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If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...i have been on altace and hydroclorizade for years recently a failure to take the meds which sometimes were needed and sometimes not resulted in a rise of blood pressure from the 130/90 to 184/115 which was felt as highblood pressure new meds were given after a hospital visit and a visit to a regular doctor the balance problem which is not visible to others after trying to stand still in the same spot for a few minutes has not has not gone away and the blood presuure towards the later part of the day has not been lowered below 150 or 160 /95 yet it is at this time that the balance issue seems to be felt and can high blood pressure cause a minor balance problem while trying to stand in one place a mri and a cat scan were done without anything showing will the problem likly go away with additional meds every 12 hours | Hi, If you are having symptoms of high blood pressure & taking medications, you are recommended to have a thorough cardiac checkup (Lipid function tests, ECG, Echocardiography, CBC, MRI, CT). High blood pressure does not cause co-ordination problems or headaches, these are side effects of some medications taken for hypertension. Co-ordination problems, loss of balance, sudden dizziness may lead to syncope or stroke. Get physically examined, evaluated & treated without much delay. Balancing problems occur in hypertensive crises (180/120), if you have it, you need medical attention. Get connected to your treating physician. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...i have been on altace and hydroclorizade for years recently a failure to take the meds which sometimes were needed and sometimes not resulted in a rise of blood pressure from the 130/90 to 184/115 which was felt as highblood pressure new meds were given after a hospital visit and a visit to a regular doctor the balance problem which is not visible to others after trying to stand still in the same spot for a few minutes has not has not gone away and the blood presuure towards the later part of the day has not been lowered below 150 or 160 /95 yet it is at this time that the balance issue seems to be felt and can high blood pressure cause a minor balance problem while trying to stand in one place a mri and a cat scan were done without anything showing will the problem likly go away with additional meds every 12 hours"
},
{
"from": "gpt",
"value": "Output: Hi, If you are having symptoms of high blood pressure & taking medications, you are recommended to have a thorough cardiac checkup (Lipid function tests, ECG, Echocardiography, CBC, MRI, CT). High blood pressure does not cause co-ordination problems or headaches, these are side effects of some medications taken for hypertension. Co-ordination problems, loss of balance, sudden dizziness may lead to syncope or stroke. Get physically examined, evaluated & treated without much delay. Balancing problems occur in hypertensive crises (180/120), if you have it, you need medical attention. Get connected to your treating physician. 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. | My 16 year old son jumped from a height of 5 feet and hurt his heels. X-ray reveals a displaced fracture of his left calcanean. I was informed that his arch is also damaged causing flatfoot. My question is, is surgery necessay? without surgery, will the heels heal without chronic pain in hte future? Thanks. | Hello, As mentioned in history that x-ray reveals the displaced fracture then I would say surgery should be of choice. If treated conservatively than chances of malformation or non-uniform healing is higher. So this might lead to changes in gait (walking pattern) and may lead to other joints in trouble. Also, due to non-uniform healing chances will be he will have on/off pain in the region and trouble other joints. Hope you take the right call. But my advice will be to opt for surgery. 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: My 16 year old son jumped from a height of 5 feet and hurt his heels. X-ray reveals a displaced fracture of his left calcanean. I was informed that his arch is also damaged causing flatfoot. My question is, is surgery necessay? without surgery, will the heels heal without chronic pain in hte future? Thanks."
},
{
"from": "gpt",
"value": "Output: Hello, As mentioned in history that x-ray reveals the displaced fracture then I would say surgery should be of choice. If treated conservatively than chances of malformation or non-uniform healing is higher. So this might lead to changes in gait (walking pattern) and may lead to other joints in trouble. Also, due to non-uniform healing chances will be he will have on/off pain in the region and trouble other joints. Hope you take the right call. But my advice will be to opt for surgery. 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 had major back surgery 3 weeks ago. At the time right before surgery and after I noticed increased swelling in my sides, stomach and reaching to the back. I thought it might be due to recurring kidney stones coming down, but CT scan shows stones in kidneys but not coming down. Said probably from surgery. Others say no. It is getting worse. Can t eat. No room for food. Bile comes up in throat. I look pregnant so swollen and it is painful, especially at night. I ve been to ER last week for this, primary care doctor, etc. I can t just run to surgeon that did back surgery. He s in another state. I see my urologist on 24th. Don t know if I can wait till then since so painful. Any ideas? | Hello, What surgery you have undergone? Stone may not cause bloating of stomach. Bloating may be due to gas or feces or fluid, or it may be due to food. So get it done ultrasound abdomen and use tablet Nexpro-l one table before breakfast for one week. Avoid spicy food and alcohol. If symptoms not improved please consult with your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had major back surgery 3 weeks ago. At the time right before surgery and after I noticed increased swelling in my sides, stomach and reaching to the back. I thought it might be due to recurring kidney stones coming down, but CT scan shows stones in kidneys but not coming down. Said probably from surgery. Others say no. It is getting worse. Can t eat. No room for food. Bile comes up in throat. I look pregnant so swollen and it is painful, especially at night. I ve been to ER last week for this, primary care doctor, etc. I can t just run to surgeon that did back surgery. He s in another state. I see my urologist on 24th. Don t know if I can wait till then since so painful. Any ideas?"
},
{
"from": "gpt",
"value": "Output: Hello, What surgery you have undergone? Stone may not cause bloating of stomach. Bloating may be due to gas or feces or fluid, or it may be due to food. So get it done ultrasound abdomen and use tablet Nexpro-l one table before breakfast for one week. Avoid spicy food and alcohol. If symptoms not improved please consult with your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My skin is indented on my right upper buttocks, and lower back. At first, I thought it was a bruise, but it wasnt healing after 3 weeks or so. It was not until today that I noticed the large indent. Moreover, I thought I pulled my groin, or potentially pulled some hip muscle, because that it what it feels like. However, I am a long distance runner, and I havent been bothered by it when running. What could this be? | Hi, I don't want you to be worried because this is common and if it is symptomless and doesn't cause any pain or muscular spasm or increase in mass. Usually it is present but not seen or felt except by luck. Its cause is unknown mainly inherited or congenital. Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My skin is indented on my right upper buttocks, and lower back. At first, I thought it was a bruise, but it wasnt healing after 3 weeks or so. It was not until today that I noticed the large indent. Moreover, I thought I pulled my groin, or potentially pulled some hip muscle, because that it what it feels like. However, I am a long distance runner, and I havent been bothered by it when running. What could this be?"
},
{
"from": "gpt",
"value": "Output: Hi, I don't want you to be worried because this is common and if it is symptomless and doesn't cause any pain or muscular spasm or increase in mass. Usually it is present but not seen or felt except by luck. Its cause is unknown mainly inherited or congenital. Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir, I am 44 years old, I have done full body checkup. Every thing is ok, but my blood test show low calcium 8.3mg/dL and high cholestrol 219mg/dL, triglycerides 176mg/dL, HDL 32mg/dL, LDL 140mg/dL. My doctor suggest two tab CALTEN-D 1250mg and lipikind-10. Is it OK.pls. suggest. | Canton D is Contains calcium and vitamin D, you can take it for your low calcium, though low calcium does not always suggest deficiency of calcium, but as it is a supplement no harm in taking for a short while, do not take it longer than 6 months with evaluation. As it F toxicity is known n off. As for your lipid profile, the results are on higher side though not something you should be really worried of. If you have no risk factors o would suggest lifestyle modifications, life cutting oil/fat in your diet, substitution with healthy oil like olive, supplements like omega 3 fatty acid flax seeds and otherwise. RPT lipid profile after 3 months and if still higher than start a medication for it, in my practice I have seen patients becoming complacent when they see the cholesterol coming down with meds and make no effort to change their unhealthy lifestyle. We have to understand cholesterol is not the only risk factor for all future problems of blood pressure, heart problems, stroke, diabetes and changing overall will help. Also, if we follow guidelines, it is not prudent to start limiting at your test s when there is no other risk factor. Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, I am 44 years old, I have done full body checkup. Every thing is ok, but my blood test show low calcium 8.3mg/dL and high cholestrol 219mg/dL, triglycerides 176mg/dL, HDL 32mg/dL, LDL 140mg/dL. My doctor suggest two tab CALTEN-D 1250mg and lipikind-10. Is it OK.pls. suggest."
},
{
"from": "gpt",
"value": "Output: Canton D is Contains calcium and vitamin D, you can take it for your low calcium, though low calcium does not always suggest deficiency of calcium, but as it is a supplement no harm in taking for a short while, do not take it longer than 6 months with evaluation. As it F toxicity is known n off. As for your lipid profile, the results are on higher side though not something you should be really worried of. If you have no risk factors o would suggest lifestyle modifications, life cutting oil/fat in your diet, substitution with healthy oil like olive, supplements like omega 3 fatty acid flax seeds and otherwise. RPT lipid profile after 3 months and if still higher than start a medication for it, in my practice I have seen patients becoming complacent when they see the cholesterol coming down with meds and make no effort to change their unhealthy lifestyle. We have to understand cholesterol is not the only risk factor for all future problems of blood pressure, heart problems, stroke, diabetes and changing overall will help. Also, if we follow guidelines, it is not prudent to start limiting at your test s when there is no other risk factor. Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I started working at a Wastewater Treatment Plant 4 months ago. Around a month and a half ago, a piece of wire that was in influent wastewater stuck my finger through my latex gloves. Our treatment plant handles wastewater from the local prison. Around 3 weeks ago I started having pain in my right side. I thought it was from shoveling. I havent been shoveling since then, and the pain continued and now has expanded from the right side to the right front of my abdomen just below my ribcage. It is tender when I push below my ribs and it feels like something is pushing on everything around that area. I started with what I thought was a chest cold a week and a half ago, and now I started in with hives head to toe 4 days ago. Ive kept the hives down somewhat with Benadryl, but I have a huge loss of energy, still rattly cough, and the swelling (which I believe is my liver) hasnt gone down at all. My worry is that I may have contracted Hepatitis or some other form of disease/parasite from work. Ive looked a lot online, and it looks like I have 90% of the HepA symptoms but am not jaundiced. I know ultimately I will need to go get checked out locally, but am curious as to what your opinion on the situation is. | Hello1) yes you need to do hepatitis profile for hepatitis A, B and C2) you also need USG of abdomen to find any structural changes in liver which can be seen in parasitic infection3) you also need liver function test to be done to check level of bilirubin, liver enzymes4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only5) sometimes, stones in gall bladder also produce similar symptoms but it doesn't case development of generalized symptoms i.e. weakness, loss if energy or tiredness, mild fever | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I started working at a Wastewater Treatment Plant 4 months ago. Around a month and a half ago, a piece of wire that was in influent wastewater stuck my finger through my latex gloves. Our treatment plant handles wastewater from the local prison. Around 3 weeks ago I started having pain in my right side. I thought it was from shoveling. I havent been shoveling since then, and the pain continued and now has expanded from the right side to the right front of my abdomen just below my ribcage. It is tender when I push below my ribs and it feels like something is pushing on everything around that area. I started with what I thought was a chest cold a week and a half ago, and now I started in with hives head to toe 4 days ago. Ive kept the hives down somewhat with Benadryl, but I have a huge loss of energy, still rattly cough, and the swelling (which I believe is my liver) hasnt gone down at all. My worry is that I may have contracted Hepatitis or some other form of disease/parasite from work. Ive looked a lot online, and it looks like I have 90% of the HepA symptoms but am not jaundiced. I know ultimately I will need to go get checked out locally, but am curious as to what your opinion on the situation is."
},
{
"from": "gpt",
"value": "Output: Hello1) yes you need to do hepatitis profile for hepatitis A, B and C2) you also need USG of abdomen to find any structural changes in liver which can be seen in parasitic infection3) you also need liver function test to be done to check level of bilirubin, liver enzymes4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only5) sometimes, stones in gall bladder also produce similar symptoms but it doesn't case development of generalized symptoms i.e. weakness, loss if energy or tiredness, mild fever"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | yesterday when I woke up I noticed very , soft little bumps very close together and a lot of them, on the roof of my mouth, today they have spread to the inside of my cheek and lower lip. do you know what this could be? when I rub them with my tongue, it almost feels like powder. pretty weird.. Ill going to the doc this week but just ant to know if its serious. Thanks | Thanks for your query, I have gone through your query. The bumps at the roof of the mouth could be because of the herpes zoster infection caused by herpes virus. IT produces multiple vesicles over the palate buccal mucosa and lip. Consult an oral physician and get your self to rule out the herpes infection. If it is herpes infection then start immediately with antiviral Chat Doctor. You can use topical anesthetic and analgesics like Anabel gel to reduce the pain. 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: yesterday when I woke up I noticed very , soft little bumps very close together and a lot of them, on the roof of my mouth, today they have spread to the inside of my cheek and lower lip. do you know what this could be? when I rub them with my tongue, it almost feels like powder. pretty weird.. Ill going to the doc this week but just ant to know if its serious. Thanks"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The bumps at the roof of the mouth could be because of the herpes zoster infection caused by herpes virus. IT produces multiple vesicles over the palate buccal mucosa and lip. Consult an oral physician and get your self to rule out the herpes infection. If it is herpes infection then start immediately with antiviral Chat Doctor. You can use topical anesthetic and analgesics like Anabel gel to reduce the pain. 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. | I am 5 weeks pregnant and was on 50 mg eltroxin for a month(since dec4 2010 to jan 3rd 2011)I had a check of TSH hormone on 3rd.Both T3 and T4 levels were in the normal range.so my physician asked me to reduce the dosage to 25 mg.but my gynaec says that throxine requirement is more during pregnancy..just confused as to wether i should continue with 50 mg or 25 mg? | Hi, The range of TSH to be followed for pregnancy is different from in non-pregnant women. The normal values for first three months of pregnancy is less than 2.5 mid/L, for the last six months of pregnancy is 3.0 mid/L. For, the non-pregnant it is 4.5 mid/L. So everything depends on your present TSH levels if they are below 2.5 then you can take 25 mg of thyroxine, but if they are above 2.5, I would advise you to take 50\u00a0mg. High TSH values have shown to affect the pregnancy, and it is advisable to keep levels in the range described above. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 5 weeks pregnant and was on 50 mg eltroxin for a month(since dec4 2010 to jan 3rd 2011)I had a check of TSH hormone on 3rd.Both T3 and T4 levels were in the normal range.so my physician asked me to reduce the dosage to 25 mg.but my gynaec says that throxine requirement is more during pregnancy..just confused as to wether i should continue with 50 mg or 25 mg?"
},
{
"from": "gpt",
"value": "Output: Hi, The range of TSH to be followed for pregnancy is different from in non-pregnant women. The normal values for first three months of pregnancy is less than 2.5 mid/L, for the last six months of pregnancy is 3.0 mid/L. For, the non-pregnant it is 4.5 mid/L. So everything depends on your present TSH levels if they are below 2.5 then you can take 25 mg of thyroxine, but if they are above 2.5, I would advise you to take 50\\u00a0mg. High TSH values have shown to affect the pregnancy, and it is advisable to keep levels in the range described above. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son is 29 years old and has continued to ignore abcessed toothaches Now his left side of his face is swollen from his lip up to his eye! Weve put baby asprin on it, rinsed his mouth with periocide, heating pad? Any suggestions besides he needs to see a dentist?Thanks! YYYY@YYYY | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that you have Access in tooth now you have swelling on face for this you have to go to dentist and go for Oral Examination done, go for investigations IOWA and of tooth is decayed then go for Extraction and if tooth is Carious then go for Root Canal treatment, Don't do Hot fermentation, take medication for pain One Tablet Diploma SP twice daily and Consult dentist as Early as possible and go for treatment Hope this will help you. Wishing you good healthRegards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is 29 years old and has continued to ignore abcessed toothaches Now his left side of his face is swollen from his lip up to his eye! Weve put baby asprin on it, rinsed his mouth with periocide, heating pad? Any suggestions besides he needs to see a dentist?Thanks! YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that you have Access in tooth now you have swelling on face for this you have to go to dentist and go for Oral Examination done, go for investigations IOWA and of tooth is decayed then go for Extraction and if tooth is Carious then go for Root Canal treatment, Don't do Hot fermentation, take medication for pain One Tablet Diploma SP twice daily and Consult dentist as Early as possible and go for treatment Hope this will help you. Wishing you good healthRegards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 66 year old female suffering from a chronic itching with a rash. I have had this condition for approx. 8 weeks. I have tried many OTC remedies including calamine lotion, allegra, etc. I have also tried a 10 day dosage of Predasone 5mg without any relief. I have changed my laundry detergent and also discontinued certain prescription drugs temporarily. Nothing helps. | Hi, It may be lichen simplex chronic us most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. If it is same as I said, I would recommend you to apply steroid cream like Clobetasol Propionate cream. And you should take steroid tablet in a tapering dose. If needed, an intradermal steroid injection may be taken. Take antihistamines like Loratadine. Avoid soap bath. Avoid dietary stuff like cows milk, fish, prawns, chicken, eggs, fermented food, nuts, soy products etc. 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 a 66 year old female suffering from a chronic itching with a rash. I have had this condition for approx. 8 weeks. I have tried many OTC remedies including calamine lotion, allegra, etc. I have also tried a 10 day dosage of Predasone 5mg without any relief. I have changed my laundry detergent and also discontinued certain prescription drugs temporarily. Nothing helps."
},
{
"from": "gpt",
"value": "Output: Hi, It may be lichen simplex chronic us most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. If it is same as I said, I would recommend you to apply steroid cream like Clobetasol Propionate cream. And you should take steroid tablet in a tapering dose. If needed, an intradermal steroid injection may be taken. Take antihistamines like Loratadine. Avoid soap bath. Avoid dietary stuff like cows milk, fish, prawns, chicken, eggs, fermented food, nuts, soy products etc. 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 am experiencing fairly severe pain in my palate, right front tooth and up in to the septum. I had an xray done last week and the dentist did not express concern of any infection, but I am beginning to doubt that. I originally, about 3 weeks ago, thought it was a sinus infection and did 5 days of an antibiotic, but the pain is still present. Any other thoughts? | Thanks for your query, I have gone through your query. The pain in the palate, front tooth can be because of the tooth infection. Consult a good oral physician and get a radiograph done to confirm the diagnosis. Once the diagnosis is confirmed, the tooth can be treated with root canal treatment. If I am your treating doctor, I would have prescribed a course of antibiotics like amoxicillin and metronidazole you are not allergic). 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 am experiencing fairly severe pain in my palate, right front tooth and up in to the septum. I had an xray done last week and the dentist did not express concern of any infection, but I am beginning to doubt that. I originally, about 3 weeks ago, thought it was a sinus infection and did 5 days of an antibiotic, but the pain is still present. Any other thoughts?"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain in the palate, front tooth can be because of the tooth infection. Consult a good oral physician and get a radiograph done to confirm the diagnosis. Once the diagnosis is confirmed, the tooth can be treated with root canal treatment. If I am your treating doctor, I would have prescribed a course of antibiotics like amoxicillin and metronidazole you are not allergic). 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 doctor.. i m 33y old .. after 8m of my marriage i had my 1st pregnancy .. but unfortunately after 1m and 14days(14.03.2011) i had an missed abortion .. now i am taking Clomifene and Aspirin tablets.what are the benefits of these tablets?please tell me. By Christy,Chennai,India. | Hi, Clomifene is useful in inducing ovulation (egg production) in women who do not produce ova (eggs) but wish to become pregnant (infertility). It causes eggs to develop in the ovaries and be released to get fertilized by the sperm in the uterus. Aspirin is useful to prevent unexplained stillbirth, recurrent miscarriages and pre-eclampsia. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor.. i m 33y old .. after 8m of my marriage i had my 1st pregnancy .. but unfortunately after 1m and 14days(14.03.2011) i had an missed abortion .. now i am taking Clomifene and Aspirin tablets.what are the benefits of these tablets?please tell me. By Christy,Chennai,India."
},
{
"from": "gpt",
"value": "Output: Hi, Clomifene is useful in inducing ovulation (egg production) in women who do not produce ova (eggs) but wish to become pregnant (infertility). It causes eggs to develop in the ovaries and be released to get fertilized by the sperm in the uterus. Aspirin is useful to prevent unexplained stillbirth, recurrent miscarriages and pre-eclampsia. Hope I have answered your question. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I was in car accident in 2001. I had a large bruise and lump form on my outer left thigh. I had an MRI after the bruising healed to see why there was still a large lump. The doctor told me that it was not tissue damage and appeared to just be fatty tissue. But how can that be since it wasnt there before the accident and immediately formed after the accident? | Hi.lipoma (or fatty tissue deposit) can occur anywhere in the body, even if there's no triggering factor. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. If the lesion causes you discomfort and starts to bother you, it is best if you have it removed. Definitive management is excision biopsy of the lesion, along with antibiotic treatment. Hope this helps. Good day!!~ Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I was in car accident in 2001. I had a large bruise and lump form on my outer left thigh. I had an MRI after the bruising healed to see why there was still a large lump. The doctor told me that it was not tissue damage and appeared to just be fatty tissue. But how can that be since it wasnt there before the accident and immediately formed after the accident?"
},
{
"from": "gpt",
"value": "Output: Hi.lipoma (or fatty tissue deposit) can occur anywhere in the body, even if there's no triggering factor. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. If the lesion causes you discomfort and starts to bother you, it is best if you have it removed. Definitive management is excision biopsy of the lesion, along with antibiotic treatment. Hope this helps. Good day!!~ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i had my gallbladder removed in 2010 due to really sharp pains in my stomach, which they said i had major gallstones and blockage. well i am still having major pain and the no one can tell me what it is. they ruled out my appendix, and want me to go have a biliary tract ultrasound . what could be wrong with me, i can not get any answers from anyone. tyl9onal and ibprophen do not work for the pain and the doctors will not prescribe me anything saying they want to treat it not mask it whatever that means, but my pain is so bad at times i am literally bald up in a ball and can not breathe and feels like someone is taking sharp knifes and stabbing me in my right mid adomin and stomach ....what can i do for pain? please some one give me answers | Dear ...! Many thanks for the mail. I have gone through the details for your mail and could grasp its contents. The pain in your stomach may or may not be related to your gall stone operation. The causes in relation to your operation may be a stone in the common bile duct, a narrowing of the CBD, a stone in the cystic duct remnant etc... Cases unrelated to the operation include, chronic pancreatitis, ulcer disease, sphincter of Odd dysfunction etc. Either way you need to have some definite investigations before making a certain final diagnosis. Please see a gastroenterology physician and get going with the tests. Regards | [
{
"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 in 2010 due to really sharp pains in my stomach, which they said i had major gallstones and blockage. well i am still having major pain and the no one can tell me what it is. they ruled out my appendix, and want me to go have a biliary tract ultrasound . what could be wrong with me, i can not get any answers from anyone. tyl9onal and ibprophen do not work for the pain and the doctors will not prescribe me anything saying they want to treat it not mask it whatever that means, but my pain is so bad at times i am literally bald up in a ball and can not breathe and feels like someone is taking sharp knifes and stabbing me in my right mid adomin and stomach ....what can i do for pain? please some one give me answers"
},
{
"from": "gpt",
"value": "Output: Dear ...! Many thanks for the mail. I have gone through the details for your mail and could grasp its contents. The pain in your stomach may or may not be related to your gall stone operation. The causes in relation to your operation may be a stone in the common bile duct, a narrowing of the CBD, a stone in the cystic duct remnant etc... Cases unrelated to the operation include, chronic pancreatitis, ulcer disease, sphincter of Odd dysfunction etc. Either way you need to have some definite investigations before making a certain final diagnosis. Please see a gastroenterology physician and get going with the tests. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 20 year old son had a partial right lobectomy for a mio fibro blastic tumor.[non cancerous] he has developed asthma due to a reaction to his surgery. have you come across this before? one of his consultants put him on prednisolone and inhalers. two weeks later he went back to consultant and blew out half a litre more into the machine. hes hopeful this will go, but im not so sure. he is a non smoker. | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, he is mostly having bronchitis. Bronchitis is inflammation of airways. It is common after thoracic surgeries especially lung surgeries. It is because of handling of lungs with instruments during surgery. Furthermore, it is usually short-lived and recovered with steroid and inhaled bronchodilators (formoterol or albuterol). So continue with prednisone and inhalers. He will mostly improve with all these in 1-2 months. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 20 year old son had a partial right lobectomy for a mio fibro blastic tumor.[non cancerous] he has developed asthma due to a reaction to his surgery. have you come across this before? one of his consultants put him on prednisolone and inhalers. two weeks later he went back to consultant and blew out half a litre more into the machine. hes hopeful this will go, but im not so sure. he is a non smoker."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, he is mostly having bronchitis. Bronchitis is inflammation of airways. It is common after thoracic surgeries especially lung surgeries. It is because of handling of lungs with instruments during surgery. Furthermore, it is usually short-lived and recovered with steroid and inhaled bronchodilators (formoterol or albuterol). So continue with prednisone and inhalers. He will mostly improve with all these in 1-2 months. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | It s been about 9 months after acl reconstruction, I still a little bit pain, and i decide to go back to sport, and i fine out the back of my knee have bruise but while I practice it doesn t pain or knee pop, I don t know if its ok, and how do i know if i tear my acl again? | Hello, ACL reconstruction doesn't fail or break again until it's a major accident. So be assured you got the good ACL reconstruction. I will advise you to do balance board training as that is the one which helps the joint proprioception to be active and give good results out of the knee. Usually, this is missed out on the rehabilitation of the knee in many cases and most patients have similar complains after some months of ACL reconstruction. But in my clinical practice with balance board training as a last part of the training, we have been implementing on almost all patients who visit us in the last 12 years. Inline recommend you to undergo balance board training, and you will find amazing results. 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: It s been about 9 months after acl reconstruction, I still a little bit pain, and i decide to go back to sport, and i fine out the back of my knee have bruise but while I practice it doesn t pain or knee pop, I don t know if its ok, and how do i know if i tear my acl again?"
},
{
"from": "gpt",
"value": "Output: Hello, ACL reconstruction doesn't fail or break again until it's a major accident. So be assured you got the good ACL reconstruction. I will advise you to do balance board training as that is the one which helps the joint proprioception to be active and give good results out of the knee. Usually, this is missed out on the rehabilitation of the knee in many cases and most patients have similar complains after some months of ACL reconstruction. But in my clinical practice with balance board training as a last part of the training, we have been implementing on almost all patients who visit us in the last 12 years. Inline recommend you to undergo balance board training, and you will find amazing results. 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. | Im an athletic 26 year old male (5ft 10in and 145 pounds) and I have a hard, non-movable, pea-sized lump under the skin on my left calf. It doesnt hurt and has been there for a few months at least - doesnt appear to be growing. It has a slight brownish color to it. | I, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for the lumps on the calf are as follows-a-Mostly they are -Bursitis popliteal ?or MB cyst with knee arthritis I would advise X-ray knee joint and consultation with Orthopedic Surgeon.Don't worry of them, as they could be relieved with proper treatment.-Treatment -a- Tab-NDAIDs/b-Hot fomentation, c-Rest and Elevation of knee and affected leg. D-Ortho-Surgeon consultation and needful further treatment with him is advisablee-To remove that lump-I would advise Diclofenac Gel locally x 2 was time. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im an athletic 26 year old male (5ft 10in and 145 pounds) and I have a hard, non-movable, pea-sized lump under the skin on my left calf. It doesnt hurt and has been there for a few months at least - doesnt appear to be growing. It has a slight brownish color to it."
},
{
"from": "gpt",
"value": "Output: I, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for the lumps on the calf are as follows-a-Mostly they are -Bursitis popliteal ?or MB cyst with knee arthritis I would advise X-ray knee joint and consultation with Orthopedic Surgeon.Don't worry of them, as they could be relieved with proper treatment.-Treatment -a- Tab-NDAIDs/b-Hot fomentation, c-Rest and Elevation of knee and affected leg. D-Ortho-Surgeon consultation and needful further treatment with him is advisablee-To remove that lump-I would advise Diclofenac Gel locally x 2 was time. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | How can I take to lose weight in the stomach area? I have hypothyroid, had a pituatoy tumor that was removed w/o being maligment, diagnosed w/breast cancer last July...but caught it early. I did not have to do chemo nor radiation. Only takes tamoxifen daily for 5 yrs. Please help!!!!! | Hi, Welcome to Chat Doctor forum. As you describe it appears to be the hypothyroidism, which is causing the bulky stomach. As you are taking tamoxifen since 5 years, the uterus should be screened regularly, as it may cause the uterine cancer. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis. Avid taking fatty foods, junk foods, 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: How can I take to lose weight in the stomach area? I have hypothyroid, had a pituatoy tumor that was removed w/o being maligment, diagnosed w/breast cancer last July...but caught it early. I did not have to do chemo nor radiation. Only takes tamoxifen daily for 5 yrs. Please help!!!!!"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. As you describe it appears to be the hypothyroidism, which is causing the bulky stomach. As you are taking tamoxifen since 5 years, the uterus should be screened regularly, as it may cause the uterine cancer. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis. Avid taking fatty foods, junk foods, 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 father has terminal pancreatic cancer. They said he had 3-6 mths to live about 1 mth ago but since then he became severely dehydrated due to not being able to keep water down for 10 days. He then got a blood infection and they told us he would live days when he left hospital 10 days ago. He lives in Thailand and now me and my brother are his primary carers. We have been sent from hospital with bags of pills and very little advice. He is very weak and hardly gets out of bed now, he has 25mg morphine patch but today has needed more through tablet form. He is keeping a little water down and urinating however he is vomiting a lot of mucus which over the last 24hrs has turned a dark green colour. Can you please give me some advice as to how long you think he has left to live and also how many mg of morphine would be advised on top of his morphine patch? Thank you. | Hi, dairy have gone through your question. I can understand your concern. Your father has terminal stage pancreatic cancer. So it is incurable now. What you are prescribed is only symptomatic treatment. Morphine is given in terminal stage cancer for pain relieving agent. Dose can be increased if your father has sever pain. Pancreatic cancer may cause obstruction in the intestine and may leads to bile containing green vomiting. Ondansetron is helpful in this kind of vomiting. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father has terminal pancreatic cancer. They said he had 3-6 mths to live about 1 mth ago but since then he became severely dehydrated due to not being able to keep water down for 10 days. He then got a blood infection and they told us he would live days when he left hospital 10 days ago. He lives in Thailand and now me and my brother are his primary carers. We have been sent from hospital with bags of pills and very little advice. He is very weak and hardly gets out of bed now, he has 25mg morphine patch but today has needed more through tablet form. He is keeping a little water down and urinating however he is vomiting a lot of mucus which over the last 24hrs has turned a dark green colour. Can you please give me some advice as to how long you think he has left to live and also how many mg of morphine would be advised on top of his morphine patch? Thank you."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your father has terminal stage pancreatic cancer. So it is incurable now. What you are prescribed is only symptomatic treatment. Morphine is given in terminal stage cancer for pain relieving agent. Dose can be increased if your father has sever pain. Pancreatic cancer may cause obstruction in the intestine and may leads to bile containing green vomiting. Ondansetron is helpful in this kind of vomiting. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | since last 20 years I suffer sometimes inspirational problem particularly in the morn. most acute during winter now I am 59 and due to same my bp level remain 190/110 after taking telma 40 for one month it is now 140/80 and ecg indicate LVH present medicines are ventoline 8 mg+docyphyllin 1/2 tab +telma 40 I am working and not confined to bed but still i am suffering some times whats the remedy? | Howell come to ChatDoctorLVH (Left ventricular hypertrophy) is common phenomenon in long-standing hypertension breathing difficulty could be due to asthma, here cardiac asthma need to be ruled out (Congestive cardiac disease) in my opinion diuretic may be added in line of treatment this would be helpful if this is CHF, you may discuss this with your physician, hope this information helps, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: since last 20 years I suffer sometimes inspirational problem particularly in the morn. most acute during winter now I am 59 and due to same my bp level remain 190/110 after taking telma 40 for one month it is now 140/80 and ecg indicate LVH present medicines are ventoline 8 mg+docyphyllin 1/2 tab +telma 40 I am working and not confined to bed but still i am suffering some times whats the remedy?"
},
{
"from": "gpt",
"value": "Output: Howell come to ChatDoctorLVH (Left ventricular hypertrophy) is common phenomenon in long-standing hypertension breathing difficulty could be due to asthma, here cardiac asthma need to be ruled out (Congestive cardiac disease) in my opinion diuretic may be added in line of treatment this would be helpful if this is CHF, you may discuss this with your physician, hope this information helps, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had a dry cough which lasted for 3 weeks before christmas (it cleared up when I decided to make a dr appointment). Anyway, the cough is back (for over a week now) it has been accompanied by loose stools, intermittent pain on left side of my chest. I am asthmatic and have been needing to use my reliever more frequently. I have also been vomiting - this is at least daily but not frequent, possibly a few times a day. I am getting tired and would appreciate any insight into what is causing these symptoms. I am female, 39 and smoke 15-20 cigs a day. thanks | Your symptom resemble legionnaires disease, you have to go for sputum examination as gram staining bacterial culture sensitivity and fungal staining and also urine antigen test for legionella, take chest X-ray PA also and stop smoking in between these days. Tab moxifloxacin 400 mg OD tab azithromycin 500 OD tab Able Sr 200 OD and your inhaler with good inhaler technique(watch YouTube for good technique) | [
{
"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 dry cough which lasted for 3 weeks before christmas (it cleared up when I decided to make a dr appointment). Anyway, the cough is back (for over a week now) it has been accompanied by loose stools, intermittent pain on left side of my chest. I am asthmatic and have been needing to use my reliever more frequently. I have also been vomiting - this is at least daily but not frequent, possibly a few times a day. I am getting tired and would appreciate any insight into what is causing these symptoms. I am female, 39 and smoke 15-20 cigs a day. thanks"
},
{
"from": "gpt",
"value": "Output: Your symptom resemble legionnaires disease, you have to go for sputum examination as gram staining bacterial culture sensitivity and fungal staining and also urine antigen test for legionella, take chest X-ray PA also and stop smoking in between these days. Tab moxifloxacin 400 mg OD tab azithromycin 500 OD tab Able Sr 200 OD and your inhaler with good inhaler technique(watch YouTube for good technique)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a 7 mm stone at u.v. junction and another 8mm at right distal ureteric stone. I have taken homeopathy treatment. This is very painfull at back side. My faimily force to laser treatment.Whats I do, how many time it will takes to through out stone. | Hello and welcome to Chat Doctor. As you have 1 stone 7\u00a0mm at the UV junction and an R. distal 8\u00a0mm. Stone, its best that you undergo an endoscopic lithography operation, using Laser or ultrasound. Both the stones can be treated in one session. The patients usually discharged the next day, if there are no complications like, fever, bleeding or any other medical problem. Your pain due to the stone will be relieved at once, and there won't be need of any other treatment like homeopathy. Remember to Chat Doctor. Wish you a speedy recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a 7 mm stone at u.v. junction and another 8mm at right distal ureteric stone. I have taken homeopathy treatment. This is very painfull at back side. My faimily force to laser treatment.Whats I do, how many time it will takes to through out stone."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. As you have 1 stone 7\\u00a0mm at the UV junction and an R. distal 8\\u00a0mm. Stone, its best that you undergo an endoscopic lithography operation, using Laser or ultrasound. Both the stones can be treated in one session. The patients usually discharged the next day, if there are no complications like, fever, bleeding or any other medical problem. Your pain due to the stone will be relieved at once, and there won't be need of any other treatment like homeopathy. Remember to Chat Doctor. Wish you a speedy recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | In early December I had blood work done for exhaustion. It showed that in slightly anemic and vitamin d low. Gfr 55. I found out 12 yrs ago that I have only one kidney during an ultrasound for pancreatitis . I am 59 yr old female weight 122, 5 6 . Bp about 108/68 most of the time. I am scheduled to see a nephrologist in late may should I be on any kind of diet restrictions?i have never smoked but I drink one light beer a day | Hello, Thanks for posting your query. As you are having only one kidney, so your renal system is compromised. GFR is much reduced, and vitamin D deficiency and anemia are also related to kidney. You should watch their protein consumption to avoid taxing the kidneys as they heal. A low-cholesterol and low-saturated-fat diet is good. High-potassium foods such as bananas, kiwis, avocados, prunes and prune juice, tomato juice and sauce, nuts, Chat Doctor. Vitamin D and Calcium supplements would be helpful. Hope it helps. Take Care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: In early December I had blood work done for exhaustion. It showed that in slightly anemic and vitamin d low. Gfr 55. I found out 12 yrs ago that I have only one kidney during an ultrasound for pancreatitis . I am 59 yr old female weight 122, 5 6 . Bp about 108/68 most of the time. I am scheduled to see a nephrologist in late may should I be on any kind of diet restrictions?i have never smoked but I drink one light beer a day"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting your query. As you are having only one kidney, so your renal system is compromised. GFR is much reduced, and vitamin D deficiency and anemia are also related to kidney. You should watch their protein consumption to avoid taxing the kidneys as they heal. A low-cholesterol and low-saturated-fat diet is good. High-potassium foods such as bananas, kiwis, avocados, prunes and prune juice, tomato juice and sauce, nuts, Chat Doctor. Vitamin D and Calcium supplements would be helpful. Hope it helps. Take Care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have been diagnosed with pco at the age off 14. My partner and i have spoken about trying for a family and we have been for a year im currently on a strick diet to help lose some weight and it is coming off slowley my thyroid medication has been increased as last blood test showed they were below average again quite a lot, is there any things else i can do and or take to help my chances to conceve. | Hello, Thanks for posting your query. It is good that you are already doing your part in maintaining a healthy lifestyle. This is a very important aspect in the treatment of hormone imbalances. Further, since you are trying to conceive, you should go through the proper protocol of investigation. This includes a complete hormone assay, sonogram of the pelvis preferably in the trans-vaginal route, blood counts, tubal patency tests and urinalysis. Evaluation of the male partner also is important. Further management can be planned accordingly. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have been diagnosed with pco at the age off 14. My partner and i have spoken about trying for a family and we have been for a year im currently on a strick diet to help lose some weight and it is coming off slowley my thyroid medication has been increased as last blood test showed they were below average again quite a lot, is there any things else i can do and or take to help my chances to conceve."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting your query. It is good that you are already doing your part in maintaining a healthy lifestyle. This is a very important aspect in the treatment of hormone imbalances. Further, since you are trying to conceive, you should go through the proper protocol of investigation. This includes a complete hormone assay, sonogram of the pelvis preferably in the trans-vaginal route, blood counts, tubal patency tests and urinalysis. Evaluation of the male partner also is important. Further management can be planned accordingly. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Acutally im overweight and tall but feel like my penis is not that big plus that im still a virginSo feel little bit depressed and worried abt best postions for me to do and does the size matters or no ? To be more honest its around 5 to 6 cm in rest and around 14 to 16 in erect postion... The problem is that i have lots of fats around it ... So what do u think?! | Hi, You feel small size of your penis due to more deposition of fat on abdomen. Having size 14-16 Cm size when exact is quite good size, and you will satisfy your partner. Important is reduced your weight and particularly try to reduce fat from tummy. Go for abdominal recto muscle exercise daily. After removal of abdominal fat you will feel strong and lengthy penis. Avoid psychological fear and tension of the size. Ok and take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Acutally im overweight and tall but feel like my penis is not that big plus that im still a virginSo feel little bit depressed and worried abt best postions for me to do and does the size matters or no ? To be more honest its around 5 to 6 cm in rest and around 14 to 16 in erect postion... The problem is that i have lots of fats around it ... So what do u think?!"
},
{
"from": "gpt",
"value": "Output: Hi, You feel small size of your penis due to more deposition of fat on abdomen. Having size 14-16 Cm size when exact is quite good size, and you will satisfy your partner. Important is reduced your weight and particularly try to reduce fat from tummy. Go for abdominal recto muscle exercise daily. After removal of abdominal fat you will feel strong and lengthy penis. Avoid psychological fear and tension of the size. Ok and take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi.my father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal? | Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Ad\u00edlio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi.my father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal?"
},
{
"from": "gpt",
"value": "Output: Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Ad\\u00edlio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump on the left side of my neck. It is painless and does not seen to get bigger or smaller. I first noticed it about 18 months ago. 18 months ago i was into sleeping on my stomach (which I later found out could really strain your neck). After consistently sleeping on my stomach and therefore straining my neck, I started feeling pain and swelling on the left side of the neck (where the lump is now). Ever since then, i started sleeping normally and the pain is gone but the lump has remained. I am not sure if this is related but i think it is. The lump is painless and between my hairline and trapezius. It is also about an inch in length and width. I can only feel it when I bend my neck down and run my fingers through the area to massage it. It only moves when I massage it and lastly, whenever I would strain my back, it seemed to get worse for some reason. Should I be concerned??? Is there any possible treatments i could do to treat it??? Please help I am so desperate. | Welcome to Chat Doctor .1. First thing, lying on the stomach will not cause lumps in the neck, it may strain the muscles and cause pain. 2. The most possible cause is lymph nodal enlargement. (could be due to recent infection / underlying medical conditions and systemic causes)3. If you are my patient I would have examined and ask for an ultrasound neck to confirm the nature of the lump, its origin and extensions.4. Depending on the findings an FNAC - fine needle aspiration cytology will help in definitive diagnosis.5. And if any systemic causes - first treat the cause. 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 have a lump on the left side of my neck. It is painless and does not seen to get bigger or smaller. I first noticed it about 18 months ago. 18 months ago i was into sleeping on my stomach (which I later found out could really strain your neck). After consistently sleeping on my stomach and therefore straining my neck, I started feeling pain and swelling on the left side of the neck (where the lump is now). Ever since then, i started sleeping normally and the pain is gone but the lump has remained. I am not sure if this is related but i think it is. The lump is painless and between my hairline and trapezius. It is also about an inch in length and width. I can only feel it when I bend my neck down and run my fingers through the area to massage it. It only moves when I massage it and lastly, whenever I would strain my back, it seemed to get worse for some reason. Should I be concerned??? Is there any possible treatments i could do to treat it??? Please help I am so desperate."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. First thing, lying on the stomach will not cause lumps in the neck, it may strain the muscles and cause pain. 2. The most possible cause is lymph nodal enlargement. (could be due to recent infection / underlying medical conditions and systemic causes)3. If you are my patient I would have examined and ask for an ultrasound neck to confirm the nature of the lump, its origin and extensions.4. Depending on the findings an FNAC - fine needle aspiration cytology will help in definitive diagnosis.5. And if any systemic causes - first treat the cause. 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. | 8 months baby suffering from cold and dry cough for past 2 days. doctor prescribed defcort and respinil syrups along with mucolite and trifect which we are already providing. now he seems to be suffering from diarrhoea with flux, is this expected with the above medication? | Bi...usually antibiotics cause antibiotic associated diarrhea. But the above medications are not antibiotics. But all the medications in syrup formulation will have a sugary syrupy base in them and this might cause osmotic diarrhea. I feel this is the reason for the loose stools rather than the medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 8 months baby suffering from cold and dry cough for past 2 days. doctor prescribed defcort and respinil syrups along with mucolite and trifect which we are already providing. now he seems to be suffering from diarrhoea with flux, is this expected with the above medication?"
},
{
"from": "gpt",
"value": "Output: Bi...usually antibiotics cause antibiotic associated diarrhea. But the above medications are not antibiotics. But all the medications in syrup formulation will have a sugary syrupy base in them and this might cause osmotic diarrhea. I feel this is the reason for the loose stools rather than the medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been having terrible bowl movements for about 3 months now, but not consequatively. Maybr once a week ot so. It first starts out with me cramping like pms pains and when I sit on the toilet the painn moves to my low back and up into my stomach and it s hard to breathe or even think because my legs are shaking and I am having cold sweats and my pain is hardly bareable. I am usually hurting for at least 10 minutes with no relief from the pain. My bowl is usually in large amounts and greenish and soft so it burn some at the same time as everything happening. I do apparently have a bad gallbladder , but not for sure how bad. I had appendicitis recently and had surgery and during surgery is when the doctor found out my gallbladder was bad. Do you think my gallbladder has any affect on my pain or is it intestinal? | Hello! Thank you for the query. Gallstones pain is usually located in the upper right abdomen and radiates to the back. Nausea and vomiting can be present. It usually comes and goes. Green stools and diarrhea can be also present. However, cramping, and stool problems are more characteristic for bowels issues like partial bowels' obstruction due to adhesions post appendectomy. Chronic bacterial infection is also possible. I suggest you to visit general surgeon. Consider abdominal CT with oral contrast (enterocytes) to rule out partial bowels' obstruction. Stool tests should be also done. Gallbladder removal might be necessary as well. 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 been having terrible bowl movements for about 3 months now, but not consequatively. Maybr once a week ot so. It first starts out with me cramping like pms pains and when I sit on the toilet the painn moves to my low back and up into my stomach and it s hard to breathe or even think because my legs are shaking and I am having cold sweats and my pain is hardly bareable. I am usually hurting for at least 10 minutes with no relief from the pain. My bowl is usually in large amounts and greenish and soft so it burn some at the same time as everything happening. I do apparently have a bad gallbladder , but not for sure how bad. I had appendicitis recently and had surgery and during surgery is when the doctor found out my gallbladder was bad. Do you think my gallbladder has any affect on my pain or is it intestinal?"
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. Gallstones pain is usually located in the upper right abdomen and radiates to the back. Nausea and vomiting can be present. It usually comes and goes. Green stools and diarrhea can be also present. However, cramping, and stool problems are more characteristic for bowels issues like partial bowels' obstruction due to adhesions post appendectomy. Chronic bacterial infection is also possible. I suggest you to visit general surgeon. Consider abdominal CT with oral contrast (enterocytes) to rule out partial bowels' obstruction. Stool tests should be also done. Gallbladder removal might be necessary as well. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | volume 2mlviscosity thinreaction alkalineSperm count 45 million/mlactive motile 50%sluggish 10 %non motile 40%epithelial nilpus cells 18-20/hpferythrocytes nilmorphology normal 85%abnormal 15%other nil.Please tell me that my report is normal or not | Hi, Your semen analysis report is normal except for the pus cells. Your semen analysis report shows pus cells in increased number. So it can be due to inflammation of the prostate or seminal vesicle most likely. I suggest you take Levofloxacin for two weeks. There is no need to worry as far as sperm count, motility and Morphology is concerned. 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: volume 2mlviscosity thinreaction alkalineSperm count 45 million/mlactive motile 50%sluggish 10 %non motile 40%epithelial nilpus cells 18-20/hpferythrocytes nilmorphology normal 85%abnormal 15%other nil.Please tell me that my report is normal or not"
},
{
"from": "gpt",
"value": "Output: Hi, Your semen analysis report is normal except for the pus cells. Your semen analysis report shows pus cells in increased number. So it can be due to inflammation of the prostate or seminal vesicle most likely. I suggest you take Levofloxacin for two weeks. There is no need to worry as far as sperm count, motility and Morphology is concerned. 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 tooth extracted 6 days ago. It was a traumatic oral surgery which took nearly 50 minutes.About two days ago I began noticing a bad rotting smell coming from hole which is white and spotty. It hurts and I am out of medication. I took antibiotics 2 days before extraction and three days proceeding extraction. Can this be remedied at home? | Hiiii.welcome to Chat Doctor I have gone through your query, and it seems that traumatic extraction many a time can lead to Chat Doctor. A condition wherein postoperative pain starts within 3 days post surgery along with presence of foul odor. Basically the blood clot that is formed during healing gets disintegrated thereby exposing the underlying unhealed bone. The line of treatment for this would be repeated placement of antimicrobial | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a tooth extracted 6 days ago. It was a traumatic oral surgery which took nearly 50 minutes.About two days ago I began noticing a bad rotting smell coming from hole which is white and spotty. It hurts and I am out of medication. I took antibiotics 2 days before extraction and three days proceeding extraction. Can this be remedied at home?"
},
{
"from": "gpt",
"value": "Output: Hiiii.welcome to Chat Doctor I have gone through your query, and it seems that traumatic extraction many a time can lead to Chat Doctor. A condition wherein postoperative pain starts within 3 days post surgery along with presence of foul odor. Basically the blood clot that is formed during healing gets disintegrated thereby exposing the underlying unhealed bone. The line of treatment for this would be repeated placement of antimicrobial"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my dad is 49 years old and is mildly active. hes recieving chest pain that are deep, aching throbbing pain for about four days and no injury to cause it. its getting worse and hes getting back pain, shortness of breath, a cough, his voice is hoarse, and he is having trouble swallowing and so far nothing has happened to him before. | Hi thanks for contacting Chat Doctor... According to history your father can have respiratory lung infection along with laryngitis ... Consult physician for examination.... Posterior pharynx also needs to be examined. Chest x-ray done ... If needed spirometry also done ... If evidence of bronchoconstriction by investigation bronchodilator can be given . If seems lower resp infection then antibiotic given ... If needed short term steroid can be given... Steam inhalation can be useful.... Chat Doctor. ... Avoid smoking... Take care ... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my dad is 49 years old and is mildly active. hes recieving chest pain that are deep, aching throbbing pain for about four days and no injury to cause it. its getting worse and hes getting back pain, shortness of breath, a cough, his voice is hoarse, and he is having trouble swallowing and so far nothing has happened to him before."
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... According to history your father can have respiratory lung infection along with laryngitis ... Consult physician for examination.... Posterior pharynx also needs to be examined. Chest x-ray done ... If needed spirometry also done ... If evidence of bronchoconstriction by investigation bronchodilator can be given . If seems lower resp infection then antibiotic given ... If needed short term steroid can be given... Steam inhalation can be useful.... Chat Doctor. ... Avoid smoking... Take care ..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi every time i get up my heart will pound fast and i can feel it beating in my ears. A visit to my doctor last week had a blodd pressure realy high 192 and cardiac rate 137 then twenty minutes later 106 BP, whats is this do u know. age 35 small build 105lbs. | Hi, You hear pounding heart beats in your ears because of high blood pressure and fast heart rate. You should undergo some examinations, such as tests for thyroid, kidney to find out the reason for your high blood pressure. Meanwhile, you should receive treatment because such blood pressure is harmful for your organism. Hope I have answered your query. Please let me know if you have any further questions. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi every time i get up my heart will pound fast and i can feel it beating in my ears. A visit to my doctor last week had a blodd pressure realy high 192 and cardiac rate 137 then twenty minutes later 106 BP, whats is this do u know. age 35 small build 105lbs."
},
{
"from": "gpt",
"value": "Output: Hi, You hear pounding heart beats in your ears because of high blood pressure and fast heart rate. You should undergo some examinations, such as tests for thyroid, kidney to find out the reason for your high blood pressure. Meanwhile, you should receive treatment because such blood pressure is harmful for your organism. Hope I have answered your query. Please let me know if you have any further questions."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive recently ( one week ago) had a right sided inguinal hernia repair, a mesh was used. I am concerned that Im getting funny sensations in the groin, the occasional bit of shooting discomfort into the right side of the penis and testicle ( I assume this is nerve related) and pain in the right side of my back (SI joint region) when I sit too long. And when I empty my bladder it feels as I havent emptied it fully and within in 30 minutes I need to go to the toilet again.Its also numb around the incision area. What I am experiencing is this normal? will all these symptoms eventually wear off?. I wasnt informed of any of this before my surgery and now I am concerned and worried. Im started to regret having the surgery. Thanks | Hello. Thank you for the query. After inguinal hernia surgery the main symptom is pain in the wound area. Other mentioned symptoms are not characteristic. Your symptoms indicate urinary tract infection or testis inflammation. Frequent urinating, burning while urinating, back main, lower abdominal pain and groin pain are typical UTI symptoms. I suggest you to visit your doctor, have urinalysis and testis ultrasound. 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: Ive recently ( one week ago) had a right sided inguinal hernia repair, a mesh was used. I am concerned that Im getting funny sensations in the groin, the occasional bit of shooting discomfort into the right side of the penis and testicle ( I assume this is nerve related) and pain in the right side of my back (SI joint region) when I sit too long. And when I empty my bladder it feels as I havent emptied it fully and within in 30 minutes I need to go to the toilet again.Its also numb around the incision area. What I am experiencing is this normal? will all these symptoms eventually wear off?. I wasnt informed of any of this before my surgery and now I am concerned and worried. Im started to regret having the surgery. Thanks"
},
{
"from": "gpt",
"value": "Output: Hello. Thank you for the query. After inguinal hernia surgery the main symptom is pain in the wound area. Other mentioned symptoms are not characteristic. Your symptoms indicate urinary tract infection or testis inflammation. Frequent urinating, burning while urinating, back main, lower abdominal pain and groin pain are typical UTI symptoms. I suggest you to visit your doctor, have urinalysis and testis ultrasound. Hope this will help. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having a discharge all day. Im a guy. It doesnt burn at all when I pee. I last had sex over a week ago, and she says she isnt having any issues. I have been a drinking a lot, and eating bad (fast food) everyday going on about a week. What could this be? | Degree understand your concerns went through your details. Please let us know what kind of discharge you are experiencing, its color, viscosity, quantity et. We will be able to help you better. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been having a discharge all day. Im a guy. It doesnt burn at all when I pee. I last had sex over a week ago, and she says she isnt having any issues. I have been a drinking a lot, and eating bad (fast food) everyday going on about a week. What could this be?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. Please let us know what kind of discharge you are experiencing, its color, viscosity, quantity et. We will be able to help you better. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i got dumped surfing in some big surf on thursday causing a twisting strain i think it is a intercostal strain i have been to hospital taking endone and anti imflam naproxen 500 iam 55 years old have to sleep sitting up have alot of pain tablets help how long does this last | Hi, thank-you for providing the brief history. As you have intercostal muscle spasm this will last for about a week or two. As there will be inflammation of the muscles and may be Cochin Chat Doctor. I will advise you to undergo some simple breathing exercises like -1. Deep breathing exercises 2. Diaphragmatic breathing exercises 3. Costal breathing exercises 4. Pursed lip breathing exercises 5. Abdominal breathing exercises. As doing this breathing exercises will help improve the strength of the muscles of respiration and improve the lung capacities as well. Kindly note that when performing this exercises you Need to place the hand on the injured area, so the pain will be avoided. Regards Jay In | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i got dumped surfing in some big surf on thursday causing a twisting strain i think it is a intercostal strain i have been to hospital taking endone and anti imflam naproxen 500 iam 55 years old have to sleep sitting up have alot of pain tablets help how long does this last"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history. As you have intercostal muscle spasm this will last for about a week or two. As there will be inflammation of the muscles and may be Cochin Chat Doctor. I will advise you to undergo some simple breathing exercises like -1. Deep breathing exercises 2. Diaphragmatic breathing exercises 3. Costal breathing exercises 4. Pursed lip breathing exercises 5. Abdominal breathing exercises. As doing this breathing exercises will help improve the strength of the muscles of respiration and improve the lung capacities as well. Kindly note that when performing this exercises you Need to place the hand on the injured area, so the pain will be avoided. Regards Jay In"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | can you help me with my wisdom tooth?its partially broken with a huge whole already and im in deep pain right now. it seems that the whole is getting some air when i enhaled through my mouth. it really is painful and it triggers my entire nerve of my mouth. my wisdom tooth is located at the right bottom part of my teeh | Thanks for your query, I have gone through your query. The pain is because of the infection from the wisdom tooth. Consult an oral maxillofacial surgeon and get the tooth removed. Before that for the infection to come down, you can a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days(if you are not allergic). Do saline gargling. 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: can you help me with my wisdom tooth?its partially broken with a huge whole already and im in deep pain right now. it seems that the whole is getting some air when i enhaled through my mouth. it really is painful and it triggers my entire nerve of my mouth. my wisdom tooth is located at the right bottom part of my teeh"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain is because of the infection from the wisdom tooth. Consult an oral maxillofacial surgeon and get the tooth removed. Before that for the infection to come down, you can a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days(if you are not allergic). Do saline gargling. 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. | is there any new thinking on treatment of canker sores? i have another one (though i dont get them as often as i used to, since i switched to toothpaste which does not contain SLS), this time behind my upper jaw between my cheek and soft palate, tucked away. my jaw muscles are very sore now, and opening my mouth is a painful struggle. id love to get rid of this thing ASAP. | Thanks for your query, I have gone through your query. The recurrent authors ulcer can be treated by using topical steroids like triamcinolone acetone 0.1%, apply 3-4times daily after food. Use topical analgesics and anesthetics like Anabel gel 3-4times daily before food. I hope my answer will help you take care. Consult your oral physician to rule out this authors ulcer from allergic dermatitis since you are giving history of changing toothpaste. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: is there any new thinking on treatment of canker sores? i have another one (though i dont get them as often as i used to, since i switched to toothpaste which does not contain SLS), this time behind my upper jaw between my cheek and soft palate, tucked away. my jaw muscles are very sore now, and opening my mouth is a painful struggle. id love to get rid of this thing ASAP."
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The recurrent authors ulcer can be treated by using topical steroids like triamcinolone acetone 0.1%, apply 3-4times daily after food. Use topical analgesics and anesthetics like Anabel gel 3-4times daily before food. I hope my answer will help you take care. Consult your oral physician to rule out this authors ulcer from allergic dermatitis since you are giving history of changing toothpaste."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doc, My right shoulder pain when I lift my elbow up. This is happening from past 2 weeks. Then yesterday, my left wrist and ring finger started aching along with my first half of right leg sole. Today morning my right ring finger started aching. Please could you suggest what is the problem I am facing? | Hello, The symptoms look like the cervical Radiculopathy. I will advise for MRI cervical spine. Use a cervical soft collar to stabilize the spine. Do hot water fermentation for the cervical spine. Shoulder Range of motion exercises and shoulder stability exercises. Neck stability exercises. You should do well in 3-4 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Take care 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 Doc, My right shoulder pain when I lift my elbow up. This is happening from past 2 weeks. Then yesterday, my left wrist and ring finger started aching along with my first half of right leg sole. Today morning my right ring finger started aching. Please could you suggest what is the problem I am facing?"
},
{
"from": "gpt",
"value": "Output: Hello, The symptoms look like the cervical Radiculopathy. I will advise for MRI cervical spine. Use a cervical soft collar to stabilize the spine. Do hot water fermentation for the cervical spine. Shoulder Range of motion exercises and shoulder stability exercises. Neck stability exercises. You should do well in 3-4 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have an unexpected pain on my shoulder, collar bone, hurts when I lift my shoulder. It started unexpectedly and it feels to be extending to my neck for brief moments. It also feels like those pains caused by acid reflux, but intensified x 10000 times and it feels like it radiates all over my right side. | Pain can be from many causes. What triggers or relieves it basically tells what is going on. If the pain is elicited by particular movements then it is not reflux and the particular area would tell where the pain is coming from. Usually from the attachment tendons around the shoulder joint (rotator cuff). If antacid relieves the pain that not only tells that it is indeed reflux but also shows an effective treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have an unexpected pain on my shoulder, collar bone, hurts when I lift my shoulder. It started unexpectedly and it feels to be extending to my neck for brief moments. It also feels like those pains caused by acid reflux, but intensified x 10000 times and it feels like it radiates all over my right side."
},
{
"from": "gpt",
"value": "Output: Pain can be from many causes. What triggers or relieves it basically tells what is going on. If the pain is elicited by particular movements then it is not reflux and the particular area would tell where the pain is coming from. Usually from the attachment tendons around the shoulder joint (rotator cuff). If antacid relieves the pain that not only tells that it is indeed reflux but also shows an effective treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My blood pressure ranges from 111 over 60 when I am taking Diovan HCT 160/25 mg. I feel so tired all the time and I find it hard to concentrate or meet my daily responsibilities. I stopped taking Diovan HCT for a couple weeks and immediately felt better and had more energy...I was actually happy for a change. The on got a bad headache that wouldn t go away. I took my blood pressure and it range from 130 to 156 over a 7 day period. During that time I started taking Diovan HCT again and now after about 10 days, I m feeling sick, tired, depressed and stressed out. My blood pressure is 111/59 today and evening. My question is | Hi and thank you so much for this query. I am so sorry to hear about this sick feeling while on Divan HCT. The blood pressure is very normal but would be considered somewhat abnormal for a person on treatment for high blood pressure. The goal of your treatment should be having the blood pressure less than 140 but not as low as 111. The dosage of divan HCT should be adjusted. It appears the current dose is too much for you. This Chat Doctor. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My blood pressure ranges from 111 over 60 when I am taking Diovan HCT 160/25 mg. I feel so tired all the time and I find it hard to concentrate or meet my daily responsibilities. I stopped taking Diovan HCT for a couple weeks and immediately felt better and had more energy...I was actually happy for a change. The on got a bad headache that wouldn t go away. I took my blood pressure and it range from 130 to 156 over a 7 day period. During that time I started taking Diovan HCT again and now after about 10 days, I m feeling sick, tired, depressed and stressed out. My blood pressure is 111/59 today and evening. My question is"
},
{
"from": "gpt",
"value": "Output: Hi and thank you so much for this query. I am so sorry to hear about this sick feeling while on Divan HCT. The blood pressure is very normal but would be considered somewhat abnormal for a person on treatment for high blood pressure. The goal of your treatment should be having the blood pressure less than 140 but not as low as 111. The dosage of divan HCT should be adjusted. It appears the current dose is too much for you. This Chat Doctor. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had pain on the left side of my lower back for 5 days now, it seems ok durning the day and worsens at night. Last night it kept me up all night. and it is hurting today. It s lasted all night long trying to determine if it may be a kidney stone | HelloThanks for query. The pain in lower back is mostly due to presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had pain on the left side of my lower back for 5 days now, it seems ok durning the day and worsens at night. Last night it kept me up all night. and it is hurting today. It s lasted all night long trying to determine if it may be a kidney stone"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. The pain in lower back is mostly due to presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I m 7 weeks pregnant and had been given Utrogestan by my doctor. I read that it could be either taken orally or vaginally and was never instructed anything by my doctor and therefore took it orally. I now have realised that I should have taken in vaginally, I am concerned that due to me taking it orally this will affect the baby negatively in anyway and just wanted to ask if it could and what is the difference between taking this medicine orally or vaginally. Thanks | Hello dear, I understand your concern. The progestin is a natural micronized progesterone and is prescribed in cases of threatened miscarriage or past history of miscarriage or any dull pain in pregnancy etc. It can be taken by two routes orally or vaginally. Usually it is said that the absorption will be better and side effects will be less with vaginal route. But studies done with progestin has similar effectiveness with both oral and vaginal route. But nothing like it's going to harm the baby by taking through oral route. So relax. Avoid stress. Avoid physical strain and intercourse. Take good rest and healthy nutritional diet. Nothing to worry. Hope this helps. Best regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m 7 weeks pregnant and had been given Utrogestan by my doctor. I read that it could be either taken orally or vaginally and was never instructed anything by my doctor and therefore took it orally. I now have realised that I should have taken in vaginally, I am concerned that due to me taking it orally this will affect the baby negatively in anyway and just wanted to ask if it could and what is the difference between taking this medicine orally or vaginally. Thanks"
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. The progestin is a natural micronized progesterone and is prescribed in cases of threatened miscarriage or past history of miscarriage or any dull pain in pregnancy etc. It can be taken by two routes orally or vaginally. Usually it is said that the absorption will be better and side effects will be less with vaginal route. But studies done with progestin has similar effectiveness with both oral and vaginal route. But nothing like it's going to harm the baby by taking through oral route. So relax. Avoid stress. Avoid physical strain and intercourse. Take good rest and healthy nutritional diet. Nothing to worry. Hope this helps. Best regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have been to doctors after doctors and then in hopkins county memorial and was admited for 6 day now i have a cathider in my left arm that leads to the main arterie in my heart the doctors are saying that i have a bactirial infection in my lungs along with scar tissue on my lungs as well as my white blood cells being low i believe there is something more please i think they are not telling me everything i need to know what is wrong please what is your professional oppenion what would you think they have ran every test first it was tb then it was cancer and now its supose to be a bactiral infection please help | Scar tissue of the lungs is not a disease. It is the tissue that can substitute normal lung tissue that suffered an inflammatory injury, as result of a severe infection for example. Some diseases are difficult to diagnosis and sometimes clinical symptoms, signs and tests findings may be inconclusive or misleading. A strong relationship of trust with your physicians is extremely important to overcome the challenges of your treatment and rehabilitation. Your physicians will not hide from you anything related to your condition if openly questioned about it. The anxiety in the presence of a condition that is not completely understood or that does not improve may sometimes lead us to look for opinions of many specialists. However, this conduct can also cause prejudice as sometimes it is difficult to establish and follow a sequence to diagnosis and treatment. Talk to your attending physician, expose all your doubts and questions and if you feel assured that you are being well cared, continue your treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have been to doctors after doctors and then in hopkins county memorial and was admited for 6 day now i have a cathider in my left arm that leads to the main arterie in my heart the doctors are saying that i have a bactirial infection in my lungs along with scar tissue on my lungs as well as my white blood cells being low i believe there is something more please i think they are not telling me everything i need to know what is wrong please what is your professional oppenion what would you think they have ran every test first it was tb then it was cancer and now its supose to be a bactiral infection please help"
},
{
"from": "gpt",
"value": "Output: Scar tissue of the lungs is not a disease. It is the tissue that can substitute normal lung tissue that suffered an inflammatory injury, as result of a severe infection for example. Some diseases are difficult to diagnosis and sometimes clinical symptoms, signs and tests findings may be inconclusive or misleading. A strong relationship of trust with your physicians is extremely important to overcome the challenges of your treatment and rehabilitation. Your physicians will not hide from you anything related to your condition if openly questioned about it. The anxiety in the presence of a condition that is not completely understood or that does not improve may sometimes lead us to look for opinions of many specialists. However, this conduct can also cause prejudice as sometimes it is difficult to establish and follow a sequence to diagnosis and treatment. Talk to your attending physician, expose all your doubts and questions and if you feel assured that you are being well cared, continue your treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 50 year old male. Few months ago, I suddenly had pains around both hips and lower abdomen. I ve been walking on the treadmill, on average, 10 miles per week for many years and lately playing cricket (bowling fast like throwing fastball) with my kid. The pain became uncomfortable while driving and when turning sideways while sleeping. I realized quickly the pains had started after playing cricket with my belt tightened so that I did not have to worry about my pants dropping few inches every minute. I had played cricket the previous summer and had none of the symptoms listed above. But I always played wearing the belt a bit loosely. After about a month, the pains slowly went away completely. I continued playing cricket as well as walking on the treadmill. Last weekend, I forgot to loosen up the belt and played cricket for short time and the above listed pains came back right away. I feel the pains I am experiencing are muscular pains but worried that this might be a more serious condition than that, perhaps appendicitis etc. Appreciate any advice or suggestions. I checked for prostate cancer recently and was diagnosed negative. I also have the irritable bowel syndrome, cannot eat too much spices etc. | Hello, thanks for the query to Chat Doctor. C. Appendicitis ? No way. Physically you are fit that's a nice thing. Pain around the buttocks and in pelvic region after belt you wore is somewhat tight. Now please do one thing that this pain may relate to large intestine (colon, rectum, anus ). Please get a U/S of whole abdomen to rule out any involvement of large intestinal parts. Lastly please consult a doctor for hemorrhoids and fissures as these two in early stage don't recognize easily. 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 am a 50 year old male. Few months ago, I suddenly had pains around both hips and lower abdomen. I ve been walking on the treadmill, on average, 10 miles per week for many years and lately playing cricket (bowling fast like throwing fastball) with my kid. The pain became uncomfortable while driving and when turning sideways while sleeping. I realized quickly the pains had started after playing cricket with my belt tightened so that I did not have to worry about my pants dropping few inches every minute. I had played cricket the previous summer and had none of the symptoms listed above. But I always played wearing the belt a bit loosely. After about a month, the pains slowly went away completely. I continued playing cricket as well as walking on the treadmill. Last weekend, I forgot to loosen up the belt and played cricket for short time and the above listed pains came back right away. I feel the pains I am experiencing are muscular pains but worried that this might be a more serious condition than that, perhaps appendicitis etc. Appreciate any advice or suggestions. I checked for prostate cancer recently and was diagnosed negative. I also have the irritable bowel syndrome, cannot eat too much spices etc."
},
{
"from": "gpt",
"value": "Output: Hello, thanks for the query to Chat Doctor. C. Appendicitis ? No way. Physically you are fit that's a nice thing. Pain around the buttocks and in pelvic region after belt you wore is somewhat tight. Now please do one thing that this pain may relate to large intestine (colon, rectum, anus ). Please get a U/S of whole abdomen to rule out any involvement of large intestinal parts. Lastly please consult a doctor for hemorrhoids and fissures as these two in early stage don't recognize easily. Have a good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my husbands knees give way and are very painful but last night when he sat down a lump of what i think was gristle showed from the right side of his left knee which was etremely painful for him till it disapeared he is waiting for some results from knee xrays | Hi, dairy have gone through your question. I can understand your concern. You may have some meniscus or ligament injury. Wait for the x-ray results. If it is normal then go for MRI knee. It will give you exact idea about soft tissue injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husbands knees give way and are very painful but last night when he sat down a lump of what i think was gristle showed from the right side of his left knee which was etremely painful for him till it disapeared he is waiting for some results from knee xrays"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some meniscus or ligament injury. Wait for the x-ray results. If it is normal then go for MRI knee. It will give you exact idea about soft tissue injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im in the military and I injured my back 3 months ago and I have been to the doctor 3 times and the first time the said I had a fracture and then the next time they said I hurt it before I came in the military and now there saying I was born with it and during all this a have been doing physical therapy but it is not improving and tonight I can bearly stand up. What should I do? | Hi, thank you for posting. I have gone through your query and I understand your concerns. Physical therapy is an alternative of injury treatment. In these cases anti-inflammatory non-steroidal are recommended. But to determine the treatment you need a diagnosis. To do that these tests are necessary | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im in the military and I injured my back 3 months ago and I have been to the doctor 3 times and the first time the said I had a fracture and then the next time they said I hurt it before I came in the military and now there saying I was born with it and during all this a have been doing physical therapy but it is not improving and tonight I can bearly stand up. What should I do?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for posting. I have gone through your query and I understand your concerns. Physical therapy is an alternative of injury treatment. In these cases anti-inflammatory non-steroidal are recommended. But to determine the treatment you need a diagnosis. To do that these tests are necessary"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...My husband had an angioplasty done he got a baremetal stent which got blocked very early within 4months but he had no symptom then the doctors did another angioplasty and put an xiense drug eluting stent its been a year now but I still worry about them getting blocked are there any symptoms which can tell if they are he is only 36 he goes to the gym and after exercising his Bp would be like 120/80 please tell me if there is any medicine that can remove the blockage is angioprim a scam | Hi their understand your concern for your husband health and I would like to tell you that the symptoms that are produces by blockage of a stent are the same that occurs while a heart attack like 1. Central chest pain or heaviness2. Radiation of the pain to the inner aspect of left arm or shoulder or in the neck below the jaw line.3. Breathlessness, sweating, sense of doom4. Vomiting5. Giddiness BP is fine. No there are no medication that can be taken by patient himself to take out the block. Just make sure that he follow good lifestyle habits and take his medicines on time. I wish him good health | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...My husband had an angioplasty done he got a baremetal stent which got blocked very early within 4months but he had no symptom then the doctors did another angioplasty and put an xiense drug eluting stent its been a year now but I still worry about them getting blocked are there any symptoms which can tell if they are he is only 36 he goes to the gym and after exercising his Bp would be like 120/80 please tell me if there is any medicine that can remove the blockage is angioprim a scam"
},
{
"from": "gpt",
"value": "Output: Hi their understand your concern for your husband health and I would like to tell you that the symptoms that are produces by blockage of a stent are the same that occurs while a heart attack like 1. Central chest pain or heaviness2. Radiation of the pain to the inner aspect of left arm or shoulder or in the neck below the jaw line.3. Breathlessness, sweating, sense of doom4. Vomiting5. Giddiness BP is fine. No there are no medication that can be taken by patient himself to take out the block. Just make sure that he follow good lifestyle habits and take his medicines on time. I wish him good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My friend David who will be 70 yrs old and is heart patient with stent - had a larger than 50 piece cyst on his sterum middle of chest. Of course he let it go tell inflamed red and some infection in center. When he went to doctor - put him on sulfa type antibiotic but I saw yesterday and no change. I am concerned because of the infection and its location near heart and lungs. What should his next step be? thanks Aggie | Hi, Dear,Good Evening from INDIA. Thanks for the query to Chat Doctor. I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-Chronic infected boil on the chest. Treatment I would suggest is as follows-a-Tb NASAIDsb-Antibiotics -like Ofloxacin with ornidazole-as it has not responded to sulphac-Cold compresses d-Get his FBS and PPS -as he is old with non responding infective lump on chest.-consult ER doctor for the script of Chat Doctor. Hope this would resolve your query. Welcome for any more query to Chat Doctor and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for Chat Doctor and for ME, for the benefit of other new and old patients. Have A Good Day. With | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend David who will be 70 yrs old and is heart patient with stent - had a larger than 50 piece cyst on his sterum middle of chest. Of course he let it go tell inflamed red and some infection in center. When he went to doctor - put him on sulfa type antibiotic but I saw yesterday and no change. I am concerned because of the infection and its location near heart and lungs. What should his next step be? thanks Aggie"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Good Evening from INDIA. Thanks for the query to Chat Doctor. I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-Chronic infected boil on the chest. Treatment I would suggest is as follows-a-Tb NASAIDsb-Antibiotics -like Ofloxacin with ornidazole-as it has not responded to sulphac-Cold compresses d-Get his FBS and PPS -as he is old with non responding infective lump on chest.-consult ER doctor for the script of Chat Doctor. Hope this would resolve your query. Welcome for any more query to Chat Doctor and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for Chat Doctor and for ME, for the benefit of other new and old patients. Have A Good Day. With"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | With all due respect sir/mam, I am 22 years old. I am very sad. From 8 months I am having some dizzy feeling in my head. For 2 months it was just some dizziness. Then I consulted a doctor and he gave me a neck collar. I used it for 2 weeks and found that whenever I move my neck it feels as if neck skin is stretched. And neck feels stiff. And many times when I move my neck a certain cracking sound comes. And one more thing sir. In previous 8 months l have had around 4 episodes of around 5 seconds during night where I got up from bed due to a certain sudden spinning in my head . that is very horrible experience. And I have the feeling that it may always happen again. I have to change my sides during night to averse this spinning attack. Please help me out. | Hi, Thanks for writing in. Moments of dizziness can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. For this you might have to consult the ENT specialist. Dizziness can also occur due to stress related anxiety or overflow of emotions. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: With all due respect sir/mam, I am 22 years old. I am very sad. From 8 months I am having some dizzy feeling in my head. For 2 months it was just some dizziness. Then I consulted a doctor and he gave me a neck collar. I used it for 2 weeks and found that whenever I move my neck it feels as if neck skin is stretched. And neck feels stiff. And many times when I move my neck a certain cracking sound comes. And one more thing sir. In previous 8 months l have had around 4 episodes of around 5 seconds during night where I got up from bed due to a certain sudden spinning in my head . that is very horrible experience. And I have the feeling that it may always happen again. I have to change my sides during night to averse this spinning attack. Please help me out."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Moments of dizziness can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. For this you might have to consult the ENT specialist. Dizziness can also occur due to stress related anxiety or overflow of emotions."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im Having Trouble Getting to The Docs But Im Having An Unusual Problem..... At First i started to have alot of bad heartburn then alot of diarrhea..... and now i have and infection in the back of my throat and my taste buds are swollen and i feel like i have something on the back on my throat to swallow but it never goes anywhere. Can u help me by telling me what that could be? | Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. The way you described it from the very start of problems till now it seems that the infection you faced probably made your tonsils /adenoids swollen, and now you are physically feeling them at the back of your throat. In my opinion if they don't pain or give you fever you can wait for a month or so they would gradually regress in size. If that doesn't happen consult your doctor and discuss a referral to an ENT specialist. For this you don't have to take any meds but if you feel pain or discomfort if I were your doctor I would suggest you over the counter broken 200 mg twice a day or Tylenol 325 mg twice a day. HEART BURN | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im Having Trouble Getting to The Docs But Im Having An Unusual Problem..... At First i started to have alot of bad heartburn then alot of diarrhea..... and now i have and infection in the back of my throat and my taste buds are swollen and i feel like i have something on the back on my throat to swallow but it never goes anywhere. Can u help me by telling me what that could be?"
},
{
"from": "gpt",
"value": "Output: Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. The way you described it from the very start of problems till now it seems that the infection you faced probably made your tonsils /adenoids swollen, and now you are physically feeling them at the back of your throat. In my opinion if they don't pain or give you fever you can wait for a month or so they would gradually regress in size. If that doesn't happen consult your doctor and discuss a referral to an ENT specialist. For this you don't have to take any meds but if you feel pain or discomfort if I were your doctor I would suggest you over the counter broken 200 mg twice a day or Tylenol 325 mg twice a day. HEART BURN"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 64-year-old male. I have difficulty making a complete fist now in both hands. I went to a Hand/Arm Doctor last year with a complaint of soreness in my left hand, thinking I might have arthritis. I was diagnosed with tendinitis in my left hand and received a cortisone injection. X-rays were negative for arthritis. Now I am wondering why my fist won t completely close without some discomfort. Any suggestions or ideas? | Hi, thank-you for providing the brief history of you. As you mentioned you were diagnosed with tendinitis then you should have consulted a physical therapist after the cortisone injection. As the cortisone was just to help you ease of pain, but the inflammation of the tendon has to helped by getting its normal. Properly of elasticity for which a physical therapist would have played a key role. Even for now, you should visit a physical therapist and learn about how to get the normal properties of tendon. As with this the joint mobility will improve and the Strengthening will help to get the functioning of the hand close to normal. Well, with the grace of God I wish you good health regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 64-year-old male. I have difficulty making a complete fist now in both hands. I went to a Hand/Arm Doctor last year with a complaint of soreness in my left hand, thinking I might have arthritis. I was diagnosed with tendinitis in my left hand and received a cortisone injection. X-rays were negative for arthritis. Now I am wondering why my fist won t completely close without some discomfort. Any suggestions or ideas?"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. As you mentioned you were diagnosed with tendinitis then you should have consulted a physical therapist after the cortisone injection. As the cortisone was just to help you ease of pain, but the inflammation of the tendon has to helped by getting its normal. Properly of elasticity for which a physical therapist would have played a key role. Even for now, you should visit a physical therapist and learn about how to get the normal properties of tendon. As with this the joint mobility will improve and the Strengthening will help to get the functioning of the hand close to normal. Well, with the grace of God I wish you good health regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I spent the night at my Aunt and Uncles house the other night with my daughter. Around midnight my feet started to itch. I went to lay down for bed with my daughter, and after maybe 30 minutes I woke up itching on my legs. I thought maybe it was just my pants so I took them off. Then maybe 5 minutes later my torso also began to itch, so I took my shirt off. Maybe 10 minutes later my entire body was itching so bad I couldn t get a bit of sleep. I laid down on the couch thinking perhaps it was just the bed, and needless to say, I didn t sleep at all. The itching didn t let up for 6 hours. I took a shower which made me feel a little better. I managed to get an hour of sleep before I woke up itching again. I didn t get any rash or bumps until about 1pm today. I have been itching nonstop since midnight the night before last. The weals were on my legs and very large. Covered my entire thighs. They were there for about 2 hours, at least. When I got home from work at 6 they were gone. I then got weals on the bottoms of my feet, and on my hands. I finally got them to ease up after about 2 hours. Now there on my stomach, the top of my bottom around my waist, and going up to my chest. Also some on my neck. I haven t changed soap, laundry detergent, or any unusual food. | Hello. Thank you for asking at Chat Doctor. I went through your history and my impression from your history is you are having what we call \"Acute Urticaria\". I would suggest you to take a combination of tablet levocetirizine in the morning and table thy Chat Doctor. However, if this does not help you, I would suggest you consult your doctor who will suggest you some tests to identify the cause of acute urticaria and prescribe appropriate medicines. Acute urticaria are due to many causes like viral infections, parasitic infections, food allergy, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I spent the night at my Aunt and Uncles house the other night with my daughter. Around midnight my feet started to itch. I went to lay down for bed with my daughter, and after maybe 30 minutes I woke up itching on my legs. I thought maybe it was just my pants so I took them off. Then maybe 5 minutes later my torso also began to itch, so I took my shirt off. Maybe 10 minutes later my entire body was itching so bad I couldn t get a bit of sleep. I laid down on the couch thinking perhaps it was just the bed, and needless to say, I didn t sleep at all. The itching didn t let up for 6 hours. I took a shower which made me feel a little better. I managed to get an hour of sleep before I woke up itching again. I didn t get any rash or bumps until about 1pm today. I have been itching nonstop since midnight the night before last. The weals were on my legs and very large. Covered my entire thighs. They were there for about 2 hours, at least. When I got home from work at 6 they were gone. I then got weals on the bottoms of my feet, and on my hands. I finally got them to ease up after about 2 hours. Now there on my stomach, the top of my bottom around my waist, and going up to my chest. Also some on my neck. I haven t changed soap, laundry detergent, or any unusual food."
},
{
"from": "gpt",
"value": "Output: Hello. Thank you for asking at Chat Doctor. I went through your history and my impression from your history is you are having what we call \\\"Acute Urticaria\\\". I would suggest you to take a combination of tablet levocetirizine in the morning and table thy Chat Doctor. However, if this does not help you, I would suggest you consult your doctor who will suggest you some tests to identify the cause of acute urticaria and prescribe appropriate medicines. Acute urticaria are due to many causes like viral infections, parasitic infections, food allergy,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I experienced pins and needles in my hands arms and face twice in a 12hour period. This has never happened to me before. It was quite intense as I could hardly move my hands and my face pulled so much that at some point I thought I m having a stroke . If I may add the sex was very good. What caused my body to react like that. | Hi, Thank you for posting your query. There are two possibilities in a person with transient neurological disturbances | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I experienced pins and needles in my hands arms and face twice in a 12hour period. This has never happened to me before. It was quite intense as I could hardly move my hands and my face pulled so much that at some point I thought I m having a stroke . If I may add the sex was very good. What caused my body to react like that."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. There are two possibilities in a person with transient neurological disturbances"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has been complaining of throbbing full pains in his upper chest, right below his collarbone area. After exertion it is worse and seems to go up his neck and into his ears as well. Does this sound like a serious problem or will it go away in time? | Hello, Possibility of musculoskeletal pain is more likely because it is throbbing type and worsening with exertion. So tell him to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant Chat Doctor. Don't worry he will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has been complaining of throbbing full pains in his upper chest, right below his collarbone area. After exertion it is worse and seems to go up his neck and into his ears as well. Does this sound like a serious problem or will it go away in time?"
},
{
"from": "gpt",
"value": "Output: Hello, Possibility of musculoskeletal pain is more likely because it is throbbing type and worsening with exertion. So tell him to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant Chat Doctor. Don't worry he will be alright with all these. 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, may I answer your health queries right now ? Please type your query here...family member has blood in stool, waiting to see a specialist tomorrow, very worried, just came back that his c reactive protien level is extrememly elevated, what could this be an indicator of | Hi & Welcome. I can understand your concern for your family member. Incomplete data like age, gender, purpose of doing the lab test C reactive protein, results of other tests and presenting problem. High levels of C reactive protein with a history of passing blood in the stool is suggestive of inflammatory bowel disease like ulcerative colitis. Your family member needs to be evaluated further by a gastroenterologist, an endoscopic examination of the colon with biopsy, CBC & ESR may be needed to confirm the diagnosis. Hope this answers your query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...family member has blood in stool, waiting to see a specialist tomorrow, very worried, just came back that his c reactive protien level is extrememly elevated, what could this be an indicator of"
},
{
"from": "gpt",
"value": "Output: Hi & Welcome. I can understand your concern for your family member. Incomplete data like age, gender, purpose of doing the lab test C reactive protein, results of other tests and presenting problem. High levels of C reactive protein with a history of passing blood in the stool is suggestive of inflammatory bowel disease like ulcerative colitis. Your family member needs to be evaluated further by a gastroenterologist, an endoscopic examination of the colon with biopsy, CBC & ESR may be needed to confirm the diagnosis. Hope this answers your query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son is now 20 he is sound in mind and health. However the size of my sons penis is only 2 Inches. What we need to do to increase his size of penis?When he was young boy at that time he had urine dropping problem. Last 2 years he has no complain about dropping.Would you please suggest me what I need to do now ? | Dear, We understand your concerns went through your details. Two inches of non-erect penis is more than enough. On erection your sons penis should be at least five inches, for sure. Five inches penis more than that of average size which is 4.5 inches. You can talk to your son regarding this. If he has any sucChatDoctorplaints consult a urologist for counseling. If you require more of my help in this aspect, please use this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is now 20 he is sound in mind and health. However the size of my sons penis is only 2 Inches. What we need to do to increase his size of penis?When he was young boy at that time he had urine dropping problem. Last 2 years he has no complain about dropping.Would you please suggest me what I need to do now ?"
},
{
"from": "gpt",
"value": "Output: Dear, We understand your concerns went through your details. Two inches of non-erect penis is more than enough. On erection your sons penis should be at least five inches, for sure. Five inches penis more than that of average size which is 4.5 inches. You can talk to your son regarding this. If he has any sucChatDoctorplaints consult a urologist for counseling. 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. | had a mental snap 23 year old healthy patient. Male 6 footer weight not sure. he is slim and a state runner.He was normal like any other lads but had this snap when he was a teenager. He losses his temper with his parents. more with the father. breaks things when angry. was receing medication from singapore institute of mental health. but not much improvement.He is bright and has a pre unversity education. Any help? | Degree understand your concerns. I went through your details. We always underestimate the behavior of parents. They are actual triggers. The person inn question is a young adult and do have his opinions and thinking styles. Pushing him too much should certainly invite trouble. That is one. Second - That is the way young adults behave, we have to understand them. They're just learning the intricacies of life. Once learned, they calm down. You may teach him relaxation techniques and yoga for better calming down effect. After all adjustment with scenarios is called life. You may consult a psychologist for further help. If you consider my help, Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief. 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: had a mental snap 23 year old healthy patient. Male 6 footer weight not sure. he is slim and a state runner.He was normal like any other lads but had this snap when he was a teenager. He losses his temper with his parents. more with the father. breaks things when angry. was receing medication from singapore institute of mental health. but not much improvement.He is bright and has a pre unversity education. Any help?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns. I went through your details. We always underestimate the behavior of parents. They are actual triggers. The person inn question is a young adult and do have his opinions and thinking styles. Pushing him too much should certainly invite trouble. That is one. Second - That is the way young adults behave, we have to understand them. They're just learning the intricacies of life. Once learned, they calm down. You may teach him relaxation techniques and yoga for better calming down effect. After all adjustment with scenarios is called life. You may consult a psychologist for further help. If you consider my help, Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief. 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 having trouble with my front teeth hitting first. I can clench slightly to make my back teeth touch. I have worn two different appliances for over 20 yrs. I am a bruxer and prior to appliance therapy, had numerous headaches. I wore a full splint for about 11 yrs. and an NTI since. Both worked well. Recently I have been clenching a lot during the day as well as during sleep. I am \"religious \" about wearing my NTI. What do you think is going on in my joints to cause this ? Thanks. | Hello, Thanks for writing to us. Clenching anterior teeth primarily may be due to-crossbite, posterior open bite, TMJ dislocation. I would advise you to get a thorough clinical as well as OPG investigation done for the jaws. Based on the radiographs, position as well as alignment of each tooth and treatment plan can be evaluated. To prevent the habit of bruise, habit breaking appliances has to be placed. Meanwhile, maintain oral care. Hope these suffices. 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 am having trouble with my front teeth hitting first. I can clench slightly to make my back teeth touch. I have worn two different appliances for over 20 yrs. I am a bruxer and prior to appliance therapy, had numerous headaches. I wore a full splint for about 11 yrs. and an NTI since. Both worked well. Recently I have been clenching a lot during the day as well as during sleep. I am \\\"religious \\\" about wearing my NTI. What do you think is going on in my joints to cause this ? Thanks."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for writing to us. Clenching anterior teeth primarily may be due to-crossbite, posterior open bite, TMJ dislocation. I would advise you to get a thorough clinical as well as OPG investigation done for the jaws. Based on the radiographs, position as well as alignment of each tooth and treatment plan can be evaluated. To prevent the habit of bruise, habit breaking appliances has to be placed. Meanwhile, maintain oral care. Hope these suffices. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Our 17 year old had some routine labs drawn and has elevations in his RBC, Hgb, auto monocyte, eosinophil Count Abs, AST/SGOT (137), elevated total protein, albumin and globulin (3.7). I am nurse of 20 years and am curious about CA or kidney disease. I have an appt with his PCP in the am. thanks Wendy RN MSN | Hi, dairy have gone through your question. I can understand your concern. He has high AST & ALT. They are liver enzymes and their levels increase in liver damage. It can be due to viral infection, alcohol, Chat Doctor. Don't worry about high RBC count or protein. He doesn't have any cancer or kidney disease. He should go for ultrasound abdomen and complete liver function test. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Our 17 year old had some routine labs drawn and has elevations in his RBC, Hgb, auto monocyte, eosinophil Count Abs, AST/SGOT (137), elevated total protein, albumin and globulin (3.7). I am nurse of 20 years and am curious about CA or kidney disease. I have an appt with his PCP in the am. thanks Wendy RN MSN"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. He has high AST & ALT. They are liver enzymes and their levels increase in liver damage. It can be due to viral infection, alcohol, Chat Doctor. Don't worry about high RBC count or protein. He doesn't have any cancer or kidney disease. He should go for ultrasound abdomen and complete liver function test. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir my son he lost his memory, know he is 34 years. when he was 21 years, he is in B.om student. one night he sleep , early in the morning, he lost his memory he told , he cant remember any thing, how he can give the paper, and he left the paper blank many docto give me suggestation. riperdol and, rivitrol tablet. but cant get any result. please guide me, and suggest me, any suitable medician. | Hello, You should know that memory troubles are not really common at this age and could be attributed to a psychological disorder. Anyway, I would recommend checking vitamin B12, vitamin D, and thyroid hormone levels. A brain MRI is necessary too. Only after these tests, I would suggest trying sertraline or paroxetine. 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: sir my son he lost his memory, know he is 34 years. when he was 21 years, he is in B.om student. one night he sleep , early in the morning, he lost his memory he told , he cant remember any thing, how he can give the paper, and he left the paper blank many docto give me suggestation. riperdol and, rivitrol tablet. but cant get any result. please guide me, and suggest me, any suitable medician."
},
{
"from": "gpt",
"value": "Output: Hello, You should know that memory troubles are not really common at this age and could be attributed to a psychological disorder. Anyway, I would recommend checking vitamin B12, vitamin D, and thyroid hormone levels. A brain MRI is necessary too. Only after these tests, I would suggest trying sertraline or paroxetine. 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 have noticed unexplained bruising on my thighs (currently a total of 5 bruises). I have tested with a positive ANA (low positive) and have suffered from muscle pain and fatigue for the past 5 years, with no firm diagnosis. I also have had unexplained blood in my urine, but have had a full work up on my bladder (CT and cystoscopy), with no material findings (my mother also has this). A full CBC run just a few months ago was normal, except for the ANA. I have also tested postive for the Smith antibody and am positive for MTHFR. Is this bruising possibly related to an auto immune condition? Does the MTHFR have an impact? I am not on any medication, but do take a B12 and folic acid daily. I also took a very small dosage for predisone about 4 weeks ago, to help relieve inflammation from a back injury (twisted too much in yoga). Not sure if the predisone could cause bruising so much later? | Hello.thanks for using Chat Doctor .autoimmune condition can cause bruising by platelet destruction. But since you had one episode of blood in urine, i will recommend you to consult hematologist. He may advise you to go for complete coagulation assay.since you are positive for MTHFR you should take active form of folic acid like l-methyl folate.it is less likely that steroid causes bruising so lately...hope I have answered your quarries satisfactorily.have a nice day ahead. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have noticed unexplained bruising on my thighs (currently a total of 5 bruises). I have tested with a positive ANA (low positive) and have suffered from muscle pain and fatigue for the past 5 years, with no firm diagnosis. I also have had unexplained blood in my urine, but have had a full work up on my bladder (CT and cystoscopy), with no material findings (my mother also has this). A full CBC run just a few months ago was normal, except for the ANA. I have also tested postive for the Smith antibody and am positive for MTHFR. Is this bruising possibly related to an auto immune condition? Does the MTHFR have an impact? I am not on any medication, but do take a B12 and folic acid daily. I also took a very small dosage for predisone about 4 weeks ago, to help relieve inflammation from a back injury (twisted too much in yoga). Not sure if the predisone could cause bruising so much later?"
},
{
"from": "gpt",
"value": "Output: Hello.thanks for using Chat Doctor .autoimmune condition can cause bruising by platelet destruction. But since you had one episode of blood in urine, i will recommend you to consult hematologist. He may advise you to go for complete coagulation assay.since you are positive for MTHFR you should take active form of folic acid like l-methyl folate.it is less likely that steroid causes bruising so lately...hope I have answered your quarries satisfactorily.have a nice day ahead."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello I am 56 yr old female who w tagged as bipolar in my 30s. I have recently switched psychciratrists and altering my meds and a change in and clear up my confusion and anxiety. I just started a new job after 2 years of looking for work and not finding it. Right now I am about to lose this job due to the confusion I obviously have. I need to get my head cleared up and my anxiety under control. Can you help? | Hi, I read your query and can understand your concern. Anxiety is very common in people with bipolar disorder. I would have liked to know how frequent are your manic and depressive episodes. More importantly, you haven't mentioned what medications are you currently on, as it will be difficult to comment as such without that bit of information. In general, you might be needing one of the mood stabilizers like valproate or lithium in adequate dose. To take care of your anxiety, benzodiazepines may have to be added. SSRIs might be needed and indicated if you did not have any recent manic episodes. You can also start some form of behavioral therapy for relaxation. Doing some relaxation exercise like progressive muscular relaxation will definitely help. Discuss all your issues with your treating psychiatrist. Wishing you a speedy recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I am 56 yr old female who w tagged as bipolar in my 30s. I have recently switched psychciratrists and altering my meds and a change in and clear up my confusion and anxiety. I just started a new job after 2 years of looking for work and not finding it. Right now I am about to lose this job due to the confusion I obviously have. I need to get my head cleared up and my anxiety under control. Can you help?"
},
{
"from": "gpt",
"value": "Output: Hi, I read your query and can understand your concern. Anxiety is very common in people with bipolar disorder. I would have liked to know how frequent are your manic and depressive episodes. More importantly, you haven't mentioned what medications are you currently on, as it will be difficult to comment as such without that bit of information. In general, you might be needing one of the mood stabilizers like valproate or lithium in adequate dose. To take care of your anxiety, benzodiazepines may have to be added. SSRIs might be needed and indicated if you did not have any recent manic episodes. You can also start some form of behavioral therapy for relaxation. Doing some relaxation exercise like progressive muscular relaxation will definitely help. Discuss all your issues with your treating psychiatrist. Wishing you a speedy recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I keep getting negative hpts but for the past 3 months have been showing all of the symptoms of pregnancy except ,issued period. They are very light, brown in color and shorter than normal, although nearly on time every month. Im a small figured person and my stomach has increased in size and I havent made any changes in my eating habits (despite all the cravings recently) could I be pregnant? | Hello, On regular period & negative HPT, it is quite impossible to be pregnant though some clinical features persist. Here, you need to undergo some investigations like pelvic USG, hormone assay, thyroid profile etc. required to pinpoint the diagnosis. You need to consult with gynecologist regarding this. Take healthy diet with vitamin supplement, avoid mental stress or fictitious imagination, maintain genital hygiene & take sound sleep. Be well. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I keep getting negative hpts but for the past 3 months have been showing all of the symptoms of pregnancy except ,issued period. They are very light, brown in color and shorter than normal, although nearly on time every month. Im a small figured person and my stomach has increased in size and I havent made any changes in my eating habits (despite all the cravings recently) could I be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hello, On regular period & negative HPT, it is quite impossible to be pregnant though some clinical features persist. Here, you need to undergo some investigations like pelvic USG, hormone assay, thyroid profile etc. required to pinpoint the diagnosis. You need to consult with gynecologist regarding this. Take healthy diet with vitamin supplement, avoid mental stress or fictitious imagination, maintain genital hygiene & take sound sleep. Be well."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my daughter is 11.11.2006 born..has rhinities allergiey from birth..shifted to pune from indore a mnth bk..since 3 days complaning abt thumb of right leg aching..yday eve i noticed swelling n redness...her eyes were also lil swollen n lil feverish..rushed to nearby doc who suggested livorid..n a paracetomol syrup..since mrng i noticed redness in whole body..especially back n front..nt interested in eating..spoke to her older doc in indore who suggested alerid 5 ml n ibugesic + 7.5 ml...no fever nw..but complaining stomach ache.. | If she has rhinitis allergy and swollen eyes, PCM and eugenic and ale rid type of medicine will give quick but temporary relief. Stomachache could be due to intolerance of eugenic or other Intestinal infection or spasm too. Without more clinical questions, we will be just guessing. To my own patients I give very basic and successful Ayurveda medicine Chiara Habitat. It's safe but little bitter. If you can give to your daughter of 9 yrs of age 1 tsp twice a day for a month or more, you will see wonderful improvement. Nasal Chat Doctor. More soft is AND TEL. 1 | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter is 11.11.2006 born..has rhinities allergiey from birth..shifted to pune from indore a mnth bk..since 3 days complaning abt thumb of right leg aching..yday eve i noticed swelling n redness...her eyes were also lil swollen n lil feverish..rushed to nearby doc who suggested livorid..n a paracetomol syrup..since mrng i noticed redness in whole body..especially back n front..nt interested in eating..spoke to her older doc in indore who suggested alerid 5 ml n ibugesic + 7.5 ml...no fever nw..but complaining stomach ache.."
},
{
"from": "gpt",
"value": "Output: If she has rhinitis allergy and swollen eyes, PCM and eugenic and ale rid type of medicine will give quick but temporary relief. Stomachache could be due to intolerance of eugenic or other Intestinal infection or spasm too. Without more clinical questions, we will be just guessing. To my own patients I give very basic and successful Ayurveda medicine Chiara Habitat. It's safe but little bitter. If you can give to your daughter of 9 yrs of age 1 tsp twice a day for a month or more, you will see wonderful improvement. Nasal Chat Doctor. More soft is AND TEL. 1"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a oblong lump in the crease of my thigh at the bikini line! It is not painful but had gotten bigger over the past couple months. It is approximately 3 long by 1/2 wide. I have had a sonogram in which shows no border. Been to the gynecologist who had no idea what it might be, she seemed concerned while examining it so sent me to a surgeon who is not able to see me for two months. Any idea what it could be. There is no change in skin color. It is deep under the skin. Never mind I ll check web MD for symptoms I can t afford 15 | Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph node or soft tissue mass. You should go for fine needle aspiration cytology. It will give you perfect cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a oblong lump in the crease of my thigh at the bikini line! It is not painful but had gotten bigger over the past couple months. It is approximately 3 long by 1/2 wide. I have had a sonogram in which shows no border. Been to the gynecologist who had no idea what it might be, she seemed concerned while examining it so sent me to a surgeon who is not able to see me for two months. Any idea what it could be. There is no change in skin color. It is deep under the skin. Never mind I ll check web MD for symptoms I can t afford 15"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph node or soft tissue mass. You should go for fine needle aspiration cytology. It will give you perfect cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is suffering from fever on and off, with muscle pains, mild diarrhea and a bad headache. Is it dengue ? Discovered some spots on his legs too. If im not wrong, theres no treatment for dengue, how would a dengue patient recover? And what are the signs that he is recovering? | Thank you for your query. Dengue is a viral disease that spreads through mosquito bites. Any Fever can be associated with muscles pain and headache and is non-specific to diagnosis of Denouement cases of dengue resolve on its own. In certain people, there may be complications such as bleeding, liver, kidney failure. They will need supportive treatment at the earliest to prevent worsening of the condition. (most commonly there is an increased bleeding tendency that can be corrected by administering blood products if the values are too low)Dengue is confirmed by a high clinical suspicion and the detection of antibodies to the dengue virus (Dengue IGM)Any fever that lasts for more than 3 days without showing signs of resolution and worsening of symptoms and overall condition should be evaluated thoroughly. See your doctor if his symptoms persist. Signs of recovery would be reducing temperatures, improvement in overall health. You mentioned spots on his legs. Monitor them closely to see if they spread or increase in number. Let your doctor know. If he becomes Chat Doctor. Hope this helps. Wish you both good health. Please get back to us if you have further queries | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is suffering from fever on and off, with muscle pains, mild diarrhea and a bad headache. Is it dengue ? Discovered some spots on his legs too. If im not wrong, theres no treatment for dengue, how would a dengue patient recover? And what are the signs that he is recovering?"
},
{
"from": "gpt",
"value": "Output: Thank you for your query. Dengue is a viral disease that spreads through mosquito bites. Any Fever can be associated with muscles pain and headache and is non-specific to diagnosis of Denouement cases of dengue resolve on its own. In certain people, there may be complications such as bleeding, liver, kidney failure. They will need supportive treatment at the earliest to prevent worsening of the condition. (most commonly there is an increased bleeding tendency that can be corrected by administering blood products if the values are too low)Dengue is confirmed by a high clinical suspicion and the detection of antibodies to the dengue virus (Dengue IGM)Any fever that lasts for more than 3 days without showing signs of resolution and worsening of symptoms and overall condition should be evaluated thoroughly. See your doctor if his symptoms persist. Signs of recovery would be reducing temperatures, improvement in overall health. You mentioned spots on his legs. Monitor them closely to see if they spread or increase in number. Let your doctor know. If he becomes Chat Doctor. Hope this helps. Wish you both good health. Please get back to us if you have further queries"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a cold sore about 10 days ago. It was healing but on Friday last week, it bled as if some small veins were ruptured. It stopped after 5 mins of pressure. It happened about 4 times or so. On Sunday, I felt a pressure on my front teeth from my lower jaw. Today, my lip is numb and more pressure on my teeth. I feel slightly warm but I haven t take my temperature to know for sure yet. Is it normal for cold sore blister or is it my teeth? | Hello, A tingling, irritating and a burning sensation surrounding the mouth usually mark the start of an outbreak of fever blisters. Small fluid-filled blisters then appear, most commonly on or around the corners of your lower lip. You can try some home remedies to avoid cold sores. Dip a piece of cotton roll in milk and place it on the cold sore to relieve pain. As and when the tingling starts try this remedy and prevent it from even developing. You can also apply ice pack over the area to avoid irritation. Replace your toothbrush. You can also apply petroleum jelly over the cold sore to prevent infection. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a cold sore about 10 days ago. It was healing but on Friday last week, it bled as if some small veins were ruptured. It stopped after 5 mins of pressure. It happened about 4 times or so. On Sunday, I felt a pressure on my front teeth from my lower jaw. Today, my lip is numb and more pressure on my teeth. I feel slightly warm but I haven t take my temperature to know for sure yet. Is it normal for cold sore blister or is it my teeth?"
},
{
"from": "gpt",
"value": "Output: Hello, A tingling, irritating and a burning sensation surrounding the mouth usually mark the start of an outbreak of fever blisters. Small fluid-filled blisters then appear, most commonly on or around the corners of your lower lip. You can try some home remedies to avoid cold sores. Dip a piece of cotton roll in milk and place it on the cold sore to relieve pain. As and when the tingling starts try this remedy and prevent it from even developing. You can also apply ice pack over the area to avoid irritation. Replace your toothbrush. You can also apply petroleum jelly over the cold sore to prevent infection."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i get pain on right side .i am 21 weeks pregnant .it is a dull pain ,i get it when i breathe or when i change from this side to that while sleeping or when i press while standing. why is that like that | Welcome to Chat Doctor If the pain is in the side of the lower chest, you could be having a muscular pain due to bad posture during sleep or work. Nothing to worry. You can apply pain killing balm or gel on that area to relieve the pain. Adopt proper posture, no sideways turning of head and upper body during sleep. Get a urine test if kidney stone is suspected. If you develop fever, back pain and burning sensation on passing urine you would need medical help to take care of a possible urinary infection which should not be neglected. Chat Doctor. Eat plenty of fresh fruits and vegetables to prevent constipation as well. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i get pain on right side .i am 21 weeks pregnant .it is a dull pain ,i get it when i breathe or when i change from this side to that while sleeping or when i press while standing. why is that like that"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor If the pain is in the side of the lower chest, you could be having a muscular pain due to bad posture during sleep or work. Nothing to worry. You can apply pain killing balm or gel on that area to relieve the pain. Adopt proper posture, no sideways turning of head and upper body during sleep. Get a urine test if kidney stone is suspected. If you develop fever, back pain and burning sensation on passing urine you would need medical help to take care of a possible urinary infection which should not be neglected. Chat Doctor. Eat plenty of fresh fruits and vegetables to prevent constipation as well."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am looking for an antihistamine for my 9 year old son who has multiple food allergies and environmental allergies. I met with an allergist yesterday and he recommended xyzal syrup which is flavored. i am not sure what the flavor is since he is allergic to a number of flavors including artificial flavors.would you know of what flavors are available? the tablet form contains lactose and he is intolerant to dairy so not sure here as well. please advise. | Rizal contains levocetirizine which is an effective antiallergic. Although a child could be allergic to many external principles, he would not be allergic to all. You may still give the medicine a try and see if he has any reactions to it. Chances are that he would not be allergic to them. As of now do not bother about the flavor. The amount of lactose contained in a tablet is not much and so it would probably not be a cause of concern. You may also try giving Montage LC Kid (montelukast + levocetirizine) in tablet or syrup form. I hope that helps. Feel free to revert with further queries if any. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am looking for an antihistamine for my 9 year old son who has multiple food allergies and environmental allergies. I met with an allergist yesterday and he recommended xyzal syrup which is flavored. i am not sure what the flavor is since he is allergic to a number of flavors including artificial flavors.would you know of what flavors are available? the tablet form contains lactose and he is intolerant to dairy so not sure here as well. please advise."
},
{
"from": "gpt",
"value": "Output: Rizal contains levocetirizine which is an effective antiallergic. Although a child could be allergic to many external principles, he would not be allergic to all. You may still give the medicine a try and see if he has any reactions to it. Chances are that he would not be allergic to them. As of now do not bother about the flavor. The amount of lactose contained in a tablet is not much and so it would probably not be a cause of concern. You may also try giving Montage LC Kid (montelukast + levocetirizine) in tablet or syrup form. I hope that helps. Feel free to revert with further queries if any."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I get short of breath when talking....This only started happening within the last few weeks....Chest x-ray was clean and so was the other breathing tasks that I was given...I can exercise wihtout any problem. However, talking triggers my shortness of breath......Any thoughts? | Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness with normal chest x-ray is commonly seen with bronchitis (inflammation of airways). So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I get short of breath when talking....This only started happening within the last few weeks....Chest x-ray was clean and so was the other breathing tasks that I was given...I can exercise wihtout any problem. However, talking triggers my shortness of breath......Any thoughts?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness with normal chest x-ray is commonly seen with bronchitis (inflammation of airways). So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My boyfriend is ADD, maybe ADHD and he was taking ritalin, but has changed to Adderall. I think he talks a lot period, but it seems like it just doesnt ever stop anymore. He is intelligent, but I cant say anything. Sometimes if I try to add something to the conversation he just cuts me off. What do you think about the medication and does this sound like ADHD? | Degree understand your concerns went through your details. I suggest you not to worry much. ADD or ADD has so many related symptoms and are commonly over read during adolescent period. If your boyfriend is taking Adderall, under the prescription of a psychiatrist, then he must be suffering from ADHD. Normally psychiatrists are trained to give medicines for the correct diagnosis. I surely think it to be true. But from your description here, there are no symptoms are given which confirms his attention deficit or hyperactivity. Talking incessantly cannot be termed as hyperactivity. Any way, if you are able to provide me more symptoms, I shall try to diagnose. But again, his psychiatrist is the best judge. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My boyfriend is ADD, maybe ADHD and he was taking ritalin, but has changed to Adderall. I think he talks a lot period, but it seems like it just doesnt ever stop anymore. He is intelligent, but I cant say anything. Sometimes if I try to add something to the conversation he just cuts me off. What do you think about the medication and does this sound like ADHD?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. ADD or ADD has so many related symptoms and are commonly over read during adolescent period. If your boyfriend is taking Adderall, under the prescription of a psychiatrist, then he must be suffering from ADHD. Normally psychiatrists are trained to give medicines for the correct diagnosis. I surely think it to be true. But from your description here, there are no symptoms are given which confirms his attention deficit or hyperactivity. Talking incessantly cannot be termed as hyperactivity. Any way, if you are able to provide me more symptoms, I shall try to diagnose. But again, his psychiatrist is the best judge. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have this pain in my Left shoulder, when i move my shoulder in a circle it feels like the bones are crunching, this pain is evan worse when sleeping often wakes me up. This came about 2 years ago when cleaning and scrubbing walls for like 4 days and seems to be getting worse. | Dear patient Pain in left shoulder with cracking sound on movement indicates arthritis of shoulder. Cracking sound is credits produced due to rubbing of two articular surfaces when they are eroded. This needs to be investigated with X-ray of left shoulder anteroposterior and lateral views to confirm diagnosis and MRI of shoulder joint if required. Meanwhile, start tab attract p twice a day for pain relief. You need to consult expert orthopedic surgeon with X-ray report. All the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have this pain in my Left shoulder, when i move my shoulder in a circle it feels like the bones are crunching, this pain is evan worse when sleeping often wakes me up. This came about 2 years ago when cleaning and scrubbing walls for like 4 days and seems to be getting worse."
},
{
"from": "gpt",
"value": "Output: Dear patient Pain in left shoulder with cracking sound on movement indicates arthritis of shoulder. Cracking sound is credits produced due to rubbing of two articular surfaces when they are eroded. This needs to be investigated with X-ray of left shoulder anteroposterior and lateral views to confirm diagnosis and MRI of shoulder joint if required. Meanwhile, start tab attract p twice a day for pain relief. You need to consult expert orthopedic surgeon with X-ray report. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i got a pus pocket behind my big front upper tooth. the tooth is crooked/twisted and the pus pocket has been there a few months. i saw a dentist in april with the initial concern and she just gave me anti biotics, now there is alot of pain and the tooth is loose. the tooth was chipped and repaired about 11-12 years ago and had no issuse apart from the obvious crookedness. i cant make an appointment with the dentist untill monday and ive taken alot of painkillers already. is there anything i can do to relieve my pain short term?and what do you think will happen with the tooth?alot of painkillers dont work on me and from what ive experienced in the dentist previous & in hospitals thier injections dont seem to work much either, so i dont think its going to be a fun time getting this sorted and the situation seems quite severe. help please!(pretty sure its abscess)Also the pus comes out from a small hole above the tooth (in front)occasionaly/if pressure is placed on the pus pocket, the pus pocket being behind the tooth & in the gum/close to roof of mouth. | Hello, Thanks for consulting ChatDoctorRead your query, as you have pain and pus in upper front tooth this can be due to poor oral hygiene formation of periodontal abscess, or it can be due to periapical abscess secondary RO caries or trauma. Don't worry I will suggest you to take medication Antibiotic like cap. Amoxicillin 500\u00a0mg and analgesic like petrol DT if you are not allergic to this medication. Do warm saline gargle two - three times a day. Consult dentist as early as possible for its treatment. Hope this will help you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i got a pus pocket behind my big front upper tooth. the tooth is crooked/twisted and the pus pocket has been there a few months. i saw a dentist in april with the initial concern and she just gave me anti biotics, now there is alot of pain and the tooth is loose. the tooth was chipped and repaired about 11-12 years ago and had no issuse apart from the obvious crookedness. i cant make an appointment with the dentist untill monday and ive taken alot of painkillers already. is there anything i can do to relieve my pain short term?and what do you think will happen with the tooth?alot of painkillers dont work on me and from what ive experienced in the dentist previous & in hospitals thier injections dont seem to work much either, so i dont think its going to be a fun time getting this sorted and the situation seems quite severe. help please!(pretty sure its abscess)Also the pus comes out from a small hole above the tooth (in front)occasionaly/if pressure is placed on the pus pocket, the pus pocket being behind the tooth & in the gum/close to roof of mouth."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for consulting ChatDoctorRead your query, as you have pain and pus in upper front tooth this can be due to poor oral hygiene formation of periodontal abscess, or it can be due to periapical abscess secondary RO caries or trauma. Don't worry I will suggest you to take medication Antibiotic like cap. Amoxicillin 500\\u00a0mg and analgesic like petrol DT if you are not allergic to this medication. Do warm saline gargle two - three times a day. Consult dentist as early as possible for its treatment. Hope this will help you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i got a high wbc it 22.0 hemoglobin110 hematocrit 0.333 rbc count 3.42mcv 97.4mch32.2mchc14.8 platelet count 17.6 absolute count 17.6 lymph 2.9 mono 0.2 eos 0.2 baso 0.0 band 1.1 do i got to be worried my doctor say no | Hi, dairy have gone through your question. I can understand your concern. Your total WBC count is high. Your neutrophil count is also high. It suggests that you have some bacterial infection. You should take a course of antibiotics according to your doctors' advice. Your MTV is also high to suggest you may have it b12 deficiency. You should take treatment for that also. Hope I have answered your question, if you have any symptoms then you can contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i got a high wbc it 22.0 hemoglobin110 hematocrit 0.333 rbc count 3.42mcv 97.4mch32.2mchc14.8 platelet count 17.6 absolute count 17.6 lymph 2.9 mono 0.2 eos 0.2 baso 0.0 band 1.1 do i got to be worried my doctor say no"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your total WBC count is high. Your neutrophil count is also high. It suggests that you have some bacterial infection. You should take a course of antibiotics according to your doctors' advice. Your MTV is also high to suggest you may have it b12 deficiency. You should take treatment for that also. Hope I have answered your question, if you have any symptoms then you can contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband s urine smells like vomit (he flushes, but I can smell it when I enter the bathroom minutes later) and when I mentioned it, he says it is also really frothy. He thinks this is funny, but is there something wrong with his kidneys? Diabetes runs in his family. | Hello, thanks for posting on Chat Doctor. It is good you took this into consideration. Smelly and frothy urine means that he might be losing proteins in urine. Smelly urine could be because of ketones in urine. As diabetes history is present in family it will be very much important to find out his diabetic status. I would like to advise you to get a urine routine examination done and also get a morning fasting blood sugar levels. Urine examination will comment on presence of proteins, ketones, any sort of infection present in urine or not. Fasting blood sugar will tell you whether he is entering in diabetic range of blood sugars or not. If you have a family doctor you can consult him with the reports, or you can revert with me. I will be glad to report it and advice accordingly. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband s urine smells like vomit (he flushes, but I can smell it when I enter the bathroom minutes later) and when I mentioned it, he says it is also really frothy. He thinks this is funny, but is there something wrong with his kidneys? Diabetes runs in his family."
},
{
"from": "gpt",
"value": "Output: Hello, thanks for posting on Chat Doctor. It is good you took this into consideration. Smelly and frothy urine means that he might be losing proteins in urine. Smelly urine could be because of ketones in urine. As diabetes history is present in family it will be very much important to find out his diabetic status. I would like to advise you to get a urine routine examination done and also get a morning fasting blood sugar levels. Urine examination will comment on presence of proteins, ketones, any sort of infection present in urine or not. Fasting blood sugar will tell you whether he is entering in diabetic range of blood sugars or not. If you have a family doctor you can consult him with the reports, or you can revert with me. I will be glad to report it and advice accordingly. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had undulant fever in 1953, have had severe fatigue, joint pain etc. on & off for several years, very severe this past year. I was diagnosed with fibromyalgia 9 i really dont think I have that) I had a dream and was directed to tell my Dr that I had Undulant fever as a child, I did and now she really thinks I am nuts. I have read some things about cronic undulanr fever. So the question is this..could I have this after 57 years? Is there a blood test for this? | Hi thanks for asking question You want to know about how to diagnose undulant fever. It can present with fever, myalgic, arthritis, headache etc. Blood will reveal anemia and leukemia mainly. Gram stain reveal gram negative coccobacilli. Serological test is helpful like ELISA. Blood or bone marrow culture helpful for diagnosis. If liver is involved liver enzymes like AST elevated. Liver biopsy can be helpful. I hope I have solved your query regarding diagnosis of brucellosis | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had undulant fever in 1953, have had severe fatigue, joint pain etc. on & off for several years, very severe this past year. I was diagnosed with fibromyalgia 9 i really dont think I have that) I had a dream and was directed to tell my Dr that I had Undulant fever as a child, I did and now she really thinks I am nuts. I have read some things about cronic undulanr fever. So the question is this..could I have this after 57 years? Is there a blood test for this?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question You want to know about how to diagnose undulant fever. It can present with fever, myalgic, arthritis, headache etc. Blood will reveal anemia and leukemia mainly. Gram stain reveal gram negative coccobacilli. Serological test is helpful like ELISA. Blood or bone marrow culture helpful for diagnosis. If liver is involved liver enzymes like AST elevated. Liver biopsy can be helpful. I hope I have solved your query regarding diagnosis of brucellosis"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have had the implanon inserted for about 2 years now, I had a lot of spotting and so a couple of months ago I took birth control pills and that made the spotting stop. A couple of days ago I smoked marijuana and suddenly my spotting returned, could the marijuana have caused the spotting? | Thank you for your question and I will try to help. The most common complaint with these implants (they are progesterone implants) is breakthrough spotting. Early on after their insertion, this is very common. Later, such as after 2 years, the lining of the uterus becomes very thin (which is normal) and prone to bleeding. This can once again be treated with birth control pills. This has nothing to do with marijuana use. Finally, make sure that you check a pregnancy test now and in 1-2 weeks. I hope that this helps and good luck! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have had the implanon inserted for about 2 years now, I had a lot of spotting and so a couple of months ago I took birth control pills and that made the spotting stop. A couple of days ago I smoked marijuana and suddenly my spotting returned, could the marijuana have caused the spotting?"
},
{
"from": "gpt",
"value": "Output: Thank you for your question and I will try to help. The most common complaint with these implants (they are progesterone implants) is breakthrough spotting. Early on after their insertion, this is very common. Later, such as after 2 years, the lining of the uterus becomes very thin (which is normal) and prone to bleeding. This can once again be treated with birth control pills. This has nothing to do with marijuana use. Finally, make sure that you check a pregnancy test now and in 1-2 weeks. I hope that this helps and good luck!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I seem to have palate ulcers (at least thats what i think they are) very sore to eat and swallow this is day 3 now.When i touch them with my tongue they feel like deep holes i am wondering if i need to seek med advice either Doc or dentist?? I dont smoke nor drink i am 43yrs old and slightly over weight(about 1-2 stones) | Hello, Thanks for consulting Chat Doctor, Read your query, as you have ulcer on palate this can be due to stress related, Nutritional deficiency, Herpes viral infection, or due to thermal burn also, For this I will suggest you to consult dentist and go for examination of Ulcer, if needed go for Cytology of ulcer, in meantime you can apply ointment triamcinolone acetone paste on ulcer, you can take vitamin B supplement by consulting with your doctor. Hope it will help you. Wishing you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I seem to have palate ulcers (at least thats what i think they are) very sore to eat and swallow this is day 3 now.When i touch them with my tongue they feel like deep holes i am wondering if i need to seek med advice either Doc or dentist?? I dont smoke nor drink i am 43yrs old and slightly over weight(about 1-2 stones)"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for consulting Chat Doctor, Read your query, as you have ulcer on palate this can be due to stress related, Nutritional deficiency, Herpes viral infection, or due to thermal burn also, For this I will suggest you to consult dentist and go for examination of Ulcer, if needed go for Cytology of ulcer, in meantime you can apply ointment triamcinolone acetone paste on ulcer, you can take vitamin B supplement by consulting with your doctor. Hope it will help you. Wishing you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Yesterday, while grocery shopping I began gushing liquid, and I am almost certain that it was not urine. It felt like blood during my period, but it was clear and would not stop. I went to the hospital and they checked me out and saw plenty of fluid around the baby and didn t see any amniotic fluid inside me when they did a swab. What could it have been? | Hello dear, I understand your concern. Iam happy that the leaked fluid was not the liquor. As enough liquor is present, and the vaginal swab has ruled out it to be amniotic fluid it might be mostly vaginal discharge. Sometimes the vaginal discharge will be so excessive and mistaken to be liquor. So relax. Avoid stress. Observe for fetal movements. Take adequate fluids up to 3 liters per day. In case of any excessive thick curry white or any yellow vaginal discharge I suggest you to rule out vaginal infection. Best regards... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yesterday, while grocery shopping I began gushing liquid, and I am almost certain that it was not urine. It felt like blood during my period, but it was clear and would not stop. I went to the hospital and they checked me out and saw plenty of fluid around the baby and didn t see any amniotic fluid inside me when they did a swab. What could it have been?"
},
{
"from": "gpt",
"value": "Output: Hello dear, I understand your concern. Iam happy that the leaked fluid was not the liquor. As enough liquor is present, and the vaginal swab has ruled out it to be amniotic fluid it might be mostly vaginal discharge. Sometimes the vaginal discharge will be so excessive and mistaken to be liquor. So relax. Avoid stress. Observe for fetal movements. Take adequate fluids up to 3 liters per day. In case of any excessive thick curry white or any yellow vaginal discharge I suggest you to rule out vaginal infection. Best regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi went to my drs today as suspected I had high blood pressure and have being having palpatations. She gave me an echo which seemed ok, however is sending me for a chest xray, lots of blood tests and also have to wear a blood pressure monitor for 24 hours. Is this really necessary ? Wouldnt the echo have shown something if there really was a problem. I really hate doing these things unnecessarily. | Hi, If you there are a suspicion of high blood pressure, then we perform ECG, echocardiography, some obligatory blood tests to rule out other organ problems which could cause high blood pressure. We measure blood pressure at the hospital, but in the majority of cases it is not enough, and we need to know how the patients blood pressure behaves during the day, to decide out strategy of patient management. So, in my opinion your doctor does everything correctly. Take fearsome back if you have any further questions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi went to my drs today as suspected I had high blood pressure and have being having palpatations. She gave me an echo which seemed ok, however is sending me for a chest xray, lots of blood tests and also have to wear a blood pressure monitor for 24 hours. Is this really necessary ? Wouldnt the echo have shown something if there really was a problem. I really hate doing these things unnecessarily."
},
{
"from": "gpt",
"value": "Output: Hi, If you there are a suspicion of high blood pressure, then we perform ECG, echocardiography, some obligatory blood tests to rule out other organ problems which could cause high blood pressure. We measure blood pressure at the hospital, but in the majority of cases it is not enough, and we need to know how the patients blood pressure behaves during the day, to decide out strategy of patient management. So, in my opinion your doctor does everything correctly. Take fearsome back if you have any further questions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | For the past month or more i have had a smallish whitish lump on my upper gum above tooth . I have been to dentist and they have done full x-ray of mouth and he couldn t find out what it was and it wasn t an abscess and I have been to my doctor and she didn t know what it was. My dentist is referring me to a specialist in hospital but said i could be waiting 3 to 4 months. What could this be? | Hi, Thanks for asking the query, Lump in the mouth can be because of several reasons, It can be because of abscess in the arising from the infected tooth, either it can be a gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets, can be due to authors ulceration, can be due to irritation due to trauma or smoking and tobacco chewing. I would advise you to visit to Dentist get checkup done. Take an x-ray. Get complete mouth scaling and polishing done . Maintain a good oral hygiene. 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: For the past month or more i have had a smallish whitish lump on my upper gum above tooth . I have been to dentist and they have done full x-ray of mouth and he couldn t find out what it was and it wasn t an abscess and I have been to my doctor and she didn t know what it was. My dentist is referring me to a specialist in hospital but said i could be waiting 3 to 4 months. What could this be?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for asking the query, Lump in the mouth can be because of several reasons, It can be because of abscess in the arising from the infected tooth, either it can be a gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets, can be due to authors ulceration, can be due to irritation due to trauma or smoking and tobacco chewing. I would advise you to visit to Dentist get checkup done. Take an x-ray. Get complete mouth scaling and polishing done . Maintain a good oral hygiene. Hope this helps out . Regards..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, I am 28yrs old 5ft 2in weight 175lbs, I have hypo thyroid. Heart disease runs in my family, my father died at 49 because of it and so did my grandfather. I have been experiencing a lot of low BP and low heart rate, today it was 36. My dr seems to be very puzzled on what to do with me and I am starting to get worried. What do you think? | Hello, The very first thing is to re-evaluate your thyroid through thyroid function test. You need a further complete cardiac check up (EKG, echocardiogram, Holder monitoring). Complete blood count to rule out anemia, blood electrolytes to rule out related imbalance, check also levels of vitamin-D and calcium, altogether are required to determine the right diagnosis. After evaluating the results, you can decide about the best treatment strategy. Discuss this further with your caring doctor. All the best. Hope I have answered your query. Let me know if I can assist you further. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, I am 28yrs old 5ft 2in weight 175lbs, I have hypo thyroid. Heart disease runs in my family, my father died at 49 because of it and so did my grandfather. I have been experiencing a lot of low BP and low heart rate, today it was 36. My dr seems to be very puzzled on what to do with me and I am starting to get worried. What do you think?"
},
{
"from": "gpt",
"value": "Output: Hello, The very first thing is to re-evaluate your thyroid through thyroid function test. You need a further complete cardiac check up (EKG, echocardiogram, Holder monitoring). Complete blood count to rule out anemia, blood electrolytes to rule out related imbalance, check also levels of vitamin-D and calcium, altogether are required to determine the right diagnosis. After evaluating the results, you can decide about the best treatment strategy. Discuss this further with your caring doctor. All the best. Hope I have answered your query. Let me know if I can assist you further. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i been on birth control for a month, and i had unprotected sex with my bf, should i take the moring after pill? could the mix of both pills do harm? or i shouldnt worry? i been taking the BC everyday, but not always at the same time, does this affect in any way? | Hi, The pill offers enough protection if you are regular with it, though you may miss the exact time by a few inches. Yet, added protection is needed in the initial month of pill intake as safety cannot be guaranteed. As such, you may need the emergency contraception if you happen to be during the fertile period when the intercourse happened. If you need the pill, please take it within the stipulated time, and a few hours away from the regular pill intake. Your hormonal balance is going to be disrupted in this cycle, and you may need assistance if you do not see your next period even after ten days after it is due. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i been on birth control for a month, and i had unprotected sex with my bf, should i take the moring after pill? could the mix of both pills do harm? or i shouldnt worry? i been taking the BC everyday, but not always at the same time, does this affect in any way?"
},
{
"from": "gpt",
"value": "Output: Hi, The pill offers enough protection if you are regular with it, though you may miss the exact time by a few inches. Yet, added protection is needed in the initial month of pill intake as safety cannot be guaranteed. As such, you may need the emergency contraception if you happen to be during the fertile period when the intercourse happened. If you need the pill, please take it within the stipulated time, and a few hours away from the regular pill intake. Your hormonal balance is going to be disrupted in this cycle, and you may need assistance if you do not see your next period even after ten days after it is due. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello i am 21 years old 170 63. i have some really old life long cavities and it seems like my jawbone is throbbing on my nerves and its super sore and my neck ears and temples throb all the time.but in my gums im noticing like fluid and stuff that moves in my gums.top and botem left n right side. to me it feels life threatening everyday. i go to bed in pain,then wake up in pain i realize its because my teeth are bad but can u tell me whats going on and what a doctor can do to help me. | Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you are having a lot of cavities in your mouth this could be due to poor oral hygiene. I would suggest you to get an examination done take an OPG radiograph, the tooth which can be saved can be root canal treated, which cannot be saved can be removed and replaced by removable and fixed prosthesis. For pain relief take tab almost TDS, tab dicloserratiopeptidase TDS, tab omen BD. Go for complete mouth scaling and polishing. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello i am 21 years old 170 63. i have some really old life long cavities and it seems like my jawbone is throbbing on my nerves and its super sore and my neck ears and temples throb all the time.but in my gums im noticing like fluid and stuff that moves in my gums.top and botem left n right side. to me it feels life threatening everyday. i go to bed in pain,then wake up in pain i realize its because my teeth are bad but can u tell me whats going on and what a doctor can do to help me."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you are having a lot of cavities in your mouth this could be due to poor oral hygiene. I would suggest you to get an examination done take an OPG radiograph, the tooth which can be saved can be root canal treated, which cannot be saved can be removed and replaced by removable and fixed prosthesis. For pain relief take tab almost TDS, tab dicloserratiopeptidase TDS, tab omen BD. Go for complete mouth scaling and polishing. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I guess I was raised to fear the label of malingerer more than that of recently deceased. Over the span of a few days the following symptoms have been intermittent but persistent | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) and bronchitis is more. HERD causes micro aspiration and this can aggravate bronchitis and cause breathlessness. Your heart burn, upper abdominal discomfort etc. are due to HERD. So proper control of HERD is needed in your case. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor. Go for walk after meals. For bronchitis, you should first get done PFT (Pulmonary Function Test). This will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I guess I was raised to fear the label of malingerer more than that of recently deceased. Over the span of a few days the following symptoms have been intermittent but persistent"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) and bronchitis is more. HERD causes micro aspiration and this can aggravate bronchitis and cause breathlessness. Your heart burn, upper abdominal discomfort etc. are due to HERD. So proper control of HERD is needed in your case. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor. Go for walk after meals. For bronchitis, you should first get done PFT (Pulmonary Function Test). This will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a young person of 35 years, but look like a old person, skinny with sunken cheeks and eyes. my eyes look very dull. Sometimes I go blank in mind. sometimes is depressed and angry. I have piles problem. I am undergoing ulcer and piles treatment. I have taken health products by ownself but to avail. My relationship are facing problems. I am a ciggeratte smoker. please advise | Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. I do see some mental troubles with you. But it is premature to tag it as depression. Most ideally, you are dissatisfied with life and your health conditions. This disappointment does not amount to clinical depression. Understanding yourself and your body should give you insight. Diseases are part of life. Healthy and happy living never means disease less condition. Learn to live with problems. In case if you need more explanation in this regard, please post a direct query to me in this website. I am happy to explain. Hope this answers your concerns. 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 young person of 35 years, but look like a old person, skinny with sunken cheeks and eyes. my eyes look very dull. Sometimes I go blank in mind. sometimes is depressed and angry. I have piles problem. I am undergoing ulcer and piles treatment. I have taken health products by ownself but to avail. My relationship are facing problems. I am a ciggeratte smoker. please advise"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. I do see some mental troubles with you. But it is premature to tag it as depression. Most ideally, you are dissatisfied with life and your health conditions. This disappointment does not amount to clinical depression. Understanding yourself and your body should give you insight. Diseases are part of life. Healthy and happy living never means disease less condition. Learn to live with problems. In case if you need more explanation in this regard, please post a direct query to me in this website. I am happy to explain. Hope this answers your concerns. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter who is 1 years old has a habit of sucking her thumb during the day and night .... I have heard about a lotion Femite which is bitter in taste to use for getting rid of such habit.... want to know how safe is it to use on kids... any side effects ? | Welcome to Ask a doctor service. I have reviewed your query and here is my answer. As a matter of fact, your child will not swallow even a little amount as it is very pungent thing. But yes, it has side effects as gastric upset, nausea, omitting and loose stools. But as I have said above, no child will suck his finger if Semite is put there. He will spit out. I hope I have solved your query. Let me know if I can assist you further in this query. With regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter who is 1 years old has a habit of sucking her thumb during the day and night .... I have heard about a lotion Femite which is bitter in taste to use for getting rid of such habit.... want to know how safe is it to use on kids... any side effects ?"
},
{
"from": "gpt",
"value": "Output: Welcome to Ask a doctor service. I have reviewed your query and here is my answer. As a matter of fact, your child will not swallow even a little amount as it is very pungent thing. But yes, it has side effects as gastric upset, nausea, omitting and loose stools. But as I have said above, no child will suck his finger if Semite is put there. He will spit out. I hope I have solved your query. Let me know if I can assist you further in this query. With regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Post triple by-pass surgery 7 weeks. Been getting burning sensation at night while sleeping upper shoulders across back, wakes me up Goes away after approx. 5 min. but by this time I am quite anxious and BP goes up and heart pounding . Settles back down after getting up. Any ideas | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to gastroesophageal reflux. I recommend consulting with your GP for a careful physical examination, and some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Post triple by-pass surgery 7 weeks. Been getting burning sensation at night while sleeping upper shoulders across back, wakes me up Goes away after approx. 5 min. but by this time I am quite anxious and BP goes up and heart pounding . Settles back down after getting up. Any ideas"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to gastroesophageal reflux. I recommend consulting with your GP for a careful physical examination, and some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is 4 years old and got bitten by a dog in her hand she got an Infection called cellulitis she was hospitalized for 3 days she was sent home today just want to make sure if the infection can come back Im just scared about this disease cause I heard its deadly | Hello, Welcome to Chat Doctor, Rabies is a disease caused by animal bite, it is a 100% fatal, but it is 100% preventable by proper and complete treatment. The treatment includes thorough wound wash, antirabies vaccine and anti rabies serum (AS). Antirabies vaccine should be taken intramuscularly on to deltoid on days 0.3.7.14 and 28 along with the rabies immunoglobulins around the wound on day 0. As the bite was on the hand, because of the bacterial infection of the wound area it may lead to cellulitis of the affected area. It should be treated vigorously with antibiotics like syrup Autoclave and the syrup solo. Cellulitis after treatment it will go off. The scheduled vaccination should be continued without any delay. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is 4 years old and got bitten by a dog in her hand she got an Infection called cellulitis she was hospitalized for 3 days she was sent home today just want to make sure if the infection can come back Im just scared about this disease cause I heard its deadly"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, Rabies is a disease caused by animal bite, it is a 100% fatal, but it is 100% preventable by proper and complete treatment. The treatment includes thorough wound wash, antirabies vaccine and anti rabies serum (AS). Antirabies vaccine should be taken intramuscularly on to deltoid on days 0.3.7.14 and 28 along with the rabies immunoglobulins around the wound on day 0. As the bite was on the hand, because of the bacterial infection of the wound area it may lead to cellulitis of the affected area. It should be treated vigorously with antibiotics like syrup Autoclave and the syrup solo. Cellulitis after treatment it will go off. The scheduled vaccination should be continued without any delay. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | History | Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. There can be associated muscle cramp in leg muscles. 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: History"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. There can be associated muscle cramp in leg muscles. 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. | im a patient of h pylori since 5 years but i knw dis now by taking my blood test report dat im having h pylori germ in my stomach having a value of IgG 28.37 U/ml &IgM 1.09 now my question is dis how can i protect my self frm dis desease also by knwing the diet plan of my daily life and also by madicine plz help me | Ok dear as u have a diagnosed case of H. Pylori disease so we will start H.pylori eradication therapy. So all you have to do is start having medications and once it is settled then you can prevent this disease by following simple preventive measures. Medications | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im a patient of h pylori since 5 years but i knw dis now by taking my blood test report dat im having h pylori germ in my stomach having a value of IgG 28.37 U/ml &IgM 1.09 now my question is dis how can i protect my self frm dis desease also by knwing the diet plan of my daily life and also by madicine plz help me"
},
{
"from": "gpt",
"value": "Output: Ok dear as u have a diagnosed case of H. Pylori disease so we will start H.pylori eradication therapy. So all you have to do is start having medications and once it is settled then you can prevent this disease by following simple preventive measures. Medications"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doc i am sajid i am 28 years n i am suffering from hair loss n i had consulted a hair transplant expert he told me that it will require at least 2000graphs to be inserted for hair transplant plz suggest me regarding it n what wil it cost plz help me | Hello, Hi SAJID A. there are two method of HT 1. DUE- more popular now. It is scarless, painless, stitches less surgery2. FUT-strip taken from the back of scalp, stitches, scars comes usually do DUE until unless somebody requests me to do FUT. In DUE grafts are taken from the back of scalp (occipital area) and implant over the bald area. It is very safe procedure and post op complications are not much. Results are good. Well about requirement of graft its very difficult say anything until I see photos of bald area and scalp. Front area takes 2500 graft usually with covering of good density. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doc i am sajid i am 28 years n i am suffering from hair loss n i had consulted a hair transplant expert he told me that it will require at least 2000graphs to be inserted for hair transplant plz suggest me regarding it n what wil it cost plz help me"
},
{
"from": "gpt",
"value": "Output: Hello, Hi SAJID A. there are two method of HT 1. DUE- more popular now. It is scarless, painless, stitches less surgery2. FUT-strip taken from the back of scalp, stitches, scars comes usually do DUE until unless somebody requests me to do FUT. In DUE grafts are taken from the back of scalp (occipital area) and implant over the bald area. It is very safe procedure and post op complications are not much. Results are good. Well about requirement of graft its very difficult say anything until I see photos of bald area and scalp. Front area takes 2500 graft usually with covering of good density."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had knots in my calf muscle for years but it has gotten progressively worse. Sometimes it is hard to walk very long without having to sit down. Sometimes the pain is really great and sometimes it is not. When the pain is there it also causes some pain in my upper leg and hip. I have had the vain and artery check which they say is ok. I also stretch my calves which does not seem to help. I also have plantar facetious. | Hello, Did you mention in history about the knots? Is it varicose veins? Have you got your Doppler done for the veins and arteries? Once checked we can find out if it is the cause for knots in the calf. Now coming to your plantar fasciitis, I would recommend you to do hot water fermentation and some balance board exercise. Usually, people have abnormal gait due to plantar fasciitis which can lead to additional biomechanical changes in the muscular system. Doing balance board training should help improve muscle Imbalance and improve the strength of the muscles. Most of my patients with plantar fasciitis response well to balance board training. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had knots in my calf muscle for years but it has gotten progressively worse. Sometimes it is hard to walk very long without having to sit down. Sometimes the pain is really great and sometimes it is not. When the pain is there it also causes some pain in my upper leg and hip. I have had the vain and artery check which they say is ok. I also stretch my calves which does not seem to help. I also have plantar facetious."
},
{
"from": "gpt",
"value": "Output: Hello, Did you mention in history about the knots? Is it varicose veins? Have you got your Doppler done for the veins and arteries? Once checked we can find out if it is the cause for knots in the calf. Now coming to your plantar fasciitis, I would recommend you to do hot water fermentation and some balance board exercise. Usually, people have abnormal gait due to plantar fasciitis which can lead to additional biomechanical changes in the muscular system. Doing balance board training should help improve muscle Imbalance and improve the strength of the muscles. Most of my patients with plantar fasciitis response well to balance board training. 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. | My daughter has suffered from vertigo for more than 2 years. It is accompanied by palpitations,general weakness,a heaviness on her chest.She has been under the psychiatrist for anxiety but has had no relief after taking diazepam and seroxat.The dizziness is daily to some extent or other and sometimes she can barely stand.Problems with the ear have been ruled out. | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, she should consult another psychiatrist and psychotherapist. All her symptoms are due to uncontrolled stress, anxiety and panic disorder. Counselling plays very important role in control of these symptoms. And psychotherapist are the best persons who give counseling. She will also need newer anxiolytic and anti depressants for better symptomatic relief. So don't worry, she will be alright with proper counselling and newer 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 has suffered from vertigo for more than 2 years. It is accompanied by palpitations,general weakness,a heaviness on her chest.She has been under the psychiatrist for anxiety but has had no relief after taking diazepam and seroxat.The dizziness is daily to some extent or other and sometimes she can barely stand.Problems with the ear have been ruled out."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, she should consult another psychiatrist and psychotherapist. All her symptoms are due to uncontrolled stress, anxiety and panic disorder. Counselling plays very important role in control of these symptoms. And psychotherapist are the best persons who give counseling. She will also need newer anxiolytic and anti depressants for better symptomatic relief. So don't worry, she will be alright with proper counselling and newer 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. | what are the long term effects of low hemoglobin? I was admitted into the hospital a week ago with hemoglobin level of under 7. I was given blood transfussions & iron via IV and was discharged with hemoglobin level of 10. I am concerned of the effects in the long run if I dont increase my hemoblobin levels. | Thanks for asking to Chat Doctor. I understand your concern.In my opinion, bodys compensatory mechanisms come into play, when the hemoglobin levels are low, and you feel generally only symptoms like palpitations, weakness,headache, shortness of breath etc.However, If anemia(low hemoglobin) left untreated, the compensatory mechanisms start to fail due to exhaustion and any other conditions, which takes years, serious problems like multiorgan failure can occur(for heart failure due to cardiomyopathy). Hope this information helps you. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what are the long term effects of low hemoglobin? I was admitted into the hospital a week ago with hemoglobin level of under 7. I was given blood transfussions & iron via IV and was discharged with hemoglobin level of 10. I am concerned of the effects in the long run if I dont increase my hemoblobin levels."
},
{
"from": "gpt",
"value": "Output: Thanks for asking to Chat Doctor. I understand your concern.In my opinion, bodys compensatory mechanisms come into play, when the hemoglobin levels are low, and you feel generally only symptoms like palpitations, weakness,headache, shortness of breath etc.However, If anemia(low hemoglobin) left untreated, the compensatory mechanisms start to fail due to exhaustion and any other conditions, which takes years, serious problems like multiorgan failure can occur(for heart failure due to cardiomyopathy). Hope this information helps you. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | well sometimes ill be sitting, standing or walking and out of nowwhere it feels like my heart juss suddenly hesistates to beat...so it will hesistate then beat what could this be? | Hello, Your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude any possible cardiac arrhythmia or metabolic disorders | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: well sometimes ill be sitting, standing or walking and out of nowwhere it feels like my heart juss suddenly hesistates to beat...so it will hesistate then beat what could this be?"
},
{
"from": "gpt",
"value": "Output: Hello, Your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude any possible cardiac arrhythmia or metabolic disorders"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI Doctor,My brother had a sever stomach pain in the right and back side of the Stomach. We went to a doctor and he gave a injection and pain killer where in he got omitting.Then doctor asked us to go for a scanning where in they diagnosed it as a kidney stone that is of 0.6mm and effecting the surrounding areas.Then they asked us for CT Scan where in the report is as belowa preliminary A>P scanogram of the abdomino-pelvic regions was first made. spiral scans were made through KUB reagions. emplying 8mm sections and wide latitide in wimbdow settiong coronal reconstructions were also performed.both the kindly are normal in location, orientation and size and shape and attenuations.on the right side of the mild pelvicalyectasia with ureteric ecatasis is noted down to the upper L3 level at which point loged on a nodular focus of cacific hyperattenuations of up to186HU in attenuation values and about 0.40x0.38x0.73cm in diameters distal to thus the right uerter grossly appears normal.the appendix is retrcaecal/retrocoloc in orientation and measuring approximately 0.6cm in diamiter and normal.Please let me me know the reason and what action is required. IS a surgery nessecary ? | Hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8\u00a0cm size in the rt ureter, and it is not causing any significant obstructive myopathy. The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgery and usually pass down on its own over a period of time. Though it can be painful, there are other options besides surgery like ESL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI Doctor,My brother had a sever stomach pain in the right and back side of the Stomach. We went to a doctor and he gave a injection and pain killer where in he got omitting.Then doctor asked us to go for a scanning where in they diagnosed it as a kidney stone that is of 0.6mm and effecting the surrounding areas.Then they asked us for CT Scan where in the report is as belowa preliminary A>P scanogram of the abdomino-pelvic regions was first made. spiral scans were made through KUB reagions. emplying 8mm sections and wide latitide in wimbdow settiong coronal reconstructions were also performed.both the kindly are normal in location, orientation and size and shape and attenuations.on the right side of the mild pelvicalyectasia with ureteric ecatasis is noted down to the upper L3 level at which point loged on a nodular focus of cacific hyperattenuations of up to186HU in attenuation values and about 0.40x0.38x0.73cm in diameters distal to thus the right uerter grossly appears normal.the appendix is retrcaecal/retrocoloc in orientation and measuring approximately 0.6cm in diamiter and normal.Please let me me know the reason and what action is required. IS a surgery nessecary ?"
},
{
"from": "gpt",
"value": "Output: Hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8\\u00a0cm size in the rt ureter, and it is not causing any significant obstructive myopathy. The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgery and usually pass down on its own over a period of time. Though it can be painful, there are other options besides surgery like ESL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i had multiple fibroids in uterus and cyst in ovary which was removed. no children-age 37. now iam feeling some heavines in my lower abdomen, severe pain on the right side of lower adbomen at times. urgency to urinate one day a clear watery secretion came from vagina.is it cancer? i have hroid problem also &pain on the back-left upper thoracic area | Hi, dairy have gone through your question. I can understand your concern. Multiple urine fibroid and ovarian cyst doesn't suggest any cancer. If you have abdominal pain then you should go for ultrasound abdomen. You might have some other disease also. Consult your doctor and go for investigation. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had multiple fibroids in uterus and cyst in ovary which was removed. no children-age 37. now iam feeling some heavines in my lower abdomen, severe pain on the right side of lower adbomen at times. urgency to urinate one day a clear watery secretion came from vagina.is it cancer? i have hroid problem also &pain on the back-left upper thoracic area"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Multiple urine fibroid and ovarian cyst doesn't suggest any cancer. If you have abdominal pain then you should go for ultrasound abdomen. You might have some other disease also. Consult your doctor and go for investigation. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also whole abdomen ultra sound reflected fatty liver -II and rest everything came normal including liver shape and size.Gastro prescribed | Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe Chat Doctor. It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also whole abdomen ultra sound reflected fatty liver -II and rest everything came normal including liver shape and size.Gastro prescribed"
},
{
"from": "gpt",
"value": "Output: Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe Chat Doctor. It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you good luck."
}
]
|
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