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If you are a doctor, please answer the medical questions based on the patient's description. | hi,i had a sex with my gf on 23 april n gave her ipill n she took it within 7-8 hrs..den on 25 i again had a sex bt dat time i didnt gave her the pill n we were also not dat the sperm has ejected inside or not..later on 28-29 she got her menstural cycle bt aftr dat til date she didnt hav got her scnd cycle..expcted date was 2 days agois der anythng to worry..plss help me | Hi and thanks for using this panel. If she has seen her menses after this unprotected sex episodes, then it is unlikely that she is again pregnant. However, have you had any unprotected sex after her last menses? Doing a rapid pregnancy test is the standard of care when you have not seen your menses. This will give an instant answer. I will not be particularly worried at this time because menses may come earlier or later than expected. But if it should delay for more than a week, then please run a rapid test. If you are afraid of unwanted pregnancies, I suggest you both meet and talk with your physician on what other options are available if you don't want to use protection during sex. Hope this helps...feel free to return to us. We 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: hi,i had a sex with my gf on 23 april n gave her ipill n she took it within 7-8 hrs..den on 25 i again had a sex bt dat time i didnt gave her the pill n we were also not dat the sperm has ejected inside or not..later on 28-29 she got her menstural cycle bt aftr dat til date she didnt hav got her scnd cycle..expcted date was 2 days agois der anythng to worry..plss help me"
},
{
"from": "gpt",
"value": "Output: Hi and thanks for using this panel. If she has seen her menses after this unprotected sex episodes, then it is unlikely that she is again pregnant. However, have you had any unprotected sex after her last menses? Doing a rapid pregnancy test is the standard of care when you have not seen your menses. This will give an instant answer. I will not be particularly worried at this time because menses may come earlier or later than expected. But if it should delay for more than a week, then please run a rapid test. If you are afraid of unwanted pregnancies, I suggest you both meet and talk with your physician on what other options are available if you don't want to use protection during sex. Hope this helps...feel free to return to us. We wish you good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have a question. I started taking ortho try cyclen lo birth control about four months ago I believe. I didn t have a period the whole month of january which is understandable because they said it would be normal to miss one the first 1-3 months. My period then came right on the first of february. It then ended but for some reason around the 27th or 28th of that month I was spotting and it lasted for a while. I was very confused. I took two pregnancy tests and they both said negative. I went to the clinic and they changed my birth control. I haven t had my period this month yet. Should I be worried or okay since both tests were a negative? | Hi, Thanks for the query. Menstrual irregularity is a common problem with contraceptive devices. These can be amenorrhea, inter-menstrual spotting, break through bleeding etc. So all the symptoms you are having could be side effects of the contraceptive method. As all both your tests came back as negative there is very less chance for pregnancy. You can go for blood test for pregnancy once which will clear-off the doubt. 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 have a question. I started taking ortho try cyclen lo birth control about four months ago I believe. I didn t have a period the whole month of january which is understandable because they said it would be normal to miss one the first 1-3 months. My period then came right on the first of february. It then ended but for some reason around the 27th or 28th of that month I was spotting and it lasted for a while. I was very confused. I took two pregnancy tests and they both said negative. I went to the clinic and they changed my birth control. I haven t had my period this month yet. Should I be worried or okay since both tests were a negative?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for the query. Menstrual irregularity is a common problem with contraceptive devices. These can be amenorrhea, inter-menstrual spotting, break through bleeding etc. So all the symptoms you are having could be side effects of the contraceptive method. As all both your tests came back as negative there is very less chance for pregnancy. You can go for blood test for pregnancy once which will clear-off the doubt. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been having numbness in my head on the right side of my face the doctors keep telling me their is nothing wrong with me but i know there is something i have also been losing more hair here lately.I do have anxity so i take meds for it paxil 20mg and 10mgs at night. | 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. It seems you are over concerned and your anxiety disorder is causing you to worry more. Paxil is a good Chat Doctor. You may get your testosterone levels checked. 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: I have been having numbness in my head on the right side of my face the doctors keep telling me their is nothing wrong with me but i know there is something i have also been losing more hair here lately.I do have anxity so i take meds for it paxil 20mg and 10mgs at night."
},
{
"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. It seems you are over concerned and your anxiety disorder is causing you to worry more. Paxil is a good Chat Doctor. You may get your testosterone levels checked. 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 have had 4 EKGs echo chest xray d dimer cbc and cardic enzymes teating done all came back great I am 25 no history of heart problems in my family or with me but do have health anxiety really bad not over weight light smoker no drugs or drinking I just get weird chest pressure and sharp pains and it scares me can I rest assure with all the teating I have had done that my heart is perfectly fine and it is in fact my anxiety | Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about heart diseases. By your history and description, possibility of stress and anxiety related symptoms is more. So consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Also quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had 4 EKGs echo chest xray d dimer cbc and cardic enzymes teating done all came back great I am 25 no history of heart problems in my family or with me but do have health anxiety really bad not over weight light smoker no drugs or drinking I just get weird chest pressure and sharp pains and it scares me can I rest assure with all the teating I have had done that my heart is perfectly fine and it is in fact my anxiety"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about heart diseases. By your history and description, possibility of stress and anxiety related symptoms is more. So consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Also quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am currently on 7.5 mg of methetraxate a week for psoriatic arthiritis, I have had a cyst on my neck that went infected, last week I went to the dr s and he put me on flucloxacillin, even though I am allergic to penicillin as I get thrush, although my neck is starting to get better I now have thrush, I have 2 days tablets left. What do I do next? | Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that Methotrexate causes a state of immunocompromised in the patients in addition to it antibiotics makes the path for the yeast infection further. So to some up both the Chat Doctor. You can use fluconazole tablet for fungal infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am currently on 7.5 mg of methetraxate a week for psoriatic arthiritis, I have had a cyst on my neck that went infected, last week I went to the dr s and he put me on flucloxacillin, even though I am allergic to penicillin as I get thrush, although my neck is starting to get better I now have thrush, I have 2 days tablets left. What do I do next?"
},
{
"from": "gpt",
"value": "Output: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that Methotrexate causes a state of immunocompromised in the patients in addition to it antibiotics makes the path for the yeast infection further. So to some up both the Chat Doctor. You can use fluconazole tablet for fungal infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | how can I ease stomac pain quickly to be ready for my work presentation -Can one be sick from 1 energy drink? I didnt sleep all night, threw up once, I feel starved yet naucious, Can those things poison you? 23 female 160 pounds -have had ulcer before | Hi. Thanks for your query and an elucidated history. Certainly yes, the Energy Chat Doctor. Well since you have to get ready for the presentation with all the symptoms you have suggested, I would advise you the following. Take a tablet of Sanitizing 150 and Risperidone 10 mg, an antacid get. This will act within half an hour, Then you can take a light breakfast and start your presentation. IF the above medicines do not show a positive effect, I would ask you to visit a Doctor at once to get a clinical examination and investigations and treatment as per the findings. Tell the Doctor what you have taken so that the doses are not repeated. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: how can I ease stomac pain quickly to be ready for my work presentation -Can one be sick from 1 energy drink? I didnt sleep all night, threw up once, I feel starved yet naucious, Can those things poison you? 23 female 160 pounds -have had ulcer before"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. Certainly yes, the Energy Chat Doctor. Well since you have to get ready for the presentation with all the symptoms you have suggested, I would advise you the following. Take a tablet of Sanitizing 150 and Risperidone 10 mg, an antacid get. This will act within half an hour, Then you can take a light breakfast and start your presentation. IF the above medicines do not show a positive effect, I would ask you to visit a Doctor at once to get a clinical examination and investigations and treatment as per the findings. Tell the Doctor what you have taken so that the doses are not repeated."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello I have ankle pain and I do not remember hurting it, it happened last nite and today it s swollen and hurts bad, not sure what happened I do work and am on it all day from around 8 till 6 at nite, I did ice it last nite to sleep and tonight I am soaking it in espom salts water, what else can I do? | Hi, You may have ankle sprain. May have happened due to minor twisting of ankle which may be missed. Treatment is Rest ice compression elevation of ankle on two pillows. Tab choral forte twice a day helps for reducing swelling. If pain is not bearable tab diclofenac sodium twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical Examination will be more helpful in diagnosis. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I have ankle pain and I do not remember hurting it, it happened last nite and today it s swollen and hurts bad, not sure what happened I do work and am on it all day from around 8 till 6 at nite, I did ice it last nite to sleep and tonight I am soaking it in espom salts water, what else can I do?"
},
{
"from": "gpt",
"value": "Output: Hi, You may have ankle sprain. May have happened due to minor twisting of ankle which may be missed. Treatment is Rest ice compression elevation of ankle on two pillows. Tab choral forte twice a day helps for reducing swelling. If pain is not bearable tab diclofenac sodium twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical Examination will be more helpful in diagnosis. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a picc line in for about a week and in that time i have had pain in my arm, shoulder and chest that has slowly gotten worse, i cant raise my arm up very high without pain either... it is also hot and my best friend thinks my arm also looks a little swollen. Is this normal? should i be concerned? | Hello, As I was reading your history it misses a lot of things like why it was inserted? Since when it is inserted? Are you diabetic or do you have any high blood pressure? Any chest infection etc.? To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer. Besides, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn't mentioned in the history needs to taken with attention without wasting time as heart may get involved. Please feel free to mention detailed history, so we can look out for a conclusion in precision. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a picc line in for about a week and in that time i have had pain in my arm, shoulder and chest that has slowly gotten worse, i cant raise my arm up very high without pain either... it is also hot and my best friend thinks my arm also looks a little swollen. Is this normal? should i be concerned?"
},
{
"from": "gpt",
"value": "Output: Hello, As I was reading your history it misses a lot of things like why it was inserted? Since when it is inserted? Are you diabetic or do you have any high blood pressure? Any chest infection etc.? To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer. Besides, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn't mentioned in the history needs to taken with attention without wasting time as heart may get involved. Please feel free to mention detailed history, so we can look out for a conclusion in precision. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i was wondering if you could associate these symptoms with a diagnosis.Ive been suffering from them for the past 4 months.While im trying to fall asleep i feel as though an adrenaline rush goes through my body and it feels like i stop breathing,heart palpitations,and even slow a slow heart beat at times.After this happens i cannot fall asleep for the next 2 to 4 hours.Its gotten to the point where im afraid to fall asleep and i cant find anything online that explains these symptoms. | Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Are these things preceded by any weird thoughts or panic in your mind, or stress. This is not any particular heart disease it's just an anxiety and excessive awareness of your heart beats. Try to ignore these things and focus on sleep. 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 was wondering if you could associate these symptoms with a diagnosis.Ive been suffering from them for the past 4 months.While im trying to fall asleep i feel as though an adrenaline rush goes through my body and it feels like i stop breathing,heart palpitations,and even slow a slow heart beat at times.After this happens i cannot fall asleep for the next 2 to 4 hours.Its gotten to the point where im afraid to fall asleep and i cant find anything online that explains these symptoms."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Are these things preceded by any weird thoughts or panic in your mind, or stress. This is not any particular heart disease it's just an anxiety and excessive awareness of your heart beats. Try to ignore these things and focus on sleep. 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 name is Ferol MATTHEWS. my email address is YYYY@YYYY . The inside of my mouth and tongue is very sore. I have sores on my tongue and the inside of my mouth that appear somewhat translucent while other appear white and crusty. Food in general burns. It hurts to talk. Help!!!! | Hi. Thanks for the query. It looks like you either have canker sores or authors ulcers, or it can also be due to viral infection causing herpetic cold sores. Nothing to worry, as either of them are treatable and will resolve in a period of one to two weeks. As of now start taking a vitamin B complex tablet daily along with lysine and folic acid . Gargle with mouthwash containing Lidocaine or Lidocaine to reduce burning especially before meals. You can also do soda bicarb gargles, warm saline gargles are also helpful. Suck ice pops or do cool water rinses. Take soft and bland meals. If you get relieved in a week its fine or else get an oral swab culture and blood test done for herpes and then if it comes positive antiviral medication can be advised. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI, my name is Ferol MATTHEWS. my email address is YYYY@YYYY . The inside of my mouth and tongue is very sore. I have sores on my tongue and the inside of my mouth that appear somewhat translucent while other appear white and crusty. Food in general burns. It hurts to talk. Help!!!!"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. It looks like you either have canker sores or authors ulcers, or it can also be due to viral infection causing herpetic cold sores. Nothing to worry, as either of them are treatable and will resolve in a period of one to two weeks. As of now start taking a vitamin B complex tablet daily along with lysine and folic acid . Gargle with mouthwash containing Lidocaine or Lidocaine to reduce burning especially before meals. You can also do soda bicarb gargles, warm saline gargles are also helpful. Suck ice pops or do cool water rinses. Take soft and bland meals. If you get relieved in a week its fine or else get an oral swab culture and blood test done for herpes and then if it comes positive antiviral medication can be advised. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 24 Yr. old male | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that in a normal person, marijuana can lead to 5 times increased risk of heart attack during the first hour after smoking it. From the other hand, when taken regularly for a long time, it can lead to chronic changes in the blood vessels wall, causing progressive atherosclerosis. Now, considering the fact that you have coaptation of the aorta, I would strongly encourage you to stop taking it, as you are at a very increased risk of a heart attack or further aortic stenosis. 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: 24 Yr. old male"
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that in a normal person, marijuana can lead to 5 times increased risk of heart attack during the first hour after smoking it. From the other hand, when taken regularly for a long time, it can lead to chronic changes in the blood vessels wall, causing progressive atherosclerosis. Now, considering the fact that you have coaptation of the aorta, I would strongly encourage you to stop taking it, as you are at a very increased risk of a heart attack or further aortic stenosis. Hope to have been helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my wife and I both suffer form the same reoccurring problem which has become worse over the past years. we are in the 30 - 45 year old age range have been together for over 13 years and during that time both of us have been 100% faithful, we have two children. Over the past year we have both had a series of problems (burglaries, health issues - my wife stress and high blood pressure , but is normally healthy, myself spinal problems following accident - 4 disc displacement leaving in need of morphine daily, chest infections ending with pneumonia and 2/3 days in ICU ventilated, two allergic reactions to incest bites following in infection, and getting beaten up by a thug, I am a asthmatic with spinal problems and reoccurring uti s) to deal with as a family. the problem is we both suffer from sticky red itchy skin on our genitals - my wife on her labia/vaginal opening, myself around my penis under the foreskin which is normally rolled back thus exposing the sore are it is anything from 1 to 5 cm wide, neither of us has any discharge or smell, it itches when warm or hot, or in contact with clothes/bed linen etc.. we have tried thrush treatment and various creams which help but do not totally clear it up. Both of us wash daily and are particularly careful when washing our genitals we use a special soap recommended for that region. Both of use are in the profession (ie. self | The medicines year taking can cause this in your case painkillers and synthetic vitamins can cause this according to new studies Synthetic vitamins fuel sicknessParacetamol and broken in painkiller can cause this if you can change your salts you can get relief in your wife case also some BP salts can do this And also vitamins, paracetamol,broken, ecosprin, and dietary supplement change the salts and STO all vitamins and dietary supplements you will get result scan ask if you need | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my wife and I both suffer form the same reoccurring problem which has become worse over the past years. we are in the 30 - 45 year old age range have been together for over 13 years and during that time both of us have been 100% faithful, we have two children. Over the past year we have both had a series of problems (burglaries, health issues - my wife stress and high blood pressure , but is normally healthy, myself spinal problems following accident - 4 disc displacement leaving in need of morphine daily, chest infections ending with pneumonia and 2/3 days in ICU ventilated, two allergic reactions to incest bites following in infection, and getting beaten up by a thug, I am a asthmatic with spinal problems and reoccurring uti s) to deal with as a family. the problem is we both suffer from sticky red itchy skin on our genitals - my wife on her labia/vaginal opening, myself around my penis under the foreskin which is normally rolled back thus exposing the sore are it is anything from 1 to 5 cm wide, neither of us has any discharge or smell, it itches when warm or hot, or in contact with clothes/bed linen etc.. we have tried thrush treatment and various creams which help but do not totally clear it up. Both of us wash daily and are particularly careful when washing our genitals we use a special soap recommended for that region. Both of use are in the profession (ie. self"
},
{
"from": "gpt",
"value": "Output: The medicines year taking can cause this in your case painkillers and synthetic vitamins can cause this according to new studies Synthetic vitamins fuel sicknessParacetamol and broken in painkiller can cause this if you can change your salts you can get relief in your wife case also some BP salts can do this And also vitamins, paracetamol,broken, ecosprin, and dietary supplement change the salts and STO all vitamins and dietary supplements you will get result scan ask if you need"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | monday i was prescribed amoxicillin for a chest infection and prednisolone for my wheeze and a referral to a asthma nurse in new year for an assessment. i am 50 and suffer from dust and pollen allergy but wasnt sure about asthma. i am getting a hot itchy rash on my neck and shoulders and saclp | Hello, Welcome to Chat Doctor, As you are having allergy to dust and pollen you may get the symptoms which you are having. As you know you are allergic to dust and pollen I would suggest you to test for absolute eosinophil count (AEC) to know the presence of allergy in the body. I would suggest you to undergo skin prick test with existing all dusts and pollen to identify the allergen causing these symptoms. After identifying allergen it will be easy to avoid the allergen if you are not able to avoid you can undergo Immunotherapy against particular antigen and reduce your symptoms. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: monday i was prescribed amoxicillin for a chest infection and prednisolone for my wheeze and a referral to a asthma nurse in new year for an assessment. i am 50 and suffer from dust and pollen allergy but wasnt sure about asthma. i am getting a hot itchy rash on my neck and shoulders and saclp"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, As you are having allergy to dust and pollen you may get the symptoms which you are having. As you know you are allergic to dust and pollen I would suggest you to test for absolute eosinophil count (AEC) to know the presence of allergy in the body. I would suggest you to undergo skin prick test with existing all dusts and pollen to identify the allergen causing these symptoms. After identifying allergen it will be easy to avoid the allergen if you are not able to avoid you can undergo Immunotherapy against particular antigen and reduce your symptoms. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 49 yr old, relatively healthy, Asian female who started walking for exercise about 3 weeks ago. However, every day for the past week, right around the same time (about 130 or 230 pm) I start getting the chills. When I take my temperature, it is usually around 99.5 to 99.9. I dont have any aches or pains or infections that I know of. I have been taking Tylenol for the fever, but the next day this happens all over again. I have lost about 6 lbs since I started walking. | Hi, Thank you for your query. I can understand your concerns. Rise of temperature with chills almost at the same time regularly for 1 week points towards underlying infection.However, lack of other constitutional symptoms like aches or pains suggest indolent nature of illness. In Asian countries, one need to rule out TB. Other possibility is lymphoma. You need physical examination and baseline investigation like complete blood count, peripheral smear for malaria parasites, Urine for routine analysis and ESR (fasting). Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 49 yr old, relatively healthy, Asian female who started walking for exercise about 3 weeks ago. However, every day for the past week, right around the same time (about 130 or 230 pm) I start getting the chills. When I take my temperature, it is usually around 99.5 to 99.9. I dont have any aches or pains or infections that I know of. I have been taking Tylenol for the fever, but the next day this happens all over again. I have lost about 6 lbs since I started walking."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your query. I can understand your concerns. Rise of temperature with chills almost at the same time regularly for 1 week points towards underlying infection.However, lack of other constitutional symptoms like aches or pains suggest indolent nature of illness. In Asian countries, one need to rule out TB. Other possibility is lymphoma. You need physical examination and baseline investigation like complete blood count, peripheral smear for malaria parasites, Urine for routine analysis and ESR (fasting). Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN | Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I do drama as a subject, and whenever I have to perform I get nervous before, but as I perform I feel less nervous, however, my hands shake violently and everybody notices and that is what makes me nervous, how can I sto my shaking hands? (I do not have any caffeine or a low blood sugar) | Degree understand your concerns went through your details. I suggest you not to worry much. This problem is common with so many people. Can call it stage fear. This comes due to apprehension. You start worrying about these hours or days before the event itself, and it becomes anxiety. Even though you are not worried about it, it does troubles. That is mind. It does what you tell it. Here you are asking it to behave so when you apprehend. Mind does as asked. Here is help with Cognitive Behavior Therapy which includes so many techniques to alleviate your problem. The treatment method more individualistic. You may come up with a premium question. Give complete description as much as you can. I shall help you with it, and I am sure that your problem will be cured. Hope this answers your query. Available for further clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I do drama as a subject, and whenever I have to perform I get nervous before, but as I perform I feel less nervous, however, my hands shake violently and everybody notices and that is what makes me nervous, how can I sto my shaking hands? (I do not have any caffeine or a low blood sugar)"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. This problem is common with so many people. Can call it stage fear. This comes due to apprehension. You start worrying about these hours or days before the event itself, and it becomes anxiety. Even though you are not worried about it, it does troubles. That is mind. It does what you tell it. Here you are asking it to behave so when you apprehend. Mind does as asked. Here is help with Cognitive Behavior Therapy which includes so many techniques to alleviate your problem. The treatment method more individualistic. You may come up with a premium question. Give complete description as much as you can. I shall help you with it, and I am sure that your problem will be cured. 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. | Hi I am 18 years old and I can t stop masturbation . I was 12 when I started it. Now I feel I have destroyed my whole life. I started to feel less happy and energetic. And because of masturbation I spend more time on it rather than having friend, studying, doing sports, having hobbies, ..etc. now I feel alone, depressed, unhappy and ashamed . I need help | Dear user first you should not be shamed of that severe masturbation is common problem especially in your age and you should not be shamed of that as it will lead you for depression and stress and psychological problems that will harm you more and more.....try to see your doctor to check if you have any infection genital or urinary...as infection may be cause of severe irritation lead you to have great desire to masturbate.....2nd try to monitor your lifestyle and have healthy food reach of fibers and for regular exercise will help a lot ....regular exercise utilize your energy and masturbation will decrease....you may have psychological problem with sex or maybe you have emotional disorders....at last try to live simply away from stress or emotional troubles and do regular exercise and have friends and be happy .......don't get shamed .......wish you healthy life | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am 18 years old and I can t stop masturbation . I was 12 when I started it. Now I feel I have destroyed my whole life. I started to feel less happy and energetic. And because of masturbation I spend more time on it rather than having friend, studying, doing sports, having hobbies, ..etc. now I feel alone, depressed, unhappy and ashamed . I need help"
},
{
"from": "gpt",
"value": "Output: Dear user first you should not be shamed of that severe masturbation is common problem especially in your age and you should not be shamed of that as it will lead you for depression and stress and psychological problems that will harm you more and more.....try to see your doctor to check if you have any infection genital or urinary...as infection may be cause of severe irritation lead you to have great desire to masturbate.....2nd try to monitor your lifestyle and have healthy food reach of fibers and for regular exercise will help a lot ....regular exercise utilize your energy and masturbation will decrease....you may have psychological problem with sex or maybe you have emotional disorders....at last try to live simply away from stress or emotional troubles and do regular exercise and have friends and be happy .......don't get shamed .......wish you healthy life"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. This is so embarrassing. Thats probably why I havent gone to the Doctor. I have a pretty large external hemorrhoid. Its painful. For the last couple of days I have tried over the counter medications. It doesnt seem to be shrinking. Its I guess about a inch in diameter and very hard. Should I just wait it out. I am soaking in warm water now. I read online where it could help. I had one similar to this about 6 months or so ago and it went away after over the counter treatment. This one seems more painful and larger. Is this something you could help me with? | . I read your question carefully, and I understand your concern. First you don't have to be embarrassed from this situation, especially in front of healthcare providers, since this condition is something that healthcare providers have a lot of experience, and it is not seen as something weird, rare or embarrassing. From what I read in your post, it seems like the symptoms might be a consequence of thrombosed hemorrhoids (hard and painful). The conservative measures that might help you are warm baths; ice can relieve the pain of acute thrombosis; high-fiber diet (methylcelulose); stool softener; topical steroids can alleviate symptoms of itching and inflammation; topical nitroglycerin can also reduce symptoms, but it can have side effects like dizziness and hypotension. I recommend visiting a general surgeon or a proctologist in order to be evaluated more objectively and for a possible surgical treatment. I hope my answer was helpful. Best regards and I wish you a fast recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. This is so embarrassing. Thats probably why I havent gone to the Doctor. I have a pretty large external hemorrhoid. Its painful. For the last couple of days I have tried over the counter medications. It doesnt seem to be shrinking. Its I guess about a inch in diameter and very hard. Should I just wait it out. I am soaking in warm water now. I read online where it could help. I had one similar to this about 6 months or so ago and it went away after over the counter treatment. This one seems more painful and larger. Is this something you could help me with?"
},
{
"from": "gpt",
"value": "Output: . I read your question carefully, and I understand your concern. First you don't have to be embarrassed from this situation, especially in front of healthcare providers, since this condition is something that healthcare providers have a lot of experience, and it is not seen as something weird, rare or embarrassing. From what I read in your post, it seems like the symptoms might be a consequence of thrombosed hemorrhoids (hard and painful). The conservative measures that might help you are warm baths; ice can relieve the pain of acute thrombosis; high-fiber diet (methylcelulose); stool softener; topical steroids can alleviate symptoms of itching and inflammation; topical nitroglycerin can also reduce symptoms, but it can have side effects like dizziness and hypotension. I recommend visiting a general surgeon or a proctologist in order to be evaluated more objectively and for a possible surgical treatment. I hope my answer was helpful. Best regards and I wish you a fast recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | good day doc.I m 28 yrs old and have a 1 yr old baby boy.could you pls. suggest us which brand of infant formula is best for baby who often suffer from constipation also considering hypoallergenic one..we tried switching to a lot of formula-milk s-26,similac,nan-ha and now we are feeding him enfagrow but still crying while taking a vowel..hope u could advise us.thank u so much! | Hi...except breast milk any of the formula milk can cause constipation. Rather than suggesting a formula I will suggest you a diet and a plan to relieve his constipation. Suggestions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: good day doc.I m 28 yrs old and have a 1 yr old baby boy.could you pls. suggest us which brand of infant formula is best for baby who often suffer from constipation also considering hypoallergenic one..we tried switching to a lot of formula-milk s-26,similac,nan-ha and now we are feeding him enfagrow but still crying while taking a vowel..hope u could advise us.thank u so much!"
},
{
"from": "gpt",
"value": "Output: Hi...except breast milk any of the formula milk can cause constipation. Rather than suggesting a formula I will suggest you a diet and a plan to relieve his constipation. Suggestions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor. I am 21 years boy. I am suffering from hair loss since 2 years. I also suffered from depression. my scalp is itchy . If donot shampoo my hair for one week , I can feel crusty bumps on my head. if I scratch them, liquid comes out. itching increases in sunlight. I had random blood sugar test and tsh test but those were normal. the dandruff is greasy. please suggest some cure | Hello, I am glad to be helping you out with the problem.First, have a healthy diet that includes proteins. You can also take supplements that have vitamins and antioxidants. Wash your hair at least twice a week so that your scalp remains clean. In case you use a conditioner, do not apply it on your scalp. Try some yoga to relax your mind as this will also have a positive impact on your physical health. Hope this helps. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor. I am 21 years boy. I am suffering from hair loss since 2 years. I also suffered from depression. my scalp is itchy . If donot shampoo my hair for one week , I can feel crusty bumps on my head. if I scratch them, liquid comes out. itching increases in sunlight. I had random blood sugar test and tsh test but those were normal. the dandruff is greasy. please suggest some cure"
},
{
"from": "gpt",
"value": "Output: Hello, I am glad to be helping you out with the problem.First, have a healthy diet that includes proteins. You can also take supplements that have vitamins and antioxidants. Wash your hair at least twice a week so that your scalp remains clean. In case you use a conditioner, do not apply it on your scalp. Try some yoga to relax your mind as this will also have a positive impact on your physical health. Hope this helps. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, My tailbone has been killing me for the past few months. The pain is a heavy - pressure kind of pain. My MD had X-rays taken, this showed nothing. I saw him the other day and told him I still have this pain. He said he is not sure what else he can do for me other than use a donut when sitting. I sit at home on a nice soft leather recliner, my tailbone still kills me. I end up leaning on my side when I sit, but when I get up, the pressure/pain is terrible. I notice the pain/pressure even when I walk. Hurts when I sleep, especially turning over. I do want to mention that I had a colon resection back in 2005. I had a tumor in my rectum. The surgeon could feel my tumor, that is how low it was. I am worried I may have another tumor. PLease give me some advise what I need to do. THANK YOU FOR YOUR TIME! | Hello! I read your question and understand your concern. In my opinion the pain you have may be related to a sacral bone problem. I would like to know if you have fever or problems with the stools. These problems may be caused by a tumor infiltration the sacral and cochineal bones, by an infection of this region like an abscess or osteomyelitis, or by irritated nerves of the region from radiotherapy. Your past medical history is very concerning. You didn't mention radio or chemotherapy. So I would recommend a good physical by your GP, a full blood work for infection and a CT scan or MRI of the pelvic region to exclude these causes. Hope to have been helpful! Best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, My tailbone has been killing me for the past few months. The pain is a heavy - pressure kind of pain. My MD had X-rays taken, this showed nothing. I saw him the other day and told him I still have this pain. He said he is not sure what else he can do for me other than use a donut when sitting. I sit at home on a nice soft leather recliner, my tailbone still kills me. I end up leaning on my side when I sit, but when I get up, the pressure/pain is terrible. I notice the pain/pressure even when I walk. Hurts when I sleep, especially turning over. I do want to mention that I had a colon resection back in 2005. I had a tumor in my rectum. The surgeon could feel my tumor, that is how low it was. I am worried I may have another tumor. PLease give me some advise what I need to do. THANK YOU FOR YOUR TIME!"
},
{
"from": "gpt",
"value": "Output: Hello! I read your question and understand your concern. In my opinion the pain you have may be related to a sacral bone problem. I would like to know if you have fever or problems with the stools. These problems may be caused by a tumor infiltration the sacral and cochineal bones, by an infection of this region like an abscess or osteomyelitis, or by irritated nerves of the region from radiotherapy. Your past medical history is very concerning. You didn't mention radio or chemotherapy. So I would recommend a good physical by your GP, a full blood work for infection and a CT scan or MRI of the pelvic region to exclude these causes. Hope to have been helpful! Best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I WAS ALREADY DIAGNOSSED WITH ACID REFLUX. I HAVE BEEN ON DEXILENT FOR 3 MONTHS NOW AND I FEEL TOTALLY BETTER. MY PROBLEM IS THAT MY LUNGS DONT FEEL HEALTHY. THEY FEEL HEAVY. WHEN I TAKE A DEEP BREATH OUT I FEEL LIKE I WANT TO COUGH. MY THROAT HURTS ME WHEN I TOUCH IT ON THE OUTSIDE. IT IS VERY TENDER. I WENT TO AN ENT AND HE SAID THAT EVERYTHING CHECKED OUT FINE, WHAT ELSE CAN BE WRONG WITH MY LUNGS THAT CAN GO WRONG. THANK YOU | Thanks for your question on Chat Doctor. I can understand your concern. You are acid reflux. Chronic acid reflux can cause bronchitis. Bronchitis can be the cause for Heaviness in lungs. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about bronchitis or other lung disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I WAS ALREADY DIAGNOSSED WITH ACID REFLUX. I HAVE BEEN ON DEXILENT FOR 3 MONTHS NOW AND I FEEL TOTALLY BETTER. MY PROBLEM IS THAT MY LUNGS DONT FEEL HEALTHY. THEY FEEL HEAVY. WHEN I TAKE A DEEP BREATH OUT I FEEL LIKE I WANT TO COUGH. MY THROAT HURTS ME WHEN I TOUCH IT ON THE OUTSIDE. IT IS VERY TENDER. I WENT TO AN ENT AND HE SAID THAT EVERYTHING CHECKED OUT FINE, WHAT ELSE CAN BE WRONG WITH MY LUNGS THAT CAN GO WRONG. THANK YOU"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are acid reflux. Chronic acid reflux can cause bronchitis. Bronchitis can be the cause for Heaviness in lungs. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about bronchitis or other lung disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Since the 20th of this month i started experincing Deep Pounding palipitations i finished my menses 3 days ago they are random at times i feel mild ache in my shoulders sometimes the left also seems aggravated by eating heavy meal exercised regularly...did have major stressors at work but those passed will be evalutated by cardilogist though primary doc thinks it anxiety ativan seems to help with palipitations but does it sound like a blockage issue ? Wore a holter monitor but dont know results also a littel anemic HGB 9 Thanks | Hello, Anemia with hemoglobin of 9 gm % can itself explain the palpitation and even the irregular menses this time. When the blood has less hemoglobin, the heart has to pump faster and stronger to pump the extra blogs to provide the required amount of oxygen to the body. The would pensive as palpitation particularly when you are lying down. Correction of anemia after confirming its cause should take care of your symptoms. As you haven't mentioned the age by considering you have active menses I think you are less than 45 years of age when heart disease in woman is less common. Lastly blockage per se doesn't cause palpitation commonly. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Since the 20th of this month i started experincing Deep Pounding palipitations i finished my menses 3 days ago they are random at times i feel mild ache in my shoulders sometimes the left also seems aggravated by eating heavy meal exercised regularly...did have major stressors at work but those passed will be evalutated by cardilogist though primary doc thinks it anxiety ativan seems to help with palipitations but does it sound like a blockage issue ? Wore a holter monitor but dont know results also a littel anemic HGB 9 Thanks"
},
{
"from": "gpt",
"value": "Output: Hello, Anemia with hemoglobin of 9 gm % can itself explain the palpitation and even the irregular menses this time. When the blood has less hemoglobin, the heart has to pump faster and stronger to pump the extra blogs to provide the required amount of oxygen to the body. The would pensive as palpitation particularly when you are lying down. Correction of anemia after confirming its cause should take care of your symptoms. As you haven't mentioned the age by considering you have active menses I think you are less than 45 years of age when heart disease in woman is less common. Lastly blockage per se doesn't cause palpitation commonly. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Greetings Doctor. My name is.Bamy, I am a man am single n am 23 years old. Done.with the study, I dont work yet.I have a backache specially at the bottom erea since nearly 10 days. I dont understand why ?! I havent fallen down or had an accident....!! And also at my right hands wrist !! Things that I noticed is it used to begin when I STOP the gym !!!Thank you very much for your help. | Dear Baby, The symptoms can be attributed to inadequate HY Chat Doctor. Which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of cervicogenic agents as well as multivitamin & multimineral supplements including iron, calcium & It D needs to be added in your diet. If you still find any difficulty, kindly get certain investigations like estimation of blood pressure & blood sugar levels, Thyroid profile & nerve conduction studies to rule out any pathological cause for the symptoms. Till then, maintain adequate HY | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Greetings Doctor. My name is.Bamy, I am a man am single n am 23 years old. Done.with the study, I dont work yet.I have a backache specially at the bottom erea since nearly 10 days. I dont understand why ?! I havent fallen down or had an accident....!! And also at my right hands wrist !! Things that I noticed is it used to begin when I STOP the gym !!!Thank you very much for your help."
},
{
"from": "gpt",
"value": "Output: Dear Baby, The symptoms can be attributed to inadequate HY Chat Doctor. Which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of cervicogenic agents as well as multivitamin & multimineral supplements including iron, calcium & It D needs to be added in your diet. If you still find any difficulty, kindly get certain investigations like estimation of blood pressure & blood sugar levels, Thyroid profile & nerve conduction studies to rule out any pathological cause for the symptoms. Till then, maintain adequate HY"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor, My report shows - liver is mildly enlarged in size with increased echogenicity. what does this meanalso my husbands reports shows calcification in right lobe of liver? Calcified Granulomaalso left renal cortical cystPlease advise if there is any issue and also the remedy for it | Hi and welcome to Chat Doctor. It would be easier if you've posted the liver enzymes findings. It ma indicate alcoholic, viral, autoimmune or toxic liver damage. The most probable cause is is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. 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: Hi Doctor, My report shows - liver is mildly enlarged in size with increased echogenicity. what does this meanalso my husbands reports shows calcification in right lobe of liver? Calcified Granulomaalso left renal cortical cystPlease advise if there is any issue and also the remedy for it"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. It would be easier if you've posted the liver enzymes findings. It ma indicate alcoholic, viral, autoimmune or toxic liver damage. The most probable cause is is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor i am sujata .... before one year aprox i have a misscarriage and after that i had treated with medicine.. now i have consult a doctor to conceive, so my doctor advised me to take letsi tablet for 5 days countinue after the complition of menses.. and then i was given folic acid tablets and dupastan 10mg given to me on the 16th day for 12 day twice daily... so please suggest me about the results... ? and the right method of taking the medicine.. and please tell me that dupastan is used basically for conceiving . actually i want to get pregnent as soon as possible.......regrds & thanks | Hi Sujatha, How are you doing ? I understand you concern. If you have conceived once then you will conceive for sure again.(No matter what the end result of the pregnancy was)(Miscarriages are just like an accident, any lady can have it, but you have 97% chances of having a normal pregnancy). Now about the medication1. Tab. Letsi is a hormone pill which suppresses the body from producing its own hormones, thus there is a sudden surge of follicles. So more follicles/ eggs means more chance of sperms meeting the egg. So pregnancy chances increase2. Tab Duphastone, is Progesterone hormone which prepares the uterine inner lining for the possible baby & give a good attachment to the uterus, preventing any bleeding & early abortion May I advise you, Now you are blindly trying for the pregnancy, what if there is an undetected in Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor i am sujata .... before one year aprox i have a misscarriage and after that i had treated with medicine.. now i have consult a doctor to conceive, so my doctor advised me to take letsi tablet for 5 days countinue after the complition of menses.. and then i was given folic acid tablets and dupastan 10mg given to me on the 16th day for 12 day twice daily... so please suggest me about the results... ? and the right method of taking the medicine.. and please tell me that dupastan is used basically for conceiving . actually i want to get pregnent as soon as possible.......regrds & thanks"
},
{
"from": "gpt",
"value": "Output: Hi Sujatha, How are you doing ? I understand you concern. If you have conceived once then you will conceive for sure again.(No matter what the end result of the pregnancy was)(Miscarriages are just like an accident, any lady can have it, but you have 97% chances of having a normal pregnancy). Now about the medication1. Tab. Letsi is a hormone pill which suppresses the body from producing its own hormones, thus there is a sudden surge of follicles. So more follicles/ eggs means more chance of sperms meeting the egg. So pregnancy chances increase2. Tab Duphastone, is Progesterone hormone which prepares the uterine inner lining for the possible baby & give a good attachment to the uterus, preventing any bleeding & early abortion May I advise you, Now you are blindly trying for the pregnancy, what if there is an undetected in Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I used to masturbate daily once. sometimes twice...from 2 years. Recently (1 month back) I found that my left leg back of upper thigh portion is paining a lot. I am unable to walk properly. Especially morning, when I wake up it pains me a lot. I cant put a step to move further after i got up. My right leg is fine. Only problem is with the left leg. And I cant jump, run, cant do anything,.. only I need to walk slowly. if I feel the pain then I will stop and again i will start slowly. pain is always there in my left leg, based on my leg movement it comes suddenly don t know exactly when. Its really bad pain. I couldn t bare this pain. I stopped masturbating slowly. But pain is still there. I don t know if the pain is because of excessive masturbation or not?. Specially morning, it pains so much when I got up from the bed.. Please help me, what I should do to come out of this pain permanently. Why this has come to me recently. what is the cause? What is the medicine to use? I didnt consult any doctor yet. Do I need to take any medicine or shud I consult any doctor? Also, I didnt take any medicines. I am applying pain balm. Please respond to my query & help me. | Hello, As when you do masturbation there will be an isometric contraction of the muscles of the abdominal region, pelvic floor, thigh muscles and leg as well. Due to which there will be fatigue to set in, and muscles become over tiring and weak. Avoiding too much masturbation or in fact avoiding it for time being will be a good choice. Do simple exercises like walking or aerobics with low intensity and regain muscle strength and bulk back. This is one of the commonest reason that after undergoing sex most people feel tired as maximum energy is being utilized. The best way is to have a good diet, water, and avoid masturbation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I used to masturbate daily once. sometimes twice...from 2 years. Recently (1 month back) I found that my left leg back of upper thigh portion is paining a lot. I am unable to walk properly. Especially morning, when I wake up it pains me a lot. I cant put a step to move further after i got up. My right leg is fine. Only problem is with the left leg. And I cant jump, run, cant do anything,.. only I need to walk slowly. if I feel the pain then I will stop and again i will start slowly. pain is always there in my left leg, based on my leg movement it comes suddenly don t know exactly when. Its really bad pain. I couldn t bare this pain. I stopped masturbating slowly. But pain is still there. I don t know if the pain is because of excessive masturbation or not?. Specially morning, it pains so much when I got up from the bed.. Please help me, what I should do to come out of this pain permanently. Why this has come to me recently. what is the cause? What is the medicine to use? I didnt consult any doctor yet. Do I need to take any medicine or shud I consult any doctor? Also, I didnt take any medicines. I am applying pain balm. Please respond to my query & help me."
},
{
"from": "gpt",
"value": "Output: Hello, As when you do masturbation there will be an isometric contraction of the muscles of the abdominal region, pelvic floor, thigh muscles and leg as well. Due to which there will be fatigue to set in, and muscles become over tiring and weak. Avoiding too much masturbation or in fact avoiding it for time being will be a good choice. Do simple exercises like walking or aerobics with low intensity and regain muscle strength and bulk back. This is one of the commonest reason that after undergoing sex most people feel tired as maximum energy is being utilized. The best way is to have a good diet, water, and avoid masturbation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain in left side lower back since yesterday morning when i got up, i am not able to bend and also having pain in certain movements. In some positions i feel no pain. I want to know could it be a kidney pain? i am feeling little burning in urine also. | As mentioned in your narrative I think you are a young adult, and you have got rid with just a muscle spasm nothing else. For this you have to take some painkiller with muscle relaxant like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your routine work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application as it is quite helpful in relieving your back pain and muscle spasm. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain in left side lower back since yesterday morning when i got up, i am not able to bend and also having pain in certain movements. In some positions i feel no pain. I want to know could it be a kidney pain? i am feeling little burning in urine also."
},
{
"from": "gpt",
"value": "Output: As mentioned in your narrative I think you are a young adult, and you have got rid with just a muscle spasm nothing else. For this you have to take some painkiller with muscle relaxant like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your routine work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application as it is quite helpful in relieving your back pain and muscle spasm."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor, I am 22 years old (Unmarried) . My Tbigm is 2.25 it comes out positive. I am regularly suffering with the pain at the right bottom side of stomach. My periods are also not regular, Last was on January 2012. Doctor said that it is infection and you will have to continue treatment for 6 month bt they didnt specify the reason why this infection happened to me. Still with the regularity of medicines i am suffering with the pain.Please specify me the reason of this infection and its effects.Thank you | Hi. Tuberculosis of the abdomen is caused by specific bacteria and goes to intestine by either an oral route or blood stream. The best way to diagnose the pain in your case would be to undergo CT scan of the abdomen after a proper preparation. Also, good is the investigation called Enterocytes if CT indicates an obstructing lesion yet can not specify. You may need a surgery for removing the cause of pain. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, I am 22 years old (Unmarried) . My Tbigm is 2.25 it comes out positive. I am regularly suffering with the pain at the right bottom side of stomach. My periods are also not regular, Last was on January 2012. Doctor said that it is infection and you will have to continue treatment for 6 month bt they didnt specify the reason why this infection happened to me. Still with the regularity of medicines i am suffering with the pain.Please specify me the reason of this infection and its effects.Thank you"
},
{
"from": "gpt",
"value": "Output: Hi. Tuberculosis of the abdomen is caused by specific bacteria and goes to intestine by either an oral route or blood stream. The best way to diagnose the pain in your case would be to undergo CT scan of the abdomen after a proper preparation. Also, good is the investigation called Enterocytes if CT indicates an obstructing lesion yet can not specify. You may need a surgery for removing the cause of pain."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been under 2 IVF (6 embryo transfer) cycles that were all not successful - I have visit a new IVF center and again 2IVF (2 embryo transfer) cycles that were all not successful. After that doctor has sugeested for Era report before going for next ivf. That Report is normal as per doctor it is p+5. I have visited doctor at second day of my period and he has done a scan on my whom and ovaries. And suggested to visit again at 12th day of my period for checkup and he said that tranfer will be on 15th-16th day of period. i would like to know that in this case what is meaning of ERA because earlier in 2 cycle they have transfered on 15th or 16th day so what is meaning of ERA. And i want to know that what should be the uterus size before transfer and miprogen or progaynova is useful to increase size of uterus please answer as soon as possible | Hello there, Thanks for writing in. I learned from your writing that you have so far undergone 4 IVF cycles which were unsuccessful. Let me help you understand in this scenario the meaning of implantation failure. When pregnancy test comes negative in two or more IVF cycles where 6 or more reasonably good quality embryos are transferred then it is assumed to be implantation failure which means the embryo has failed to get buried in the soil(which is endometrium). When the embryo is transferred, the endometrium needs to receive it with the help of finger like microscopic structures to help it get buried. And the endometrium can do it only within a very short time frame, usually 6 to 7\u00a0days post ovulation. Sometimes this timeframe within which it can receive seems to be shifted either early in the cycle or later. By doing an ERA(Endometrium receptivity array) test we are able to predict this timeframe much precisely so that the embryo transfer can be timed accordingly. 2. The size of the uterus doesn't matter for pregnancy unless its tiny. 3. Progynova is not being used for increasing the size of uterus. Hope your question is satisfactorily answered. 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 been under 2 IVF (6 embryo transfer) cycles that were all not successful - I have visit a new IVF center and again 2IVF (2 embryo transfer) cycles that were all not successful. After that doctor has sugeested for Era report before going for next ivf. That Report is normal as per doctor it is p+5. I have visited doctor at second day of my period and he has done a scan on my whom and ovaries. And suggested to visit again at 12th day of my period for checkup and he said that tranfer will be on 15th-16th day of period. i would like to know that in this case what is meaning of ERA because earlier in 2 cycle they have transfered on 15th or 16th day so what is meaning of ERA. And i want to know that what should be the uterus size before transfer and miprogen or progaynova is useful to increase size of uterus please answer as soon as possible"
},
{
"from": "gpt",
"value": "Output: Hello there, Thanks for writing in. I learned from your writing that you have so far undergone 4 IVF cycles which were unsuccessful. Let me help you understand in this scenario the meaning of implantation failure. When pregnancy test comes negative in two or more IVF cycles where 6 or more reasonably good quality embryos are transferred then it is assumed to be implantation failure which means the embryo has failed to get buried in the soil(which is endometrium). When the embryo is transferred, the endometrium needs to receive it with the help of finger like microscopic structures to help it get buried. And the endometrium can do it only within a very short time frame, usually 6 to 7\\u00a0days post ovulation. Sometimes this timeframe within which it can receive seems to be shifted either early in the cycle or later. By doing an ERA(Endometrium receptivity array) test we are able to predict this timeframe much precisely so that the embryo transfer can be timed accordingly. 2. The size of the uterus doesn't matter for pregnancy unless its tiny. 3. Progynova is not being used for increasing the size of uterus. Hope your question is satisfactorily answered. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is suffering from cough. She will be normal and once she starts to cough it continuesfor half an hour. I have consulted many Doctors and they advice cough medicines and this is contined from past 1 year. I am looking for a permanent solution . I require expert guidance regarding this .Please advice and do the needful. | Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having chronic cough. So we should definitely rule out chronic lung infections (tuberculosis or fungal infection), asthma and bronchitis. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of asthma and bronchitis. She may need antibiotics, inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.Don't worry, she will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is suffering from cough. She will be normal and once she starts to cough it continuesfor half an hour. I have consulted many Doctors and they advice cough medicines and this is contined from past 1 year. I am looking for a permanent solution . I require expert guidance regarding this .Please advice and do the needful."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having chronic cough. So we should definitely rule out chronic lung infections (tuberculosis or fungal infection), asthma and bronchitis. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of asthma and bronchitis. She may need antibiotics, inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.Don't worry, she will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My husband is 28 years old and has been feeling a slight fluttering underneath his scrotum before his perineal area. It has been going on for 2 weeks now. He works as mechanic and no strenuous heavy lifting once in a great while. He feels that his scrotum is a bit cold at times, and lifts weights everyday for 30 minutes. It has not happened before. Is this something that we should be concerned about? | Hi! I do not think that there is anything much of concern about the symptoms of your husband. This may be a hyperactivity of the muscles of the scrotum. He does not have any pain, or redness, and so we can exclude any infective pathology. However, he should use proper scrotal support garments whenever he lifts weights and does any kind of strenuous work. A proper re assurance will help him. If the symptoms persist or increases with any other problem, he should consult the family physician for a routine check up. Hope this helps your husband. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My husband is 28 years old and has been feeling a slight fluttering underneath his scrotum before his perineal area. It has been going on for 2 weeks now. He works as mechanic and no strenuous heavy lifting once in a great while. He feels that his scrotum is a bit cold at times, and lifts weights everyday for 30 minutes. It has not happened before. Is this something that we should be concerned about?"
},
{
"from": "gpt",
"value": "Output: Hi! I do not think that there is anything much of concern about the symptoms of your husband. This may be a hyperactivity of the muscles of the scrotum. He does not have any pain, or redness, and so we can exclude any infective pathology. However, he should use proper scrotal support garments whenever he lifts weights and does any kind of strenuous work. A proper re assurance will help him. If the symptoms persist or increases with any other problem, he should consult the family physician for a routine check up. Hope this helps your husband."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Recently, I ve had dry and red cheeks. It started when I went on vacation in relatively hot weather where I would be in the sun a lot. Every time I d use my regular cleanser my cheeks would sting and burn. Before that they d get dry no matter how many times I dranj water or how early I went to bed. It stopped after a while and I thought it d go away. However, recently I ve been outside daily under the sun for long periods of time and my cheeks are back to being dry, red, a little flaky, and stingy (when I put my cleanser on). I have a theory that I might have sensitive skin, but I m not totally sure. My skin was never like this before. It just recently started this past month. Do I have exema or some kind of infection? If so, what can I do to treat it or at least ease the pain? Please help! Sincerely, Rain | Hello, Thank you for posting on Chat Doctor. The red flaky skin over your face seems to be due to sunburns. Acute sun burns are sometimes frightening but nothing to worry as It's pretty easy to manage. Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. Apply good moisturizer like Detail every time before going to bed. Antihistaminics and antioxidant tablets can additionally be added. Use high SPF broad spectrum sunscreen every time before going out in sun. Cold sponging will definitely help. Hope this will take care of your issue. Wish you best of health. Thank you Chat Doctor. D Dermatology | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Recently, I ve had dry and red cheeks. It started when I went on vacation in relatively hot weather where I would be in the sun a lot. Every time I d use my regular cleanser my cheeks would sting and burn. Before that they d get dry no matter how many times I dranj water or how early I went to bed. It stopped after a while and I thought it d go away. However, recently I ve been outside daily under the sun for long periods of time and my cheeks are back to being dry, red, a little flaky, and stingy (when I put my cleanser on). I have a theory that I might have sensitive skin, but I m not totally sure. My skin was never like this before. It just recently started this past month. Do I have exema or some kind of infection? If so, what can I do to treat it or at least ease the pain? Please help! Sincerely, Rain"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for posting on Chat Doctor. The red flaky skin over your face seems to be due to sunburns. Acute sun burns are sometimes frightening but nothing to worry as It's pretty easy to manage. Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. Apply good moisturizer like Detail every time before going to bed. Antihistaminics and antioxidant tablets can additionally be added. Use high SPF broad spectrum sunscreen every time before going out in sun. Cold sponging will definitely help. Hope this will take care of your issue. Wish you best of health. Thank you Chat Doctor. D Dermatology"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello my name is siritha I came to banglore in august 2008first day only i effected with cough and heavy breath and sounds while breathing and from that year evry winter and rainy iam suffering with breathing some,i use inhallers some doctor said that this pollan allargy i want meet the allergy doctor in the blore city,kindly suggest me the best treatment, i more thing if go to my home town(AP),hyderabad gradually redusing this problem and not getting breathing problem while I am roming the rain also. acording to my abservation Iam getting this problem when i stay banglore in winter and rainys,please give me the solution. | Thanks for your question on Chat Doctor. I can understand your concern. By your description, possibility of allergy is more likely. So along with inhaler, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night before going to bed. This combination will be more beneficial in your case. No harm with long term use as both these Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello my name is siritha I came to banglore in august 2008first day only i effected with cough and heavy breath and sounds while breathing and from that year evry winter and rainy iam suffering with breathing some,i use inhallers some doctor said that this pollan allargy i want meet the allergy doctor in the blore city,kindly suggest me the best treatment, i more thing if go to my home town(AP),hyderabad gradually redusing this problem and not getting breathing problem while I am roming the rain also. acording to my abservation Iam getting this problem when i stay banglore in winter and rainys,please give me the solution."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your description, possibility of allergy is more likely. So along with inhaler, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night before going to bed. This combination will be more beneficial in your case. No harm with long term use as both these Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had mantel cell lymphoma and underwent chemo then a stem cell transplant using my own harvested stem cells. Mantel cell lymphoma.phones remains in remission, but I was diagnosed with cirrhosis and my liver is still functioning, but I have no energy to do even small tasks. My penis has shrunken flat with my body like a button a d does not stick out causing me to be unable to control the way the urine sprays when I use the bathroom. I am 69. Can anything correct this? My oncologist, my digestive specialist, and my primary doctor are not gel ppl ing or won t tell me. A urologist said I gained weight and the fat belly made it draw in. | Hi. With clear diagnosis and procedures done and complication post cirrhosis of liver indicate that nothing much can be done as far as modern science is concerned. Moreover, the cirrhotic condition is irreversible. Support of steroids etc. must have been planned by your able doctors. If I were your doctor I would have advised you get the help of traditionally (Ayurveda) used decoction of herbs which controls the progress of cirrhosis. Even cures in initial stages. But since It's too late and also your age factor, you cannot expect miracles in Ayurveda or Allopatry. But one thing is clear that if you take this decoction and some other simple medicines, you will certainly see improvement in signs and symptoms and appetite and other things. Whatever time you live, you will feel better day by day. This is pathway quoth prepared by about 7 herbs but not commonly available. However, raw herbs freely available. Since profit is not much in it, companies do not take interest in marketing it. No need to be apprehensive. This is safe with no bad effects. Even best of medical science today will not guarantee full cure. I do not know where you live otherwise may give some hints where you can try to find these. Its better you consult some Ayurveda doctor of experience in your area. Hope this helps you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had mantel cell lymphoma and underwent chemo then a stem cell transplant using my own harvested stem cells. Mantel cell lymphoma.phones remains in remission, but I was diagnosed with cirrhosis and my liver is still functioning, but I have no energy to do even small tasks. My penis has shrunken flat with my body like a button a d does not stick out causing me to be unable to control the way the urine sprays when I use the bathroom. I am 69. Can anything correct this? My oncologist, my digestive specialist, and my primary doctor are not gel ppl ing or won t tell me. A urologist said I gained weight and the fat belly made it draw in."
},
{
"from": "gpt",
"value": "Output: Hi. With clear diagnosis and procedures done and complication post cirrhosis of liver indicate that nothing much can be done as far as modern science is concerned. Moreover, the cirrhotic condition is irreversible. Support of steroids etc. must have been planned by your able doctors. If I were your doctor I would have advised you get the help of traditionally (Ayurveda) used decoction of herbs which controls the progress of cirrhosis. Even cures in initial stages. But since It's too late and also your age factor, you cannot expect miracles in Ayurveda or Allopatry. But one thing is clear that if you take this decoction and some other simple medicines, you will certainly see improvement in signs and symptoms and appetite and other things. Whatever time you live, you will feel better day by day. This is pathway quoth prepared by about 7 herbs but not commonly available. However, raw herbs freely available. Since profit is not much in it, companies do not take interest in marketing it. No need to be apprehensive. This is safe with no bad effects. Even best of medical science today will not guarantee full cure. I do not know where you live otherwise may give some hints where you can try to find these. Its better you consult some Ayurveda doctor of experience in your area. Hope this helps you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 29 year old son fell off a lorry and strained is calf muscle yesterday.. It swelled instantly and was very painful . He did go to A&E they said it was pulled muscles... Today i have notice the leg that is swollen leg is very cold from knee down its still very painful is the coldness normal | Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee and leg muscle spasm. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. 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: My 29 year old son fell off a lorry and strained is calf muscle yesterday.. It swelled instantly and was very painful . He did go to A&E they said it was pulled muscles... Today i have notice the leg that is swollen leg is very cold from knee down its still very painful is the coldness normal"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee and leg muscle spasm. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. 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. | Hello there, Im 23 years old and have a 3 year old, me and my partner have been trying to get pregnant for about 2 years now, i miscarried about 6 months ago. Since then i have been testing whenever i feel like i could be pregnant again, i had 10 home strip tests and over a period of 3 weeks or so i have been using them every other day because i have been getting pregnancy symptoms, but all 9 came back negetive. I did my last one yesterday and that was posistive. Im tired all the time and im very very late on my period. all the signs are pointing to me being pregnant, but im worried because of losing the baby before. The result line was faint but absolutly there and clear. Im going to go doctors ASAP but id like to know what the possibiltys are of pregnancy and if what im feeling in my body is real. I have sore breasts, bloated uncomftable stomache, missed period, and i can barely keep my eyes open by around 6 in the evening. help! | Hello and welcome to Chat Doctor. The symptoms that you have portrayed definitely do point towards pregnancy. Single episode of miscarriage does carry a slightly higher chance of miscarriage in subsequent pregnancies, but this risk is negligible and usually ignored in practice. My opinion is that there is minimal risk to your baby. Visit your gynecologist to confirm that you are pregnant. I would like to have few more details like-the date of the first day of your last menstrual period and after how many months of pregnancy did you undergo the miscarriage 6 months back etc. to give you a more specific answer to your question regarding the risk to your current pregnancy. Hope I have answered you question to your satisfaction. Please do get back if you need any clarification of this answer or any more queries that you have. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello there, Im 23 years old and have a 3 year old, me and my partner have been trying to get pregnant for about 2 years now, i miscarried about 6 months ago. Since then i have been testing whenever i feel like i could be pregnant again, i had 10 home strip tests and over a period of 3 weeks or so i have been using them every other day because i have been getting pregnancy symptoms, but all 9 came back negetive. I did my last one yesterday and that was posistive. Im tired all the time and im very very late on my period. all the signs are pointing to me being pregnant, but im worried because of losing the baby before. The result line was faint but absolutly there and clear. Im going to go doctors ASAP but id like to know what the possibiltys are of pregnancy and if what im feeling in my body is real. I have sore breasts, bloated uncomftable stomache, missed period, and i can barely keep my eyes open by around 6 in the evening. help!"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. The symptoms that you have portrayed definitely do point towards pregnancy. Single episode of miscarriage does carry a slightly higher chance of miscarriage in subsequent pregnancies, but this risk is negligible and usually ignored in practice. My opinion is that there is minimal risk to your baby. Visit your gynecologist to confirm that you are pregnant. I would like to have few more details like-the date of the first day of your last menstrual period and after how many months of pregnancy did you undergo the miscarriage 6 months back etc. to give you a more specific answer to your question regarding the risk to your current pregnancy. Hope I have answered you question to your satisfaction. Please do get back if you need any clarification of this answer or any more queries that you have."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Years after having a really bad tear while giving birth, Ive notice a foul and embassing odor coming from a small hole near my anus. It smells when i bare down to urinate. It will start to smell right after I bathe. I have been on all kinds of antibiotics, Cipro. They work while on them but a few days later the smell returns. Went to the Dr. and he says the hole doesnt led to anything. So. why does it smell so bad? Help Please. | Hi, Thanks for posting in Chat Doctor. I understand your concern. What problems you could be facing is infection of fistula-in-ano, on and off and that is why you are experiencing this bad odor, which would subside with intake of antibiotics. You need to consult Surgeon in this regard and undergo fistulectomy operation for its permanent cure. Kindly do to overcome the same at the earliest. Hope the information provided would be helpful. All the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Years after having a really bad tear while giving birth, Ive notice a foul and embassing odor coming from a small hole near my anus. It smells when i bare down to urinate. It will start to smell right after I bathe. I have been on all kinds of antibiotics, Cipro. They work while on them but a few days later the smell returns. Went to the Dr. and he says the hole doesnt led to anything. So. why does it smell so bad? Help Please."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting in Chat Doctor. I understand your concern. What problems you could be facing is infection of fistula-in-ano, on and off and that is why you are experiencing this bad odor, which would subside with intake of antibiotics. You need to consult Surgeon in this regard and undergo fistulectomy operation for its permanent cure. Kindly do to overcome the same at the earliest. Hope the information provided would be helpful. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have a sharp pain across my upper abdomen just below my ribcage and across my breasts. The pain radiates through to my back to both shoulder blades. It is slightly worse on the left side. It is tender on the left side of my upper abdomen just below my rib cage. I have been experiencing pain across my abdomen off and on for some months. In February I had very itchy skin - scalp , ears, arms legs and sides of torso but no rash . My stools were paler in colour. I find that alcohol can trigger pain. Sometimes when the pain is severe I feel sick. The pain varies and is not constant. | Hello! Thank you for the query. Most likely you do suffer from gallstones which do migrate to the bile ducts and give its obstruction. Obstruction causes jaundice (symptoms of jaundice are itchy skin, pale stools, dark urine, yellowish skin). Alcohol can trigger your symptoms indeed. Moreover, it can happen that some stone will obstruct pancreas duct and will lead to acute pancreatitis. That is why I suggest you to do not wait anymore. You should visit your doctor, have blood work, liver tests (AST, ALT,GTP, AP), amylase, lipase, urine amylase and abdominal ultrasound. If stones are present, surgery should be performed which should permanently solve your problems. In a meanwhile you should avoid fatty foods, fried foods, spicy foods and alcohol. 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 have a sharp pain across my upper abdomen just below my ribcage and across my breasts. The pain radiates through to my back to both shoulder blades. It is slightly worse on the left side. It is tender on the left side of my upper abdomen just below my rib cage. I have been experiencing pain across my abdomen off and on for some months. In February I had very itchy skin - scalp , ears, arms legs and sides of torso but no rash . My stools were paler in colour. I find that alcohol can trigger pain. Sometimes when the pain is severe I feel sick. The pain varies and is not constant."
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. Most likely you do suffer from gallstones which do migrate to the bile ducts and give its obstruction. Obstruction causes jaundice (symptoms of jaundice are itchy skin, pale stools, dark urine, yellowish skin). Alcohol can trigger your symptoms indeed. Moreover, it can happen that some stone will obstruct pancreas duct and will lead to acute pancreatitis. That is why I suggest you to do not wait anymore. You should visit your doctor, have blood work, liver tests (AST, ALT,GTP, AP), amylase, lipase, urine amylase and abdominal ultrasound. If stones are present, surgery should be performed which should permanently solve your problems. In a meanwhile you should avoid fatty foods, fried foods, spicy foods and alcohol. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor, this is vijay my problem is i have unwanted hair on my cheeks n below the eyes. i need to remove the hair. pls give me any suggestions. whether is laser treatment is okay for me are not, is there any side effect in that and is there any creams to remove unwanted hair permanently . please give me good suggestion. | Hello and welcome to ChatDoctorLaser hair reduction (LHR) is a very safe and reliable way for hair reduction. Apart from mild redness after the sitting which usually resolves in 1-2 hours, there are really no side effects at all, if done by a well-trained/experienced expert. Normally 6-8 sittings will give you a good hair reduction. The hair will become finer, the density will decrease and thereby greatly reduced. It is the FDA approved for hair reduction and gives long-lasting results. Creams containing ingredients like efflornithine HY Chat Doctor. They only slow the hair growth rate. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor, this is vijay my problem is i have unwanted hair on my cheeks n below the eyes. i need to remove the hair. pls give me any suggestions. whether is laser treatment is okay for me are not, is there any side effect in that and is there any creams to remove unwanted hair permanently . please give me good suggestion."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to ChatDoctorLaser hair reduction (LHR) is a very safe and reliable way for hair reduction. Apart from mild redness after the sitting which usually resolves in 1-2 hours, there are really no side effects at all, if done by a well-trained/experienced expert. Normally 6-8 sittings will give you a good hair reduction. The hair will become finer, the density will decrease and thereby greatly reduced. It is the FDA approved for hair reduction and gives long-lasting results. Creams containing ingredients like efflornithine HY Chat Doctor. They only slow the hair growth rate. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger? | Hi, If patient has diabetes and is also overweight, like your husband (BMI26.81 kg/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kg X 25 call = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?"
},
{
"from": "gpt",
"value": "Output: Hi, If patient has diabetes and is also overweight, like your husband (BMI26.81 kg/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kg X 25 call = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 36 year old mother of 3 boys. When I had my 3rd boy in 2009, 2 weeks after birth I had High Blood Pressure. Ive been struggling with it ever since and I am on Propranolol 80mg for almost 4 months. Its been doing ok, but my BP still spikes and Ive noticed it gets really high 1 week before my period. What can i do? | Hello, You should ask you to change the BP medicine from Propranolol to other class like ARB like Telmisartan or ace inhibitor like April or calcium channel blockers like Amlodipine. Your current medicine is not effective for BP. Avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. 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 36 year old mother of 3 boys. When I had my 3rd boy in 2009, 2 weeks after birth I had High Blood Pressure. Ive been struggling with it ever since and I am on Propranolol 80mg for almost 4 months. Its been doing ok, but my BP still spikes and Ive noticed it gets really high 1 week before my period. What can i do?"
},
{
"from": "gpt",
"value": "Output: Hello, You should ask you to change the BP medicine from Propranolol to other class like ARB like Telmisartan or ace inhibitor like April or calcium channel blockers like Amlodipine. Your current medicine is not effective for BP. Avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir /MadamMy Sister(Age-25) is suffering from disease like ASTHEMA(but not exactly ASTHEMA because we have done all test for ASTHEMA in our local hospital butt all test are negative). Now my quary is that in which department i have to consult.sumanta | Thanks for your question on Chat Doctor. I can understand your concern. Consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. She will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). She may also need oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night.Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir /MadamMy Sister(Age-25) is suffering from disease like ASTHEMA(but not exactly ASTHEMA because we have done all test for ASTHEMA in our local hospital butt all test are negative). Now my quary is that in which department i have to consult.sumanta"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. She will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). She may also need oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night.Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 2 yr old has had slight blood shot eye for over a month and in the last few weeks ive notcied a growth or lump on the edge of her iris. today i think i saw a nother lump starting bleow the first . its on teh side away from her nose close to her ear but on the iris ring itself .. what can this be from. when she was born she has up beating nystagmus which has calmed down so much its almost gone. her vison was fine when tested last year. she has hod tonsilitis for 3 months straight atm and still currently on antibotics for it . shouldi be worried about the growth forming on her iris? | Hi. Thanks for your query. Growth / lumps on the iris, on the edge of the eyes in a girl of 2-year-old has to be worried about, as this is the rarest to occur. First you have to Consult a Pediatric surgeon as well as the Ophthalmologist to see what the diagnosis is, whether this is related to the local growth or some sort of tumor to be worried about, If needed go for excision and biopsy to get a confirmed diagnosis to get the most proper treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 2 yr old has had slight blood shot eye for over a month and in the last few weeks ive notcied a growth or lump on the edge of her iris. today i think i saw a nother lump starting bleow the first . its on teh side away from her nose close to her ear but on the iris ring itself .. what can this be from. when she was born she has up beating nystagmus which has calmed down so much its almost gone. her vison was fine when tested last year. she has hod tonsilitis for 3 months straight atm and still currently on antibotics for it . shouldi be worried about the growth forming on her iris?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. Growth / lumps on the iris, on the edge of the eyes in a girl of 2-year-old has to be worried about, as this is the rarest to occur. First you have to Consult a Pediatric surgeon as well as the Ophthalmologist to see what the diagnosis is, whether this is related to the local growth or some sort of tumor to be worried about, If needed go for excision and biopsy to get a confirmed diagnosis to get the most proper treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had my gallbladder out about a year and a half ago and since then I Still suffer with nasty reflux, about three days ago I got really bloated and my reflux kicked in again , then my chest in betweenbreasts hurts everytime I eat or drink anything do you have any idea what is going on? | Hi. Thanks for posting query at Chat Doctor. You may be familiar with the common mechanism of gastroesophageal reflux disease (HERD) ; however I will briefly explain | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my gallbladder out about a year and a half ago and since then I Still suffer with nasty reflux, about three days ago I got really bloated and my reflux kicked in again , then my chest in betweenbreasts hurts everytime I eat or drink anything do you have any idea what is going on?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for posting query at Chat Doctor. You may be familiar with the common mechanism of gastroesophageal reflux disease (HERD) ; however I will briefly explain"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a one year old he will not let me touch his mouth or teeth he has been teething and his teeth are getting bad , there yellowish at top of teeth and i noticed a little gray spot on his top teeth. and i think he chipped a tiny peice i dnt know what to do i tryed forcing him but his gums started to bleed i feel like i hurt him because he crys??? what should i do to fix it? what causes it? how can i get him to let me brush | Thanks for your query, I have gone through your query. The pain or discomfort could be because of the erupting tooth, because while erupting the mucosa will be perforated by the tooth. During this pain will be there in the gums and teeth. This can be reduced by applying topical anesthetic and analgesics like Anabel gel. Since you are telling there is a chipped tooth, consult an oral physician and get it ruled out, if there is any history of trauma, then you should consult an oral physician. Regarding the color of the teeth, the yellowish color could be because of the deposits. Nothing to worry about it, maintain oral hygiene properly with the help of a gaze piece. I hope my answer will help you, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a one year old he will not let me touch his mouth or teeth he has been teething and his teeth are getting bad , there yellowish at top of teeth and i noticed a little gray spot on his top teeth. and i think he chipped a tiny peice i dnt know what to do i tryed forcing him but his gums started to bleed i feel like i hurt him because he crys??? what should i do to fix it? what causes it? how can i get him to let me brush"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain or discomfort could be because of the erupting tooth, because while erupting the mucosa will be perforated by the tooth. During this pain will be there in the gums and teeth. This can be reduced by applying topical anesthetic and analgesics like Anabel gel. Since you are telling there is a chipped tooth, consult an oral physician and get it ruled out, if there is any history of trauma, then you should consult an oral physician. Regarding the color of the teeth, the yellowish color could be because of the deposits. Nothing to worry about it, maintain oral hygiene properly with the help of a gaze piece. I hope my answer will help you, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have never been shown or told that i should pull my foreskin down and now im 30 and cantI try and can only get it down a very small amount before its too tightIt seems that as i do it it starts to look like its pulling my glands in like a waist and it cant pull it back anymore | HelloRetraction of foreskin and replacing over glans is a prerequisite to have normal enjoyable sex. Based on your statement I would state that you have Mitosis however this can be confirmed only on clinical examination in person by a qualified General Surgeon or Urologist. If it is confirmed to be Mitosis you will need to get circumcised. This is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have never been shown or told that i should pull my foreskin down and now im 30 and cantI try and can only get it down a very small amount before its too tightIt seems that as i do it it starts to look like its pulling my glands in like a waist and it cant pull it back anymore"
},
{
"from": "gpt",
"value": "Output: HelloRetraction of foreskin and replacing over glans is a prerequisite to have normal enjoyable sex. Based on your statement I would state that you have Mitosis however this can be confirmed only on clinical examination in person by a qualified General Surgeon or Urologist. If it is confirmed to be Mitosis you will need to get circumcised. This is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I went to an ENT for acid reflux, but a throat culture showed pseudomonas aeruginosa. I was told they tested several antibiotics on the culture, cipro being the only effective one. Im having trouble finding any information on this bacterium as it relates to the throat. Im on cipro, but wondering where this could have come from. Female nearing 40, usually in good health but flu-like symptoms for last two months. Thanks for any info. | Hello there, Pseudomonas aeroginosa is a different organism in the fact that it has the ability to form a biofilm. What it does is, attach to your throat then forms a slimy layer around itself which prevent the body from destroying it and then intermittently attack the throat epithelial layers. So you would have on and off fever along with a persistent sore throat over a period of time. Now that the doctors have established what it is sensitive to the antibiotic would take care of it. It is an organism present in the environment and occasionally infects us. So you do not have to worry whether you were singled out or you did something wrong. Thank you for your query. 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 went to an ENT for acid reflux, but a throat culture showed pseudomonas aeruginosa. I was told they tested several antibiotics on the culture, cipro being the only effective one. Im having trouble finding any information on this bacterium as it relates to the throat. Im on cipro, but wondering where this could have come from. Female nearing 40, usually in good health but flu-like symptoms for last two months. Thanks for any info."
},
{
"from": "gpt",
"value": "Output: Hello there, Pseudomonas aeroginosa is a different organism in the fact that it has the ability to form a biofilm. What it does is, attach to your throat then forms a slimy layer around itself which prevent the body from destroying it and then intermittently attack the throat epithelial layers. So you would have on and off fever along with a persistent sore throat over a period of time. Now that the doctors have established what it is sensitive to the antibiotic would take care of it. It is an organism present in the environment and occasionally infects us. So you do not have to worry whether you were singled out or you did something wrong. Thank you for your query. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor I am having naturolax occasionally. But without reading the contents I gave it to my children aged 5-7 years of age as they were not getting motion nicely.My 7 year old after having that was shivering and sweating all night and was uneasy and she didn t sleep. Is anything serious plz advice. | Welcome to ChatDoctorNaturolax is Isabel i.e. a husk obtained from Psyllium plant. This has no side effects and is a remarkable medication for constipation. Since it has only fiber to add bulk to stools, and no associated Chat Doctor. Symptoms in your daughter seems to be due to some other reason. In my opinion it might be due to constipation per se if not relieved and if not associated with any other symptom. If symptoms still persist, do consult your physician. For further questions, do contact us. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor I am having naturolax occasionally. But without reading the contents I gave it to my children aged 5-7 years of age as they were not getting motion nicely.My 7 year old after having that was shivering and sweating all night and was uneasy and she didn t sleep. Is anything serious plz advice."
},
{
"from": "gpt",
"value": "Output: Welcome to ChatDoctorNaturolax is Isabel i.e. a husk obtained from Psyllium plant. This has no side effects and is a remarkable medication for constipation. Since it has only fiber to add bulk to stools, and no associated Chat Doctor. Symptoms in your daughter seems to be due to some other reason. In my opinion it might be due to constipation per se if not relieved and if not associated with any other symptom. If symptoms still persist, do consult your physician. For further questions, do contact us."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I had an unprotected sex with my boyfriend on 28th August and that day itself I took Ipill and 30th August again we had unprotected sex and took ipill again. I know it was stupid and I have done a terrible job. But i was so confuse. Now i am having some kind of allergy rashes in my body even having headache and weakness. My menstrual cycle date is 8th. So should i wait till 8th or take some kind of medicine for all these ? | Hi Dear thanks for your question on Chat Doctor, you had unprotected sex twice and both time you used I pill, and now having headache and weakness, this is due to the side effect of I pill, dont worry it will go, your cycle is due on 8th of September, you wait for your cycle before taking any other treatment, I hope you won't need any treatment, still you wait for your cycle, and if it gets delayed then go for further treatment | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! I had an unprotected sex with my boyfriend on 28th August and that day itself I took Ipill and 30th August again we had unprotected sex and took ipill again. I know it was stupid and I have done a terrible job. But i was so confuse. Now i am having some kind of allergy rashes in my body even having headache and weakness. My menstrual cycle date is 8th. So should i wait till 8th or take some kind of medicine for all these ?"
},
{
"from": "gpt",
"value": "Output: Hi Dear thanks for your question on Chat Doctor, you had unprotected sex twice and both time you used I pill, and now having headache and weakness, this is due to the side effect of I pill, dont worry it will go, your cycle is due on 8th of September, you wait for your cycle before taking any other treatment, I hope you won't need any treatment, still you wait for your cycle, and if it gets delayed then go for further treatment"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had gotten a spider bite a few day ago on my finger. It had swollen and a red line started tracking up my arm. The doctors dripped antibiotics in me through I v and prescribed me Clindamycin. This morning I got another bite which is as well starting to track. Will the Antibiotics I am currently taking be affective on this new bite or will I need to go to back to the hospital ? | HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had gotten a spider bite a few day ago on my finger. It had swollen and a red line started tracking up my arm. The doctors dripped antibiotics in me through I v and prescribed me Clindamycin. This morning I got another bite which is as well starting to track. Will the Antibiotics I am currently taking be affective on this new bite or will I need to go to back to the hospital ?"
},
{
"from": "gpt",
"value": "Output: HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my nephrologist says that I have acidosis. I take 2 sodium bicarbonate twice daily. I do not know anything about this condition. my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets twice daily, my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets daily; my creatinine and bun are also elevated, can you help me understand acidosis? | Hello, If your creatinine and blood urea are high, your doctor would have told you that your kidney function is reduced. Acid is normally produced in the body by the metabolic processes that sustain us. This is excreted by the kidneys so that the blood is kept at the normal pH. When the kidney function is reduced, the kidneys cannot excrete the acid and acid builds up in the blood and the pH Chat Doctor. If it | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my nephrologist says that I have acidosis. I take 2 sodium bicarbonate twice daily. I do not know anything about this condition. my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets twice daily, my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets daily; my creatinine and bun are also elevated, can you help me understand acidosis?"
},
{
"from": "gpt",
"value": "Output: Hello, If your creatinine and blood urea are high, your doctor would have told you that your kidney function is reduced. Acid is normally produced in the body by the metabolic processes that sustain us. This is excreted by the kidneys so that the blood is kept at the normal pH. When the kidney function is reduced, the kidneys cannot excrete the acid and acid builds up in the blood and the pH Chat Doctor. If it"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell down the stairs almost four months ago, and my leg is still sore and numb. I had a very large goose egg on my shin and the side of my leg. I had X-rays and a test for blood clots that were negative. I also have diabetes. Is it normal to still have pain and numbness? | Welcome to Chat Doctor .1.No not normal to have pain and numbness throughout - there could be some nerve involvement causing the above symptoms.2. After injury, collection with pain - can think in terms of infective process.3. Get an ultrasound to evaluate the type of lesion, where it is from and what content. A needle aspiration to assess the cells.4. After the results - a small incision and Chat Doctor. 5. If money is not an issue - MRI of the area / leg will help in good anatomical and biochemical delineation of the lesion. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell down the stairs almost four months ago, and my leg is still sore and numb. I had a very large goose egg on my shin and the side of my leg. I had X-rays and a test for blood clots that were negative. I also have diabetes. Is it normal to still have pain and numbness?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1.No not normal to have pain and numbness throughout - there could be some nerve involvement causing the above symptoms.2. After injury, collection with pain - can think in terms of infective process.3. Get an ultrasound to evaluate the type of lesion, where it is from and what content. A needle aspiration to assess the cells.4. After the results - a small incision and Chat Doctor. 5. If money is not an issue - MRI of the area / leg will help in good anatomical and biochemical delineation of the lesion. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I checked my 22 month olds blood sugar about 2-3 hours after she ate breakfast. I can t be exact on the time because she eats pretty slow so it takes her a while. She had 2 eggos, a quarter of a banana, a cup of milk and a half cup of orange juice for breakfast. 2-3 hours later her blood sugar was 135 is that too high? | Hello, Please don't get panic. This is called Random Blood sugar level. And its in the normal range. Up to 140 mg/DL is considered normal RBS (random blood sugar) level. In case of family history of diabetes. One can monitor blood sugar levels like | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I checked my 22 month olds blood sugar about 2-3 hours after she ate breakfast. I can t be exact on the time because she eats pretty slow so it takes her a while. She had 2 eggos, a quarter of a banana, a cup of milk and a half cup of orange juice for breakfast. 2-3 hours later her blood sugar was 135 is that too high?"
},
{
"from": "gpt",
"value": "Output: Hello, Please don't get panic. This is called Random Blood sugar level. And its in the normal range. Up to 140 mg/DL is considered normal RBS (random blood sugar) level. In case of family history of diabetes. One can monitor blood sugar levels like"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had an episode tonight | Hello! Welcome on Chat Doctor ! Its seems that you have had a seizure. For this reason, I would recommend consulting with a neurologist and performing a careful neurological exam and some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had an episode tonight"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor ! Its seems that you have had a seizure. For this reason, I would recommend consulting with a neurologist and performing a careful neurological exam and some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I pray that this is legit. I had a septoplasty (RT nasal psg) 2 years ago. Now I have constant blockage on this RT nasal side- then they found fungus on my RT eardrum. ENT peeled it off ...NEW ENT peels it off and I feel better for maybe one day. It grows back. Then I was dx w/ a very serious staph infection in sinus cavity. Now I am sick all the time ! NONE of the (ENT & Infectious Disease) doctors know what to do. I was put on Diflucan for 10 days solid. NO change! I requested the anti-fungal \"purple dye\"- ENT never called me back- nor does he have explanation why my RT nasal inner passage has a fluid-most likely blood- lump inside at very top. It bleeds a lot and now a huge blood clot came out after a 10 minute nose bleed. I am soooo sick of this and the unprofessional care! Is there anyone out there who can help me!! Thank you sooo much for reading this. Sherry | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that both the infection should be treated simultaneously to get rid of the both infection. It is also kept in mind that Staphylococcus may be a MRSA that is Methicillin Resistant Staphylococcus aureus. So screening test diagnosing MRSA must be carried out first, because MRSA strain are very resistant to routinely prescribed antibiotic and special antibiotics are required to treat such an infection. Once you treated for both infection you will be out of infection soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at 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 pray that this is legit. I had a septoplasty (RT nasal psg) 2 years ago. Now I have constant blockage on this RT nasal side- then they found fungus on my RT eardrum. ENT peeled it off ...NEW ENT peels it off and I feel better for maybe one day. It grows back. Then I was dx w/ a very serious staph infection in sinus cavity. Now I am sick all the time ! NONE of the (ENT & Infectious Disease) doctors know what to do. I was put on Diflucan for 10 days solid. NO change! I requested the anti-fungal \\\"purple dye\\\"- ENT never called me back- nor does he have explanation why my RT nasal inner passage has a fluid-most likely blood- lump inside at very top. It bleeds a lot and now a huge blood clot came out after a 10 minute nose bleed. I am soooo sick of this and the unprofessional care! Is there anyone out there who can help me!! Thank you sooo much for reading this. Sherry"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that both the infection should be treated simultaneously to get rid of the both infection. It is also kept in mind that Staphylococcus may be a MRSA that is Methicillin Resistant Staphylococcus aureus. So screening test diagnosing MRSA must be carried out first, because MRSA strain are very resistant to routinely prescribed antibiotic and special antibiotics are required to treat such an infection. Once you treated for both infection you will be out of infection soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have twins kids; son and daughter. They are 4 years old. They have never complained about any problem with their eye and seeing anything. However since my wife has eye power -7.0 in both the eyes from the age of 9 years, therefore we thought to check up kids eyes with the doctor. The pediatric ophthalmologist from the L.V. Prasad Eye Institute, Hyderabad, India prescribed the cylindrical power for both my son and daughter. Son power is - 1.25 and -1.5. Daughter -1.50 and -1.75. The doctor prescribed the glasses for both of them. I am completely confused and worried. I have following questions to ask and I would highly appreciate any suggestion and advice for my queries | Hi, I am answering your questions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have twins kids; son and daughter. They are 4 years old. They have never complained about any problem with their eye and seeing anything. However since my wife has eye power -7.0 in both the eyes from the age of 9 years, therefore we thought to check up kids eyes with the doctor. The pediatric ophthalmologist from the L.V. Prasad Eye Institute, Hyderabad, India prescribed the cylindrical power for both my son and daughter. Son power is - 1.25 and -1.5. Daughter -1.50 and -1.75. The doctor prescribed the glasses for both of them. I am completely confused and worried. I have following questions to ask and I would highly appreciate any suggestion and advice for my queries"
},
{
"from": "gpt",
"value": "Output: Hi, I am answering your questions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a female eighteen years old.Because of my pshychiatirc promblem, doctors have put me on lithium 400mg BD, Sertaline 200mg(50 in the morning and 150 at night) This raised my TSH level and I was put on thyroxine 50 microgram. Can I continue Lithium or should it be placed by some other medication. Please help me. | Hi, I read your query and can understand your concern regarding the side effects. Lithium is linked with causing hypothyroidism and increase in TSH levels. Decision regarding continuing or stopping lithium should be taken based on multiple factors, like how effective lithium has been for your condition, any other side effects, treatment resistance to any other Chat Doctor. If you have responded well to lithium, having no other side effects and your TSH levels are normalized with thyroxine, lithium can be continued. Your psychiatrist would be the best judge for deciding regarding it. Hope this information was helpful. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a female eighteen years old.Because of my pshychiatirc promblem, doctors have put me on lithium 400mg BD, Sertaline 200mg(50 in the morning and 150 at night) This raised my TSH level and I was put on thyroxine 50 microgram. Can I continue Lithium or should it be placed by some other medication. Please help me."
},
{
"from": "gpt",
"value": "Output: Hi, I read your query and can understand your concern regarding the side effects. Lithium is linked with causing hypothyroidism and increase in TSH levels. Decision regarding continuing or stopping lithium should be taken based on multiple factors, like how effective lithium has been for your condition, any other side effects, treatment resistance to any other Chat Doctor. If you have responded well to lithium, having no other side effects and your TSH levels are normalized with thyroxine, lithium can be continued. Your psychiatrist would be the best judge for deciding regarding it. Hope this information was helpful. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | About two weeks ago i saw a white patch on my foreskin, but didn t notice it much. But as the patch began to grow i searched on the net and went to a urologist. He told me that it was due to smegma accumulation and gave me mutop ointment along with some medicines. But the patch is still there at my penis tip. my foreskin has also become tighter than before. could you tell me what is the problem and how to deal with it ? | Degree understand your concerns went through your details. The urologist did clarify about your problem. In every possibility it has to be Sega accumulation. That should go off if you apply ointment regularly. Sega lubricates the cavity between the foreskin of the penis and the glans, thus allowing smooth movement between them during intercourse. More importance is to be given to hygiene of that foreskin area. Cleaning the foreskin area with soap twice or thrice a day should do for you. If you require more of my help in this aspect, please use this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About two weeks ago i saw a white patch on my foreskin, but didn t notice it much. But as the patch began to grow i searched on the net and went to a urologist. He told me that it was due to smegma accumulation and gave me mutop ointment along with some medicines. But the patch is still there at my penis tip. my foreskin has also become tighter than before. could you tell me what is the problem and how to deal with it ?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. The urologist did clarify about your problem. In every possibility it has to be Sega accumulation. That should go off if you apply ointment regularly. Sega lubricates the cavity between the foreskin of the penis and the glans, thus allowing smooth movement between them during intercourse. More importance is to be given to hygiene of that foreskin area. Cleaning the foreskin area with soap twice or thrice a day should do for you. If you require more of my help in this aspect, please use this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hiii... can u please tell me the tests done for abdominal or intestinal tubrculosis..??As my stomach is paining at right side.. so the doctor ask me to test it for tuberculosis..!! Soo.. can u pls help me.. and please tell me that is it communicable and can harm my family members..? For this what are the precautions i will have to take..! I will be highly thankful to u! | HelloAbdominal tuberculosis can be classified into the Tubercular mesenteric amenities, intestinal tuberculosis, mental or tubercular peritonitis. The first investigation is blood test which can show increased ESR with raised lymphocytes count. Then a USG should be done to find out any enlarged and matted lymph node, thickening or adhesion of the intestinal wall or any collection of fluid. The next investigation may be CENT abdomen for better delineation of anatomic abnormality or if USG is doubtful. Sometimes there may be formation of cold abscess or mass, then aspiration of pus or USG guided biopsy of mass may be needed. The pus should be sent for test of tuberculosis. A test called Quantifier gold test may also be advised for diagnosis. Tuberculosis is a communicable disease and mainly spread through Chat Doctor. Most communicable is pulmonary tuberculosis. Chances are very, very less in abdominal tuberculosis if not associated with pulmonary TB. If there is only abdominal TB no specific precaution is needed. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hiii... can u please tell me the tests done for abdominal or intestinal tubrculosis..??As my stomach is paining at right side.. so the doctor ask me to test it for tuberculosis..!! Soo.. can u pls help me.. and please tell me that is it communicable and can harm my family members..? For this what are the precautions i will have to take..! I will be highly thankful to u!"
},
{
"from": "gpt",
"value": "Output: HelloAbdominal tuberculosis can be classified into the Tubercular mesenteric amenities, intestinal tuberculosis, mental or tubercular peritonitis. The first investigation is blood test which can show increased ESR with raised lymphocytes count. Then a USG should be done to find out any enlarged and matted lymph node, thickening or adhesion of the intestinal wall or any collection of fluid. The next investigation may be CENT abdomen for better delineation of anatomic abnormality or if USG is doubtful. Sometimes there may be formation of cold abscess or mass, then aspiration of pus or USG guided biopsy of mass may be needed. The pus should be sent for test of tuberculosis. A test called Quantifier gold test may also be advised for diagnosis. Tuberculosis is a communicable disease and mainly spread through Chat Doctor. Most communicable is pulmonary tuberculosis. Chances are very, very less in abdominal tuberculosis if not associated with pulmonary TB. If there is only abdominal TB no specific precaution is needed. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have severe back pain in the day time and take prescribed pills for it, Sometimes it helps other times it doesnt. At night I wake up in a terrible sweat. Sometimes duriing the day when I have backpain I have pills which give some relief and at other tmes they dont work. jd smith. | Welcome to Chat Doctor .1. Next time please mention the age, as the advice will be changed.2. First thing you have to analyze the cause of the pain, as you already tried medication, and it seems not working.3. If you are my patient I would start with an x-ray lumbar spine AP/LAT views, depending on the finding, if required MRI will be indicated.4. The treatment start with simple x-rays to interventions as required.5. Back pain exercise please follow this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have severe back pain in the day time and take prescribed pills for it, Sometimes it helps other times it doesnt. At night I wake up in a terrible sweat. Sometimes duriing the day when I have backpain I have pills which give some relief and at other tmes they dont work. jd smith."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. Next time please mention the age, as the advice will be changed.2. First thing you have to analyze the cause of the pain, as you already tried medication, and it seems not working.3. If you are my patient I would start with an x-ray lumbar spine AP/LAT views, depending on the finding, if required MRI will be indicated.4. The treatment start with simple x-rays to interventions as required.5. Back pain exercise please follow this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have felt incredibly sick for two days. I have extreme pain in my stomach. It never goes away but sometimes dulls for about a hour. And this morning was the worst I felt like death and I vomited a thick vomit with black chunks. Whats happening to me? | Hello! Thank you for the query. If this is upper middle abdominal pain, most likely you are facing with peptic ulcer. It is quite characteristic for this condition to give dull pain which does not go away even with painkillers. Some food intake can sometimes help with the pain (depending on its location). Black chunks can indicate bleeding from the ulcer. I suggest you to do not wait any longer with it and visit a doctor. Gastrostomy should be done if bleeding seems possible. 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: I have felt incredibly sick for two days. I have extreme pain in my stomach. It never goes away but sometimes dulls for about a hour. And this morning was the worst I felt like death and I vomited a thick vomit with black chunks. Whats happening to me?"
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. If this is upper middle abdominal pain, most likely you are facing with peptic ulcer. It is quite characteristic for this condition to give dull pain which does not go away even with painkillers. Some food intake can sometimes help with the pain (depending on its location). Black chunks can indicate bleeding from the ulcer. I suggest you to do not wait any longer with it and visit a doctor. Gastrostomy should be done if bleeding seems possible. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have dust allergy (continuos sneezing and cold once in 2-3 days) caused due to long distance travel to office daily. Has done allergy test already and I am confirmed with pollen allergy. Please let me know best doctor in chennai for treatment and let me know which kind of treatment is best for this kind of allergies. | Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. 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 dust allergy (continuos sneezing and cold once in 2-3 days) caused due to long distance travel to office daily. Has done allergy test already and I am confirmed with pollen allergy. Please let me know best doctor in chennai for treatment and let me know which kind of treatment is best for this kind of allergies."
},
{
"from": "gpt",
"value": "Output: Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have an odd question. i have always got a heat or friction rash between my butt cheeks when it is hot an i do a lot of walking and sweating at work. it is painful to walk by the end of the day because of the rubbing. im not over weight i dont wear tight clothes butt im looking for the resolution | Hi Dear, Understanding your concern. As per your query you have symptoms of frictional rash between but cheeks which could be due to clogging of sebaceous glands with dead bacteria and sebum and infection of hair follicle as well. Need not worry. I would suggest you to wear cotton clothes to avoid frictional heat generation. You should keep the area clean and maintain proper hygiene and Chat Doctor. Wash properly with cold water and apply topical antibacterial cream bacitracin. Avoid itching and pricking skin. Take oral antibiotics as well. Visit dermatologist once and get it examined and start treatment after proper prescription. 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: hi i have an odd question. i have always got a heat or friction rash between my butt cheeks when it is hot an i do a lot of walking and sweating at work. it is painful to walk by the end of the day because of the rubbing. im not over weight i dont wear tight clothes butt im looking for the resolution"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Understanding your concern. As per your query you have symptoms of frictional rash between but cheeks which could be due to clogging of sebaceous glands with dead bacteria and sebum and infection of hair follicle as well. Need not worry. I would suggest you to wear cotton clothes to avoid frictional heat generation. You should keep the area clean and maintain proper hygiene and Chat Doctor. Wash properly with cold water and apply topical antibacterial cream bacitracin. Avoid itching and pricking skin. Take oral antibiotics as well. Visit dermatologist once and get it examined and start treatment after proper prescription. Hope your concern has been resolved. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, i have been getting relatively spread out little sores on the back on my legs that start out as a small blister/ pimple sort of thing. not very much pus at all, and they are not overly sore, but they will not go away. I have been getting them sporadically over the year. They are very red and leave nasty scarring, even though i do not pick at them! | Hi i thunk you're suffering from purity nodularis.it is intensely itchy condition mainly present in lower extremities.first a pa pule appears then on repeated itching a nodular lesion occurs. On itching u get bloodbath only little pus.it can be treated with Atari 25 mg at night.an antibiotic. Short house of steroids starting with 30 mg tapering to 10 mg. Application of Venusian max cream and Hispanic ointment over the lesions can cure. Then afterwards spots are treated with intraluminal steroids | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, i have been getting relatively spread out little sores on the back on my legs that start out as a small blister/ pimple sort of thing. not very much pus at all, and they are not overly sore, but they will not go away. I have been getting them sporadically over the year. They are very red and leave nasty scarring, even though i do not pick at them!"
},
{
"from": "gpt",
"value": "Output: Hi i thunk you're suffering from purity nodularis.it is intensely itchy condition mainly present in lower extremities.first a pa pule appears then on repeated itching a nodular lesion occurs. On itching u get bloodbath only little pus.it can be treated with Atari 25 mg at night.an antibiotic. Short house of steroids starting with 30 mg tapering to 10 mg. Application of Venusian max cream and Hispanic ointment over the lesions can cure. Then afterwards spots are treated with intraluminal steroids"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had high blood pressure for awhile, but have lost 60 pounds and no longer need to take meds for that.... but now I seem to have a low pulse rate..resting rate is 36...active rate is in the 60s..sometimes I have chest pains and I can feel my heart beating hard...but still a low pulse. Thanks | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart block is more. Heart block means there is interruption in impulse conduction in the heart. Resting heart rate of 36 and low blood pressure are mores suggestive of heart block. So better to consult cardiologist and get done 1. ECG.2. 2d echo 3. Stress test 4. Holder monitoring (24 hours continuous recording of ECG). You may need pacemaker insertion to increase your heart rate. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had high blood pressure for awhile, but have lost 60 pounds and no longer need to take meds for that.... but now I seem to have a low pulse rate..resting rate is 36...active rate is in the 60s..sometimes I have chest pains and I can feel my heart beating hard...but still a low pulse. Thanks"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart block is more. Heart block means there is interruption in impulse conduction in the heart. Resting heart rate of 36 and low blood pressure are mores suggestive of heart block. So better to consult cardiologist and get done 1. ECG.2. 2d echo 3. Stress test 4. Holder monitoring (24 hours continuous recording of ECG). You may need pacemaker insertion to increase your heart rate. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have exercise induced asthma and when I walk up a flight of stairs my heart races but I am not out of breath. I walk 5 miles a day 7 days a week and my heart does not race and there is no shortness of breath. I weigh 106 pounds and I am 5 feet 1 1/2 inches tall. | Greetings Sir/madam. Its appreciable that you are even noticing some minor changes happening inside you. As for as exercise induced asthma, In exercise-induced asthma, the muscle bands around the airways are sensitive to these changes in temperature and humidity and react by contracting, which narrows the airway. Because people tend to breathe through their mouths when they exercise, they are inhaling colder and Chat Doctor. * The symptoms of exercise-induced asthma generally begin within 5 to 20 minutes after the start of exercise, or 5 to 10 minutes after brief exercise has stopped.- If you are experiencing any of these symptoms with exercise, inform your doctor.1. Coughing 2. Tightening of the chest 3. Wheezing 4. Unusual fatigue while exercising 5. Shortness of breath when exercising-As for treatment is concerned, Bronchodilator medication, after consultation with your doctor in order to rule out any other cause apart from exercise induced asthma. - Avoid strenuous exercise if it causes you uncomfortable. Hope that helped you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have exercise induced asthma and when I walk up a flight of stairs my heart races but I am not out of breath. I walk 5 miles a day 7 days a week and my heart does not race and there is no shortness of breath. I weigh 106 pounds and I am 5 feet 1 1/2 inches tall."
},
{
"from": "gpt",
"value": "Output: Greetings Sir/madam. Its appreciable that you are even noticing some minor changes happening inside you. As for as exercise induced asthma, In exercise-induced asthma, the muscle bands around the airways are sensitive to these changes in temperature and humidity and react by contracting, which narrows the airway. Because people tend to breathe through their mouths when they exercise, they are inhaling colder and Chat Doctor. * The symptoms of exercise-induced asthma generally begin within 5 to 20 minutes after the start of exercise, or 5 to 10 minutes after brief exercise has stopped.- If you are experiencing any of these symptoms with exercise, inform your doctor.1. Coughing 2. Tightening of the chest 3. Wheezing 4. Unusual fatigue while exercising 5. Shortness of breath when exercising-As for treatment is concerned, Bronchodilator medication, after consultation with your doctor in order to rule out any other cause apart from exercise induced asthma. - Avoid strenuous exercise if it causes you uncomfortable. Hope that helped you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i got spots awhile ago on my penis. red little spots and made its hard to touch my penis. i couldnt masturbate for like 2 weeks and the spots would always come and go but there wasnt pain anymore however i cant masturbate as often anymore. only 3 time tops a week. wtf is wrong with me? | Thanks for your question on Chat Doctor. I can understand your concern. Spots on the Penis are usually not as serious as they appear. They may be regular modifications of the underlying skin structures. They are of concern only if you have had an unprotected sexual intercourse in the last couple of weeks to months. If they are nodular, you must see a doctor, they can be genital warts and will need treatment. But you can relax, because it is quite treatable. Otherwise, if you do not have history of such a sexual encounter, you must not worry at all. Take care, Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i got spots awhile ago on my penis. red little spots and made its hard to touch my penis. i couldnt masturbate for like 2 weeks and the spots would always come and go but there wasnt pain anymore however i cant masturbate as often anymore. only 3 time tops a week. wtf is wrong with me?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Spots on the Penis are usually not as serious as they appear. They may be regular modifications of the underlying skin structures. They are of concern only if you have had an unprotected sexual intercourse in the last couple of weeks to months. If they are nodular, you must see a doctor, they can be genital warts and will need treatment. But you can relax, because it is quite treatable. Otherwise, if you do not have history of such a sexual encounter, you must not worry at all. Take care, Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I just had a sonogram which showed a shadow behind the left ovary. The doctor said it could be calcification. I will be going for a CTscan in 2weeks. My concern is that it s cancer. I m 55yr. old going through menopause. At 19 I had an ovarian cyst the size of a grapefruit. It went away after being placed on birth control pills. There is no history of ovarian cancer in my family.) | Hi, Welcome to Chat Doctor forum. There is a shadow behind the ovary in ultrasound may not be due to cancer. As your doctor says it may be a calcification. Unless seen in C.T.scan it is not possible to say what it is. Anyhow you are going to have it soon. Till that time make sure it is not cancer. After C.T. scan your doctors will plan your treatment and every thing will be fine. don't worry. In the meanwhile avoid taking spices. Junk foods, and oily foods. Wishing for a quick and complete recovery. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just had a sonogram which showed a shadow behind the left ovary. The doctor said it could be calcification. I will be going for a CTscan in 2weeks. My concern is that it s cancer. I m 55yr. old going through menopause. At 19 I had an ovarian cyst the size of a grapefruit. It went away after being placed on birth control pills. There is no history of ovarian cancer in my family.)"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. There is a shadow behind the ovary in ultrasound may not be due to cancer. As your doctor says it may be a calcification. Unless seen in C.T.scan it is not possible to say what it is. Anyhow you are going to have it soon. Till that time make sure it is not cancer. After C.T. scan your doctors will plan your treatment and every thing will be fine. don't worry. In the meanwhile avoid taking spices. Junk foods, and oily foods. Wishing for a quick and complete recovery. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son is 18 and just showed me a 3 bumps (looks like possible bites with a little redness around them) on his lower left side and I noticed on his lower back as well. He said his whole left side up towards his underarm is really sore like someone punched him. While he was touching the area he noticed a bb-sized hard bump under the skin maybe 3 inches down and to the left of his left underarm. | Welcome to Chat Doctor .1. It can be bacterial infection - with collection / pus and pain on touch, (carbuncle / fur uncle).2.Post-traumatic cause also cause similar infective symptoms. Next possible cause is lymph nodal enlargement.3. If you are my patient I would have examined and ask for an ultrasound lump to assess the nature of the lump, its source, and extensions.4. Depending on the findings the treatment will be simple course of antibiotic treatment to small incision and Chat Doctor. 5.meanwhile as a home remedy keep lumpy the area hygienic, clean with antiseptic liquid and do not let him scratch the area as it will complicate.6. Get an appointment and let get examined and treat accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son is 18 and just showed me a 3 bumps (looks like possible bites with a little redness around them) on his lower left side and I noticed on his lower back as well. He said his whole left side up towards his underarm is really sore like someone punched him. While he was touching the area he noticed a bb-sized hard bump under the skin maybe 3 inches down and to the left of his left underarm."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. It can be bacterial infection - with collection / pus and pain on touch, (carbuncle / fur uncle).2.Post-traumatic cause also cause similar infective symptoms. Next possible cause is lymph nodal enlargement.3. If you are my patient I would have examined and ask for an ultrasound lump to assess the nature of the lump, its source, and extensions.4. Depending on the findings the treatment will be simple course of antibiotic treatment to small incision and Chat Doctor. 5.meanwhile as a home remedy keep lumpy the area hygienic, clean with antiseptic liquid and do not let him scratch the area as it will complicate.6. Get an appointment and let get examined and treat accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Would like to know if it is feasible to get full dental implants, my teeth are brittle and I clinch my teeth, I will be in India in July and would like to know how much it would cost and if you can recommend a dentist in the area of Uduipar, Rajisthan India | Hello, I went through your query. Looks like you are having a condition where the enamel portion of the tooth is not developed properly. If your teeth are already completely workout, then it's better to remove them and go for full dental implants. If they are still in position to be saved, then it is wise to retain them and place crowns over them. By this you are still maintaining your original teeth. Cost of dental implants vary widely throughout India. Approximately it will cost around Rs.20000 per implant with crown. I am sorry I am not familiar with any dentists in Udaipur. Hope your queries are answered. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Would like to know if it is feasible to get full dental implants, my teeth are brittle and I clinch my teeth, I will be in India in July and would like to know how much it would cost and if you can recommend a dentist in the area of Uduipar, Rajisthan India"
},
{
"from": "gpt",
"value": "Output: Hello, I went through your query. Looks like you are having a condition where the enamel portion of the tooth is not developed properly. If your teeth are already completely workout, then it's better to remove them and go for full dental implants. If they are still in position to be saved, then it is wise to retain them and place crowns over them. By this you are still maintaining your original teeth. Cost of dental implants vary widely throughout India. Approximately it will cost around Rs.20000 per implant with crown. I am sorry I am not familiar with any dentists in Udaipur. Hope your queries are answered."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Since I moved to XXXXX over a year ago,I ve noticed a rash next to my nose whicChatDoctores and goes. I saw a doctor Who gave me steroidal cream which seam to help,but for only a short time.ive varied my diets to see if there is a Comin denominator ( none) I stopped drinking hot coffee and gone to frappichinos and it seemed to go away, this morning I had hot coffee and my nose area started to tighten up and get blotchy and for dinner I had hot chili and that set it off , it got really tight and blotchy -- any ideas ? other then that I am in fantastic shape and I eat Healthy | Hi there Generic. Your clinical observations are very astute if I may say so & would help any dermatologist pinpoint the diagnosis. I may be wrong as this is only an online portal & for best results, you need to visit your dermatologist on the ground; But, your condition seems to be what we call Acne Rosacea or plain Rosacea. This will need visual confirmation & as such, feel free to upload clear digital photos on this site. Do ensure you use a sunscreen from dawn till dusk, avoid hot & spicy foods e.g. hot tea etc. & UV light in general. Do try to use a topical antibiotic cream called metronidazole evenings & it just might get rid of your problem. Good Luck! Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Since I moved to XXXXX over a year ago,I ve noticed a rash next to my nose whicChatDoctores and goes. I saw a doctor Who gave me steroidal cream which seam to help,but for only a short time.ive varied my diets to see if there is a Comin denominator ( none) I stopped drinking hot coffee and gone to frappichinos and it seemed to go away, this morning I had hot coffee and my nose area started to tighten up and get blotchy and for dinner I had hot chili and that set it off , it got really tight and blotchy -- any ideas ? other then that I am in fantastic shape and I eat Healthy"
},
{
"from": "gpt",
"value": "Output: Hi there Generic. Your clinical observations are very astute if I may say so & would help any dermatologist pinpoint the diagnosis. I may be wrong as this is only an online portal & for best results, you need to visit your dermatologist on the ground; But, your condition seems to be what we call Acne Rosacea or plain Rosacea. This will need visual confirmation & as such, feel free to upload clear digital photos on this site. Do ensure you use a sunscreen from dawn till dusk, avoid hot & spicy foods e.g. hot tea etc. & UV light in general. Do try to use a topical antibiotic cream called metronidazole evenings & it just might get rid of your problem. Good Luck! Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 47, 53 and weigh 14 stone, I work as a primary school teacher. I have had back pain on and off for many years, this has escalated since January to the point of constant pain to the left of my back, severe pain through my left buttock and down my left leg. I am now struggling to teach, i find it difficult to sit, stand or walk for periods of more than a few minutes. Also the pain is worsened when i bear down to go to the toilet. My sleep is disrupted by the pain. Anti inflammatory pain killer helps but wont cure, what can you suggest? I have not made time to see my GP, but now feeling the need to seek help. | Hello respected teacher... Yes you should see a neurosurgeon. Let me explain to backache with pain radiating to legs . There is list which causes this but the most important is disc slip and spinal stenosis. In these two conditions there is a compression on the nerve fibers which supply to the lower half of the body and as result of compression there is back pain and also in legs. I should suggest doing act lumbosacral region of backbone... Bye.see you in 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 47, 53 and weigh 14 stone, I work as a primary school teacher. I have had back pain on and off for many years, this has escalated since January to the point of constant pain to the left of my back, severe pain through my left buttock and down my left leg. I am now struggling to teach, i find it difficult to sit, stand or walk for periods of more than a few minutes. Also the pain is worsened when i bear down to go to the toilet. My sleep is disrupted by the pain. Anti inflammatory pain killer helps but wont cure, what can you suggest? I have not made time to see my GP, but now feeling the need to seek help."
},
{
"from": "gpt",
"value": "Output: Hello respected teacher... Yes you should see a neurosurgeon. Let me explain to backache with pain radiating to legs . There is list which causes this but the most important is disc slip and spinal stenosis. In these two conditions there is a compression on the nerve fibers which supply to the lower half of the body and as result of compression there is back pain and also in legs. I should suggest doing act lumbosacral region of backbone... Bye.see you in good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a stent placed in my heart in March. A couple of days later I had very sharp pain go down my left leg to the top of my toes and have had an uncomfortable sensation in the area above my left toes ever since. Last week I don t recall hitting anything, but I felt a knot rising on my front left thigh. I immediately went to check it out and discovered a large bruise in the area with a lump in the middle. I put ice on it and it seemed to go down, but last night I again noticed the lump. The area in the middle of the bruise where the lump is is now almost back to flesh color. I take Plavix and aspirin daily. Is this lump cause for concern? I am 59 years old, 5 4 and weigh 139 lbs. | Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion the lump-above the toe-is just due to the over dosage of the aspirin and Plavix, which needs to be titrated under observation of your cardiologist.-Advise-You need expert observation of your/or ER physician / ER Cardiologist, who would admit you for the controlled dosage by titration over a weeks time.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a stent placed in my heart in March. A couple of days later I had very sharp pain go down my left leg to the top of my toes and have had an uncomfortable sensation in the area above my left toes ever since. Last week I don t recall hitting anything, but I felt a knot rising on my front left thigh. I immediately went to check it out and discovered a large bruise in the area with a lump in the middle. I put ice on it and it seemed to go down, but last night I again noticed the lump. The area in the middle of the bruise where the lump is is now almost back to flesh color. I take Plavix and aspirin daily. Is this lump cause for concern? I am 59 years old, 5 4 and weigh 139 lbs."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion the lump-above the toe-is just due to the over dosage of the aspirin and Plavix, which needs to be titrated under observation of your cardiologist.-Advise-You need expert observation of your/or ER physician / ER Cardiologist, who would admit you for the controlled dosage by titration over a weeks time.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was first diagnosed with borderline ectasia of the ascending aorta at 3.6 cm back in 2010 via CT scan. In 2011 it grew to 3.8 cm via CT Scan. In 2012 it grew to 4.0 cm on CT and it was reported as 3.8 cm with echocardiogram done by cardio surgeon. It was determined that with me having so many CT scans for other medical conditions that they observe the ascending aorta via echocardiogram because of concern of developing radiation from recurrent CT scan. In 2013 the ascending aorta was at 4.0 according to echocardiogram done by cardio surgeon. Just recently as three weeks ago my primary sent me over to a cardiologist as opposed to the cardio surgeon on March of 2014 (this month). Cardiologist did echo and said it was 3.8 cm and that it was barely dialated and that even if there was concern that consideration for surgery could be done only at 5.0 cm or larger. He did say, however, that he d like to see me in 6 months for follow up. This is concerning to me as there is conflicting info from this recent echo from the cardiologist (claiming it was 3.8 cm) and the echo that was done by the cardio surgeon back in august of 2013 which was reported at 4.0. What should I do? Should I request a copy of the report done in 2013 done by the cardio surgeon and give it to the cardiologist I m seeing now? I know the number is not so serious for surgery yet, but I d be more comfortable having the correct number in the monitoring process. | Hi, Actually, there can be some capabilities between echocardiograms, there can be interoperator and intraoperative variability. And small differences are acceptable. According to your results, there is difference of 2 mm, it is ok. The important thing is the aorta didn't dilated since the last exam.Also, you should consider that your aorta is not dilated as much to undergo an operation. 40 mm is not that dangerous and there is a need only for follow up. Hope I could help nourishing you good health In case of further questions don't hesitate to ask | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was first diagnosed with borderline ectasia of the ascending aorta at 3.6 cm back in 2010 via CT scan. In 2011 it grew to 3.8 cm via CT Scan. In 2012 it grew to 4.0 cm on CT and it was reported as 3.8 cm with echocardiogram done by cardio surgeon. It was determined that with me having so many CT scans for other medical conditions that they observe the ascending aorta via echocardiogram because of concern of developing radiation from recurrent CT scan. In 2013 the ascending aorta was at 4.0 according to echocardiogram done by cardio surgeon. Just recently as three weeks ago my primary sent me over to a cardiologist as opposed to the cardio surgeon on March of 2014 (this month). Cardiologist did echo and said it was 3.8 cm and that it was barely dialated and that even if there was concern that consideration for surgery could be done only at 5.0 cm or larger. He did say, however, that he d like to see me in 6 months for follow up. This is concerning to me as there is conflicting info from this recent echo from the cardiologist (claiming it was 3.8 cm) and the echo that was done by the cardio surgeon back in august of 2013 which was reported at 4.0. What should I do? Should I request a copy of the report done in 2013 done by the cardio surgeon and give it to the cardiologist I m seeing now? I know the number is not so serious for surgery yet, but I d be more comfortable having the correct number in the monitoring process."
},
{
"from": "gpt",
"value": "Output: Hi, Actually, there can be some capabilities between echocardiograms, there can be interoperator and intraoperative variability. And small differences are acceptable. According to your results, there is difference of 2 mm, it is ok. The important thing is the aorta didn't dilated since the last exam.Also, you should consider that your aorta is not dilated as much to undergo an operation. 40 mm is not that dangerous and there is a need only for follow up. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had my gallbladder removed 2 weeks ago. They also did liver biopsy and I am now being tested for Hemochromatosis. Over the past week I have noticed a very strong vaginal oder. I have no fever and haven t changed soaps, prescriptions or my diet. I have showered every night. There isn t any pain but I did bleed lightly for 1 day (which is strange bc I usually don t have a period bc I m on Depo). Any way the oder could be caused from the surgery or hemochromatosis? | Hi, Welcome to Chat Doctor. I have read carefully your concerns. Hemochromatosis is manifested with symptoms like fatigue, weakness, joints pain and if there is massive hemochromatosis patient suffers loss of sex Chat Doctor. Vaginal odor is normally not causes by hemochromatosis. Common causes for vaginal odor are Bacterial vaginosis, trichomoniasis and poor hygiene. You have said about your hygiene status. Please go to local physician or gynecological doctor to check for vaginosis and trichomoniasis. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my gallbladder removed 2 weeks ago. They also did liver biopsy and I am now being tested for Hemochromatosis. Over the past week I have noticed a very strong vaginal oder. I have no fever and haven t changed soaps, prescriptions or my diet. I have showered every night. There isn t any pain but I did bleed lightly for 1 day (which is strange bc I usually don t have a period bc I m on Depo). Any way the oder could be caused from the surgery or hemochromatosis?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. I have read carefully your concerns. Hemochromatosis is manifested with symptoms like fatigue, weakness, joints pain and if there is massive hemochromatosis patient suffers loss of sex Chat Doctor. Vaginal odor is normally not causes by hemochromatosis. Common causes for vaginal odor are Bacterial vaginosis, trichomoniasis and poor hygiene. You have said about your hygiene status. Please go to local physician or gynecological doctor to check for vaginosis and trichomoniasis. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I have a quarter size bump on my back. It s hard and red...similar to a pimple. I squeezed it and a smelly puss and some blood came out. After touching it for a while it starts to hurt. How can I treat this? I thought it was a pimple but I don t think it is anymore | Hi, Thanks for your query. After going through your query I came to know that you may be having infected sebaceous cyst. Treatment of it is analgesic such as diclofenac and antibiotics. Vitamin B and C will help in promoting healing. If it is not healed by it then excisional biopsy of it can be carried out which will exclude other affections. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. 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: Hello. I have a quarter size bump on my back. It s hard and red...similar to a pimple. I squeezed it and a smelly puss and some blood came out. After touching it for a while it starts to hurt. How can I treat this? I thought it was a pimple but I don t think it is anymore"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. After going through your query I came to know that you may be having infected sebaceous cyst. Treatment of it is analgesic such as diclofenac and antibiotics. Vitamin B and C will help in promoting healing. If it is not healed by it then excisional biopsy of it can be carried out which will exclude other affections. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. 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. | after eating and feeling full, within 5 minutes time I feel like I haven t eaten all day. I get light headed and a bit shaky. Almost to the point of panic attacks because it takes a while for the feeling to go away. I don t eat a lot of sugary things. Cheerios, toast, milk, bananas, almonds usually start my day. Any clue what this could be? I do have a doctors appt. on Tuesday. | 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. You need to be investigated for diabetes. 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: after eating and feeling full, within 5 minutes time I feel like I haven t eaten all day. I get light headed and a bit shaky. Almost to the point of panic attacks because it takes a while for the feeling to go away. I don t eat a lot of sugary things. Cheerios, toast, milk, bananas, almonds usually start my day. Any clue what this could be? I do have a doctors appt. on Tuesday."
},
{
"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. You need to be investigated for diabetes. 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. | Hello! About a year ago I had pannik attack and the doctor prescribe Zoloft and Tafil. I did the treatment for 6 months and felt good. Now I feel like sometimes I can not swallow, I am eating less and I tray tio eat only soft food. am I having panik attacks again? | Hello and welcome to Chat Doctor, In your query you have not mentioned whether you are still continuing medication or not. I hope you eye on medications which can be tapered slowly before stopping with regular follow up from a qualified psychiatrist. Experiencing mild difficulty in swallowing once in a while do not appear to be a part of panic attack. Maintain good food, adequate HY Chat Doctor. So as far as I can see, there is nothing in you that you should be worried of. Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello! About a year ago I had pannik attack and the doctor prescribe Zoloft and Tafil. I did the treatment for 6 months and felt good. Now I feel like sometimes I can not swallow, I am eating less and I tray tio eat only soft food. am I having panik attacks again?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, In your query you have not mentioned whether you are still continuing medication or not. I hope you eye on medications which can be tapered slowly before stopping with regular follow up from a qualified psychiatrist. Experiencing mild difficulty in swallowing once in a while do not appear to be a part of panic attack. Maintain good food, adequate HY Chat Doctor. So as far as I can see, there is nothing in you that you should be worried of. Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hy dr plz tel me about my health my age is20 yrs and i was married in9august2010 i took medicine for concieving a baby after2months of my marriage first 2month dr gave me medicine but i was not pregnant then she gave me inj hmg massone this time again i was not pregnat in jan 2011 my husband went abroad and after that medicine i hve pain in lower abdomen i m so confuse why there is no pregnancy and pain if there are side effect of medicine and now what i have to do | I think you are misguided about your complaint. There is no need of treatment for pregnancy in just 2 months of marriage. Also, you say that your husband went abroad, and you take treatment for pregnancy. Why? Primary thing is to live both of you together for at least 1 year. Your problem will solve without any treatment. If not than go to doctor. Please stop all the medicine you are taking. Hormonal in can give rise to pain in pelvic region. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hy dr plz tel me about my health my age is20 yrs and i was married in9august2010 i took medicine for concieving a baby after2months of my marriage first 2month dr gave me medicine but i was not pregnant then she gave me inj hmg massone this time again i was not pregnat in jan 2011 my husband went abroad and after that medicine i hve pain in lower abdomen i m so confuse why there is no pregnancy and pain if there are side effect of medicine and now what i have to do"
},
{
"from": "gpt",
"value": "Output: I think you are misguided about your complaint. There is no need of treatment for pregnancy in just 2 months of marriage. Also, you say that your husband went abroad, and you take treatment for pregnancy. Why? Primary thing is to live both of you together for at least 1 year. Your problem will solve without any treatment. If not than go to doctor. Please stop all the medicine you are taking. Hormonal in can give rise to pain in pelvic region."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have had a tooth removed about 4 weeks ago because it had a abscess under it but now the Swelling has come back on the underside of my jaw bone and is getting bigger there is no signs of tooth pain just a warm feeling on side of face and this large rock hard lump growing under my left jaw line What should I do | Hello, Please schedule a follow-up visit with your dentist. This may be a cellulitis as a result of the original infection. A pocket of pus may be trapped. Healing of the socket needs to be evaluated. This may be a reaction from a cyst or lymph node or the sublingual salivary gland may be a source. Further diagnosis most likely will require prescription antibiotics and a possible incision with Chat Doctor. I recommend ad | [
{
"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 a tooth removed about 4 weeks ago because it had a abscess under it but now the Swelling has come back on the underside of my jaw bone and is getting bigger there is no signs of tooth pain just a warm feeling on side of face and this large rock hard lump growing under my left jaw line What should I do"
},
{
"from": "gpt",
"value": "Output: Hello, Please schedule a follow-up visit with your dentist. This may be a cellulitis as a result of the original infection. A pocket of pus may be trapped. Healing of the socket needs to be evaluated. This may be a reaction from a cyst or lymph node or the sublingual salivary gland may be a source. Further diagnosis most likely will require prescription antibiotics and a possible incision with Chat Doctor. I recommend ad"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Semen analysis, low sperm mortality level, CoQ Forte capsules, side effects hello doctors, i have done my semen analysis and doctor advised to increase motility level and she prescribed CoQ Forte capsules. do we have any side effects due to this tablet? | Hello and. As a Urologist, let me advise you, that COQ forte does have side effects. The common side effects are nausea, omitting, rashes and stomach upsets. However, there are much more effective treatments available for increasing motility, which, I can advise you, if you can send a copy of your semen analysis, report, here, in my name. The semen test must be done after 2 days, without having intercourse. Chat Doctor. Manga. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Semen analysis, low sperm mortality level, CoQ Forte capsules, side effects hello doctors, i have done my semen analysis and doctor advised to increase motility level and she prescribed CoQ Forte capsules. do we have any side effects due to this tablet?"
},
{
"from": "gpt",
"value": "Output: Hello and. As a Urologist, let me advise you, that COQ forte does have side effects. The common side effects are nausea, omitting, rashes and stomach upsets. However, there are much more effective treatments available for increasing motility, which, I can advise you, if you can send a copy of your semen analysis, report, here, in my name. The semen test must be done after 2 days, without having intercourse. Chat Doctor. Manga."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | the muscle on the right jaw is tightening up. I cant close my mouth very easily and although it is a big discomfort, it does not kill me by any means. I also have a sore throat and wondered why everytime I get a sore throat (Strep) does this happen. I dont know that I have strep yet though.Any thoughts? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sore throat and tightening in jaw both of them are related as temporomandibular joint disorder occurs due to problems with the jaw joint, and it can lead to pain in jaw, ear and the temple region that is side of head. It leads to problem in sinuses which is causing sore throat to you. I don't think you have symptoms of strep. You should do facial stretching exercises. You should visit oral physician once and get it examined. Get Orthopantomogram done to check joint positioning. Do warm saline gargles several times a day. You should take combination of levocetrizine along with amoxicillin for 3-5 days. You should visit ENT specialist once and get it examined. Avoid cold carbonated beverages. Maintain hygiene rinsing with antimicrobial mouth wash. Hope your concern has been resolved. Get Well Soon. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: the muscle on the right jaw is tightening up. I cant close my mouth very easily and although it is a big discomfort, it does not kill me by any means. I also have a sore throat and wondered why everytime I get a sore throat (Strep) does this happen. I dont know that I have strep yet though.Any thoughts?"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sore throat and tightening in jaw both of them are related as temporomandibular joint disorder occurs due to problems with the jaw joint, and it can lead to pain in jaw, ear and the temple region that is side of head. It leads to problem in sinuses which is causing sore throat to you. I don't think you have symptoms of strep. You should do facial stretching exercises. You should visit oral physician once and get it examined. Get Orthopantomogram done to check joint positioning. Do warm saline gargles several times a day. You should take combination of levocetrizine along with amoxicillin for 3-5 days. You should visit ENT specialist once and get it examined. Avoid cold carbonated beverages. Maintain hygiene rinsing with antimicrobial mouth wash. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Respected Doctor, Last one year my father suffering from CKD and recently he severly suffering from asthmatic(severe wheezing). He cant take sleep with bed, cant walk. i saw your shows on Vijay TVS Neeya Naana Programme. I 100% Confident about your treatment. Kindly Request you to accept my requestment about my fathers disease. Now his age is 61.We are from Madurai. My mail ID is YYYY@YYYY . & Mob.No.Is YYYYYYY | Hi thanks for using Chat Doctor When a CKD patient develops breathing difficulty, it cannot be always asthma .CKD patient can have fluid overload and this can cause breathing. Along with Renal problem associated Cardiac problem also will be there. Do an ECHO Cardiogram and look for the pumping capacity of the Heart. Proper diuretics can help both the conditions can also try inhalation bronchodilators and this can help. Ideally a PFT (pulmonary function test) has to be done. Thank you ..... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Respected Doctor, Last one year my father suffering from CKD and recently he severly suffering from asthmatic(severe wheezing). He cant take sleep with bed, cant walk. i saw your shows on Vijay TVS Neeya Naana Programme. I 100% Confident about your treatment. Kindly Request you to accept my requestment about my fathers disease. Now his age is 61.We are from Madurai. My mail ID is YYYY@YYYY . & Mob.No.Is YYYYYYY"
},
{
"from": "gpt",
"value": "Output: Hi thanks for using Chat Doctor When a CKD patient develops breathing difficulty, it cannot be always asthma .CKD patient can have fluid overload and this can cause breathing. Along with Renal problem associated Cardiac problem also will be there. Do an ECHO Cardiogram and look for the pumping capacity of the Heart. Proper diuretics can help both the conditions can also try inhalation bronchodilators and this can help. Ideally a PFT (pulmonary function test) has to be done. Thank you ....."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had neck surgery and after surgery moved to room my blood pressure was an issue. The doctor ended up keeping me overnight. Had TEE performed and blood pressure dropped to 76/52 and reparations were noted as 12. This is from the medical records. Could this be an reaction to the anesthetic? | Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that low blood pressure could be related to different possible causes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had neck surgery and after surgery moved to room my blood pressure was an issue. The doctor ended up keeping me overnight. Had TEE performed and blood pressure dropped to 76/52 and reparations were noted as 12. This is from the medical records. Could this be an reaction to the anesthetic?"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that low blood pressure could be related to different possible causes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 44 yr old female, hemooglobin of 6.8 raised to 8.8 with two units of blood low to mid back pain history of kidney stones, went to the urologist, I have stones in the pelvis of my kidneys, urologist states my pain is not from them. gastric bypass 10 yrs ago,stone history prior to bypass | HAI.your anemia is due to your chronic problems, could be slow red blood cell destruction. Stones are more painful in lower down area, (pelviureteric junction), ur chromic back pain can be due to mother problems like anemia, ca it d3 deficiency, strain, weight-bearing, any lumbosacral related spinal problems, large tummy, incisional hernias, post-operative regional pains due to nervous irritation.u can ho for iv ferrous preparations 3 doses per, month check your he % levels, pls test your Sr creatinine, , urea, uric acid levels, sugar, calcium, thyroid profile, total iron profile, , potassium.with MRI thoracolumbar spine.cueing for safe tabs like tramadol, pregabalin to reduce the pain. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 44 yr old female, hemooglobin of 6.8 raised to 8.8 with two units of blood low to mid back pain history of kidney stones, went to the urologist, I have stones in the pelvis of my kidneys, urologist states my pain is not from them. gastric bypass 10 yrs ago,stone history prior to bypass"
},
{
"from": "gpt",
"value": "Output: HAI.your anemia is due to your chronic problems, could be slow red blood cell destruction. Stones are more painful in lower down area, (pelviureteric junction), ur chromic back pain can be due to mother problems like anemia, ca it d3 deficiency, strain, weight-bearing, any lumbosacral related spinal problems, large tummy, incisional hernias, post-operative regional pains due to nervous irritation.u can ho for iv ferrous preparations 3 doses per, month check your he % levels, pls test your Sr creatinine, , urea, uric acid levels, sugar, calcium, thyroid profile, total iron profile, , potassium.with MRI thoracolumbar spine.cueing for safe tabs like tramadol, pregabalin to reduce the pain. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I used dip(tobacco) twice the other day in which I by the way do not dip all the time like once a year I buy a can and em up giving it away after a few dips. Back to the other day, when I got home from work, about 4 hours after last dip of tobacco, I went to brush my teeth and such an notice my gums were black/ very dark purple. What causes this? Is it serious? Been afraid to use the tobacco product since. | Hi , Thanks for asking the query, Use of tobacco can lead to many diseases of gums like leukoplakia , erytholeukoplakia, and benign malignant lesions . It causes hazardous effects and I suggest you to quit the habit. Get a checkup done by the Dentist . Take an OPG x-ray to know the condition of the underlying bone. Get complete mouth scaling and polishing done. Take tab becomes OD for 30 days. Use warm water gargles 3-4 times a day. Further treatment will be decided on visual and radiological examination of the lesion . Discuss this with your dentist. 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: I used dip(tobacco) twice the other day in which I by the way do not dip all the time like once a year I buy a can and em up giving it away after a few dips. Back to the other day, when I got home from work, about 4 hours after last dip of tobacco, I went to brush my teeth and such an notice my gums were black/ very dark purple. What causes this? Is it serious? Been afraid to use the tobacco product since."
},
{
"from": "gpt",
"value": "Output: Hi , Thanks for asking the query, Use of tobacco can lead to many diseases of gums like leukoplakia , erytholeukoplakia, and benign malignant lesions . It causes hazardous effects and I suggest you to quit the habit. Get a checkup done by the Dentist . Take an OPG x-ray to know the condition of the underlying bone. Get complete mouth scaling and polishing done. Take tab becomes OD for 30 days. Use warm water gargles 3-4 times a day. Further treatment will be decided on visual and radiological examination of the lesion . Discuss this with your dentist. Hope this helps out. Regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | OVER LAST WEEK I GOT THIS LIGHT HEADEDNESS FOR WHICH I COULDNT WALK PROPERLY AS IF I WOULD FALL.. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS..IS ABRUPT AND I AM DECAPACITED...PLS HELP | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: OVER LAST WEEK I GOT THIS LIGHT HEADEDNESS FOR WHICH I COULDNT WALK PROPERLY AS IF I WOULD FALL.. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS..IS ABRUPT AND I AM DECAPACITED...PLS HELP"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Diagnosed w Bactrial pnemonia on Oct.28,2014(I waited to go to ER for about 1.5 weeks got sick | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should definitely consult pulmonologist and get done1. Chest x-ray repeat.2. CT thorax if needed.3. Sputum culture and sensitivity4. Sputum examination for AFB. Repeat chest x-ray is needed to rule out position of your pneumonia, means it is decreasing or static or worsening. CT thorax will be more informative if x-ray is inconclusive. Since you are having ongoing weight loss, tuberculosis must be rule out as a cause for your pneumonia. Ideal way to treat pneumonia is by isolating the causative organism and start appropriate antibiotics according to sensitivity report. This will avoid haphazard use of antibiotic and prevent Chat Doctor. So better to first consult pulmonologist and discuss all these. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Diagnosed w Bactrial pnemonia on Oct.28,2014(I waited to go to ER for about 1.5 weeks got sick"
},
{
"from": "gpt",
"value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should definitely consult pulmonologist and get done1. Chest x-ray repeat.2. CT thorax if needed.3. Sputum culture and sensitivity4. Sputum examination for AFB. Repeat chest x-ray is needed to rule out position of your pneumonia, means it is decreasing or static or worsening. CT thorax will be more informative if x-ray is inconclusive. Since you are having ongoing weight loss, tuberculosis must be rule out as a cause for your pneumonia. Ideal way to treat pneumonia is by isolating the causative organism and start appropriate antibiotics according to sensitivity report. This will avoid haphazard use of antibiotic and prevent Chat Doctor. So better to first consult pulmonologist and discuss all these."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was in bed with my husband and more then 4 times in 2 weeks he was saying he had the taste of bad apples and very bad chest pains. He works in concert and has been doing so for about 20 years.He works very hard ,his father just pasted away from a heart attack. Should I be worried? | Hi thanks for contacting us.... Noted he is having chest pain... He works very hard ... So here it seems musculoskeletal pain... Advise him for take rest for few days. Analgesic can be given. Hot compress applied. Avoud movements causing pain. Physiotherapy for chest wall muscles stretching exercise useful.... Avoid hard work for few days. If pain radiating to arms then cardiac cause like ischemic heart disease rule out by ECG or ECHO. Take care. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was in bed with my husband and more then 4 times in 2 weeks he was saying he had the taste of bad apples and very bad chest pains. He works in concert and has been doing so for about 20 years.He works very hard ,his father just pasted away from a heart attack. Should I be worried?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting us.... Noted he is having chest pain... He works very hard ... So here it seems musculoskeletal pain... Advise him for take rest for few days. Analgesic can be given. Hot compress applied. Avoud movements causing pain. Physiotherapy for chest wall muscles stretching exercise useful.... Avoid hard work for few days. If pain radiating to arms then cardiac cause like ischemic heart disease rule out by ECG or ECHO. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im on Tegretol XR for seizures. I take (2) 200 mg tablets twice daily. I am having pressure in my left eye, a rash on my chest and neck, feeling extremely tired all the time. I think that my level is too high. The last level that was taken I was told that it was 10.4. That is high but they did nothing to change it and now things seem to be getting worse. What should I do? | Hi, you are on regret SR for seizures, you got pressure in left eye, rash on the chest and neck, tired all the time. The thing you have to look is whether seizures are controlled or not, it depends upon when did you start the tablets, and when did you get the pain and rash. If both are apart, don't worry, you can consult a physician for treatment. If started immediately after starting the tablets consult your doctor for change of the Chat Doctor. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im on Tegretol XR for seizures. I take (2) 200 mg tablets twice daily. I am having pressure in my left eye, a rash on my chest and neck, feeling extremely tired all the time. I think that my level is too high. The last level that was taken I was told that it was 10.4. That is high but they did nothing to change it and now things seem to be getting worse. What should I do?"
},
{
"from": "gpt",
"value": "Output: Hi, you are on regret SR for seizures, you got pressure in left eye, rash on the chest and neck, tired all the time. The thing you have to look is whether seizures are controlled or not, it depends upon when did you start the tablets, and when did you get the pain and rash. If both are apart, don't worry, you can consult a physician for treatment. If started immediately after starting the tablets consult your doctor for change of the Chat Doctor. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Here is my question I have a friend who has an irregular heart beat and he had a Black widow blood clot and nearly died. How do you get a Black widow blood clot. he was able to live because his once he called his wife complaining of a stomach ache, losing brate and his arm bothering him. She told him to run to the hospital. He did and was brought back to life after being lst for 22 minutes. it is an amazing so which just occurred on November 20 of this year. he just got home Wednesday. Again the question is how do you get a Black widow blood clot | Howell come to ChatDoctorI really appreciate your concern, certain creatures are there which got the deadly venom and these are either neurotoxic or demotic in case of demotic it changes the all chemical constitution of blood like its ability to form the clot or preventing it from forming clots, and in this way venom affects the blood property, hope this information helps, take care and have a nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Here is my question I have a friend who has an irregular heart beat and he had a Black widow blood clot and nearly died. How do you get a Black widow blood clot. he was able to live because his once he called his wife complaining of a stomach ache, losing brate and his arm bothering him. She told him to run to the hospital. He did and was brought back to life after being lst for 22 minutes. it is an amazing so which just occurred on November 20 of this year. he just got home Wednesday. Again the question is how do you get a Black widow blood clot"
},
{
"from": "gpt",
"value": "Output: Howell come to ChatDoctorI really appreciate your concern, certain creatures are there which got the deadly venom and these are either neurotoxic or demotic in case of demotic it changes the all chemical constitution of blood like its ability to form the clot or preventing it from forming clots, and in this way venom affects the blood property, hope this information helps, take care and have a nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 64 year old mail. 2 years ago I had a green light laser procedure for an enlarged prostate. I still have some urine retention, which my doctor said is normal, but have noticed the past 3 days a twitching near my left kidney area. There is no pain, but wonder what is causing it | Thank you for asking! Age of 64 has its geriatric limitations. Twitching is quite a vague term to explain what's going on. A procedure 2 years back does not look like to be connected here anyhow. Try some acetaminophen and skeletal muscle relaxants like relaxing or tizanidine and if the symptoms persist seek the nearby physician and let them sort out after detailed history and physical examination. 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 64 year old mail. 2 years ago I had a green light laser procedure for an enlarged prostate. I still have some urine retention, which my doctor said is normal, but have noticed the past 3 days a twitching near my left kidney area. There is no pain, but wonder what is causing it"
},
{
"from": "gpt",
"value": "Output: Thank you for asking! Age of 64 has its geriatric limitations. Twitching is quite a vague term to explain what's going on. A procedure 2 years back does not look like to be connected here anyhow. Try some acetaminophen and skeletal muscle relaxants like relaxing or tizanidine and if the symptoms persist seek the nearby physician and let them sort out after detailed history and physical examination. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am a 38 yr old woman with 2 kids, suffering from PMDD. I approached several gynecologists and no one could really understand my problem nor help. When I say PMS (since many dont understand PMDD term), all I get is \"oh its normal\" , take B6, take it easy, keep your mind occupied, take up a job etc kind of responses. My family might pretty soon break if I dont get help. I get uncontrollable anger, crying for hours for no reason, yell, edgy. My whole personality changes. Once the period starts I am back to normal. I become like this every month about one week to 10 days before my period starts. After period starts, I am so exhausted by all this, start feeling miserably guilty. On the whole, half of my life is spent feeling miserable. I quit jobs, I am loosing on my relationships with husband, kids, I have terrible guilt. I am desperate for help now. Pl advice. I live in India, Hyderabad. Any doctors in Hyderabad who can treat this condition? Any other suggestions? Pl help. | Hello, You will feel better with desvenalafaxine 25-100\u00a0mg, daily. The response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase Chat Doctor. I have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. Also getting TSH level and Sr. It. B12 will help to make situation more clear. I also advice the females to see if they can stop OC pills (if they are on them) & use other modes of contraception. Good luck | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am a 38 yr old woman with 2 kids, suffering from PMDD. I approached several gynecologists and no one could really understand my problem nor help. When I say PMS (since many dont understand PMDD term), all I get is \\\"oh its normal\\\" , take B6, take it easy, keep your mind occupied, take up a job etc kind of responses. My family might pretty soon break if I dont get help. I get uncontrollable anger, crying for hours for no reason, yell, edgy. My whole personality changes. Once the period starts I am back to normal. I become like this every month about one week to 10 days before my period starts. After period starts, I am so exhausted by all this, start feeling miserably guilty. On the whole, half of my life is spent feeling miserable. I quit jobs, I am loosing on my relationships with husband, kids, I have terrible guilt. I am desperate for help now. Pl advice. I live in India, Hyderabad. Any doctors in Hyderabad who can treat this condition? Any other suggestions? Pl help."
},
{
"from": "gpt",
"value": "Output: Hello, You will feel better with desvenalafaxine 25-100\\u00a0mg, daily. The response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase Chat Doctor. I have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. Also getting TSH level and Sr. It. B12 will help to make situation more clear. I also advice the females to see if they can stop OC pills (if they are on them) & use other modes of contraception. Good luck"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count | Hiiii, Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non-motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/HP and RBC 1-3/HP>> within NORMAL limit. Your overall semen analysis report is normal. Take healthy diet and avoid stress. All the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count"
},
{
"from": "gpt",
"value": "Output: Hiiii, Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non-motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/HP and RBC 1-3/HP>> within NORMAL limit. Your overall semen analysis report is normal. Take healthy diet and avoid stress. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor | Hi, as you mentioned your symptoms, your work style and your age, I could sense something here is the stress. You have stress of work all the time may be, then since you may be working on a computer for a long time your spinal muscles must have gone weaker, also your metabolism must have slowed down. What I can advise you to do regular physical exercise, breathing exercise and meditation. This all three when applied together will assist to remove your weakness and tiredness. If you have further query can contact meRegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor"
},
{
"from": "gpt",
"value": "Output: Hi, as you mentioned your symptoms, your work style and your age, I could sense something here is the stress. You have stress of work all the time may be, then since you may be working on a computer for a long time your spinal muscles must have gone weaker, also your metabolism must have slowed down. What I can advise you to do regular physical exercise, breathing exercise and meditation. This all three when applied together will assist to remove your weakness and tiredness. If you have further query can contact meRegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I fell on my knees friday night, and it some how knocked the wind out of me, and since then I have a had really bad pains in my left side, which I Initially thought was my ribs, but I had xrays done and nothing showed up, but the pain is getting worse, and seems to be affecting my lower back and breathing now as well. | Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with intercostal muscle, ligament or neurovascular bundle related issues (usually not detectable by plain x-ray) * Strongly recommend getting MRI report for the diagnosis and further management accordingly. Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear 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 fell on my knees friday night, and it some how knocked the wind out of me, and since then I have a had really bad pains in my left side, which I Initially thought was my ribs, but I had xrays done and nothing showed up, but the pain is getting worse, and seems to be affecting my lower back and breathing now as well."
},
{
"from": "gpt",
"value": "Output: Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with intercostal muscle, ligament or neurovascular bundle related issues (usually not detectable by plain x-ray) * Strongly recommend getting MRI report for the diagnosis and further management accordingly. Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 41years old my angioplasy was done on 24th April,2008, I take Tab.Ascard 75mg & Atarva 20mg I am feeling well my B.P usuall 80/120. I am warried about my healt in future please tell me about precaution about my health. Regards, Saleem Raza | Hi, Post-Angioplasty the precautions should be to take the blood thinning medication regularly (Aspirin), avoid junk food and fat-rich diet, do regular exercise. You should also do a stress test every 2 years just to see everything is fine. The complications post Angioplasty is mainly because of blood thinner which can cause bleeding from any part of the body, but these are essential post Angioplasty, so any incidence of significant bleeding should be reported. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 41years old my angioplasy was done on 24th April,2008, I take Tab.Ascard 75mg & Atarva 20mg I am feeling well my B.P usuall 80/120. I am warried about my healt in future please tell me about precaution about my health. Regards, Saleem Raza"
},
{
"from": "gpt",
"value": "Output: Hi, Post-Angioplasty the precautions should be to take the blood thinning medication regularly (Aspirin), avoid junk food and fat-rich diet, do regular exercise. You should also do a stress test every 2 years just to see everything is fine. The complications post Angioplasty is mainly because of blood thinner which can cause bleeding from any part of the body, but these are essential post Angioplasty, so any incidence of significant bleeding should be reported. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a hysterectomy and have been gaining weight.I went to bio identity Dr for my hormones to be checked and started to take esterdol?and a progesteron burk had to change the pro Dur to my ins. And the new one doesnt work forms. I have weight gain hot flashes cant sleep and hooting I feel.pregnent what tx can I replace the progestron with to work for me??? | HIT hank for asking to ChatDoctorI can understand your problem you have done the Hysterectomy, and now you are looking for alternative for hormone pills, but there is no alternative available for this which has got no side effects, because hormone is after all hormone, with the slight changes in molecules side effects can not be changed, better option is forgotten about the hormone therapy, hope this information helps you have good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a hysterectomy and have been gaining weight.I went to bio identity Dr for my hormones to be checked and started to take esterdol?and a progesteron burk had to change the pro Dur to my ins. And the new one doesnt work forms. I have weight gain hot flashes cant sleep and hooting I feel.pregnent what tx can I replace the progestron with to work for me???"
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI can understand your problem you have done the Hysterectomy, and now you are looking for alternative for hormone pills, but there is no alternative available for this which has got no side effects, because hormone is after all hormone, with the slight changes in molecules side effects can not be changed, better option is forgotten about the hormone therapy, hope this information helps you have good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 4 year old got a skin infection on her arm after a bug bite. The swelling and redness are gone since she has been on antibiotics but the skin is crusty where she was bit and where she scratched when her arm was swollen. The area that was previously swollen is also a little darker then the rest of her skin in that area. What can I put on the skin to make it softer and heal nicely? | Thanks for posting your query at Chat Doctor. Please do not worry as it is nothing unusual. Apply some calamine lotion (available in brand names like call Chat Doctor. ) or any other moisturizing lotion like aloe vera and things should be fine in no time. If there is some itchiness still present, you may give him some antiallergics. I hope that helps. Feel free to revert in case of further queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 4 year old got a skin infection on her arm after a bug bite. The swelling and redness are gone since she has been on antibiotics but the skin is crusty where she was bit and where she scratched when her arm was swollen. The area that was previously swollen is also a little darker then the rest of her skin in that area. What can I put on the skin to make it softer and heal nicely?"
},
{
"from": "gpt",
"value": "Output: Thanks for posting your query at Chat Doctor. Please do not worry as it is nothing unusual. Apply some calamine lotion (available in brand names like call Chat Doctor. ) or any other moisturizing lotion like aloe vera and things should be fine in no time. If there is some itchiness still present, you may give him some antiallergics. I hope that helps. Feel free to revert in case of further queries."
}
]
|
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