and later you had brown spotting, so I will suggest you to undertake urine pregnancy test, ultrasound scan and consult a gynecologist for further management. Good Luck. Take care,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Two weeks ago, I was twisting and contorting myself while trying to adjust my newborn s carseat base into our vehicle. Two days later when I was in the seated position (on the floor) and stood up abruptly I felt a burning/pinching sensation in my lower right abdomen, probably two inches to the right and down from my belly button. It hasn t gotten any better or worse since that time, although I ve now poked and prodded myself about 100 times since then so its probably irritated. I have a doctor s appt on Friday this week, but am curious about what is likely. I ve seen everything online from a muscle strain, pull, tear, to a hernia. On that note, I have no protrusion at all that is either visible or that I can feel when standing or lying down. I m a male. | Hi. Thanks for your query. The most probable cause of such a pointed pain in the abdomen right to the belly button can be due to appendicitis and must be investigated by ultrasonography and relevant blood, urine and stool tests. This may not be related to the twisting and contorting at all, as the pain would have been immediate or within a day of this. Please get examined at ER or by a Surgeon to get an appropriate diagnosis and treatment before it is late. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Two weeks ago, I was twisting and contorting myself while trying to adjust my newborn s carseat base into our vehicle. Two days later when I was in the seated position (on the floor) and stood up abruptly I felt a burning/pinching sensation in my lower right abdomen, probably two inches to the right and down from my belly button. It hasn t gotten any better or worse since that time, although I ve now poked and prodded myself about 100 times since then so its probably irritated. I have a doctor s appt on Friday this week, but am curious about what is likely. I ve seen everything online from a muscle strain, pull, tear, to a hernia. On that note, I have no protrusion at all that is either visible or that I can feel when standing or lying down. I m a male."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. The most probable cause of such a pointed pain in the abdomen right to the belly button can be due to appendicitis and must be investigated by ultrasonography and relevant blood, urine and stool tests. This may not be related to the twisting and contorting at all, as the pain would have been immediate or within a day of this. Please get examined at ER or by a Surgeon to get an appropriate diagnosis and treatment before it is late."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear doctor good morning sometimes I feel my penis is small than normal penis....is there any chance to grow it more or make it large...? Or if you can suggest anything to do it .is the small penis able to pregnant my wife or not. but when I am Ready to sex with my wife it became large...but normally it s not looking big like others ...Why? Any problems... Please guide me thanks . Vicky...Dubai | Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear doctor good morning sometimes I feel my penis is small than normal penis....is there any chance to grow it more or make it large...? Or if you can suggest anything to do it .is the small penis able to pregnant my wife or not. but when I am Ready to sex with my wife it became large...but normally it s not looking big like others ...Why? Any problems... Please guide me thanks . Vicky...Dubai"
},
{
"from": "gpt",
"value": "Output: Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | \"I was diagnosed with mono about a 2 yrs ago. When I was 1st diagnosed I had sever pain on my left side/abdomin and they did a test that showed my liver and spleen was enlarged/swollen. Over the past 2 years this pain continues to come back. I have been to the Er where they just sent me home and told me it was nothing. I still continue to get sever reoccuring pain on my left abdomin (much like the pain I had when I was 1st diagnosed) and I still very often get wore out easily and will stay in the bed for hours. Just wondering what is going on and if there is something wrong or something I need to do. | Hi, Thank you for your query. You mentioned that you are having pain on the left side of your abdomen for the past 2 years. However, you have not mentioned the following | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: \\\"I was diagnosed with mono about a 2 yrs ago. When I was 1st diagnosed I had sever pain on my left side/abdomin and they did a test that showed my liver and spleen was enlarged/swollen. Over the past 2 years this pain continues to come back. I have been to the Er where they just sent me home and told me it was nothing. I still continue to get sever reoccuring pain on my left abdomin (much like the pain I had when I was 1st diagnosed) and I still very often get wore out easily and will stay in the bed for hours. Just wondering what is going on and if there is something wrong or something I need to do."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your query. You mentioned that you are having pain on the left side of your abdomen for the past 2 years. However, you have not mentioned the following"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a cyst removed from my neck 5 1/2 weeks ago and a seroma ever since. It seemed to be clearing up, and the fluid loss was down to a constant drip, but now a new swelling is growing again that feels harder than the original seroma and not necessarily fluid filled. Advice please! | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.First you need to diagnose the reason for swelling. You can diagnose it with the HRCT thorax. It will give you exact dimensions of swelling and the nature of the same is also should be known. The common cause of the swelling rising is the cystic aroma in this area. If It's so, then there is need for radical cure. Until you are not done with the radical cure this swelling will never go permanently. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a cyst removed from my neck 5 1/2 weeks ago and a seroma ever since. It seemed to be clearing up, and the fluid loss was down to a constant drip, but now a new swelling is growing again that feels harder than the original seroma and not necessarily fluid filled. Advice please!"
},
{
"from": "gpt",
"value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.First you need to diagnose the reason for swelling. You can diagnose it with the HRCT thorax. It will give you exact dimensions of swelling and the nature of the same is also should be known. The common cause of the swelling rising is the cystic aroma in this area. If It's so, then there is need for radical cure. Until you are not done with the radical cure this swelling will never go permanently. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I know I am headed for failing kidneys. My dr. said my blood tests looked good but my kidneys appear stress. I am diabetic. She said my albumin was 10 pts. above the max. I got a juicer and have been drinking vegetable & fruit juices. I am serious about lowering my test score. 8o | Hi welcome to Chat Doctor. I have read your question and I have understood your concerns. Loss of protein in urine is a sign of kidneys damage in any disease, also in a diabetes. But the most important parameter is S. Creatinine and GFR(glomerular filtration rate). Please just see your reports and discuss with your doc about that parameters. My advice to you - 1. Avoid excessive fluid and salt at it will raise your blood pressure in kidney DISEASE. DON'T TAKE EXCESSIVE FRUIT JUICES - THEY SHOULD BE AVOIDED BOTH IN KIDNEY DISEASES AND DIABETES. SO restrict fruit intake. Up to early stages of kidney damage normal protein intake in diet is allowed. 2. Tight control of blood sugar is of utmost importance. Target will be FBS 3. Don't get panic, in early stages kidney diseases are preventable. Take regular follow up with your kidney specialist and do every 2 monthly blood reports for kidney and diabetes. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I know I am headed for failing kidneys. My dr. said my blood tests looked good but my kidneys appear stress. I am diabetic. She said my albumin was 10 pts. above the max. I got a juicer and have been drinking vegetable & fruit juices. I am serious about lowering my test score. 8o"
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor. I have read your question and I have understood your concerns. Loss of protein in urine is a sign of kidneys damage in any disease, also in a diabetes. But the most important parameter is S. Creatinine and GFR(glomerular filtration rate). Please just see your reports and discuss with your doc about that parameters. My advice to you - 1. Avoid excessive fluid and salt at it will raise your blood pressure in kidney DISEASE. DON'T TAKE EXCESSIVE FRUIT JUICES - THEY SHOULD BE AVOIDED BOTH IN KIDNEY DISEASES AND DIABETES. SO restrict fruit intake. Up to early stages of kidney damage normal protein intake in diet is allowed. 2. Tight control of blood sugar is of utmost importance. Target will be FBS 3. Don't get panic, in early stages kidney diseases are preventable. Take regular follow up with your kidney specialist and do every 2 monthly blood reports for kidney and diabetes. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a root canal treatment (BMP) done a week back and had some pain in the following days along with swelling of the face (same side). I was told by the dentist (on phone, when i explained the problem) to have Clavam 625, twice daily for 5 days. The course got over yesterday but the swelling is not completely over. It is much better now (i would say 80-90% better), but some discomfort in the jaw joint while opening the mouth to full extent and I feel a funny taste and bad breath in the mouth too. I am due to meet the dentist again this week for crown cutting. Should I be worried about my present dentist or take a second opinion. Also, please note that my root canal was done on the upper tooth, right adjacent to another tooth where an earlier root canal had been performed, with post and crown around 5 years ago by a different dentist. thank you. | Hello and welcome. After going through the history posted here it appears that the infection has not recovered completely. Even after taking a course of antibiotic.Therefore, in my view please discuss with your present dentist regarding alternative antibiotic course like metronidazole and Cipro course too. Once the swelling comes down and when you start feeling better only then the next procedure can be started. There should be no hurry in this.Meanwhile, please do warm saline rinses too and do not be worried it would be fine. I would like to remind you that in case of diabetes and hypertension, any wound takes longer time to heal as you have not mentioned your medical history. Only when you are not convinced by your present dentist then please look for Endodontist in this regard. Thanks. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a root canal treatment (BMP) done a week back and had some pain in the following days along with swelling of the face (same side). I was told by the dentist (on phone, when i explained the problem) to have Clavam 625, twice daily for 5 days. The course got over yesterday but the swelling is not completely over. It is much better now (i would say 80-90% better), but some discomfort in the jaw joint while opening the mouth to full extent and I feel a funny taste and bad breath in the mouth too. I am due to meet the dentist again this week for crown cutting. Should I be worried about my present dentist or take a second opinion. Also, please note that my root canal was done on the upper tooth, right adjacent to another tooth where an earlier root canal had been performed, with post and crown around 5 years ago by a different dentist. thank you."
},
{
"from": "gpt",
"value": "Output: Hello and welcome. After going through the history posted here it appears that the infection has not recovered completely. Even after taking a course of antibiotic.Therefore, in my view please discuss with your present dentist regarding alternative antibiotic course like metronidazole and Cipro course too. Once the swelling comes down and when you start feeling better only then the next procedure can be started. There should be no hurry in this.Meanwhile, please do warm saline rinses too and do not be worried it would be fine. I would like to remind you that in case of diabetes and hypertension, any wound takes longer time to heal as you have not mentioned your medical history. Only when you are not convinced by your present dentist then please look for Endodontist in this regard. Thanks. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My gums swell up whenever I eat chocolate or certain kinds of shellfish. This started about 3 years ago after a visit to the dentist for a deep cleaning. I went to an allergist, and he said that I am not allergic to chocolate or shellfish as far as he can determine, but I may have some sort of contact allergy with my gums. Is there anything that I can do to either make the swelling go down right away, or stop it altogether without having to change my diet. My teeth have become crooked because of the swelling over these three years. Thank you. | Thanks for using Chat Doctor. Read your query. Allergic reaction to the gums (contact dermatitis) can be due the preservatives or any of the flavoring agents in these things which is causing you the swelling of gums. I would advise you visit an oral surgeon and get it evaluated, if necessary a biopsy can be done. Recurrence of the allergy using the same products will confirm its diagnosis. Avoiding the products is usually recommended. Get your teeth cleaned and check it for the irregularities and get it treated. Avoid the allergens. 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: My gums swell up whenever I eat chocolate or certain kinds of shellfish. This started about 3 years ago after a visit to the dentist for a deep cleaning. I went to an allergist, and he said that I am not allergic to chocolate or shellfish as far as he can determine, but I may have some sort of contact allergy with my gums. Is there anything that I can do to either make the swelling go down right away, or stop it altogether without having to change my diet. My teeth have become crooked because of the swelling over these three years. Thank you."
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. Allergic reaction to the gums (contact dermatitis) can be due the preservatives or any of the flavoring agents in these things which is causing you the swelling of gums. I would advise you visit an oral surgeon and get it evaluated, if necessary a biopsy can be done. Recurrence of the allergy using the same products will confirm its diagnosis. Avoiding the products is usually recommended. Get your teeth cleaned and check it for the irregularities and get it treated. Avoid the allergens. Hope this was helpful. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi this morning, i fell and bumped the bottom of my cheekbone, the area instantly swelled up but felt numb, as the day has gone on the swelling has gone down however it is starting to become painful. No bruising has come up where I actually hit my face however at the end of the cheekbone next to my nose a bruise has come up. What would you reccomend? I am female & 21 years of age | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to the injury on the cheekbone. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application and rest. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi this morning, i fell and bumped the bottom of my cheekbone, the area instantly swelled up but felt numb, as the day has gone on the swelling has gone down however it is starting to become painful. No bruising has come up where I actually hit my face however at the end of the cheekbone next to my nose a bruise has come up. What would you reccomend? I am female & 21 years of age"
},
{
"from": "gpt",
"value": "Output: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to the injury on the cheekbone. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application and rest. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mom s recent MRI results | Hi, Thank you for posting your query. First, I would like to reassure you that the MRI abnormalities in your moms' case are minor, and there is no need to worry. Kendra (levetiracetam) may cause confusion, and so, if possible it should be stopped and replaced with another anti seizure Chat Doctor. For mini strokes (small vessel ischemic changes), a blood thinner such as aspirin, should be started. For diffuse volume loss, no specific treatment is available. It could be normal for age, or it could be a part of Alzheimer's disease. This can be confirmed by a clinical examination by a neurologist. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mom s recent MRI results"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. First, I would like to reassure you that the MRI abnormalities in your moms' case are minor, and there is no need to worry. Kendra (levetiracetam) may cause confusion, and so, if possible it should be stopped and replaced with another anti seizure Chat Doctor. For mini strokes (small vessel ischemic changes), a blood thinner such as aspirin, should be started. For diffuse volume loss, no specific treatment is available. It could be normal for age, or it could be a part of Alzheimer's disease. This can be confirmed by a clinical examination by a neurologist. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I ve been suffering with pain on the left side of my chest for about a year, I have a pulling sensation from my neck under my collar bone it also goes through my armpit down to my elbow and into my fingers, I also suffer with pain with my lower ribs on the left side that goes round to my back. The chest pain also goes round to my back. | Thanks for your question on Chat Doctor. In my opinion it seems muscular pain only. But as a rule in left sided chest pain we need to rule out cardiac cause first. So get done ECG SND 2D Echo to rule cardiac cause. If both of these are normal than your symptoms are most probably due to muscular pain only. So try to follow these for better symptomatic relief.1. Avoid strenuous exercise. 2. Avoid heavy weight lifting.3. Avoid bad postures in sleep.4. Take painkiller and muscle relaxant. 5. Apply warm water pad on affected site.6. Wear chest belt to avoid mobilization of affected part.7. Avoid anxiety and stress and be relaxed and calm. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I ve been suffering with pain on the left side of my chest for about a year, I have a pulling sensation from my neck under my collar bone it also goes through my armpit down to my elbow and into my fingers, I also suffer with pain with my lower ribs on the left side that goes round to my back. The chest pain also goes round to my back."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion it seems muscular pain only. But as a rule in left sided chest pain we need to rule out cardiac cause first. So get done ECG SND 2D Echo to rule cardiac cause. If both of these are normal than your symptoms are most probably due to muscular pain only. So try to follow these for better symptomatic relief.1. Avoid strenuous exercise. 2. Avoid heavy weight lifting.3. Avoid bad postures in sleep.4. Take painkiller and muscle relaxant. 5. Apply warm water pad on affected site.6. Wear chest belt to avoid mobilization of affected part.7. Avoid anxiety and stress and be relaxed and calm."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a lump on my lower lip i have this lump from bitting my lip, i have done some research on mococeles and i thought that was it but i discovered that the lump is just inflamed & it had no fluid, no puss etc. and also it kindve feels like a ball but it doesnt hurt at all! so im wondering if i should just let it be and maybe it will swell down or should i get it checked i honestly feel ;like theres no reason for getting this checked. | Hi, dairy have gone through your question. I can understand your concern. You may have inflammation in muscle or some benign cyst. Wait for a week. Mostly it will become normal by itself. If it remains persists then you should consult your doctor and go for examination. Right now no any treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a lump on my lower lip i have this lump from bitting my lip, i have done some research on mococeles and i thought that was it but i discovered that the lump is just inflamed & it had no fluid, no puss etc. and also it kindve feels like a ball but it doesnt hurt at all! so im wondering if i should just let it be and maybe it will swell down or should i get it checked i honestly feel ;like theres no reason for getting this checked."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have inflammation in muscle or some benign cyst. Wait for a week. Mostly it will become normal by itself. If it remains persists then you should consult your doctor and go for examination. Right now no any treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had an epidural last summer to help ongoing pain in my back and hip that shot to my knee. I ended up with a hematoma that had to be evacuated immediately because I couldn t use my left leg (where the pain was originally). Needless to say, the epidermal did not work but the surgery on my spine helped immensely. I m not in the pain I was in but it has gotten really bad. My doctor prescribed me narco until I can have another epidermal (which I am extremely reluctant to do) however, until then what can I do to get comfortable? | Hello, As per your history, it may be due to nerve compression at lumbar spine level For that you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also give For further assessment you may require MRI back and nerve conduction studies after consultation You may require tablet Gabapentin after consultation 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 had an epidural last summer to help ongoing pain in my back and hip that shot to my knee. I ended up with a hematoma that had to be evacuated immediately because I couldn t use my left leg (where the pain was originally). Needless to say, the epidermal did not work but the surgery on my spine helped immensely. I m not in the pain I was in but it has gotten really bad. My doctor prescribed me narco until I can have another epidermal (which I am extremely reluctant to do) however, until then what can I do to get comfortable?"
},
{
"from": "gpt",
"value": "Output: Hello, As per your history, it may be due to nerve compression at lumbar spine level For that you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also give For further assessment you may require MRI back and nerve conduction studies after consultation You may require tablet Gabapentin after consultation Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello!I have a Nickle sized oblong or oval bump growing between my left testicle and thigh... It is very painful especially when I am on my feet. It seems like it is getting worse and the leg of the side that it is on is starting to swell... Any idea what it could be? | helloThanks for query. The painful bump between thigh and testicle is most likely to be a Staphylococcal infection of hair follicle in a stage of induration (Boil).However, this can be confirmed only on clinical examination by a qualified General Surgeon. Take antibiotics like Doxycycline and anti-inflammatory medicine like Diclofenac twice daily for a week.If it does not subside you may need to consult qualified General surgeon and get it incised and Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello!I have a Nickle sized oblong or oval bump growing between my left testicle and thigh... It is very painful especially when I am on my feet. It seems like it is getting worse and the leg of the side that it is on is starting to swell... Any idea what it could be?"
},
{
"from": "gpt",
"value": "Output: helloThanks for query. The painful bump between thigh and testicle is most likely to be a Staphylococcal infection of hair follicle in a stage of induration (Boil).However, this can be confirmed only on clinical examination by a qualified General Surgeon. Take antibiotics like Doxycycline and anti-inflammatory medicine like Diclofenac twice daily for a week.If it does not subside you may need to consult qualified General surgeon and get it incised and Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am helping my son find dental help. He has no insurance and is a temp worker. His jaw was broken in 3 places when he was 18 and ever since then his teeth have broken off and turned black he has no molars whatsoever as they are broken off at the gums and the rest are slowly falling apart he needs to have them all pulled and dentures made. can you help me find either free dental or a dentist that is willing to take monthly payments.Thank You | Hi, Thanks for asking the query, I would suggest you to first get a clinical evaluation done by a Dentist, take an OPG x-ray. Infected tooth can also be root canal treated and saved permanently. Tooth which are mobile, root stumps are to be extracted and replaced by a fixed and removable denture. Depending upon the x-ray tooth which can be saved can be root canal treated, and remaining can be extracted and replaced. I suggest you to inquire for any Charitable Dental Trust or a Dental School in the nearby place where you can get your treatment done at reasonable rates or even free of cost. Hope this helps out. Regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am helping my son find dental help. He has no insurance and is a temp worker. His jaw was broken in 3 places when he was 18 and ever since then his teeth have broken off and turned black he has no molars whatsoever as they are broken off at the gums and the rest are slowly falling apart he needs to have them all pulled and dentures made. can you help me find either free dental or a dentist that is willing to take monthly payments.Thank You"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking the query, I would suggest you to first get a clinical evaluation done by a Dentist, take an OPG x-ray. Infected tooth can also be root canal treated and saved permanently. Tooth which are mobile, root stumps are to be extracted and replaced by a fixed and removable denture. Depending upon the x-ray tooth which can be saved can be root canal treated, and remaining can be extracted and replaced. I suggest you to inquire for any Charitable Dental Trust or a Dental School in the nearby place where you can get your treatment done at reasonable rates or even free of cost. Hope this helps out. Regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was given Cipro. Within 3 days I developed a rash on my hands that have spread. I went to the hospital and they said to stop medication. My hands are now swollen and it feels like there are little needles sticking my finger tips when they are touched. I can not take Benedyl like the wanted me to because I am allergic to it. I have had this for a week and it is only getting worse. No poison ivy around but there are no blisters on the rash either. Itches horribly | Hi. Well it looks like you have developed allergic reaction to Ciprofloxacin that is an antibiotic. Rashes can be due to allergic reaction to antibiotic. Stopping the medicine can help but to resolve the symptoms you should take anti-allergic medicine for relief. If you are allergic to Ben Chat Doctor. Also, you can get a steroid shot so that the symptoms resolve soon. Hope I have answered your query. Please let me know if I can assist you further. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was given Cipro. Within 3 days I developed a rash on my hands that have spread. I went to the hospital and they said to stop medication. My hands are now swollen and it feels like there are little needles sticking my finger tips when they are touched. I can not take Benedyl like the wanted me to because I am allergic to it. I have had this for a week and it is only getting worse. No poison ivy around but there are no blisters on the rash either. Itches horribly"
},
{
"from": "gpt",
"value": "Output: Hi. Well it looks like you have developed allergic reaction to Ciprofloxacin that is an antibiotic. Rashes can be due to allergic reaction to antibiotic. Stopping the medicine can help but to resolve the symptoms you should take anti-allergic medicine for relief. If you are allergic to Ben Chat Doctor. Also, you can get a steroid shot so that the symptoms resolve soon. Hope I have answered your query. Please let me know if I can assist you further. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, My 1.5 year son is now suffering from typhoid fever.Taxim o Forte & Agithral 200 mg , Crocine DS sos is going on from 15.04.2014. Fever starts from 07.04.2014 and typhoid detected 0n 15.04.2014. Now fever is 105 degree F. When he will be cured. please suggest. | Hellothanks for asking us. I understand your concern. In my opinion, you should continue with taxi for 7 days more and continue with Cronin alcohol do u know its typhoid?did the doctor do blood culture test? Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow-up. Please let me know all these queries so that I can help you accordingly.*Always check for history of allergy before taking any medicine. Wishing your child good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, My 1.5 year son is now suffering from typhoid fever.Taxim o Forte & Agithral 200 mg , Crocine DS sos is going on from 15.04.2014. Fever starts from 07.04.2014 and typhoid detected 0n 15.04.2014. Now fever is 105 degree F. When he will be cured. please suggest."
},
{
"from": "gpt",
"value": "Output: Hellothanks for asking us. I understand your concern. In my opinion, you should continue with taxi for 7 days more and continue with Cronin alcohol do u know its typhoid?did the doctor do blood culture test? Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow-up. Please let me know all these queries so that I can help you accordingly.*Always check for history of allergy before taking any medicine. Wishing your child good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ok so Sep 25 I had unprotected sex with my bf i took plan b the morning after. Again at the beginning of oct (unprotected) but again took plan b the morning after. I got my period or what I thought was my period oct 9 on time. it seemed pretty normal. It ended about the 12th & the day after I experienced a really bad headache & severe nausea which ended with me vomiting multiple times. the day after that I encountered brown watery discharge like watery watery . So the day after that I took a pregnancy test& it came back negative. So I waited a week & throughout that week I experienced & am still experiencing symptoms (nausea dizziness headaches, horrible fatigue... etc.) I started to randomly get really tired and fall asleep randomly I have uncomfortable stomach pain and aches in my hips & lower back. I took another pregnancy test today and it is still negative. Could the plan b have not worked? & if I am pregnant am I testing too early? If not what else could this be? | Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer some suggestions. Firstly, you do not need an emergency contraceptive if you have the intercourse during the safe period of your cycle. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase of the cycle. Secondly, the high hormone content in the emergency contraceptive pill creates hormone imbalances and this is the most likely cause for your current symptoms. Since you have inconvenience, please get proper help from your health care provider. In the future, please restrict the use of the emergency contraceptive pill use for one or two occasions per year and go for regular contraception instead. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ok so Sep 25 I had unprotected sex with my bf i took plan b the morning after. Again at the beginning of oct (unprotected) but again took plan b the morning after. I got my period or what I thought was my period oct 9 on time. it seemed pretty normal. It ended about the 12th & the day after I experienced a really bad headache & severe nausea which ended with me vomiting multiple times. the day after that I encountered brown watery discharge like watery watery . So the day after that I took a pregnancy test& it came back negative. So I waited a week & throughout that week I experienced & am still experiencing symptoms (nausea dizziness headaches, horrible fatigue... etc.) I started to randomly get really tired and fall asleep randomly I have uncomfortable stomach pain and aches in my hips & lower back. I took another pregnancy test today and it is still negative. Could the plan b have not worked? & if I am pregnant am I testing too early? If not what else could this be?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer some suggestions. Firstly, you do not need an emergency contraceptive if you have the intercourse during the safe period of your cycle. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase of the cycle. Secondly, the high hormone content in the emergency contraceptive pill creates hormone imbalances and this is the most likely cause for your current symptoms. Since you have inconvenience, please get proper help from your health care provider. In the future, please restrict the use of the emergency contraceptive pill use for one or two occasions per year and go for regular contraception instead. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 45, have a history of migraines that have been much less frequent since stopping birth control pills. I was prescribed 50mg vyvanse for ADHD and started taking it yesterday ( at the recommended half dose.) I have had a migraine for 24 hours .... Is there a possibility the vyvanse is causing the migraine? Thanks. | Hi, Vyvanse is unlikely to cause migraines. Vyvanse (amphetamine derivative) commonly prescribed to treat attention deficit hyperactivity disorder. Its most common side effects include decreased appetite, insomnia, Chat Doctor. The exact cause of migraines is not known. There are certain triggers such as lack of sleep, skipping a meal, caffeine or alcohol, and being under stress, sensory stimulation like unusually bright lights, loud noises, or strong smells, hormonal changes or while on birth control pills may also cause recurring migraines. Avoid those triggers and consult your treating doctor if there is no relief. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 45, have a history of migraines that have been much less frequent since stopping birth control pills. I was prescribed 50mg vyvanse for ADHD and started taking it yesterday ( at the recommended half dose.) I have had a migraine for 24 hours .... Is there a possibility the vyvanse is causing the migraine? Thanks."
},
{
"from": "gpt",
"value": "Output: Hi, Vyvanse is unlikely to cause migraines. Vyvanse (amphetamine derivative) commonly prescribed to treat attention deficit hyperactivity disorder. Its most common side effects include decreased appetite, insomnia, Chat Doctor. The exact cause of migraines is not known. There are certain triggers such as lack of sleep, skipping a meal, caffeine or alcohol, and being under stress, sensory stimulation like unusually bright lights, loud noises, or strong smells, hormonal changes or while on birth control pills may also cause recurring migraines. Avoid those triggers and consult your treating doctor if there is no relief. 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. | i have had psvt for 5 years now, but i just got diagnosed with it last week. my heart rate went up to 245bpm and i had to have 6mg of adenosine to make it stop. it used to only last for 30 seconds to a minute, but now it just doesnt stop. i had it happen again today and i was able to stop it on my own by pushing my stomach muscles down (thankgod). adenosine was a terrible experience and i wish to never have it again. anyways im only 18 and i was wondering if this is just going to worsen with time? and why did it happen twice in two weeks when it normally happens once every 6-12 months? it scares me a lot and i just want it gone | Hello, Paroxysmal supraventricular tachycardia (PSVT) occurs due to the presence of an aberrant pathway in the electrical system of the heart and triggered by premature atrial contractions (re-entry mechanism). If the episodes become frequent, it's better to go for an electrophysiologist study and then radiofrequency ablation finally to cure it permanently. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have had psvt for 5 years now, but i just got diagnosed with it last week. my heart rate went up to 245bpm and i had to have 6mg of adenosine to make it stop. it used to only last for 30 seconds to a minute, but now it just doesnt stop. i had it happen again today and i was able to stop it on my own by pushing my stomach muscles down (thankgod). adenosine was a terrible experience and i wish to never have it again. anyways im only 18 and i was wondering if this is just going to worsen with time? and why did it happen twice in two weeks when it normally happens once every 6-12 months? it scares me a lot and i just want it gone"
},
{
"from": "gpt",
"value": "Output: Hello, Paroxysmal supraventricular tachycardia (PSVT) occurs due to the presence of an aberrant pathway in the electrical system of the heart and triggered by premature atrial contractions (re-entry mechanism). If the episodes become frequent, it's better to go for an electrophysiologist study and then radiofrequency ablation finally to cure it permanently. 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. | Respected Dr(s), Urgent request for consultation, My Close friend he is suffering from sever viral infection, we understood the current infected virus we are not able to identify still now and he is in critical condition every day each organs are getting affected. His symptoms are as below from last Saturday he got admitted for the stomach Pain, He has breathing problem and got mouth ulcer with gas blocked from mouth till chest. His cretainin test reduce from 15 to 10.6. Liver test shows liver got swelling and infection. Blood also got infected. Now stomach pain is reduce but doctors are not sure of his recovery. Kindly help if you have any suggestion about the Virus or any reference doctor who have similar treatment for any other case. Patient still in ICU with critical condition, | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. It seems that your friend is suffering from Multi Organ Dysfunction Syn Chat Doctor. This can result from Atypical Viral Infection and also from Severe Sepsis. It is difficult to discuss the treatment here with the available information. Please get us his history, and all investigations. You can ask your doctor to give a summary of his illness to you to take a second opinion which you can send to us for a better help. This is my best advice for you with the available details, if you have any further query, please ask me. Stay HealthyChatDoctor, MD | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Respected Dr(s), Urgent request for consultation, My Close friend he is suffering from sever viral infection, we understood the current infected virus we are not able to identify still now and he is in critical condition every day each organs are getting affected. His symptoms are as below from last Saturday he got admitted for the stomach Pain, He has breathing problem and got mouth ulcer with gas blocked from mouth till chest. His cretainin test reduce from 15 to 10.6. Liver test shows liver got swelling and infection. Blood also got infected. Now stomach pain is reduce but doctors are not sure of his recovery. Kindly help if you have any suggestion about the Virus or any reference doctor who have similar treatment for any other case. Patient still in ICU with critical condition,"
},
{
"from": "gpt",
"value": "Output: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. It seems that your friend is suffering from Multi Organ Dysfunction Syn Chat Doctor. This can result from Atypical Viral Infection and also from Severe Sepsis. It is difficult to discuss the treatment here with the available information. Please get us his history, and all investigations. You can ask your doctor to give a summary of his illness to you to take a second opinion which you can send to us for a better help. This is my best advice for you with the available details, if you have any further query, please ask me. Stay HealthyChatDoctor, MD"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am currently starting my third month of birth control (quasense). The first month I had no issues, no spotting. But within the second month I ve experienced spotting. I ve had unprotected sex at least once. I am now experiencing heavy thick brown blood on some days and others its light and thin. I ve had an increase in my trips to the bathroom. Is it my body adjusting to the medicine, or could I be pregnant? | Hello dear. Understand your concern.no need to worry dear, its just side effect of BCP (birth control pills).in earlier months, some have some side effects like spotting, irregular & heavy bleeding, pain & cramps, headache,nausea, tenderness in breasts, weight changes.....so no need to worry, just be calm. Look, every contraceptive methods has some failure rate, BCP has 0.5-1% failure rate. You have that symptoms, that does not mean you are pregnant, so be relaxed. Hope this will help you. Best regards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am currently starting my third month of birth control (quasense). The first month I had no issues, no spotting. But within the second month I ve experienced spotting. I ve had unprotected sex at least once. I am now experiencing heavy thick brown blood on some days and others its light and thin. I ve had an increase in my trips to the bathroom. Is it my body adjusting to the medicine, or could I be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hello dear. Understand your concern.no need to worry dear, its just side effect of BCP (birth control pills).in earlier months, some have some side effects like spotting, irregular & heavy bleeding, pain & cramps, headache,nausea, tenderness in breasts, weight changes.....so no need to worry, just be calm. Look, every contraceptive methods has some failure rate, BCP has 0.5-1% failure rate. You have that symptoms, that does not mean you are pregnant, so be relaxed. Hope this will help you. Best regards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dr Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life | Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has a liver disease, we are trying to find natural ways to help him with his difficulty in getting enough air. His air is short, sometimes he can t complete a sentence. This just started yesterday. Before that he had body aches (now gone) and a headache (now gone) what can we do to help him to cough more and so clear his lungs..... | Hi thanks for asking question. Get examined patient by doctor. If on auscultation rhonchi heard then it is bronchospasm by obstructive condition like asthma or bronchitis.x-ray and pulmonary function test useful for it. If along with headache fever also present then chest x-ray done for rule out any consolidation in lung. Noted you have mentioned liver disease ... But which dz?? Fatty liver or cirrhosis or any other?? I am asking this because in cirrhosis functional pulmonary problem occur as result of portal hypertension and development of hepatopulmonary syn Chat Doctor. I hope your concern solved. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has a liver disease, we are trying to find natural ways to help him with his difficulty in getting enough air. His air is short, sometimes he can t complete a sentence. This just started yesterday. Before that he had body aches (now gone) and a headache (now gone) what can we do to help him to cough more and so clear his lungs....."
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Get examined patient by doctor. If on auscultation rhonchi heard then it is bronchospasm by obstructive condition like asthma or bronchitis.x-ray and pulmonary function test useful for it. If along with headache fever also present then chest x-ray done for rule out any consolidation in lung. Noted you have mentioned liver disease ... But which dz?? Fatty liver or cirrhosis or any other?? I am asking this because in cirrhosis functional pulmonary problem occur as result of portal hypertension and development of hepatopulmonary syn Chat Doctor. I hope your concern solved. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im going through depresion right now but dont seem to shake the feeling of uneasiness in the upper chest. I do smoke about 6 cig s a day and trying to quit. Breathing does not seem to be a problem even though i suffer from panic attacks once in a while. I try to do breathing excercise to calm myself down. I concerned shoul i be about this slight tighness in the upper chest? | Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac and pulmonary causes as you are smoker. So please get done ECG to rule out cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than it is mostly due to depression only. Anxiety can be associated with depression and cause this kind of symptom. Panic attacks can be the cause. So try to avoid stress. Consult your psychiatrist and get done counselling sessions. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im going through depresion right now but dont seem to shake the feeling of uneasiness in the upper chest. I do smoke about 6 cig s a day and trying to quit. Breathing does not seem to be a problem even though i suffer from panic attacks once in a while. I try to do breathing excercise to calm myself down. I concerned shoul i be about this slight tighness in the upper chest?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac and pulmonary causes as you are smoker. So please get done ECG to rule out cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than it is mostly due to depression only. Anxiety can be associated with depression and cause this kind of symptom. Panic attacks can be the cause. So try to avoid stress. Consult your psychiatrist and get done counselling sessions."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my mom is diagnosed with a rare disease which is closely related to miller fisher syndrome. she used to be active and just recently she witnessed a fire that in their storage house that left her so devastated of what happened.shes 64years old, has diabetes and has allergic reactions to pain relievers. Is there a home treatment or remedies to cure miller fisher syndrome? | His welcome you to Chat Doctor. Your mothers' disease is definitely a rare disease, but the prognosis of this disease is very good. She should be treated with intravenous immunoglobulins or plasmapheresis, but I am not aware of any home remedies. I do not think that there are any home remedies that can bring her out of this. I would advise you to take your mother to the nearest hospital and treat her as soon as possible. The more you delay, the more severe it becomes. Hope I answered your query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my mom is diagnosed with a rare disease which is closely related to miller fisher syndrome. she used to be active and just recently she witnessed a fire that in their storage house that left her so devastated of what happened.shes 64years old, has diabetes and has allergic reactions to pain relievers. Is there a home treatment or remedies to cure miller fisher syndrome?"
},
{
"from": "gpt",
"value": "Output: His welcome you to Chat Doctor. Your mothers' disease is definitely a rare disease, but the prognosis of this disease is very good. She should be treated with intravenous immunoglobulins or plasmapheresis, but I am not aware of any home remedies. I do not think that there are any home remedies that can bring her out of this. I would advise you to take your mother to the nearest hospital and treat her as soon as possible. The more you delay, the more severe it becomes. Hope I answered your query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir, I got married in december There are some conflicts in my family. Mine is a love marriage. There are some issues with family backgrounds and culture. These differences are hurting bad. My family is acting absurd and this set up is affecting my wife s mental stability. Kindly help me with your kind advice | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Counselling and supportive psychotherapy with interpersonal therapy will help you in this regard. Get hold of a good psychologist who can help you with these problems. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Sir, I got married in december There are some conflicts in my family. Mine is a love marriage. There are some issues with family backgrounds and culture. These differences are hurting bad. My family is acting absurd and this set up is affecting my wife s mental stability. Kindly help me with your kind advice"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Counselling and supportive psychotherapy with interpersonal therapy will help you in this regard. Get hold of a good psychologist who can help you with these problems. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 27 year old female. I was diagnosed with a kidney stone ( CT scan ) a week and 3 days ago, after experiencing the worst pain of my life. It was at my ureteropelvic junction, a 4-5mm piece of agony. The urologist immediately wanted to operate, I asked him to discharge me and give me a chance to pass it normally without surgical intervention. That night the agony set in again, but this time when I stood up and went to the toilet, the pain subsided enough for me to go back to bed. I have not had pain since then, no problem urinating, no blood in my urine, no fever , basically asymptomatic . Now however I have a constant urge to urinate, with an uncomfortable pressure right by my pelvic bone. I do not struggle to urinate, but it does feel like my bladder is not empty when I get up from the toilet, so I need to go immediately again. This is obviously incredibly irritating. I just want to know whether this is the stone trying to leave my bladder? I still do not have any other symptoms, no pain urinating, no visible blood in my urine, no fever or chills, no pain other than the mild pain in my pelvic region. | Hi and thanks for the query, Not all kidney stones cause symptoms. The symptoms are actually related to the size of the kidney stone, the location of the stone, type of stone and the duration of the stone. Many people in the general population have small stones and present with no symptoms. Its there normal for a CT scan to detect stones without any symptoms. It becomes a worry when symptoms like pain, urination difficulties, infections and kidney failure come into play. However, regular clinical, biological and radiologic monitoring by your treating physician remains well indicated. Thanks and best regards, Luchuo, MD. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 27 year old female. I was diagnosed with a kidney stone ( CT scan ) a week and 3 days ago, after experiencing the worst pain of my life. It was at my ureteropelvic junction, a 4-5mm piece of agony. The urologist immediately wanted to operate, I asked him to discharge me and give me a chance to pass it normally without surgical intervention. That night the agony set in again, but this time when I stood up and went to the toilet, the pain subsided enough for me to go back to bed. I have not had pain since then, no problem urinating, no blood in my urine, no fever , basically asymptomatic . Now however I have a constant urge to urinate, with an uncomfortable pressure right by my pelvic bone. I do not struggle to urinate, but it does feel like my bladder is not empty when I get up from the toilet, so I need to go immediately again. This is obviously incredibly irritating. I just want to know whether this is the stone trying to leave my bladder? I still do not have any other symptoms, no pain urinating, no visible blood in my urine, no fever or chills, no pain other than the mild pain in my pelvic region."
},
{
"from": "gpt",
"value": "Output: Hi and thanks for the query, Not all kidney stones cause symptoms. The symptoms are actually related to the size of the kidney stone, the location of the stone, type of stone and the duration of the stone. Many people in the general population have small stones and present with no symptoms. Its there normal for a CT scan to detect stones without any symptoms. It becomes a worry when symptoms like pain, urination difficulties, infections and kidney failure come into play. However, regular clinical, biological and radiologic monitoring by your treating physician remains well indicated. Thanks and best regards, Luchuo, MD."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir i am suffering from low platelets count as i had phalsiphofum maleria last 2 months back. Now i am on sterods tab dexa 10 mg after my bone marrow test. when i take 10 mg platelet count increase and when i decrease the dose platelet count goes done. So what i can do | Hi, dairy have gone through your question. I can understand your concern. You may have ITP. Its immune thrombocytopenic purpura. Your body cause destruction of platelets by producing antibodies. You should take immunosuppressive Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i am suffering from low platelets count as i had phalsiphofum maleria last 2 months back. Now i am on sterods tab dexa 10 mg after my bone marrow test. when i take 10 mg platelet count increase and when i decrease the dose platelet count goes done. So what i can do"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have ITP. Its immune thrombocytopenic purpura. Your body cause destruction of platelets by producing antibodies. You should take immunosuppressive Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sorry Im not really good in english So heres my problem I have a hole in my tooth then the gums started filling the space in the hole Now Its still growing What do I do What is that called? Is it dangerous? | Hello and thank you for your questions. First cavities are caused by bacterial infections in your teeth. The bacteria produce acids that eat away at the outer surface of your teeth (enamel) and then spread to the inside of your teeth. Cavities are prevented by | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sorry Im not really good in english So heres my problem I have a hole in my tooth then the gums started filling the space in the hole Now Its still growing What do I do What is that called? Is it dangerous?"
},
{
"from": "gpt",
"value": "Output: Hello and thank you for your questions. First cavities are caused by bacterial infections in your teeth. The bacteria produce acids that eat away at the outer surface of your teeth (enamel) and then spread to the inside of your teeth. Cavities are prevented by"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | good evening, i have been experiencing quite cramp like pain at the very top of my stomach no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now. I have taken gaviscon but impact. Any thoughts | Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: good evening, i have been experiencing quite cramp like pain at the very top of my stomach no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now. I have taken gaviscon but impact. Any thoughts"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | For the past few days ive been going to the bathroom, CONSTANTLY and it hurtsreally bad to pee and I feel like I ALWAYS have to pee!!! Just today my lower back has been hurting and im having nausea, im also having hot flashes!! Icant get into my doc for a week and now that its the weekend I dunno what to do!!! What do you suggest??? | Dear patient Are you having burning sensation? Frequency of micturition mostly Is due to urinary tract infection and uncontrolled diabetes Mellitus. So if you are not diabetic only thing remains is UTI. You need to be investigated with urine routine and microscopy examination for pus cells. It helps in confirming diagnosis. If its positive start tab Aeroflot 500\u00a0mg once a day with tab metronidazole 400\u00a0mg thrice a day for 7 days. Also take syrup alkali 5ml thrice a day. If you are diabetic need to consult expert diabetiologist and ask for medication for strict diabetic control. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For the past few days ive been going to the bathroom, CONSTANTLY and it hurtsreally bad to pee and I feel like I ALWAYS have to pee!!! Just today my lower back has been hurting and im having nausea, im also having hot flashes!! Icant get into my doc for a week and now that its the weekend I dunno what to do!!! What do you suggest???"
},
{
"from": "gpt",
"value": "Output: Dear patient Are you having burning sensation? Frequency of micturition mostly Is due to urinary tract infection and uncontrolled diabetes Mellitus. So if you are not diabetic only thing remains is UTI. You need to be investigated with urine routine and microscopy examination for pus cells. It helps in confirming diagnosis. If its positive start tab Aeroflot 500\\u00a0mg once a day with tab metronidazole 400\\u00a0mg thrice a day for 7 days. Also take syrup alkali 5ml thrice a day. If you are diabetic need to consult expert diabetiologist and ask for medication for strict diabetic control."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am being treated by my dentist for an abscess and have been on antibiotics. I was scheduled for a root canal today, but I am not able to open my mouth due to swelling and tightness in my jaw. He indicated that there are times even though the abscess is being treated with antibiotics, the infection can settle into the jaw muscle and cause it to tighten up and that is likely causing the problem. He prescribed a muscle relaxer to see if that will loosen up the jaw muscle. I have been taking OTC pain relievers to help with the swelling and pain but wondered if you could tell me if there is a name for this condition and if there is anything else I can do to help myself or help speed up the healing process? The root canal has been put on hold for a week in the hopes by then I will be able to open my mouth/jaw enough to do the procedure. Thank you for your time. | Hello, It looks that you are suffering from a condition known as Erasmus, and it is the cause for difficulty in opening mouth. It can occur due to infection and abscess formation and can also be due to muscle spasms. You should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can. Let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved. 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 am being treated by my dentist for an abscess and have been on antibiotics. I was scheduled for a root canal today, but I am not able to open my mouth due to swelling and tightness in my jaw. He indicated that there are times even though the abscess is being treated with antibiotics, the infection can settle into the jaw muscle and cause it to tighten up and that is likely causing the problem. He prescribed a muscle relaxer to see if that will loosen up the jaw muscle. I have been taking OTC pain relievers to help with the swelling and pain but wondered if you could tell me if there is a name for this condition and if there is anything else I can do to help myself or help speed up the healing process? The root canal has been put on hold for a week in the hopes by then I will be able to open my mouth/jaw enough to do the procedure. Thank you for your time."
},
{
"from": "gpt",
"value": "Output: Hello, It looks that you are suffering from a condition known as Erasmus, and it is the cause for difficulty in opening mouth. It can occur due to infection and abscess formation and can also be due to muscle spasms. You should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can. Let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved. 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 every now and then I m getting pains in the top part of both rib more to the side area some times the right side sometimes the left also wen I sit down my stomach feel really tender and gasy feel like it s guna cramp in areas can you help?i got a bad back but don t think that s anything to do with it | Hello, This pain is because of improper dietary habit, if one is not taking adequate and nutritious diet on time, this develops the ulceration and presents with such pain. If such a patient comes to me in my clinic, I suggest him for upper GI endoscopy to rule out the acid peptic disease. I will suggest the patient to take Capsule Pantop-LSR twice daily (half an hour before food). So consult a physician to get an endoscopy done. I also suggest such patient to take following medications also Tablet Attract twice daily for 1 week. 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 every now and then I m getting pains in the top part of both rib more to the side area some times the right side sometimes the left also wen I sit down my stomach feel really tender and gasy feel like it s guna cramp in areas can you help?i got a bad back but don t think that s anything to do with it"
},
{
"from": "gpt",
"value": "Output: Hello, This pain is because of improper dietary habit, if one is not taking adequate and nutritious diet on time, this develops the ulceration and presents with such pain. If such a patient comes to me in my clinic, I suggest him for upper GI endoscopy to rule out the acid peptic disease. I will suggest the patient to take Capsule Pantop-LSR twice daily (half an hour before food). So consult a physician to get an endoscopy done. I also suggest such patient to take following medications also Tablet Attract twice daily for 1 week. 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 my father retired from the military in 1991 and worked as a pilot out of Nellis Air Force Base for the last 22 years. He retired in May 2012. When he retired he started having inconsistencies with his blood counts. Extremely elevated RBCs that have been unexplainable to doctors. He s had really bad stomach issues for probably the last 15 years. He s been going to see a hematologist oncologist for the last year having his blood drawn many times a week and then reduced to a couple of times a month to reduce his RBC counts. He has been extremely sick for the last year and passed away this past Sunday due to unexplainable causes. My question is, do you think his condition could be due to his two tours in Vietnam as a pilot flying through the agent orange? We are trying to better understand this tragedy. I have noticed a lot of posts on the Internet in relation to elevated red blood cells leaving the physicians scratching their heads. I know he was diagnosed with polycythemia recently. Any help would be greatly appreciated. Thank you so much. | Hi, Welcome to Chat Doctor. Please accept my condolences. Polycythemia could be due to exposure to high altitude in your fathers case where low oxygenation stimulates erythropoietin production causing increase in RBC count. Many cancers also predispose to polycythemia like liver cancer. Associated conditions along with polycythemia play an important role here. Many patients suffering from polycythemia present with abdominal pain and generalized fatigue. These patients are also prone to develop clots easily hence predisposed to sudden stroke and heart attacks. I hope I have helped you with this. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my father retired from the military in 1991 and worked as a pilot out of Nellis Air Force Base for the last 22 years. He retired in May 2012. When he retired he started having inconsistencies with his blood counts. Extremely elevated RBCs that have been unexplainable to doctors. He s had really bad stomach issues for probably the last 15 years. He s been going to see a hematologist oncologist for the last year having his blood drawn many times a week and then reduced to a couple of times a month to reduce his RBC counts. He has been extremely sick for the last year and passed away this past Sunday due to unexplainable causes. My question is, do you think his condition could be due to his two tours in Vietnam as a pilot flying through the agent orange? We are trying to better understand this tragedy. I have noticed a lot of posts on the Internet in relation to elevated red blood cells leaving the physicians scratching their heads. I know he was diagnosed with polycythemia recently. Any help would be greatly appreciated. Thank you so much."
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. Please accept my condolences. Polycythemia could be due to exposure to high altitude in your fathers case where low oxygenation stimulates erythropoietin production causing increase in RBC count. Many cancers also predispose to polycythemia like liver cancer. Associated conditions along with polycythemia play an important role here. Many patients suffering from polycythemia present with abdominal pain and generalized fatigue. These patients are also prone to develop clots easily hence predisposed to sudden stroke and heart attacks. I hope I have helped you with this. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am currently 35 weeks and 4 days pregnant. I have been experiencing a sharp lower abdominal pain sometimes when I stand up that makes me double over in pain and have to sit down. The first one lasted for about 5 seconds, and this last one lasted for about 20 seconds. Can you tell me what this might be? | Hi! Good evening. I am Chat Doctor answering your query. This could be your pre labor pains. If this continues and for gradual longer durations, I would advise you to get yourself assessed by your obstetrician or report to the ER of the nearest hospital. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am currently 35 weeks and 4 days pregnant. I have been experiencing a sharp lower abdominal pain sometimes when I stand up that makes me double over in pain and have to sit down. The first one lasted for about 5 seconds, and this last one lasted for about 20 seconds. Can you tell me what this might be?"
},
{
"from": "gpt",
"value": "Output: Hi! Good evening. I am Chat Doctor answering your query. This could be your pre labor pains. If this continues and for gradual longer durations, I would advise you to get yourself assessed by your obstetrician or report to the ER of the nearest hospital. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor,My wife is suffering from this strange disease of hearing voices of people whom at times she says spirits at other times not. But she does not recognise no know any one of them. She has been suffering from this from the year 2005. At present she keeps swinging her mood , remains irritated , short tempered and always talks to herself. Does this problem of hers have any medical treatment ? If yes How and where ? Whom to approach ? | Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is clear that your wife is suffering from a mental disorder named schizophrenia with hallucination and paranoid personality disorder. Hearing of other voices are actually a delusion and are common for these patients. Medical treatment is a must. Please consult a psychiatrist for further advice. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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: Dear Doctor,My wife is suffering from this strange disease of hearing voices of people whom at times she says spirits at other times not. But she does not recognise no know any one of them. She has been suffering from this from the year 2005. At present she keeps swinging her mood , remains irritated , short tempered and always talks to herself. Does this problem of hers have any medical treatment ? If yes How and where ? Whom to approach ?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is clear that your wife is suffering from a mental disorder named schizophrenia with hallucination and paranoid personality disorder. Hearing of other voices are actually a delusion and are common for these patients. Medical treatment is a must. Please consult a psychiatrist for further advice. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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. | My friend had a partial mastectomy 13 years ago and the scar has suddenly started weeping and bleeding. She says she might have scratched it in her sleep but she is afraid to go to her GP in case it is bad news. What could cause bleeding so long after the operation? | Hi thanks for contacting Chat Doctor... Noted your friend having bleeding from scar of mastectomy... Here consultation to surgeon done without delay to prevent further complication. Here breast must be examined by palpation for detecting any mass... If mastectomy in past done for malignancy then there can be development of malignancy from residual tumor cell. If mass palpable FNAC done.... If palpation normal then bleed may from scar that might hypertrophy ... If scar is seeming to be infected then antibiotic needed... Brufen like anti-inflammatory Chat Doctor. . Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend had a partial mastectomy 13 years ago and the scar has suddenly started weeping and bleeding. She says she might have scratched it in her sleep but she is afraid to go to her GP in case it is bad news. What could cause bleeding so long after the operation?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... Noted your friend having bleeding from scar of mastectomy... Here consultation to surgeon done without delay to prevent further complication. Here breast must be examined by palpation for detecting any mass... If mastectomy in past done for malignancy then there can be development of malignancy from residual tumor cell. If mass palpable FNAC done.... If palpation normal then bleed may from scar that might hypertrophy ... If scar is seeming to be infected then antibiotic needed... Brufen like anti-inflammatory Chat Doctor. . Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi I have a son who is already 3 years of age. he suffers from on and off fever so I brought him to a doctor for a check up.Unluckily the doctor is on leave. i just let my son have his urine test. and the test have a positive findings for A. urates/PO4 and mucus threads. What does these mean? | Hi...this is normal finding in the urine of any kid who has viral illness. Do not worry about it. The report is normal. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi I have a son who is already 3 years of age. he suffers from on and off fever so I brought him to a doctor for a check up.Unluckily the doctor is on leave. i just let my son have his urine test. and the test have a positive findings for A. urates/PO4 and mucus threads. What does these mean?"
},
{
"from": "gpt",
"value": "Output: Hi...this is normal finding in the urine of any kid who has viral illness. Do not worry about it. The report is normal. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Yes please, I had 2 back surgerys within 10 months, I have 1 L vertabry left, last year he did the L 5 4 this time 3 2, Im in my 3rd week the pain is so bad never have been in pain like this, is there any pain med that do not have Tylenol in them I have been on Norco for 9 years 10/325 after all this suffering I will end up with liver failer , I take 2 every 4 hrs. 10 when pain starts 10 hour later of taking meds, no sleep at all laying down kills me, and you say? | Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there can be pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then re surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will helpEpidural injection may help till time. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yes please, I had 2 back surgerys within 10 months, I have 1 L vertabry left, last year he did the L 5 4 this time 3 2, Im in my 3rd week the pain is so bad never have been in pain like this, is there any pain med that do not have Tylenol in them I have been on Norco for 9 years 10/325 after all this suffering I will end up with liver failer , I take 2 every 4 hrs. 10 when pain starts 10 hour later of taking meds, no sleep at all laying down kills me, and you say?"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there can be pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then re surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will helpEpidural injection may help till time. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Starting Mar2013 I have experienced about 7 spells, I call them. I all of a sudden get very dizzy have to sit down because it is quite servere . I let it pass for about 15 min by sitting and closing my eyes. Then I break into a big sweat and feel nauseated and tired It happen about every 12 to 17 days. I have had a heart monitor on and since the Dr didnt call me back I think it was OK. My blood pressure seemed to be OK and I had an egg and a blood sugar test and it was normal. The last spell I had was typical but since I have been a bit dizzy and a little nauseated. I can go through a normal day but feel like a have a hangover, to describe the feeling. I cant get into see my Dr for a week and a day. I am very frustrated and frankly wonder whats going on. Thank you for listening. | Hello, Thanks for the queryPlease note that there are many causes of dizziness which begins with heart problem, neurological problem, and ENT problem and so on. The possibilities' ion your case could be migraine. But you need a detailed examination by a local physician to exclude other causes. If the investigations are normal, I feel that you may benefit with anti-migraine medications under supervision. Please get back if you need any additional information Best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Starting Mar2013 I have experienced about 7 spells, I call them. I all of a sudden get very dizzy have to sit down because it is quite servere . I let it pass for about 15 min by sitting and closing my eyes. Then I break into a big sweat and feel nauseated and tired It happen about every 12 to 17 days. I have had a heart monitor on and since the Dr didnt call me back I think it was OK. My blood pressure seemed to be OK and I had an egg and a blood sugar test and it was normal. The last spell I had was typical but since I have been a bit dizzy and a little nauseated. I can go through a normal day but feel like a have a hangover, to describe the feeling. I cant get into see my Dr for a week and a day. I am very frustrated and frankly wonder whats going on. Thank you for listening."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for the queryPlease note that there are many causes of dizziness which begins with heart problem, neurological problem, and ENT problem and so on. The possibilities' ion your case could be migraine. But you need a detailed examination by a local physician to exclude other causes. If the investigations are normal, I feel that you may benefit with anti-migraine medications under supervision. Please get back if you need any additional information Best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Pain to left side of my spine near my shoulder blade My partner is in pain and feels a vertebrate has popped out on the left side of his spine near his shoulder-blade. Are there any suggested advice someone can give me. I ve popped a vertebrate in his back before but the location is awkward near his shoulder blade and I can t pop back in the vertebrate. | Hi, i would advise you not to indulge in any form of popping of the spine as it has delicate spinal cord and nerves around that area which may get damaged. If there is pain in the back near the spine it could be related to vertebral column or muscles in the region. Did your partner take any painkiller for the same? If the painkiller is not relieving him of pain and if it is more than 2-3 days then you should see an orthopedics doctor who would advise you to take a X-ray to rule out any bone problems and suggest treatment accordingly. If the pain is more you can try to take hot fomentation to they are it will soothe if it is muscular. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Pain to left side of my spine near my shoulder blade My partner is in pain and feels a vertebrate has popped out on the left side of his spine near his shoulder-blade. Are there any suggested advice someone can give me. I ve popped a vertebrate in his back before but the location is awkward near his shoulder blade and I can t pop back in the vertebrate."
},
{
"from": "gpt",
"value": "Output: Hi, i would advise you not to indulge in any form of popping of the spine as it has delicate spinal cord and nerves around that area which may get damaged. If there is pain in the back near the spine it could be related to vertebral column or muscles in the region. Did your partner take any painkiller for the same? If the painkiller is not relieving him of pain and if it is more than 2-3 days then you should see an orthopedics doctor who would advise you to take a X-ray to rule out any bone problems and suggest treatment accordingly. If the pain is more you can try to take hot fomentation to they are it will soothe if it is muscular. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | At intervals, I feel dizzy and light-headed once or twice a day. My doctor ordered Propionate nasal drops in December. More recently, I also have shaking in my right leg at the same time. The shaking is visible to those present with me at the time. I am on chemo presently, but I feel good otherwise and have no other heart, lung or otherwise problems. | Hello! Welcome on Chat Doctor ! Your symptoms could be related to chemotherapy adverse effects. I would like to know more on your past medical history and the reason that you are on chemotherapy. Anyway, considering the fact that you are on chemotherapy, I would recommend performing some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: At intervals, I feel dizzy and light-headed once or twice a day. My doctor ordered Propionate nasal drops in December. More recently, I also have shaking in my right leg at the same time. The shaking is visible to those present with me at the time. I am on chemo presently, but I feel good otherwise and have no other heart, lung or otherwise problems."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor ! Your symptoms could be related to chemotherapy adverse effects. I would like to know more on your past medical history and the reason that you are on chemotherapy. Anyway, considering the fact that you are on chemotherapy, I would recommend performing some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doc, I m suffering from jaundice. My recent Bilirubin Level is 2.4. I Had it two months before and got cured. Can you please state why this jaundice problem reoccurs if once it has occured. And kindly inform the diet i should take.And inform me the way to keep away from this disease. And what test should be done in order to know what type of jaundice is it? | Hi.noted history of recurrent jaundice and elevated bilirubin levels. Are you experiencing any other symptom like abdominal pain, weight loss, nausea, vomiting? Jaundice may be caused by an infective (i.e. hepatitis) or an obstructive (gallstones or tumor lesions) pathology. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone disease, low fat diet is recommended. 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: Hello Doc, I m suffering from jaundice. My recent Bilirubin Level is 2.4. I Had it two months before and got cured. Can you please state why this jaundice problem reoccurs if once it has occured. And kindly inform the diet i should take.And inform me the way to keep away from this disease. And what test should be done in order to know what type of jaundice is it?"
},
{
"from": "gpt",
"value": "Output: Hi.noted history of recurrent jaundice and elevated bilirubin levels. Are you experiencing any other symptom like abdominal pain, weight loss, nausea, vomiting? Jaundice may be caused by an infective (i.e. hepatitis) or an obstructive (gallstones or tumor lesions) pathology. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone disease, low fat diet is recommended. Hope this helps. Good day!!~ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 32 year old female that had a lithrotripsy done three weeks ago on a 5mm stone and now I have blood and pus in urine and another stone doctor is going to explore it in the morning to see if it is lodged in uretha what can be causing all of this now | Hi, Thanks for writing in. Most persons pass blood in their urine after the lithography procedure. This is normal and should clear after several days to a week. Blood and pus can be due to injury of ureter by dislodged smaller fragment and subsequent infection. Lots of fluids should be taken to encourage the flushing of any gravel remaining in the urinary system. Treated persons should follow up with a urologist in about two weeks to make sure that everything is progressing as planned. You may need to take a course of antibiotics to control infection. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 32 year old female that had a lithrotripsy done three weeks ago on a 5mm stone and now I have blood and pus in urine and another stone doctor is going to explore it in the morning to see if it is lodged in uretha what can be causing all of this now"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Most persons pass blood in their urine after the lithography procedure. This is normal and should clear after several days to a week. Blood and pus can be due to injury of ureter by dislodged smaller fragment and subsequent infection. Lots of fluids should be taken to encourage the flushing of any gravel remaining in the urinary system. Treated persons should follow up with a urologist in about two weeks to make sure that everything is progressing as planned. You may need to take a course of antibiotics to control infection."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have found a lump the size of a ping pong ball on my stomach a few inches below my rib cage. It seems to decrease in size depending on if I am sitting down or standing up. When I press on it or apply pressure there iss a little pain/strain. Only other symptoms is that I do suffer from indigestion quaite alot and my stomach in general seems quite bloated. Thank you | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Painful Epigastric Hernia with Entrapment of Mesentery or Mental tissue. Reflex pyloric and other intestinal spasms would cause bloating in the abdomen. Prominence of the stomach lump on standing -indicates popping up of the intro abdominal contents through the weakness of the Epigastric Ventral Hernia. Treatment-Repair of the Epigastric Hernia-as a planned surgical procedure is needed.USG study of this lump would help in assessing the surgical plan in your case. Second opinion from Surgeon would be helpful to you. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have found a lump the size of a ping pong ball on my stomach a few inches below my rib cage. It seems to decrease in size depending on if I am sitting down or standing up. When I press on it or apply pressure there iss a little pain/strain. Only other symptoms is that I do suffer from indigestion quaite alot and my stomach in general seems quite bloated. Thank you"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Painful Epigastric Hernia with Entrapment of Mesentery or Mental tissue. Reflex pyloric and other intestinal spasms would cause bloating in the abdomen. Prominence of the stomach lump on standing -indicates popping up of the intro abdominal contents through the weakness of the Epigastric Ventral Hernia. Treatment-Repair of the Epigastric Hernia-as a planned surgical procedure is needed.USG study of this lump would help in assessing the surgical plan in your case. Second opinion from Surgeon would be helpful to you. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi im keira i have this throbbing pain in both of my knees and i have had this pain 5 days straight and it s getting to the point where i can hardly move my legs i have taken pain killers but nothing helped and i dont no what i ve done . i was wondering if you could help sincerly keira | Hello, As the pain is like throbbing in nature which is not allowing the knee to be any better I will advise to first take a hot water fermentation. Use the hot water bag wrapped in towel. This will provide deep heating effect. Continue this along with the medicines you are taking. And also keep the pillow underneath the knee. If you aren't diabetic than please use icing for the lower back region. This will provide the anesthetic effect and reduce the sensory functions by which the pain will come down. As pain travels by the nerve, rather using a steroid shot it's better to use icing which is non-invasive and no side effects. Wait and see if the knee is any better. If diabetic you can use hot water bag in the lower back which will slow down the sensory system by dilation effect. Once the pain comes down kindly try doing knee bending and extending. If that is possible you can possibly do some exercises like static Qua Chat Doctor. Kindly do on both sides the exercises, so the strength is equivalent. In case you are able to perform extension and flexion of the knee, I think it's a ligament injury, and we ended to take up the MRI to rule out this. Rehabilitation of ligament injury will be followed with Physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im keira i have this throbbing pain in both of my knees and i have had this pain 5 days straight and it s getting to the point where i can hardly move my legs i have taken pain killers but nothing helped and i dont no what i ve done . i was wondering if you could help sincerly keira"
},
{
"from": "gpt",
"value": "Output: Hello, As the pain is like throbbing in nature which is not allowing the knee to be any better I will advise to first take a hot water fermentation. Use the hot water bag wrapped in towel. This will provide deep heating effect. Continue this along with the medicines you are taking. And also keep the pillow underneath the knee. If you aren't diabetic than please use icing for the lower back region. This will provide the anesthetic effect and reduce the sensory functions by which the pain will come down. As pain travels by the nerve, rather using a steroid shot it's better to use icing which is non-invasive and no side effects. Wait and see if the knee is any better. If diabetic you can use hot water bag in the lower back which will slow down the sensory system by dilation effect. Once the pain comes down kindly try doing knee bending and extending. If that is possible you can possibly do some exercises like static Qua Chat Doctor. Kindly do on both sides the exercises, so the strength is equivalent. In case you are able to perform extension and flexion of the knee, I think it's a ligament injury, and we ended to take up the MRI to rule out this. Rehabilitation of ligament injury will be followed with Physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"
}
]
|
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