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If you are a doctor, please answer the medical questions based on the patient's description. | hi i m 30 yrs old female i m suffering from tb. my symptoms is feverish. i already taken 6 mounth madicine AKT-4 kit. then i leave after blood test. but after 1 or 2 mounths i do mantoux test it is positive what i do? i have no kids, i have problem in consive. on feb 2007 i got marriage. plz help me . | Hello were (are) a tubercular patient and took treatment for 6 months. Months test is still positive even after 2 months treatment stopped. Now for confirmation of tuberculosis get in these tests.==Sputum examination for A F B, if no sputum then get it through nasogastric tube.==Bronchoscopy, because you stopped the treatment, so this is important because Months is still positive.==Chest X RAY, particularly see healed calcified & fibrosis. Also confirm whether FRESH lesions present or not present.==Sputum for TB CULTURE and sensitivity test.==Blood test for C B C (leukocytosis in mild to moderate cases of T B) E S R (if > 100 mm highly suggestive that still T B is active).==Protein Purified Derivative (PPD0-Tuberculin Skin Test. The main question is about the lesion of tuberculosis. As far as about pregnancy, even after 7 years of married life, consult an INFERTILITY specialist and get his opinion. But I recommend you consult a CHEST & TUBERCULOSIS specialist and get his treatment. Hope you will understand seriousness about T B treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i m 30 yrs old female i m suffering from tb. my symptoms is feverish. i already taken 6 mounth madicine AKT-4 kit. then i leave after blood test. but after 1 or 2 mounths i do mantoux test it is positive what i do? i have no kids, i have problem in consive. on feb 2007 i got marriage. plz help me ."
},
{
"from": "gpt",
"value": "Output: Hello were (are) a tubercular patient and took treatment for 6 months. Months test is still positive even after 2 months treatment stopped. Now for confirmation of tuberculosis get in these tests.==Sputum examination for A F B, if no sputum then get it through nasogastric tube.==Bronchoscopy, because you stopped the treatment, so this is important because Months is still positive.==Chest X RAY, particularly see healed calcified & fibrosis. Also confirm whether FRESH lesions present or not present.==Sputum for TB CULTURE and sensitivity test.==Blood test for C B C (leukocytosis in mild to moderate cases of T B) E S R (if > 100 mm highly suggestive that still T B is active).==Protein Purified Derivative (PPD0-Tuberculin Skin Test. The main question is about the lesion of tuberculosis. As far as about pregnancy, even after 7 years of married life, consult an INFERTILITY specialist and get his opinion. But I recommend you consult a CHEST & TUBERCULOSIS specialist and get his treatment. Hope you will understand seriousness about T B treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am experiencing my left side lower lip shivering every now and then from 2 days. It just happens for a second and then goes off. I had problem in chewing food and now its gone. I have started with some fat burners recenly and am worried what would be the reason. Kindly suggest | Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to anxiety or an electrolyte imbalance. I would not exclude an irritation of the facial nerve too (facial spasms). Anyway, I agree with you that the fat burners can contribute to your symptoms, considering the fact that they may cause a lot of changes in your metabolism, electrolytes and even increase irritability and anxiety. If the problem persists, I would first recommend stopping these substances. If this tip does not help, consulting with your doctor and performing some tests (including blood electrolytes) will be necessary. Hope you will find this answer helpful! Kind regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am experiencing my left side lower lip shivering every now and then from 2 days. It just happens for a second and then goes off. I had problem in chewing food and now its gone. I have started with some fat burners recenly and am worried what would be the reason. Kindly suggest"
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to anxiety or an electrolyte imbalance. I would not exclude an irritation of the facial nerve too (facial spasms). Anyway, I agree with you that the fat burners can contribute to your symptoms, considering the fact that they may cause a lot of changes in your metabolism, electrolytes and even increase irritability and anxiety. If the problem persists, I would first recommend stopping these substances. If this tip does not help, consulting with your doctor and performing some tests (including blood electrolytes) will be necessary. Hope you will find this answer helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 1 am a 76 year old mail- i have an enlarged prostate. recently i have found blood when going to the bath room right after having sex with- it would seem to me i still have some seman when i start going to the, and when this is flushed away the bright red blood vanishes ant my urine is clear. this has happened twice , both times as a result of our sexal activity about a month apart. i was told that it could be a result of the strain on my prostate. i had my last psa approx 6 months ago and it was under a three. i have had some lower back on and off for several years and some pain in my hip area. i did have an mri/body and it indicated my prostae was clear. any advice as i;m still worried. also had my bladder checked/scloped in the doctors office, and was told everything look normal. however i read some place that diccomford in the loer back,upper leg and hip/rump area could be a sign of prostate cancer. could you please advise if further checking is nessary? im am still very concerned. thank you very much. joe black 608-868-3413=my e-mail is YYYY@YYYY again thank you . | HIT hank for asking to ChatDoctorI can understand your concern you have already completed 75 years, the bleeding you see could due to the bladder cystitis it is common in this age group and this is not the cancer, this will come around with the \"Sodium citrate liquid\" have it three to four times in day with good amount of water, the bleeding will go away, and nothing to worry take care and have nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 1 am a 76 year old mail- i have an enlarged prostate. recently i have found blood when going to the bath room right after having sex with- it would seem to me i still have some seman when i start going to the, and when this is flushed away the bright red blood vanishes ant my urine is clear. this has happened twice , both times as a result of our sexal activity about a month apart. i was told that it could be a result of the strain on my prostate. i had my last psa approx 6 months ago and it was under a three. i have had some lower back on and off for several years and some pain in my hip area. i did have an mri/body and it indicated my prostae was clear. any advice as i;m still worried. also had my bladder checked/scloped in the doctors office, and was told everything look normal. however i read some place that diccomford in the loer back,upper leg and hip/rump area could be a sign of prostate cancer. could you please advise if further checking is nessary? im am still very concerned. thank you very much. joe black 608-868-3413=my e-mail is YYYY@YYYY again thank you ."
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI can understand your concern you have already completed 75 years, the bleeding you see could due to the bladder cystitis it is common in this age group and this is not the cancer, this will come around with the \\\"Sodium citrate liquid\\\" have it three to four times in day with good amount of water, the bleeding will go away, and nothing to worry take care and have nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having dark brown discharge about a week before my period. I am on birth control, I take the pills. Sometimes I take it a couple hours later than I should and I sex with my boyfriend. I had sex with my boyfriend when I was supposed to start my period in May but it never came because I spotted in the middle and had switched birth controls. I then had sex with him again but when I was on the pill on the 15th and he did NOT cum inside of me. Could I be pregnant? | Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been having dark brown discharge about a week before my period. I am on birth control, I take the pills. Sometimes I take it a couple hours later than I should and I sex with my boyfriend. I had sex with my boyfriend when I was supposed to start my period in May but it never came because I spotted in the middle and had switched birth controls. I then had sex with him again but when I was on the pill on the 15th and he did NOT cum inside of me. Could I be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has a small rash on his thigh that is cresent shaped and is painful....like he has a fever in the skin around it. It does not have blisters. There is also a rash and bump in his groin area that is particulary sensitive and also another small rash spot on his lower back. He did recently also have a cold sore on his lower lip Could this be shingles? | Hi, As per your query, your husband has symptoms of painful rash on the thigh and starting across the body which occur because of clogging of skin pores by debris and bacteria, contact dermatitis and could be due to viral infection. Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY Chat Doctor. 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 a small rash on his thigh that is cresent shaped and is painful....like he has a fever in the skin around it. It does not have blisters. There is also a rash and bump in his groin area that is particulary sensitive and also another small rash spot on his lower back. He did recently also have a cold sore on his lower lip Could this be shingles?"
},
{
"from": "gpt",
"value": "Output: Hi, As per your query, your husband has symptoms of painful rash on the thigh and starting across the body which occur because of clogging of skin pores by debris and bacteria, contact dermatitis and could be due to viral infection. Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY Chat Doctor. 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, Im a 24 year Girl.... I feel choked at night and not able to sleep.. I keep coughing the whole night. One doctor asked me to go for endoscopy as he predicted That I could have thick Mucus problem.. but the test came clean and he said its all in my mind... | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out seasonal bronchitis in your case because you are having symptoms every year in cold weather. Bronchitis is inflammation of airways and this in turn causes bronchospasm and chest tightness, Breathing difficulty etc. So consult pulmonologist and get done PFT (Pulmonary Function Test). If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. 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: Hi, Im a 24 year Girl.... I feel choked at night and not able to sleep.. I keep coughing the whole night. One doctor asked me to go for endoscopy as he predicted That I could have thick Mucus problem.. but the test came clean and he said its all in my mind..."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out seasonal bronchitis in your case because you are having symptoms every year in cold weather. Bronchitis is inflammation of airways and this in turn causes bronchospasm and chest tightness, Breathing difficulty etc. So consult pulmonologist and get done PFT (Pulmonary Function Test). If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. 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. | A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician? | Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician?"
},
{
"from": "gpt",
"value": "Output: Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i was last on the depo in january of 2013. I am 32 years old and have went back for any of my injections for about five months now. My last period was May 31st until June 5th. Me and my husband have been very active alot but I still have negative pregancy tests. My period did not come on and now its July. I am having crazy food cravings, constipation, and frequent urination. I dont know whats happening and I believe if I go to the clinic and get a blood test, its gonna say negative. I am totally confused maybe I am pregnant, or maybe not. Help!! | Hi, Welcome to Chat Doctor, By 5 months the effect of demo should not be there. You may wait for few more days to go for urine test for pregnancy. If the period is not regular and late ovulation fertilization time may be delayed. It will be better to consult gynecologist in case your pregnancy test remain negative and not having period for a check-up. TO ENHANCE THE CHANCE OF PREGNANCY YOU MAY CONSULT YOUR DOCTOR AND GET BOTH OF YOU EVALUATED AND TAKE MEDICINES AS ADVISED. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi i was last on the depo in january of 2013. I am 32 years old and have went back for any of my injections for about five months now. My last period was May 31st until June 5th. Me and my husband have been very active alot but I still have negative pregancy tests. My period did not come on and now its July. I am having crazy food cravings, constipation, and frequent urination. I dont know whats happening and I believe if I go to the clinic and get a blood test, its gonna say negative. I am totally confused maybe I am pregnant, or maybe not. Help!!"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor, By 5 months the effect of demo should not be there. You may wait for few more days to go for urine test for pregnancy. If the period is not regular and late ovulation fertilization time may be delayed. It will be better to consult gynecologist in case your pregnancy test remain negative and not having period for a check-up. TO ENHANCE THE CHANCE OF PREGNANCY YOU MAY CONSULT YOUR DOCTOR AND GET BOTH OF YOU EVALUATED AND TAKE MEDICINES AS ADVISED."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked | Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked"
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink. | Hello and welcome to Chat Doctor, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouth rinse to gargle. Rinse your mouth after every meal. Get the pus within the lump Chat Doctor. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouth rinse to gargle. Rinse your mouth after every meal. Get the pus within the lump Chat Doctor. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a accident last month at the beach body surfing where i hit the ocean floor head first. I has a ct done and it stated i had a prolapsed disk at c4 - c 5. Im now having erectile dysfuntion and vertigo symptoms. What type of doctor should I go see? Im not really having much back pain or tingling of arms. | Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction). Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor. Manga. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a accident last month at the beach body surfing where i hit the ocean floor head first. I has a ct done and it stated i had a prolapsed disk at c4 - c 5. Im now having erectile dysfuntion and vertigo symptoms. What type of doctor should I go see? Im not really having much back pain or tingling of arms."
},
{
"from": "gpt",
"value": "Output: Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction). Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor. Manga."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a migraine for the past five days. I think I may have a sinus infection. Im having trouble seeing clearly (my vision is great) and also sensitivity to light. If I lie down the pain increases and also if I tilt my head forward. If I tilt my head backward only while sitting up I get some momentary relief. Also when I am able to blow my nose that provides temporary relief until it fills up again. My nose is not always blocked up but I know there is mucus in my sinuses because I can feel the pressure in my face. My cheeks are also more red than usual. Are there any home remedies for clearing up a possible sinus infection? | Helloo.read through your query...I suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(Panama)for 15mins3)practice yoga or any other exercise for 30\u00a0mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) Chat Doctor. .it will benefit you.I have experienced it...be happy and follow. Hope your benefitted something from this reply.have a healthy day!! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a migraine for the past five days. I think I may have a sinus infection. Im having trouble seeing clearly (my vision is great) and also sensitivity to light. If I lie down the pain increases and also if I tilt my head forward. If I tilt my head backward only while sitting up I get some momentary relief. Also when I am able to blow my nose that provides temporary relief until it fills up again. My nose is not always blocked up but I know there is mucus in my sinuses because I can feel the pressure in my face. My cheeks are also more red than usual. Are there any home remedies for clearing up a possible sinus infection?"
},
{
"from": "gpt",
"value": "Output: Helloo.read through your query...I suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(Panama)for 15mins3)practice yoga or any other exercise for 30\\u00a0mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) Chat Doctor. .it will benefit you.I have experienced it...be happy and follow. Hope your benefitted something from this reply.have a healthy day!!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a girl of 25yrs of age am married but is yet to conceive, were I live we use a public toilet please tell me can toilet infections stop me from getting pregnant ? 2, how can I cure or prevent toilet infections | Hellotoilet infections do not prevent but at same time it's not healthy to have recurrent infections even prior/post confinement. Try and keep toilet clean. Personal hygiene to be maintained. Make sure you clean your vital parts after using the toilet. Wash your hands. Chat Doctor. 5-3l/day.take it c supplements or in diet.in case of developing burning sensation of urine or frequent urination get a urine routine test done.TC | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a girl of 25yrs of age am married but is yet to conceive, were I live we use a public toilet please tell me can toilet infections stop me from getting pregnant ? 2, how can I cure or prevent toilet infections"
},
{
"from": "gpt",
"value": "Output: Hellotoilet infections do not prevent but at same time it's not healthy to have recurrent infections even prior/post confinement. Try and keep toilet clean. Personal hygiene to be maintained. Make sure you clean your vital parts after using the toilet. Wash your hands. Chat Doctor. 5-3l/day.take it c supplements or in diet.in case of developing burning sensation of urine or frequent urination get a urine routine test done.TC"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I always feel like I have to vomit but can t. It is very rare that I actually throw up. Sometimes when I eat spicy aciddy foods it result in me having that vomitting feelin again. I also get pain in my chest/ stomach a lot it s an intense throbbing pain and sometimes may burn . Now that I am on my menstraul cycle the pain is even more intesefied and vomitting feeling has increased. | Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. After having spicy food your symptoms rise, because there is physiological more release of acid for the digestion of food. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Risperidone, Antacids and Sucralfate as per guidance of your GP. Following steps should follow to lessen your symptoms | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I always feel like I have to vomit but can t. It is very rare that I actually throw up. Sometimes when I eat spicy aciddy foods it result in me having that vomitting feelin again. I also get pain in my chest/ stomach a lot it s an intense throbbing pain and sometimes may burn . Now that I am on my menstraul cycle the pain is even more intesefied and vomitting feeling has increased."
},
{
"from": "gpt",
"value": "Output: Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. After having spicy food your symptoms rise, because there is physiological more release of acid for the digestion of food. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Risperidone, Antacids and Sucralfate as per guidance of your GP. Following steps should follow to lessen your symptoms"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am sandhya. frm india. my daughter is suffering from cold and cough,since 5 days.as prescribed by doctor i am using asthalin, azithral 100mg 5ml 2-times a day and also ascoril d but she is having vomitings also due to cough. canu suggest me watcan i doin this case | Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. I am unable to tell you whether you can use any specific cough suppressant or not as you have not mentioned the age of your daughter. Some cough suppressants should be avoided till 2 years of age. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am sandhya. frm india. my daughter is suffering from cold and cough,since 5 days.as prescribed by doctor i am using asthalin, azithral 100mg 5ml 2-times a day and also ascoril d but she is having vomitings also due to cough. canu suggest me watcan i doin this case"
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. I am unable to tell you whether you can use any specific cough suppressant or not as you have not mentioned the age of your daughter. Some cough suppressants should be avoided till 2 years of age. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dr my son is 4 and a half, he had his first full front teeth extracted due to cavity 2 days back. He recovered well. Suddenly he is running a temperature of 102deg is this something to do with his dental procedure or we should consult our pediatrician. | Thanks for your query, I have gone through your query. The fever can be because of the inflammatory reaction that occurs following extraction. Nothing to be panic, you can take a course of antipyretic like paracetamol along with antibiotics like penicillin(if you are not allergic). If the fever does not come down in 2 days, then consult a physician and get it evaluated. I hope I have answered your query, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dr my son is 4 and a half, he had his first full front teeth extracted due to cavity 2 days back. He recovered well. Suddenly he is running a temperature of 102deg is this something to do with his dental procedure or we should consult our pediatrician."
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The fever can be because of the inflammatory reaction that occurs following extraction. Nothing to be panic, you can take a course of antipyretic like paracetamol along with antibiotics like penicillin(if you are not allergic). If the fever does not come down in 2 days, then consult a physician and get it evaluated. I hope I have answered your query, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 31 weeks pregnant and have been having soreness - painful soreness- in my sternum for several days now. The pain also goes into my right breast and even had the veins in my right breast looking almost bruised the other night. Is this something to worry about? It has lasted for 4 days now and I have a doctors appointment scheduled in one week, but should I seek out an earlier appointment? I am 32 years old, 31 weeks pregnant. | Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor immediately and get done clinical examination of local part of right breast. You are having pain and bruised veins on that part of breast. These are seen in breast infection like breast abscess. During pregnancy, there is milk production in breast. Since you have not delivered, this milk will stay in the breast and make breast engorged and tender. It also causes infection and this can lead to abscess formation. So better to get done clinical examination and ultrasound examination of breast as soon as possible. You may need antibiotic, anti-inflammatory and painkiller Chat Doctor. Application of warm water pad on affected areas is also beneficial. 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 am 31 weeks pregnant and have been having soreness - painful soreness- in my sternum for several days now. The pain also goes into my right breast and even had the veins in my right breast looking almost bruised the other night. Is this something to worry about? It has lasted for 4 days now and I have a doctors appointment scheduled in one week, but should I seek out an earlier appointment? I am 32 years old, 31 weeks pregnant."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor immediately and get done clinical examination of local part of right breast. You are having pain and bruised veins on that part of breast. These are seen in breast infection like breast abscess. During pregnancy, there is milk production in breast. Since you have not delivered, this milk will stay in the breast and make breast engorged and tender. It also causes infection and this can lead to abscess formation. So better to get done clinical examination and ultrasound examination of breast as soon as possible. You may need antibiotic, anti-inflammatory and painkiller Chat Doctor. Application of warm water pad on affected areas is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am interested in getting a evaluation done, when I was younger I was told I have a learning disability, and I am really having a hard time in the last couple of years with work and home by staying focused and am not able to get anything done. I just don t have the energy to the finish my projects. And its only getting worse. is there any relation between two problems. | Degree understand your concerns went through your details. I suggest you not to worry much. Definitely I do not see any relationship with childhood learning disability and the current problems. The current problems you are facing could possibly due to stress. You are unable to focus on work or loosing interest or loosing energy to finish projects. You could be stressed, disappointed with some life happening or having low self-confidence due to life events. Please do not compare present with past. SucChatDoctorparison leads to relate everything with past negative episodes and even in present, we see negatives. Never do that. 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: I am interested in getting a evaluation done, when I was younger I was told I have a learning disability, and I am really having a hard time in the last couple of years with work and home by staying focused and am not able to get anything done. I just don t have the energy to the finish my projects. And its only getting worse. is there any relation between two problems."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Definitely I do not see any relationship with childhood learning disability and the current problems. The current problems you are facing could possibly due to stress. You are unable to focus on work or loosing interest or loosing energy to finish projects. You could be stressed, disappointed with some life happening or having low self-confidence due to life events. Please do not compare present with past. SucChatDoctorparison leads to relate everything with past negative episodes and even in present, we see negatives. Never do that. 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. | I have had constant lower back pain since the delivery of my daughter 9 1/2 years ago. I was placenta previa and had an emergency c-section which required a spinal block. I jumped when it was being administered so they had to go in again with a bigger needle. The next day I had a blood patch done due to fluid leakage from my spine.The spot was tender for almost a year. Since then my lower back pain has worsened. I am also now 2 inches shorter. Over the past two years I have developed shoulder and hip pain . This prevents me from sleeping most nights. I have also been experiencing horrible knee pain when I bend them. I am only 34. This is making it hard for me to even walk. Also when I rotate my hip I heaand feel grinding. Any advice? | Hi, Thanks for writing in. Since multiple joints are involved in your case, I seriously doubt that it is related to the delivery of your daughter. Although the low back pain may be related to a faulty posture, the first thing that we need to do is rule out an arthritis which could be involving several joints. The conditions I would like to rule out are rheumatoid arthritis, infectious arthritis and a seronegative spondyloarthropathy. I would suggest you see an orthopedic surgeon at the earliest. We would need to run some tests and do a proper examination so that a proper cause can be found and treatment can be started. Hope this helpsRegards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had constant lower back pain since the delivery of my daughter 9 1/2 years ago. I was placenta previa and had an emergency c-section which required a spinal block. I jumped when it was being administered so they had to go in again with a bigger needle. The next day I had a blood patch done due to fluid leakage from my spine.The spot was tender for almost a year. Since then my lower back pain has worsened. I am also now 2 inches shorter. Over the past two years I have developed shoulder and hip pain . This prevents me from sleeping most nights. I have also been experiencing horrible knee pain when I bend them. I am only 34. This is making it hard for me to even walk. Also when I rotate my hip I heaand feel grinding. Any advice?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Since multiple joints are involved in your case, I seriously doubt that it is related to the delivery of your daughter. Although the low back pain may be related to a faulty posture, the first thing that we need to do is rule out an arthritis which could be involving several joints. The conditions I would like to rule out are rheumatoid arthritis, infectious arthritis and a seronegative spondyloarthropathy. I would suggest you see an orthopedic surgeon at the earliest. We would need to run some tests and do a proper examination so that a proper cause can be found and treatment can be started. Hope this helpsRegards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My girlfriend was recently diagnosed with PID and treated with doxycycline and metronidazole for two weeks. I was given a week long course of 200 mg/day of doxycycline. We were both tested for HIV, syphillis, gonnorea, chlamydia but all tests came back negative. We have not have sex for two weeks while the drugs were taking effect. I m now finding that when I masturbate, the head of my penis has red with small red bumps and my foreskin becomes red and itchy. I m also getting a clear discharge when erect. Please help! | HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to yeast infection. This can be a side effect of antibiotic therapy. Antifungal ointments like fluconazole for local application will be helpful for this. It is available as over the counter in brands like captain. Avoid washing the area with soaps or irritants. You can use warm water or saline for this. Hope this may help you. Let me know if anything is not clear. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My girlfriend was recently diagnosed with PID and treated with doxycycline and metronidazole for two weeks. I was given a week long course of 200 mg/day of doxycycline. We were both tested for HIV, syphillis, gonnorea, chlamydia but all tests came back negative. We have not have sex for two weeks while the drugs were taking effect. I m now finding that when I masturbate, the head of my penis has red with small red bumps and my foreskin becomes red and itchy. I m also getting a clear discharge when erect. Please help!"
},
{
"from": "gpt",
"value": "Output: HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to yeast infection. This can be a side effect of antibiotic therapy. Antifungal ointments like fluconazole for local application will be helpful for this. It is available as over the counter in brands like captain. Avoid washing the area with soaps or irritants. You can use warm water or saline for this. Hope this may help you. Let me know if anything is not clear. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having a huge problem!I am having a severe pain in my lower right abdomen, it comes and goes every time I get up and it even hurts sometimes when Im lying down. I am having this problem for 36 hours now. I have been to the E.R. this morning, they took my blood, urine, temperature, etc, everything is fine. My white blood cells are in the normal range. No nausea, no fever, no vomiting, nothing. Still this pain is excruciating. From the E.R. they gave me an anti-inflammatory drug and sent me home. They said its not a hernia, not appendicitis. What in Gods name can it be??? | Hi. Thanks for your query. Your history looks like appendicitis or Nephritis (inflammation of the cecum) or right ureteric stone or so. If the pain is coming and going the possibility is more of an impacted stone in the right ureter. The blood, urine and everything else can be normal. The proper diagnosis can be made only on a high resolution ultrasonography and / or CT scan of the abdomen. Insist for one. Get the diagnosis and get treated accordingly. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having a huge problem!I am having a severe pain in my lower right abdomen, it comes and goes every time I get up and it even hurts sometimes when Im lying down. I am having this problem for 36 hours now. I have been to the E.R. this morning, they took my blood, urine, temperature, etc, everything is fine. My white blood cells are in the normal range. No nausea, no fever, no vomiting, nothing. Still this pain is excruciating. From the E.R. they gave me an anti-inflammatory drug and sent me home. They said its not a hernia, not appendicitis. What in Gods name can it be???"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. Your history looks like appendicitis or Nephritis (inflammation of the cecum) or right ureteric stone or so. If the pain is coming and going the possibility is more of an impacted stone in the right ureter. The blood, urine and everything else can be normal. The proper diagnosis can be made only on a high resolution ultrasonography and / or CT scan of the abdomen. Insist for one. Get the diagnosis and get treated accordingly."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | what is the treatment of globus bilateral pallidal calcification?is it harmful.actually my mother suffer that problem in the age of 50 | Hi!welcome to Chat Doctor .com. The globes pallid us is a part of the brain that helps regulate movement. Calcification of it can be a sign of a neuropsychiatric disorder (idiopathic basal ganglia calcification) that may present itself as having difficulty performing movements and some psychiatric problems such as difficulty concentrating and/or memory and personality changes. However, in age 40 and elderly it is a sign of age related change. Hope she doesn't suffer any symptoms. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what is the treatment of globus bilateral pallidal calcification?is it harmful.actually my mother suffer that problem in the age of 50"
},
{
"from": "gpt",
"value": "Output: Hi!welcome to Chat Doctor .com. The globes pallid us is a part of the brain that helps regulate movement. Calcification of it can be a sign of a neuropsychiatric disorder (idiopathic basal ganglia calcification) that may present itself as having difficulty performing movements and some psychiatric problems such as difficulty concentrating and/or memory and personality changes. However, in age 40 and elderly it is a sign of age related change. Hope she doesn't suffer any symptoms. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Abdominal pains/upset stomach occurred after using Keflex 500mg by 4 per day. Took these for 6.5 days then stopped after consultation with Surgeon. The upset stomach problem settled down somewhat after some 7/8 days but even now I still get twinges some 14 days after stopping them. The problem started after taking the medication for just 3 days. Do you have any thoughts about about this? Thankyou, Don Safstrom | Hi. Keflex 500 four times a day can cause gastrointestinal flora disturbance. The normal bacterial flora of the intestines is disturbed and a person suffers from bloating, loose motions, pains in abdomen and so on. Your problem started 3 days after you started the Reflex, so the cause of your problem may be different. Start the treatment with Probiotics and prebiotics to replenish the bacterial flora of the intestines. Get the stool tests done, an ultrasonography and colonoscopy to rule out other causes. Treat the obvious problem if found with antibiotics, metronidazole. Take activated charcoal tablets, banana and curd, a natural probiotic. Consult a Gastroenterologist. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Abdominal pains/upset stomach occurred after using Keflex 500mg by 4 per day. Took these for 6.5 days then stopped after consultation with Surgeon. The upset stomach problem settled down somewhat after some 7/8 days but even now I still get twinges some 14 days after stopping them. The problem started after taking the medication for just 3 days. Do you have any thoughts about about this? Thankyou, Don Safstrom"
},
{
"from": "gpt",
"value": "Output: Hi. Keflex 500 four times a day can cause gastrointestinal flora disturbance. The normal bacterial flora of the intestines is disturbed and a person suffers from bloating, loose motions, pains in abdomen and so on. Your problem started 3 days after you started the Reflex, so the cause of your problem may be different. Start the treatment with Probiotics and prebiotics to replenish the bacterial flora of the intestines. Get the stool tests done, an ultrasonography and colonoscopy to rule out other causes. Treat the obvious problem if found with antibiotics, metronidazole. Take activated charcoal tablets, banana and curd, a natural probiotic. Consult a Gastroenterologist."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir,Last few months or say around a year....In my mind think such unwanted things... They fully depressed me in all time ....I know the questions or thinking comes on my mind is unwanted or waste there is no mean in real life......in other I think as..... I correlate the all things to the nature, to the rules of nature........Sir please give me some recommendation to I prevent myself....please sir.. | Degree understand your concerns went through your details. You have not mentioned you are here. First, I request you not to worry regarding your current mental state of affairs. In my opinion, the given information may not be enough for a proper diagnosis. But, I think your problem is not depression, but disappointment. Your negative thinking and unnecessary thinking could be due to obsession with the disappointment happened to you, the reason for the disappointment. Introspect, understand your disappointments, try to correct them. Interact with people, be active, play games, work well. Everything comes together to manage your disappointment. 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: Sir,Last few months or say around a year....In my mind think such unwanted things... They fully depressed me in all time ....I know the questions or thinking comes on my mind is unwanted or waste there is no mean in real life......in other I think as..... I correlate the all things to the nature, to the rules of nature........Sir please give me some recommendation to I prevent myself....please sir.."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. You have not mentioned you are here. First, I request you not to worry regarding your current mental state of affairs. In my opinion, the given information may not be enough for a proper diagnosis. But, I think your problem is not depression, but disappointment. Your negative thinking and unnecessary thinking could be due to obsession with the disappointment happened to you, the reason for the disappointment. Introspect, understand your disappointments, try to correct them. Interact with people, be active, play games, work well. Everything comes together to manage your disappointment. 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. | Is chest pain that radiates to the arm is a symptom of pulmonary tuberculosis? My friend has been diagnosed with PTB and is having chest pain. She started her PTB medication on May 26, 2012 or a month ago but she still feels pain in the chest area. Is it normal. How long will the pain go? | Thanks for your question on Chat Doctor. I can understand your friends situation and problem. Treatment of tuberculosis is long, for at least 6-8 months. So recovery is also delayed. Usually recovery is expected after 2 months of regular treatment. Tuberculosis causes pleurisy (inflammation of pleura). And this causes chest pain and arm pain. She is on treatment since 1 month and so it is very early to see improvement. In my opinion, she should take treatment for 1 more month because usually 2 months are required for clinical and symptomatic improvement in tuberculosis. If after 2 months, she is still having pain than get done chest x-ray and sputum report to rule out Chat Doctor. But at present, wait for 1 more month. Hope I have solved your query. Wishing her good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Is chest pain that radiates to the arm is a symptom of pulmonary tuberculosis? My friend has been diagnosed with PTB and is having chest pain. She started her PTB medication on May 26, 2012 or a month ago but she still feels pain in the chest area. Is it normal. How long will the pain go?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your friends situation and problem. Treatment of tuberculosis is long, for at least 6-8 months. So recovery is also delayed. Usually recovery is expected after 2 months of regular treatment. Tuberculosis causes pleurisy (inflammation of pleura). And this causes chest pain and arm pain. She is on treatment since 1 month and so it is very early to see improvement. In my opinion, she should take treatment for 1 more month because usually 2 months are required for clinical and symptomatic improvement in tuberculosis. If after 2 months, she is still having pain than get done chest x-ray and sputum report to rule out Chat Doctor. But at present, wait for 1 more month. Hope I have solved your query. Wishing her good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My name is Kelly. I was just wondering if anyone could help me understand why it s taking so long to get pregnant after the depo shot. I ve been off of it for 9 months now and I have recently seen dark brown spotting but only once and it hasn t come back. I was on the shot for about 4 years. My husband and I would really love to have a kid. Please helps. Tia ( | Hello, and I hope I can help you today. Unfortunately, Depo-Provera is a very long-lasting contraceptive. For convenience\u2019s sake, having to only worry about birth control every three months is extremely helpful. However, in some women, normal ovulation can take many months to come back some even up to one year. The reason for that is that the hormone that is in Depo-Provera is designed to be long-lasting and different people metabolize the Chat Doctor. Also, the fact that you had been on Demo for four years, and likely you did not get your period during that time is a sign that your estrogen levels also had been suppressed by the medication. If at one year since stopping the Depo-Provera you do not have any sign of real menstruation, I would recommend that you and your partner see a gynecologist for evaluation. They could do an analysis of your hormones, and medication to help stimulate you to ovulate again may be a possibility. So I know it is difficult, please try to be patient if at the end of three months you still have not resumed normal menstrual cycle, I would recommend evaluation by a gynecologist or endocrinologist to evaluate why you are not menstruating. It may be recommended also for your partner to do a semen analysis, as most doctors want to know that there is no male factor involved in your fertility issues. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My name is Kelly. I was just wondering if anyone could help me understand why it s taking so long to get pregnant after the depo shot. I ve been off of it for 9 months now and I have recently seen dark brown spotting but only once and it hasn t come back. I was on the shot for about 4 years. My husband and I would really love to have a kid. Please helps. Tia ("
},
{
"from": "gpt",
"value": "Output: Hello, and I hope I can help you today. Unfortunately, Depo-Provera is a very long-lasting contraceptive. For convenience\\u2019s sake, having to only worry about birth control every three months is extremely helpful. However, in some women, normal ovulation can take many months to come back some even up to one year. The reason for that is that the hormone that is in Depo-Provera is designed to be long-lasting and different people metabolize the Chat Doctor. Also, the fact that you had been on Demo for four years, and likely you did not get your period during that time is a sign that your estrogen levels also had been suppressed by the medication. If at one year since stopping the Depo-Provera you do not have any sign of real menstruation, I would recommend that you and your partner see a gynecologist for evaluation. They could do an analysis of your hormones, and medication to help stimulate you to ovulate again may be a possibility. So I know it is difficult, please try to be patient if at the end of three months you still have not resumed normal menstrual cycle, I would recommend evaluation by a gynecologist or endocrinologist to evaluate why you are not menstruating. It may be recommended also for your partner to do a semen analysis, as most doctors want to know that there is no male factor involved in your fertility issues. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am looking into birth control. I have never had intercourse, but will be getting married and we are not looking to get pregnant right away. I have never taken a birth control. I have a high stress, constantly moving career, and am in need of a birth control that will not create to much of a disrupt in my life. What recommendations could you make | Hello misunderstand your concernNewer birth control pill like yam, ya mini and felon have very few side effects. I advise you to take any of the above birth control pill. You have to use pill regularly on the same time. You have to make habit to take regularly by putting reminder in the mobile. As you are using it first time there may be chance of delay period. If you miss one pill then take it as early as possible or on the next day with the that day of pill. If you will miss two pills then take two missed pills along with nest day pill and use barrier contraception like condom foe next 7 days. Other option is barrier contraception. So convince your partner to use condoms. Hope this may help you Best regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am looking into birth control. I have never had intercourse, but will be getting married and we are not looking to get pregnant right away. I have never taken a birth control. I have a high stress, constantly moving career, and am in need of a birth control that will not create to much of a disrupt in my life. What recommendations could you make"
},
{
"from": "gpt",
"value": "Output: Hello misunderstand your concernNewer birth control pill like yam, ya mini and felon have very few side effects. I advise you to take any of the above birth control pill. You have to use pill regularly on the same time. You have to make habit to take regularly by putting reminder in the mobile. As you are using it first time there may be chance of delay period. If you miss one pill then take it as early as possible or on the next day with the that day of pill. If you will miss two pills then take two missed pills along with nest day pill and use barrier contraception like condom foe next 7 days. Other option is barrier contraception. So convince your partner to use condoms. Hope this may help you Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a fall the other night and split my eyebrow, bleeding stopped and has scabbed over now. Yesterday the swelling was above my eye but that has reduced. Today I have fluid underneath my eye. I have no difference in sight or anything and hardly any pain at all its just annoying because the fluid is making it a little hard to see out of my eye. Just wondering If the fluid will go away by itself or will I have to see a dr? Any help would be great. Thanks in advance. Tracie | Hi, Thanks for writing in. It is important to know if the injury area is developing an infection. This can only be confirmed after seeing a doctor. To avoid infection you need to take a course of antibiotics. A short course of broad spectrum antibiotics is important. Also, a tetanus toxic injection need to be taken. You can take diclofenac and serratiopeptidase tablets for faster healing and pain relief. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a fall the other night and split my eyebrow, bleeding stopped and has scabbed over now. Yesterday the swelling was above my eye but that has reduced. Today I have fluid underneath my eye. I have no difference in sight or anything and hardly any pain at all its just annoying because the fluid is making it a little hard to see out of my eye. Just wondering If the fluid will go away by itself or will I have to see a dr? Any help would be great. Thanks in advance. Tracie"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. It is important to know if the injury area is developing an infection. This can only be confirmed after seeing a doctor. To avoid infection you need to take a course of antibiotics. A short course of broad spectrum antibiotics is important. Also, a tetanus toxic injection need to be taken. You can take diclofenac and serratiopeptidase tablets for faster healing and pain relief."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My cousins child had been identified with dengue fever last week and admitted in hospital with platelet count around 1lakh. She got discharged 3 days back and started having loose motion green in color from that night itself. dr gave medicine for diarrhea; the color has changed but still she is passing stools very frequently and they are very loose. What could be the reason? | Reclothe acute episode of uncomplicated dengue fever usually last for a week. This diarrhea is not related to dengue illness. The loose stool may persist for 5-7 days. The main aim of management in diarrhea is to prevent deny Chat Doctor. Give her Zinc syrup with some probiotic for early recovery. If there is decreased urinary frequency or decreased oral acceptance consult your doctor immediately. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My cousins child had been identified with dengue fever last week and admitted in hospital with platelet count around 1lakh. She got discharged 3 days back and started having loose motion green in color from that night itself. dr gave medicine for diarrhea; the color has changed but still she is passing stools very frequently and they are very loose. What could be the reason?"
},
{
"from": "gpt",
"value": "Output: Reclothe acute episode of uncomplicated dengue fever usually last for a week. This diarrhea is not related to dengue illness. The loose stool may persist for 5-7 days. The main aim of management in diarrhea is to prevent deny Chat Doctor. Give her Zinc syrup with some probiotic for early recovery. If there is decreased urinary frequency or decreased oral acceptance consult your doctor immediately. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Respected Doctor, my father have probloum in his heart.we have don all heart test.now doctor told us.his heart is working only 25% and some vain have also workin only 20%.but he is looking very healthy.he dnt feel pain but he feel his heart beeting fast .now doctor told only they have to go for medicen ther no tretment.no heart surgry or no stunt.only they have to eat the medicen.pls give me answer how mutch this danger.or ?????.your well wisher.shahid | Hello! I can understand your concern for your father.1. The conditions you have written indicate that his heart is having its 20-25% capacity to supply blood to the whole body.2. His heart is working more to pump blood everywhere, so his pulse is fast.3. He is not doing any work, so his heart is able to cope up in resting phase.4. The medicines he is taking is relieving his pain. 5. The condition of the heart is such, that it will not tolerate any anesthesia. Other blockages in the arteries, and possibly the loss of pumping capacity, which is called failure, are complications which make operation impossible. Please continue the medicines for a good quality life. If there was any surgical treatment available, the doctor would have advised you. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Respected Doctor, my father have probloum in his heart.we have don all heart test.now doctor told us.his heart is working only 25% and some vain have also workin only 20%.but he is looking very healthy.he dnt feel pain but he feel his heart beeting fast .now doctor told only they have to go for medicen ther no tretment.no heart surgry or no stunt.only they have to eat the medicen.pls give me answer how mutch this danger.or ?????.your well wisher.shahid"
},
{
"from": "gpt",
"value": "Output: Hello! I can understand your concern for your father.1. The conditions you have written indicate that his heart is having its 20-25% capacity to supply blood to the whole body.2. His heart is working more to pump blood everywhere, so his pulse is fast.3. He is not doing any work, so his heart is able to cope up in resting phase.4. The medicines he is taking is relieving his pain. 5. The condition of the heart is such, that it will not tolerate any anesthesia. Other blockages in the arteries, and possibly the loss of pumping capacity, which is called failure, are complications which make operation impossible. Please continue the medicines for a good quality life. If there was any surgical treatment available, the doctor would have advised you. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have noticed i have a slight tear under my penis i think its the frenulum tear. Symptoms are my foreskin is swollen and red, when i urinate and it runs down over the cut/tear it stings really bad for a few seconds. Also i seem to be leaking some fluid like substance and it has a smell to it. What is my problem? | HelloThanks for query. Based on the symptoms that you have described you seem to have infection of foreskin (Prostatitis). Many a time it is a presenting symptom of Diabetes hence get your blood sugar test done to rule out Diabetes. You need to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have noticed i have a slight tear under my penis i think its the frenulum tear. Symptoms are my foreskin is swollen and red, when i urinate and it runs down over the cut/tear it stings really bad for a few seconds. Also i seem to be leaking some fluid like substance and it has a smell to it. What is my problem?"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Based on the symptoms that you have described you seem to have infection of foreskin (Prostatitis). Many a time it is a presenting symptom of Diabetes hence get your blood sugar test done to rule out Diabetes. You need to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had to put a few things up in the attic today. When I went to close the overhead door the string on it snapped and I fell backward hard. My boyfriend aid I flew in the air before I landed on the floor. It happened about 10 | Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after injury. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are three possibility, one is simple muscle injury, second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. You are advised to see orthopedic. I think your query answered. Welcome to any follow-up query | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had to put a few things up in the attic today. When I went to close the overhead door the string on it snapped and I fell backward hard. My boyfriend aid I flew in the air before I landed on the floor. It happened about 10"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after injury. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are three possibility, one is simple muscle injury, second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. You are advised to see orthopedic. I think your query answered. Welcome to any follow-up query"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 31 years old 163 cm tall and 51KG.i am having spasmodic pain in my chest,it feels like \" quick squeezing\" and is irregular but probably a couple of times every couple of minutes , it has been going on for 2 days, the pain is probably a 2 out of 10 for severity, each time it happens i feel I need to catch my breath. otherwise I feel absolutely fine. | Hi welcome to the Chat Doctor Here cardiac causes has to be ruled out first... Your work up should be done as follows .... -Auscultation -EKG -CBC with HE estimation -Chest x-ray if needed -echocardiography if needed -Blood pressure measurement -Tread mill According to cause further specific treatment given Excess stress sometime can lead pain.... So avoid stress... You should consult pulmonologist or cardiologist for examination and further work up 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 31 years old 163 cm tall and 51KG.i am having spasmodic pain in my chest,it feels like \\\" quick squeezing\\\" and is irregular but probably a couple of times every couple of minutes , it has been going on for 2 days, the pain is probably a 2 out of 10 for severity, each time it happens i feel I need to catch my breath. otherwise I feel absolutely fine."
},
{
"from": "gpt",
"value": "Output: Hi welcome to the Chat Doctor Here cardiac causes has to be ruled out first... Your work up should be done as follows .... -Auscultation -EKG -CBC with HE estimation -Chest x-ray if needed -echocardiography if needed -Blood pressure measurement -Tread mill According to cause further specific treatment given Excess stress sometime can lead pain.... So avoid stress... You should consult pulmonologist or cardiologist for examination and further work up Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My four year old daughter has been excessively sweating under her armpits. She has a twin sister who does not have this problem. I thought that young children do not sweat so much that you could smell body order under their arms. Please advise. Thank you. | Hi, this is focal excessive sweating commonly seen in young child Chat Doctor. In healthy child, causes are excess physical activities, anxiety, spicy diet, too much cold water, excessive heat or might be genetic (no comparison with twin child)Generally sweating occurs in body to lower down the surface temperature and to cool down skin. Treatment, you can apply antiperspirants(aluminum chloride) or topical anticholinergics which will reduce sweating to some extent. This kind of problem subsides usually as with the growing age. No need to worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My four year old daughter has been excessively sweating under her armpits. She has a twin sister who does not have this problem. I thought that young children do not sweat so much that you could smell body order under their arms. Please advise. Thank you."
},
{
"from": "gpt",
"value": "Output: Hi, this is focal excessive sweating commonly seen in young child Chat Doctor. In healthy child, causes are excess physical activities, anxiety, spicy diet, too much cold water, excessive heat or might be genetic (no comparison with twin child)Generally sweating occurs in body to lower down the surface temperature and to cool down skin. Treatment, you can apply antiperspirants(aluminum chloride) or topical anticholinergics which will reduce sweating to some extent. This kind of problem subsides usually as with the growing age. No need to worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor, my daughter is 2 yrs n 7months old. she won t eat, she dont like to eat food.my friend suggested me to give her medicine. i m giving her APTIVIN n PAPYTAZYME SYRUP. so can u pls tell me these both medicine is safe for her or not. and 1 more question is she always suffer from very bad cough, we check with doctor n we have done some tests for that every report is normal than why her cough is not going | preferring milk to food is common in toddlers, and It's important to distinguish a behavioral issue from an organic cause, did you notice that she might not able to eat because she feels pain ? Or it is a preference issue ? If it's a preference, then cut down the milk and make her hungry a little and offer her sweet food first, mixing with that a little vegetables and fruits. don't use conditioning (prize for eating) method, because it will not help .the papytazym is used in cases of suspected herpes and oral pains, if nothing is there don't use it action is an antihistamine which used in Cases of allergy. For the second question | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor, my daughter is 2 yrs n 7months old. she won t eat, she dont like to eat food.my friend suggested me to give her medicine. i m giving her APTIVIN n PAPYTAZYME SYRUP. so can u pls tell me these both medicine is safe for her or not. and 1 more question is she always suffer from very bad cough, we check with doctor n we have done some tests for that every report is normal than why her cough is not going"
},
{
"from": "gpt",
"value": "Output: preferring milk to food is common in toddlers, and It's important to distinguish a behavioral issue from an organic cause, did you notice that she might not able to eat because she feels pain ? Or it is a preference issue ? If it's a preference, then cut down the milk and make her hungry a little and offer her sweet food first, mixing with that a little vegetables and fruits. don't use conditioning (prize for eating) method, because it will not help .the papytazym is used in cases of suspected herpes and oral pains, if nothing is there don't use it action is an antihistamine which used in Cases of allergy. For the second question"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 64 yr. old female. I have been told that I have a benign cyst in my pancreas that requires surgery. If I do not get the surgery I will need to continue with endoscopies. I have been get these every 6 mos. and it is taking a toll on me. I get pancreatitis every time I have an endoscopy. I understand that if no surgery, it might turn into cancer, but what is the survival rate for this surgery, how invasive is it and approximate re-cooperation time. Also, if not malignant, why the surgery? | Hello, pancreatic cysts are sac like pockets of fluid on or within your pancreas, most pancreatic cysts are not cancerous & many donor show any symptoms, but some pancreatic cysts can be cancerous. Sometimes it's not be able to tell whether a cyst may become cancerous. Your doctor may recommend monitoring cyst over time for changes in size or shape that may suggest the need to remove it surgically. Some cysts have low potential for becoming cancerous, & your doctor may recommend watching them carefully. So your recommended for regular endoscopies to ensure any changes, in case you're not willing for the surgery. Hope it helps, Take care & please do keep me posted on how you're doing or if you have any additional doubting 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 yr. old female. I have been told that I have a benign cyst in my pancreas that requires surgery. If I do not get the surgery I will need to continue with endoscopies. I have been get these every 6 mos. and it is taking a toll on me. I get pancreatitis every time I have an endoscopy. I understand that if no surgery, it might turn into cancer, but what is the survival rate for this surgery, how invasive is it and approximate re-cooperation time. Also, if not malignant, why the surgery?"
},
{
"from": "gpt",
"value": "Output: Hello, pancreatic cysts are sac like pockets of fluid on or within your pancreas, most pancreatic cysts are not cancerous & many donor show any symptoms, but some pancreatic cysts can be cancerous. Sometimes it's not be able to tell whether a cyst may become cancerous. Your doctor may recommend monitoring cyst over time for changes in size or shape that may suggest the need to remove it surgically. Some cysts have low potential for becoming cancerous, & your doctor may recommend watching them carefully. So your recommended for regular endoscopies to ensure any changes, in case you're not willing for the surgery. Hope it helps, Take care & please do keep me posted on how you're doing or if you have any additional doubting regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a sharp pain when I sneezed just now in my lower right stomach. I had pains before a few times in the same spot when I bent down to pick something up. It felt just like a leg cramp in my stomach muscle and I had to wait until it stopped cramping before I could move again. My first thought is a hernia but I see or feel no lump there and it probably is not a appendicitis because I have not lost my appetite or had fevers. wondering if I need to go to a doctor. I am a 41 year old female who had kids before and thinking my stomach muscles might just be ruined from the stretching of the babies growing. | Hi ! Sometimes a developing hernia in its initial stages may give rise to such sharp pain on coughing. You may not be able to see any lump initially until the hernia protrudes out. Any intro abdominal organ when inflamed may give rise to pain in the abdomen with every movement of the abdominal muscles and the parietal peritoneum with it. Appendicitis is an example of it which does not look to be so in your case. However, if the pain persists and disturbs you in your normal day-to-day activity, then you may have to consult a surgeon for getting examined clinically and further needful. Wishing you all the luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a sharp pain when I sneezed just now in my lower right stomach. I had pains before a few times in the same spot when I bent down to pick something up. It felt just like a leg cramp in my stomach muscle and I had to wait until it stopped cramping before I could move again. My first thought is a hernia but I see or feel no lump there and it probably is not a appendicitis because I have not lost my appetite or had fevers. wondering if I need to go to a doctor. I am a 41 year old female who had kids before and thinking my stomach muscles might just be ruined from the stretching of the babies growing."
},
{
"from": "gpt",
"value": "Output: Hi ! Sometimes a developing hernia in its initial stages may give rise to such sharp pain on coughing. You may not be able to see any lump initially until the hernia protrudes out. Any intro abdominal organ when inflamed may give rise to pain in the abdomen with every movement of the abdominal muscles and the parietal peritoneum with it. Appendicitis is an example of it which does not look to be so in your case. However, if the pain persists and disturbs you in your normal day-to-day activity, then you may have to consult a surgeon for getting examined clinically and further needful. Wishing you all the luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor, i am 31 year old male and have recently undergone through pre employment medical check up and it was found that i have sgpt- 48 and lymphocyte-41 except this all test are absolutely normal test includes LFt, Lipid profile serum, urine rotine and microscopy, CBC and PT/PT-INR. So please suggest what to do(precaution and prevention) to get this reduced. | HIT hanks for posting your query to Chat Doctor . I think there is nothing to be worried or concerned of these reports. These are minor elevation and can happen due to simple causes like a Viral or bacterial infection. Even one booze of alcohol can elevate your liver enzymes (but not Lymphocyte). At present no precaution or prevention is required. Only one thing if you are consuming alcohol kindly stop it for few months. Repeat SGPT and Differential Count after 3 months and revert. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor, i am 31 year old male and have recently undergone through pre employment medical check up and it was found that i have sgpt- 48 and lymphocyte-41 except this all test are absolutely normal test includes LFt, Lipid profile serum, urine rotine and microscopy, CBC and PT/PT-INR. So please suggest what to do(precaution and prevention) to get this reduced."
},
{
"from": "gpt",
"value": "Output: HIT hanks for posting your query to Chat Doctor . I think there is nothing to be worried or concerned of these reports. These are minor elevation and can happen due to simple causes like a Viral or bacterial infection. Even one booze of alcohol can elevate your liver enzymes (but not Lymphocyte). At present no precaution or prevention is required. Only one thing if you are consuming alcohol kindly stop it for few months. Repeat SGPT and Differential Count after 3 months and revert."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my three year old has a red earlobe at the back of one ear . I recently put new earrings in but if it was the earrings then both ears would be inflamed? I may have tightened on earring too much and now for two days have been using savlon antiseptic cream on sore ear but it s still red. She doesn t have any illness with it. | Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.comes, this is inflammation caused by new earring(could be the way it was made to wear, due to process of ear puncturing, too much of tightening of earring). I advise you to remove the earring and do not use any antibiotics for now. DAP the ear lobe with Luke warm water multiple times in day and Chat Doctor. If still does not heal in a couple of days, consult a pediatrician, for the further course of action. Once it heals, make your child wear easy and loose type of earring. And ensure the part is | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my three year old has a red earlobe at the back of one ear . I recently put new earrings in but if it was the earrings then both ears would be inflamed? I may have tightened on earring too much and now for two days have been using savlon antiseptic cream on sore ear but it s still red. She doesn t have any illness with it."
},
{
"from": "gpt",
"value": "Output: Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.comes, this is inflammation caused by new earring(could be the way it was made to wear, due to process of ear puncturing, too much of tightening of earring). I advise you to remove the earring and do not use any antibiotics for now. DAP the ear lobe with Luke warm water multiple times in day and Chat Doctor. If still does not heal in a couple of days, consult a pediatrician, for the further course of action. Once it heals, make your child wear easy and loose type of earring. And ensure the part is"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been getting electric like shocks in my left chest for seconds at time and then they disappear. In addition, I am having pain down the middle of my neck. It was only on the left side, but now its on the right too. Could these be related? Im confused. Thanks! | Thanks for your question on Chat Doctor. I can understand your situation and problem. Electric shock like feeling in left sided chest with neck pain can be due to heart diseases like angina or arrhythmia. So better to consult doctor and get done 1. Clinical examination of heart 2. ECG 3. 2d echo 4. Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart disease. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been getting electric like shocks in my left chest for seconds at time and then they disappear. In addition, I am having pain down the middle of my neck. It was only on the left side, but now its on the right too. Could these be related? Im confused. Thanks!"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Electric shock like feeling in left sided chest with neck pain can be due to heart diseases like angina or arrhythmia. So better to consult doctor and get done 1. Clinical examination of heart 2. ECG 3. 2d echo 4. Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart disease. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am 45 year old male. I have been having pain in my right foot. First it was my big toe joint on the inside of my foot. Very tender to the touch or if I bumped it. Would send frequent pain bursts into big toe. Now it also includes my littl toe. If I put pressure on my foot to pivot, my little toe will send shooting pain into my foot. I still have the big toe issue as well. Any ideas? | Hello, This sounds to be an increasing level of uric acid. Kindly get this checked. As due to increase in the uric acid levels there might be symptoms of the foot pain, toe pain etc. Monitoring the uric acid levels with the help of medicine should provide some relief. Consume more water and pass more urine to reduce the uric acid levels in the body. Also, I will advise doing simple exercises at home to improve the strength in the muscles of the legs. 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: Hello, I am 45 year old male. I have been having pain in my right foot. First it was my big toe joint on the inside of my foot. Very tender to the touch or if I bumped it. Would send frequent pain bursts into big toe. Now it also includes my littl toe. If I put pressure on my foot to pivot, my little toe will send shooting pain into my foot. I still have the big toe issue as well. Any ideas?"
},
{
"from": "gpt",
"value": "Output: Hello, This sounds to be an increasing level of uric acid. Kindly get this checked. As due to increase in the uric acid levels there might be symptoms of the foot pain, toe pain etc. Monitoring the uric acid levels with the help of medicine should provide some relief. Consume more water and pass more urine to reduce the uric acid levels in the body. Also, I will advise doing simple exercises at home to improve the strength in the muscles of the legs. 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. | I started treatment for chlamydia 3 weeks ago. I underwent a 1 week course. I was told no sexual contact during treatment week and the week after. 5 days after treatment finished I had protected sex once with my partner who started the same treatment as me at the same time. I am worried about re infection, is this possible? We had no unprotected sex or oral during the week of treatment and the week after | Hello and welcome to Chat Doctor. Thanks for putting up your query over here. There is less chance of transmission of sexually transmitted disease during protected sex. This is true in case the condom was fitted properly all throughout the act and there was no event of tearing. But still, it is advised to refrain from sex for few days as it interferes with healing process. Mucosa becomes more prone and sensitive. Also healing process is interfered during menses. Keep doing proper follow up with your treating doctor and discuss this incident with the doctor. Hope I answered your query. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I started treatment for chlamydia 3 weeks ago. I underwent a 1 week course. I was told no sexual contact during treatment week and the week after. 5 days after treatment finished I had protected sex once with my partner who started the same treatment as me at the same time. I am worried about re infection, is this possible? We had no unprotected sex or oral during the week of treatment and the week after"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. Thanks for putting up your query over here. There is less chance of transmission of sexually transmitted disease during protected sex. This is true in case the condom was fitted properly all throughout the act and there was no event of tearing. But still, it is advised to refrain from sex for few days as it interferes with healing process. Mucosa becomes more prone and sensitive. Also healing process is interfered during menses. Keep doing proper follow up with your treating doctor and discuss this incident with the doctor. Hope I answered your query. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Im 38 yrs old and had 2 sinus surgery about 3 yrs ago. Everything was fine until about a month ago. I got another sinus infection and its real bad and wont go away. Doctor wanted me to gov5o Ent and said would prob need 3rd surgery. I had appt set up to go toENT march1. I just found out yesterday I am pregnant. This infection is killing me. Pain is unberable and face is swollen. Will they still do surgery if pregnant? | Hello, As per your clinical history is concerned, please follow like this | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Im 38 yrs old and had 2 sinus surgery about 3 yrs ago. Everything was fine until about a month ago. I got another sinus infection and its real bad and wont go away. Doctor wanted me to gov5o Ent and said would prob need 3rd surgery. I had appt set up to go toENT march1. I just found out yesterday I am pregnant. This infection is killing me. Pain is unberable and face is swollen. Will they still do surgery if pregnant?"
},
{
"from": "gpt",
"value": "Output: Hello, As per your clinical history is concerned, please follow like this"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I noticed a small swelling on both my cheeks. It is below the eye but on my cheeks. Although it is not very prominent I noticed it 2 nights ago after removing my make up with make up remover pads. I used these pads a few times before too. But I also feel I might have exerted more pressure to remove my make up under the eye area. Its not painful either. It just looks a little puffy if you look very closely. What could the problem be? How may I subdue it? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is type of swelling. Usually it is harm less. It arises when you are on stress, or you have not taken enough sleep. It is nothing to worry. Furthermore, it will go with its own. You can take good sleep approximately 8 hours a day. Avoid excessive stress. This small measure can remove all the swelling you have. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I noticed a small swelling on both my cheeks. It is below the eye but on my cheeks. Although it is not very prominent I noticed it 2 nights ago after removing my make up with make up remover pads. I used these pads a few times before too. But I also feel I might have exerted more pressure to remove my make up under the eye area. Its not painful either. It just looks a little puffy if you look very closely. What could the problem be? How may I subdue it?"
},
{
"from": "gpt",
"value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is type of swelling. Usually it is harm less. It arises when you are on stress, or you have not taken enough sleep. It is nothing to worry. Furthermore, it will go with its own. You can take good sleep approximately 8 hours a day. Avoid excessive stress. This small measure can remove all the swelling you have. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I recently had a rusty nail puncture my hand between my fingers quite deeply, very little blood when it happened but I could see down inside the puncture wound the bits inside. I went to the hospital where they washed my hand in iodine and glued me back together also had my first tetanus jab. now the swelling has mostly subsided I am experiencing shooting pains up along my fingers and a crunching sound in my jaw. the pain in my fingers is quite substantial. do I need an xray to see if any damage has been done | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you should first take Tab Tramadol 100\u00a0mg to relieve you of your pain, then an X-Ray is a must to see if there is any phalanges fracture. Also I would recommend a short course of antibiotics to prevent any infection from the injury. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I recently had a rusty nail puncture my hand between my fingers quite deeply, very little blood when it happened but I could see down inside the puncture wound the bits inside. I went to the hospital where they washed my hand in iodine and glued me back together also had my first tetanus jab. now the swelling has mostly subsided I am experiencing shooting pains up along my fingers and a crunching sound in my jaw. the pain in my fingers is quite substantial. do I need an xray to see if any damage has been done"
},
{
"from": "gpt",
"value": "Output: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you should first take Tab Tramadol 100\\u00a0mg to relieve you of your pain, then an X-Ray is a must to see if there is any phalanges fracture. Also I would recommend a short course of antibiotics to prevent any infection from the injury. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello i am a male 24 years old.i shaved my pubic hair scrotum area and around and now it itches like hell continuously and i scratched it causing it to swell on scrotum region where i specifically scratched.the itching doesnt go away.i wash it with dettol or savlon and the itching stops for a while like an hour or two then gain it starts.please help. | Degree understand your concerns went through your details. Itching can happen due to irritation and inflammation or certain types of skin allergy. You should check the razor with which you had shaved that part. There could be some allergens. Maybe the allergens were already there, and it got agitated when you shaved the area. In any case, to treat itching for the time being, you can use warm water. Clean the area with warm water twice or thrice. Fix an appointment with a dermatologist and consult him. 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: hello i am a male 24 years old.i shaved my pubic hair scrotum area and around and now it itches like hell continuously and i scratched it causing it to swell on scrotum region where i specifically scratched.the itching doesnt go away.i wash it with dettol or savlon and the itching stops for a while like an hour or two then gain it starts.please help."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. Itching can happen due to irritation and inflammation or certain types of skin allergy. You should check the razor with which you had shaved that part. There could be some allergens. Maybe the allergens were already there, and it got agitated when you shaved the area. In any case, to treat itching for the time being, you can use warm water. Clean the area with warm water twice or thrice. Fix an appointment with a dermatologist and consult him. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband suffers from high bp he is on medication ,he takes enam 10 and eslo 5 regularly.he is non alcoholic ,works out daily and does not smoke too.his bp problem is hereditary,when he sneezes he feels a sharp pain in the chest. His age is 32,what should he do to further treat his problem. | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that his symptoms do not seem to be cardiac related. They could be related to musculoskeletal pain or inflammation. You have nothing to worry about! I recommend consulting with his attending physician for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband suffers from high bp he is on medication ,he takes enam 10 and eslo 5 regularly.he is non alcoholic ,works out daily and does not smoke too.his bp problem is hereditary,when he sneezes he feels a sharp pain in the chest. His age is 32,what should he do to further treat his problem."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that his symptoms do not seem to be cardiac related. They could be related to musculoskeletal pain or inflammation. You have nothing to worry about! I recommend consulting with his attending physician for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor i want to ask u that which laxative is safe for achild of 1year my child is 1 yr s & he is having severe constipation during defecation he feels very pain he passes fecoliths doctor has recomended so many laxative milk of magnesia,lactulose,sodium picosulphate & now this laxopeg sachetz but every time i feel insecure to use all this can you suggest me best & safer laxative & for how much time this constipation will remain to him any herbel way out to eradicate this | His can understand your concern regarding constipation in your child. You have used many laxatives till date. But I would like to know whether you have evaluated your baby for this constipation. Your baby needs some blood investigations to rule out thyroid dysfunction, any intestinal anomaly should be ruled out. You may try following | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor i want to ask u that which laxative is safe for achild of 1year my child is 1 yr s & he is having severe constipation during defecation he feels very pain he passes fecoliths doctor has recomended so many laxative milk of magnesia,lactulose,sodium picosulphate & now this laxopeg sachetz but every time i feel insecure to use all this can you suggest me best & safer laxative & for how much time this constipation will remain to him any herbel way out to eradicate this"
},
{
"from": "gpt",
"value": "Output: His can understand your concern regarding constipation in your child. You have used many laxatives till date. But I would like to know whether you have evaluated your baby for this constipation. Your baby needs some blood investigations to rule out thyroid dysfunction, any intestinal anomaly should be ruled out. You may try following"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son is 18 yrs oldhe just turnend 18 for the last 3 days he has congested and coughing up alot of phlem and saying he feels like hes choking on it when he is sleeping just now went to bed after being up for36 hrs straight. he aso had a bloody nose and coughed up some blood and complaining of some pain in his chest from coughing we have no family dr. what can i o to help him please help I also had a mi cerbereal stroke 2 yrs ago in june so can you help find a family r. that takes medicaid we live in Arvada, Co. of of 76 need a close by dr please and thank you so much. God Bless you. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist for your son. His symptoms like chest pain on coughing, blood in sputum, chest congestion etc. suggest possibility of lung infection mostly pneumonia or tuberculosis. So consult pulmonologist and get done1. Chest x ray2. Sputum examination for tuberculosis.3. Sputum culture and sensitivity4. CT thorax if chest x-ray is inconclusive. If all these are normal then valvular heart disease can be the cause. As it can present with similar symptoms. So get done 2d echo to rule out cardiac cause. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son is 18 yrs oldhe just turnend 18 for the last 3 days he has congested and coughing up alot of phlem and saying he feels like hes choking on it when he is sleeping just now went to bed after being up for36 hrs straight. he aso had a bloody nose and coughed up some blood and complaining of some pain in his chest from coughing we have no family dr. what can i o to help him please help I also had a mi cerbereal stroke 2 yrs ago in june so can you help find a family r. that takes medicaid we live in Arvada, Co. of of 76 need a close by dr please and thank you so much. God Bless you."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist for your son. His symptoms like chest pain on coughing, blood in sputum, chest congestion etc. suggest possibility of lung infection mostly pneumonia or tuberculosis. So consult pulmonologist and get done1. Chest x ray2. Sputum examination for tuberculosis.3. Sputum culture and sensitivity4. CT thorax if chest x-ray is inconclusive. If all these are normal then valvular heart disease can be the cause. As it can present with similar symptoms. So get done 2d echo to rule out cardiac cause."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions? | Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. 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 five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions?"
},
{
"from": "gpt",
"value": "Output: Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. 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 partner suffers from Steven Johnson syndrome due to an accident back in 2004 he has metal plates in his head he recently has felt as if the metal plates are cracked and moving apart now for the past 3 days he has had a severe headache followed by a severe nose bleed that lasts for anything from 10 mins to 30 mins resulting in the headache clearing He is awaiting an appointment with neuro surgeons any advice | Hi, I would explain that his symptoms could be related to uncontrolled high blood pressure or an infection (considering the fact that he has metallic plates inside his head). I would recommend you to closely monitor his blood pressure values. It is also important performing some other tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My partner suffers from Steven Johnson syndrome due to an accident back in 2004 he has metal plates in his head he recently has felt as if the metal plates are cracked and moving apart now for the past 3 days he has had a severe headache followed by a severe nose bleed that lasts for anything from 10 mins to 30 mins resulting in the headache clearing He is awaiting an appointment with neuro surgeons any advice"
},
{
"from": "gpt",
"value": "Output: Hi, I would explain that his symptoms could be related to uncontrolled high blood pressure or an infection (considering the fact that he has metallic plates inside his head). I would recommend you to closely monitor his blood pressure values. It is also important performing some other tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am suffering with harpies viral infection in my left side of neck till shoulder. Today is the 4th day. I have started taking aciclovir 400 tablet 5 times a day and applying aciclovir cream 3-4 times a day. Is it the correct way to cure it? Do i need to take anything more? How many days will it take to cure it (approx)? | Acyclovir is a specific treatment for the harpies viral infection. You have to take the medicine for 7 days. The vesicular lesions may disappear after 2-3 weeks. However, if the pain is very severe you may need additionally corticosteroids medicine for 1-2 weeks after which this can be stopped gradually by tapering the dose for 1-2 weeks. In some people the pain will persist for 6 months to 1 year (post -hype tic neuralgia). In such a case Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am suffering with harpies viral infection in my left side of neck till shoulder. Today is the 4th day. I have started taking aciclovir 400 tablet 5 times a day and applying aciclovir cream 3-4 times a day. Is it the correct way to cure it? Do i need to take anything more? How many days will it take to cure it (approx)?"
},
{
"from": "gpt",
"value": "Output: Acyclovir is a specific treatment for the harpies viral infection. You have to take the medicine for 7 days. The vesicular lesions may disappear after 2-3 weeks. However, if the pain is very severe you may need additionally corticosteroids medicine for 1-2 weeks after which this can be stopped gradually by tapering the dose for 1-2 weeks. In some people the pain will persist for 6 months to 1 year (post -hype tic neuralgia). In such a case Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having high SGPT level 109 ? how to lower it? Reason as to why so high? In a recent medical test it is found that my SGPT is 109. I am not an alchoholic i drink 3 PEG BRANDY TWICEl IN every week. I was not taking any medicines for any ailments. I do eat food from outside as i am staying away from home. Tell me how i can lower this. 2.5 MONTHS AGO IMPLANT REMOVAL (PHILOSPLAT)SURGURY AT SHOULDER And why this has happened | Hi. Thanks for posting query at Chat Doctor. Value of AST or ALT greater than 85 or above maybe investigated further. HAV, HBO, CV, Alcohol ingestion, obesity are common causes of liver disease. Rule out HBV and Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Advice for fatty liver | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having high SGPT level 109 ? how to lower it? Reason as to why so high? In a recent medical test it is found that my SGPT is 109. I am not an alchoholic i drink 3 PEG BRANDY TWICEl IN every week. I was not taking any medicines for any ailments. I do eat food from outside as i am staying away from home. Tell me how i can lower this. 2.5 MONTHS AGO IMPLANT REMOVAL (PHILOSPLAT)SURGURY AT SHOULDER And why this has happened"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for posting query at Chat Doctor. Value of AST or ALT greater than 85 or above maybe investigated further. HAV, HBO, CV, Alcohol ingestion, obesity are common causes of liver disease. Rule out HBV and Usually ALT or AST values higher than \\\"two times the upper normal limit\\\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Advice for fatty liver"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have a rash or what looks like a rash on my fingers and mouth area. little blisters pop up and itch like crazy,and when they are popped clear liquid comes out of them. and then my skin peels off almost like a snake skin. it hurts very much and i think it has now spread to my chin and my lips.it is really bad on my arms,it lasts anywhere from 5 to 8 months at a time ,it keeps coming back please help me the itching is so severe sometimes i think im going nuts. | Hi Dear, Understanding your concern. As per your query you have symptoms of rash which is growing, blister which itch and skin peels off which is due to constant contact of allergen. Need not worry. I would suggest you to protect your skin from sun by applying sunscreen with SPF 50. Chat Doctor. Consult dermatologist for proper evaluation. Doctor may prescribe topical corticosteroids, vitamin D supplement, ginkgo Balboa or | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i have a rash or what looks like a rash on my fingers and mouth area. little blisters pop up and itch like crazy,and when they are popped clear liquid comes out of them. and then my skin peels off almost like a snake skin. it hurts very much and i think it has now spread to my chin and my lips.it is really bad on my arms,it lasts anywhere from 5 to 8 months at a time ,it keeps coming back please help me the itching is so severe sometimes i think im going nuts."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Understanding your concern. As per your query you have symptoms of rash which is growing, blister which itch and skin peels off which is due to constant contact of allergen. Need not worry. I would suggest you to protect your skin from sun by applying sunscreen with SPF 50. Chat Doctor. Consult dermatologist for proper evaluation. Doctor may prescribe topical corticosteroids, vitamin D supplement, ginkgo Balboa or"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im a 29 year old man, married since last 2 years. We had lot of differences in the first year of marriage which got sorted out gradually. Since last six months Ive been staying alone and travel on weekends to home due to professional engagements.On 19th we were celebrating our second marriage anniversary, everything was going fin till the time I got drunk and blasted at her. I asked my wife to get down of my car and told her that everyone is my enemy and you are not greatful for anything.This genrally does not happen with me Im very calm and controlled person. But since last 6 months im not enjoying my life and not happy about anything, life... job.. weekend travel.... | Hello and thanks for your query. I understand that you are going through a difficult period. You have mentioned that of late you feel more angry and irritable and that you are not able to feel enjoyment or happiness. All these symptoms could be indicative of a depression. Since this seems to be affecting you as well as your marital relationship, it is necessary that you seek professional help. Help is available in the form of medication to relax your mind as well as counselling. So, I would suggest that you consult a psychiatrist in your place for a detailed evaluation and further treatment. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im a 29 year old man, married since last 2 years. We had lot of differences in the first year of marriage which got sorted out gradually. Since last six months Ive been staying alone and travel on weekends to home due to professional engagements.On 19th we were celebrating our second marriage anniversary, everything was going fin till the time I got drunk and blasted at her. I asked my wife to get down of my car and told her that everyone is my enemy and you are not greatful for anything.This genrally does not happen with me Im very calm and controlled person. But since last 6 months im not enjoying my life and not happy about anything, life... job.. weekend travel...."
},
{
"from": "gpt",
"value": "Output: Hello and thanks for your query. I understand that you are going through a difficult period. You have mentioned that of late you feel more angry and irritable and that you are not able to feel enjoyment or happiness. All these symptoms could be indicative of a depression. Since this seems to be affecting you as well as your marital relationship, it is necessary that you seek professional help. Help is available in the form of medication to relax your mind as well as counselling. So, I would suggest that you consult a psychiatrist in your place for a detailed evaluation and further treatment. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir yesterday night i had two breads with vegitable made of Bread fruit. after one hour i took tablet of collestrol and gone to bed. but i started suffocating while breathing. My age is 45. Just 15 days back i suffered from high BP (154/80) I checked collestrol on 1st may 2012 , it shows (263) Kindly advice | A feeling of chocking breathlessness while sleeping is medically termed as paroxysmal nocturnal dyspnoeayou are a dyslipidemia and hypertensive patient both of them are a major risk factor for cardiovascular diseaseparaoxysmal nocturnal Dyson can be a sign of cardiovascular disease would suggest you to go forecg2 d echo test a pulmonary function test if done would help to rule out any respiratory system problem lipid profile every 3 month should be repeated once these test results are out Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir yesterday night i had two breads with vegitable made of Bread fruit. after one hour i took tablet of collestrol and gone to bed. but i started suffocating while breathing. My age is 45. Just 15 days back i suffered from high BP (154/80) I checked collestrol on 1st may 2012 , it shows (263) Kindly advice"
},
{
"from": "gpt",
"value": "Output: A feeling of chocking breathlessness while sleeping is medically termed as paroxysmal nocturnal dyspnoeayou are a dyslipidemia and hypertensive patient both of them are a major risk factor for cardiovascular diseaseparaoxysmal nocturnal Dyson can be a sign of cardiovascular disease would suggest you to go forecg2 d echo test a pulmonary function test if done would help to rule out any respiratory system problem lipid profile every 3 month should be repeated once these test results are out Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hI I HAVE HIP PAIN FOR A YEAR THAT STARTED RANDOMLY AND IT IS GETTING WORST BY THE DAY I T HURST TO SIT SLEEP AND WALK TODAY I HAVE WOKE UP AND THE PAIN IS ALL DOWN MY LEG AND IN MY KNEE AND HIP WITH A WIRED FEELING. I FEEL SO TIRED ALL THE THE TIME WHAT IS WRONG WITH ME | Hello, The symptoms guide towards the lumbar Radiculopathy. This happens due to nerve entrapment anywhere in its course. MRI is advised. Treatment part. Doing McKenzie maneuver will help centralize the pain in the lower back. Check online about McKenzie maneuver. Post which hot water fermentation should be used to dilute the pain by vasodilation effect. Hot water fermentation will also help reduce the muscle spasm. Post this core stability exercise, spinal muscle strengthening exercises, hip strengthening exercises, static Qua Chat Doctor. Hope I have answered your queries. Let me know if I can assist you further. Take care Jay In | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hI I HAVE HIP PAIN FOR A YEAR THAT STARTED RANDOMLY AND IT IS GETTING WORST BY THE DAY I T HURST TO SIT SLEEP AND WALK TODAY I HAVE WOKE UP AND THE PAIN IS ALL DOWN MY LEG AND IN MY KNEE AND HIP WITH A WIRED FEELING. I FEEL SO TIRED ALL THE THE TIME WHAT IS WRONG WITH ME"
},
{
"from": "gpt",
"value": "Output: Hello, The symptoms guide towards the lumbar Radiculopathy. This happens due to nerve entrapment anywhere in its course. MRI is advised. Treatment part. Doing McKenzie maneuver will help centralize the pain in the lower back. Check online about McKenzie maneuver. Post which hot water fermentation should be used to dilute the pain by vasodilation effect. Hot water fermentation will also help reduce the muscle spasm. Post this core stability exercise, spinal muscle strengthening exercises, hip strengthening exercises, static Qua Chat Doctor. Hope I have answered your queries. Let me know if I can assist you further. Take care Jay In"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have severe pain in my hamstrings and I also feel like I am going to collapse while I am walking, and it hurts me to walk. I have just consulted with my doctor and she thinks it is strained muscles, but I know that I have not strained any muscles as I do not play sports. I am having a hard time believing this. | Hi, Thanks for your query. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have severe pain in my hamstrings and I also feel like I am going to collapse while I am walking, and it hurts me to walk. I have just consulted with my doctor and she thinks it is strained muscles, but I know that I have not strained any muscles as I do not play sports. I am having a hard time believing this."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 53 year old female, weight 146-height 5 4 . I recently had an ultra sound because of elevated liver enzymes . There was some fat infaltration. One month after the ultra sound my liver enzymes were AST-29, ALT-57. I was told to continue to abstain from drinking alcohol for a total of three months and have my enzymes checked again. I had been drinking 3 to 4 glasses of wine a night for many years because I have high cholesterol and thought this would help with the cholesterol. If my liver enzymes return to a normal range is it all right to have an occasional glass of wine? | Hello madam, I have gone through your problem. You said that you are Chat Doctor. Fatty infiltration of the liver is seen in obese patients and patients who take alcohol. You also had raised liver enzymes which shows that you had alcoholic hepatitis. Now your liver enzymes had returned to normal, but still there is a chance for you to have hepatitis (raised liver enzymes) in future if you take alcohol. My advice is to abstain from | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 53 year old female, weight 146-height 5 4 . I recently had an ultra sound because of elevated liver enzymes . There was some fat infaltration. One month after the ultra sound my liver enzymes were AST-29, ALT-57. I was told to continue to abstain from drinking alcohol for a total of three months and have my enzymes checked again. I had been drinking 3 to 4 glasses of wine a night for many years because I have high cholesterol and thought this would help with the cholesterol. If my liver enzymes return to a normal range is it all right to have an occasional glass of wine?"
},
{
"from": "gpt",
"value": "Output: Hello madam, I have gone through your problem. You said that you are Chat Doctor. Fatty infiltration of the liver is seen in obese patients and patients who take alcohol. You also had raised liver enzymes which shows that you had alcoholic hepatitis. Now your liver enzymes had returned to normal, but still there is a chance for you to have hepatitis (raised liver enzymes) in future if you take alcohol. My advice is to abstain from"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am looking for an advice on radiotherapy for my mother who was operated for removal of uterus. Uterus was found to be malignated. Although, all other reports after the operation confirms negative meaning no malignancy in the body now, I would like to take a second opinion whether it is recomended to go for radiotherapy. | Thanks for your question on Chat Doctor. I can understand your concern. Yes, radiotherapy is advisable after surgery for uterine malignancy. During surgery, spillage of malignant cells is unavoidable. Spillage is common due to handling of tumor mass. So tumor cells are likely to present at the site of operation. And hence local site recurrence is common after tumor surgery. To avoid this recurrence, radiotherapy is given post operative. Radiotherapy will kill the tumor cells at local site. And hence recurrence can be prevented. So it is always advisable to give post operative chemotherapy to prevent local site recurrence. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am looking for an advice on radiotherapy for my mother who was operated for removal of uterus. Uterus was found to be malignated. Although, all other reports after the operation confirms negative meaning no malignancy in the body now, I would like to take a second opinion whether it is recomended to go for radiotherapy."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Yes, radiotherapy is advisable after surgery for uterine malignancy. During surgery, spillage of malignant cells is unavoidable. Spillage is common due to handling of tumor mass. So tumor cells are likely to present at the site of operation. And hence local site recurrence is common after tumor surgery. To avoid this recurrence, radiotherapy is given post operative. Radiotherapy will kill the tumor cells at local site. And hence recurrence can be prevented. So it is always advisable to give post operative chemotherapy to prevent local site recurrence. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my mum was diaganosed 4 years ago with follicular non hodgkins lymphoma and finished mab therapy last feb however 2 weeks ago she was told she has swollen glands due to the disease again and a gland in her neck swelled to a large size overnight, this lump is hard and painful. Is this lymphoma and this mean that it is becoming more aggressive, also what is expected life expectancy with this type of cancer . Thank you | The swelling appeared overnight may be secondary to the lymphoma your mother had. Since it is a large and hard mass it is probably a spread of the lymphoma and is of aggressive type. At this stage It's difficult to predict the expectancy because it may vary person to person. But theoretically she may have up to 2 years if she is retreated for the lymphoma. Retreatment also depends on her health status. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my mum was diaganosed 4 years ago with follicular non hodgkins lymphoma and finished mab therapy last feb however 2 weeks ago she was told she has swollen glands due to the disease again and a gland in her neck swelled to a large size overnight, this lump is hard and painful. Is this lymphoma and this mean that it is becoming more aggressive, also what is expected life expectancy with this type of cancer . Thank you"
},
{
"from": "gpt",
"value": "Output: The swelling appeared overnight may be secondary to the lymphoma your mother had. Since it is a large and hard mass it is probably a spread of the lymphoma and is of aggressive type. At this stage It's difficult to predict the expectancy because it may vary person to person. But theoretically she may have up to 2 years if she is retreated for the lymphoma. Retreatment also depends on her health status. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife s personality has gradually changed. She was an English teacher for a decade before she quit to raise our kids, but now she takes an hour just to compose a short email, and has trouble explaining anything. She used to be able to quickly plan and execute complex activities, but now seems to mentally spin her wheels over anything that requires a significant decision. My brother, who is not a doctor but works in health care, said it sounded like it might be some early sign of dementia, and thought she should see a doctor. My wife is only 48, but her father has Alzheimer s, and her father s mother also had it, so this struck a chord of terror. I have not observed any memory problems. Does this seem likely? I don t want to bring it up with her out of concern it will just cause needless anxiety, unless I have something more concrete indicating that she would really benefit seeing a doctor. Thanks. | His had gone through your query. Alzheimer is age related dementia. Dementia is forgetfulness in which recent memory effect in initial stages. Inability to register new events and in ability to recall events that occur recently is main core feature of it. It is going to worsen as age progress, and gradually it effect whole cognitive functions. In last, it may affect executive functions along with behavior disturbances. Psychological illness like anxiety, depression, catastrophic reaction may associate with it. Proper treatment in early stage can prevent further damage. It can be treated with medicines with psychological approach. Consult neurologist and psychiatrist for better assistance. I hope I have answered your query. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife s personality has gradually changed. She was an English teacher for a decade before she quit to raise our kids, but now she takes an hour just to compose a short email, and has trouble explaining anything. She used to be able to quickly plan and execute complex activities, but now seems to mentally spin her wheels over anything that requires a significant decision. My brother, who is not a doctor but works in health care, said it sounded like it might be some early sign of dementia, and thought she should see a doctor. My wife is only 48, but her father has Alzheimer s, and her father s mother also had it, so this struck a chord of terror. I have not observed any memory problems. Does this seem likely? I don t want to bring it up with her out of concern it will just cause needless anxiety, unless I have something more concrete indicating that she would really benefit seeing a doctor. Thanks."
},
{
"from": "gpt",
"value": "Output: His had gone through your query. Alzheimer is age related dementia. Dementia is forgetfulness in which recent memory effect in initial stages. Inability to register new events and in ability to recall events that occur recently is main core feature of it. It is going to worsen as age progress, and gradually it effect whole cognitive functions. In last, it may affect executive functions along with behavior disturbances. Psychological illness like anxiety, depression, catastrophic reaction may associate with it. Proper treatment in early stage can prevent further damage. It can be treated with medicines with psychological approach. Consult neurologist and psychiatrist for better assistance. I hope I have answered your query. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,My name is Benu Khanna. I am 30 yrs old and a mother. My baby is 15 months old and I am not getting any time to exercise... Also my eating habits have gone bad. I dont eat on time sometimes no lunch, the other times no breakfast etc. I need a way to keep my body fit and healthy.. I dont have time to go to Gym.. nor much time to exercise at home.. Plz suggest something I need to burn fat from my upper body...(back fat and arms). Is there any Homeopathic or Ayurvedic medicine to loose fat only... Regards,Benu | Welcome to Chat Doctor. There are so many medicines in Ayurveda, homeopathy and even in apathy. But without diet and exercise management it will not work. You have to be manage you diet pattern. Avoid oily, fatty foods. Make regular habits of diet for lunch and dinner or take frequent small diet. Eat more fruit juices, vegetable soups and high fiber diet. Do regular exercise (aerobics). Yoga will be helpful. Remember this....there is no any shortcut to reduce weight. Consult a good dietitian for better planning. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,My name is Benu Khanna. I am 30 yrs old and a mother. My baby is 15 months old and I am not getting any time to exercise... Also my eating habits have gone bad. I dont eat on time sometimes no lunch, the other times no breakfast etc. I need a way to keep my body fit and healthy.. I dont have time to go to Gym.. nor much time to exercise at home.. Plz suggest something I need to burn fat from my upper body...(back fat and arms). Is there any Homeopathic or Ayurvedic medicine to loose fat only... Regards,Benu"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor. There are so many medicines in Ayurveda, homeopathy and even in apathy. But without diet and exercise management it will not work. You have to be manage you diet pattern. Avoid oily, fatty foods. Make regular habits of diet for lunch and dinner or take frequent small diet. Eat more fruit juices, vegetable soups and high fiber diet. Do regular exercise (aerobics). Yoga will be helpful. Remember this....there is no any shortcut to reduce weight. Consult a good dietitian for better planning."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I just recently had sex with my boyfriend I have herpes but we used a condom I just got over an outbreak there was little skin to skin contact on his thigh from where I had my outbreak at can I spread it by his thigh touching it but he washed up and took a shower right afterwards is he at risk I know it takes 2-7 days for symptoms to show I really need some answers im scared for him! | Thank you for your query. You have genital herpes, transmitted mainly by human herpes virus 2 (HHV-2). (HHV-1 causes oral lesions; HHV-2 causes genital lesions). The virus is present in the fluid within the vesicles. Rupture of the vesicles and contact of the infective vesicular fluid with the skin of the uninfected person can transmit the infection. Herpes can also be transmitted by oral sex. In your case, there appears to be a possibility for infection. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just recently had sex with my boyfriend I have herpes but we used a condom I just got over an outbreak there was little skin to skin contact on his thigh from where I had my outbreak at can I spread it by his thigh touching it but he washed up and took a shower right afterwards is he at risk I know it takes 2-7 days for symptoms to show I really need some answers im scared for him!"
},
{
"from": "gpt",
"value": "Output: Thank you for your query. You have genital herpes, transmitted mainly by human herpes virus 2 (HHV-2). (HHV-1 causes oral lesions; HHV-2 causes genital lesions). The virus is present in the fluid within the vesicles. Rupture of the vesicles and contact of the infective vesicular fluid with the skin of the uninfected person can transmit the infection. Herpes can also be transmitted by oral sex. In your case, there appears to be a possibility for infection."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I constantly have really bad back pain its the bottom of my back and also going up the right side. I like I was to vomit a lot and get a lot of headaches and for the past month and a half Ive going to the bathroom a lot not urinating but passing stools. Everytime I eat I have to immeditley go to the bathroom to pass stools. Can you give me any help of what could be the matter?RegardsEmily | Hello. Thanks for writing to us. The symptoms that you have described are likely to be due to an irritable bowel. The pain in the back could be due to a bad posture, poor nutrition, stress or indigestion. You need to get yourself physically examined to find out the cause. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I constantly have really bad back pain its the bottom of my back and also going up the right side. I like I was to vomit a lot and get a lot of headaches and for the past month and a half Ive going to the bathroom a lot not urinating but passing stools. Everytime I eat I have to immeditley go to the bathroom to pass stools. Can you give me any help of what could be the matter?RegardsEmily"
},
{
"from": "gpt",
"value": "Output: Hello. Thanks for writing to us. The symptoms that you have described are likely to be due to an irritable bowel. The pain in the back could be due to a bad posture, poor nutrition, stress or indigestion. You need to get yourself physically examined to find out the cause. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi...im a 22 year old hypotensive female...two weeks ago i had this pain at the back of my left knee while i was shopping.but it has been 2 weeks now and it still hurts.its still bearable but i wonder why the pain isnt going off.when i walk longer distances,it gets worse.also i notice there is a visible vein at the region..and this isnt present on my other leg which is normal.why is that and what should i do? | Hello, The visible paining vein that you are seeing at the back of the leg and the intensity of pain which increases when you stand or walk for longer time indicate towards the possibility of varicose vein. Veins are the blood tubes that carry deoxygenated blood from various parts of our body to heart and lungs. If these veins become abnormally thick, twisted or tortuous, they are called varicose veins. Usually these happen in elderly people, but if there is some abnormality in the vein wall, you are obese, your routine requires you to stand for very long periods of time then younger people like you may suffer from it, too. To get relief from this, you need to wear compression stockings that are available in medical stores. Do lots of exercise. Elevate your legs while sleeping and if possible, when you are sitting. Try to avoid continuous standing periods. If you do not find relief in symptoms or then worsen, you should see a physician for physical examination. I hope this information helps. Thank you for choosing Chat Doctor. Best, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi...im a 22 year old hypotensive female...two weeks ago i had this pain at the back of my left knee while i was shopping.but it has been 2 weeks now and it still hurts.its still bearable but i wonder why the pain isnt going off.when i walk longer distances,it gets worse.also i notice there is a visible vein at the region..and this isnt present on my other leg which is normal.why is that and what should i do?"
},
{
"from": "gpt",
"value": "Output: Hello, The visible paining vein that you are seeing at the back of the leg and the intensity of pain which increases when you stand or walk for longer time indicate towards the possibility of varicose vein. Veins are the blood tubes that carry deoxygenated blood from various parts of our body to heart and lungs. If these veins become abnormally thick, twisted or tortuous, they are called varicose veins. Usually these happen in elderly people, but if there is some abnormality in the vein wall, you are obese, your routine requires you to stand for very long periods of time then younger people like you may suffer from it, too. To get relief from this, you need to wear compression stockings that are available in medical stores. Do lots of exercise. Elevate your legs while sleeping and if possible, when you are sitting. Try to avoid continuous standing periods. If you do not find relief in symptoms or then worsen, you should see a physician for physical examination. I hope this information helps. Thank you for choosing Chat Doctor. Best,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have this feeling/ sensation/ pressure in the middle of my back on my spine like someone is pressing a marble into one spot (for almost 6 months). It is most noticeable when I press my back up against a chair, lie down or curve my back. It is starting to become an annoyance, despite not being painful. Any explanations would be greatly appreciated. Thank you. | Hello, Thanks for posting this question in ChatDoctorLet me explain that the feeling you have described could be due to several reasons and our job will be to pinpoint the exact cause of such feelings and this will guide us for treatment. Such feelings can be due to various causes like spinal cord problem, compression in the spinal cord due to infections or even tumor. The best thing will be to be examined by a neurologist who will assess the exact neurological problem. I mean he will examine the back for any local pain, swelling etc., and he will do a detailed neurological assessment regarding the presence or absence of any neurological deficits. This will help us guide you if you need an MRI scan of the back or not. If both the neurological examination by a neurologist and MRI scan comes as normal, then you may benefit with physiotherapy or else you will have to undergo treatment as per the cause identified by these tests Hope this clarifies | [
{
"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 feeling/ sensation/ pressure in the middle of my back on my spine like someone is pressing a marble into one spot (for almost 6 months). It is most noticeable when I press my back up against a chair, lie down or curve my back. It is starting to become an annoyance, despite not being painful. Any explanations would be greatly appreciated. Thank you."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting this question in ChatDoctorLet me explain that the feeling you have described could be due to several reasons and our job will be to pinpoint the exact cause of such feelings and this will guide us for treatment. Such feelings can be due to various causes like spinal cord problem, compression in the spinal cord due to infections or even tumor. The best thing will be to be examined by a neurologist who will assess the exact neurological problem. I mean he will examine the back for any local pain, swelling etc., and he will do a detailed neurological assessment regarding the presence or absence of any neurological deficits. This will help us guide you if you need an MRI scan of the back or not. If both the neurological examination by a neurologist and MRI scan comes as normal, then you may benefit with physiotherapy or else you will have to undergo treatment as per the cause identified by these tests Hope this clarifies"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a family history of CAD and I am hi stress with high cholesterol. Played Basketball for 1st time in year and had sever breathing problems for 45 mins after game with chest pains. Then had tingling down both arms. After an hour I was back to normal. Do you think this was a heart attack? Dad died at 49. | Hino it was not a heart attack but it was a stable angina severe breathlessness on exertion is called dyspnea annexation grade 2.adv2d echo to check the cardiac functionsactread mill test to rule out the functions of heart when stress is given any ischemia to heart will be reveled in these tests pain or heaviness or breathlessness which relieves on King rest is called stable angina! What you had was called stable angina, a thorough investigation is very important tank you!!! Early history of cardiac disease in family also supports the possibility of angina! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a family history of CAD and I am hi stress with high cholesterol. Played Basketball for 1st time in year and had sever breathing problems for 45 mins after game with chest pains. Then had tingling down both arms. After an hour I was back to normal. Do you think this was a heart attack? Dad died at 49."
},
{
"from": "gpt",
"value": "Output: Hino it was not a heart attack but it was a stable angina severe breathlessness on exertion is called dyspnea annexation grade 2.adv2d echo to check the cardiac functionsactread mill test to rule out the functions of heart when stress is given any ischemia to heart will be reveled in these tests pain or heaviness or breathlessness which relieves on King rest is called stable angina! What you had was called stable angina, a thorough investigation is very important tank you!!! Early history of cardiac disease in family also supports the possibility of angina!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother aged 82 has a mild infection and swelling behind the ear.The Dr prescribed cepodoxime xp 325 twice a day for 7 days.After the first two tablets she has ben very nauseous and uncomfortable.Earlier I have seen once the vomiting starts she becomes weak for a week or more.She has tolerated Novaclox in the past well.Can the medicine be switched? | Hello, Welcome to Chat Doctor, As your mother is having some infection with swelling behind the ears, which may be due to infection of the external auditory canal. As your doctor has prescribed Cefuroxime XP 325 mg, twice a day for 7 days. But she has not able to tolerate this medicine. As she can tolerate Tab Inovalon, it can be given as it also covers wide range of microorganisms. This is also an excellent Chat Doctor. Before giving this | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother aged 82 has a mild infection and swelling behind the ear.The Dr prescribed cepodoxime xp 325 twice a day for 7 days.After the first two tablets she has ben very nauseous and uncomfortable.Earlier I have seen once the vomiting starts she becomes weak for a week or more.She has tolerated Novaclox in the past well.Can the medicine be switched?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, As your mother is having some infection with swelling behind the ears, which may be due to infection of the external auditory canal. As your doctor has prescribed Cefuroxime XP 325 mg, twice a day for 7 days. But she has not able to tolerate this medicine. As she can tolerate Tab Inovalon, it can be given as it also covers wide range of microorganisms. This is also an excellent Chat Doctor. Before giving this"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 43 year old daughter was recently diagnosed by her dentist as having 2 right lower jaw tumors. She has had no symptoms. The Oral Surgeon told her these need to come out soon. He will also remove part of her jaw bone. My question is | Thanks for your query, I have gone through your query, the tumor of photogenic are commonly benign but are aggressive like ameloblastoma. Other tumors like keratocystic photogenic tumor or ameloblastic fibrous can occur these are all benign. Malignant tumors like ameloblastic carcinoma, interosseous carcinoma are rare. Get a chest radiograph or PET CT done to rule out metastasis if it is a malignant tumor. Take biopsy and confirm the diagnosis. 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: My 43 year old daughter was recently diagnosed by her dentist as having 2 right lower jaw tumors. She has had no symptoms. The Oral Surgeon told her these need to come out soon. He will also remove part of her jaw bone. My question is"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query, the tumor of photogenic are commonly benign but are aggressive like ameloblastoma. Other tumors like keratocystic photogenic tumor or ameloblastic fibrous can occur these are all benign. Malignant tumors like ameloblastic carcinoma, interosseous carcinoma are rare. Get a chest radiograph or PET CT done to rule out metastasis if it is a malignant tumor. Take biopsy and confirm the diagnosis. 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. | two days back i have ultrasound of my upper abdomen and finding shows that i have many small stones in my gall bladder please advise what i should do i dont want to go for surgery is their any other reamedy for gall bladder stones, and also what food i may take, thanksregardsmoin-ul-haque | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones. When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: two days back i have ultrasound of my upper abdomen and finding shows that i have many small stones in my gall bladder please advise what i should do i dont want to go for surgery is their any other reamedy for gall bladder stones, and also what food i may take, thanksregardsmoin-ul-haque"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones. When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have been taking Cerazette for one month and I have forgotten to take the pill yesterday. I took it today together with todays pill and I havent had sex past seven days. I have been reading different answers on question how long you should have an extra protection (e.g. condom). Some say 48 hours, others 7 days, I hav even read a whole monht. What is the correct answer? Thank you | Hello misunderstand your concernCerazette is contraceptive pill. For better effect should be taken regularly on same time. According to your history, you just missed only One pill, and you took two pills together on next day. So in your case there is no requirement of extraprotection is needed in your case. Take the remaining pack regularly till the end. Take pill regularly every day by making habit. (put mobile reminder of specific time every day)Hope this may help you Best regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have been taking Cerazette for one month and I have forgotten to take the pill yesterday. I took it today together with todays pill and I havent had sex past seven days. I have been reading different answers on question how long you should have an extra protection (e.g. condom). Some say 48 hours, others 7 days, I hav even read a whole monht. What is the correct answer? Thank you"
},
{
"from": "gpt",
"value": "Output: Hello misunderstand your concernCerazette is contraceptive pill. For better effect should be taken regularly on same time. According to your history, you just missed only One pill, and you took two pills together on next day. So in your case there is no requirement of extraprotection is needed in your case. Take the remaining pack regularly till the end. Take pill regularly every day by making habit. (put mobile reminder of specific time every day)Hope this may help you Best regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had extreme pain in both hips for several months now. The onset of this pain was sort of sudden. Now I am having some pains shooting in my shoulder joints and in my knees. i can tell that this is progressing rather quickly. My doctor is treating me for bursitis. I was on naproxin for a couple of weeks. It helped a little. I had to stop taking it due to side effects. The pain was back immediately. My question is \"Do you think that I might need to seek out a specialist?\" \"Is this something attacking my skeletal system?\" i am a white 69 year old female. My fear is winding up in a wheelchair. | Dear Madam, I value your concern, and the symptoms you describe with involvement of both hips knees shoulders, cannot be just bursitis, My main concern in your case would be to rule out inflammatory arthritis, and that can be done by few blood tests, for that you will have to consult a Rheumatologist. Do not worry, as your pains could be functional, but to be sure we need investigations, hope you value my concern, and get investigated. All the best, let god heal you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had extreme pain in both hips for several months now. The onset of this pain was sort of sudden. Now I am having some pains shooting in my shoulder joints and in my knees. i can tell that this is progressing rather quickly. My doctor is treating me for bursitis. I was on naproxin for a couple of weeks. It helped a little. I had to stop taking it due to side effects. The pain was back immediately. My question is \\\"Do you think that I might need to seek out a specialist?\\\" \\\"Is this something attacking my skeletal system?\\\" i am a white 69 year old female. My fear is winding up in a wheelchair."
},
{
"from": "gpt",
"value": "Output: Dear Madam, I value your concern, and the symptoms you describe with involvement of both hips knees shoulders, cannot be just bursitis, My main concern in your case would be to rule out inflammatory arthritis, and that can be done by few blood tests, for that you will have to consult a Rheumatologist. Do not worry, as your pains could be functional, but to be sure we need investigations, hope you value my concern, and get investigated. All the best, let god heal you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello sir, Me aged 27,female, I have no equal teeth so I cud not smile good n comfortable, once I have done cavity removal n cement filling, can u please suggest me what cud I do, actually during school days I got double tooth and front one had fallen and back teeth has moved forward its not clearly settled to other tooth equal, so find uneasy to smile, so my question is, Is teeth removal is necessary | Hi. Can understand your concern. As per your complaint you have MALIGNED TEETH and you do not need to get it removed because as per your explanation your milk tooth which was over retained in the front region where you had double teeth has already fallen and the tooth that is remaining is a permanent tooth, and it can be very well re-aligned by Orthodontic treatment by using braces. I would suggest you to consult an ORTHODONTIST and get evaluated and treatment will be accomplished either using removable or fixed orthodontic appliance and the tooth will be aligned. Hope this information helps. If you find the answer helpful please write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. . | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello sir, Me aged 27,female, I have no equal teeth so I cud not smile good n comfortable, once I have done cavity removal n cement filling, can u please suggest me what cud I do, actually during school days I got double tooth and front one had fallen and back teeth has moved forward its not clearly settled to other tooth equal, so find uneasy to smile, so my question is, Is teeth removal is necessary"
},
{
"from": "gpt",
"value": "Output: Hi. Can understand your concern. As per your complaint you have MALIGNED TEETH and you do not need to get it removed because as per your explanation your milk tooth which was over retained in the front region where you had double teeth has already fallen and the tooth that is remaining is a permanent tooth, and it can be very well re-aligned by Orthodontic treatment by using braces. I would suggest you to consult an ORTHODONTIST and get evaluated and treatment will be accomplished either using removable or fixed orthodontic appliance and the tooth will be aligned. Hope this information helps. If you find the answer helpful please write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been having chest pains for close to 4 months. Ranging from mild to very painful, that they make me dizzy. I seem to be finding it harder to breath as well as like a empty feeling in my chest for a second every now and then when it happens. the pain also seems to go down my arms and in to my back and stomach at times. My G.P couldnt hear anything wrong. But i am still Unsure as I am only 20 within my weight band active but my father has had a stroke related to a faulty valve in his heart within the past year. | Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer | [
{
"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 chest pains for close to 4 months. Ranging from mild to very painful, that they make me dizzy. I seem to be finding it harder to breath as well as like a empty feeling in my chest for a second every now and then when it happens. the pain also seems to go down my arms and in to my back and stomach at times. My G.P couldnt hear anything wrong. But i am still Unsure as I am only 20 within my weight band active but my father has had a stroke related to a faulty valve in his heart within the past year."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am experiencing occasional pain in my right hand halfway between base of thumb and wrist. It appears a bit inflamed but not red or warm. I was playing with a toddler and he accidentally kicked the sore spot and pain was horrible for about a minute. It has been going on for about 2 weeks now, but not at any regular time. I workout daily in the gym and thought maybe I did something there, but now I m thinking perhaps there is fluid or something in there. The range of motion is normal for my thumb and does not hurt when I move it or touch it. | Hello First I will advise doing x-ray and rule out any unicortical fracture in your thumb/wrist. According to your history it looks that there is possibility of injury to ligament of metacarpal or flange joint. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply cr\u00eape bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. 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: I am experiencing occasional pain in my right hand halfway between base of thumb and wrist. It appears a bit inflamed but not red or warm. I was playing with a toddler and he accidentally kicked the sore spot and pain was horrible for about a minute. It has been going on for about 2 weeks now, but not at any regular time. I workout daily in the gym and thought maybe I did something there, but now I m thinking perhaps there is fluid or something in there. The range of motion is normal for my thumb and does not hurt when I move it or touch it."
},
{
"from": "gpt",
"value": "Output: Hello First I will advise doing x-ray and rule out any unicortical fracture in your thumb/wrist. According to your history it looks that there is possibility of injury to ligament of metacarpal or flange joint. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply cr\\u00eape bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. 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. | I am 46 yrs and have been a heavy smoke for over 26 yrs..I have COPD and a small 5mm left lung nodule which hasnt been checked in a few years due to lack of insurance. Lately having more trouble with my chest feeling tight , and sharp pains in both shoulders and collar bone area..my arms get tingly at times and neck get stiff...is this something to be concerned about or just signs that my COPD is getting worse... | Hi. I can understand your concern. Get a chest x-ray done to evaluate your lung nodule. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It 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)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 46 yrs and have been a heavy smoke for over 26 yrs..I have COPD and a small 5mm left lung nodule which hasnt been checked in a few years due to lack of insurance. Lately having more trouble with my chest feeling tight , and sharp pains in both shoulders and collar bone area..my arms get tingly at times and neck get stiff...is this something to be concerned about or just signs that my COPD is getting worse..."
},
{
"from": "gpt",
"value": "Output: Hi. I can understand your concern. Get a chest x-ray done to evaluate your lung nodule. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It 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)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Roughly around three weeks ago i was tumbling in my front yard. Haven t done so in a while. Nothing seemed to bother me that day. I woke up with my back causing me so much pain.The Feeling was in the middle of the spine. Feels like It constantly needs to be popped. About a week later i start having horrible pains in my rib area. Right under my breast. So i finally go to the doctor the take xrays of my lungs to make sure its not a collapsed lung. Nothing found. I can t sleep at night. I find it more comfortable sleeping on the floor. And sometimes in the middle of the night i have so much pain in the back/rib area i feel the need to get up and vomit.The MRI on my spine is next..? | As you have not mentioned your age it is very difficult to plan the treatment because age is very important determinant as far as back pain is concerned. But from your narrative I think you are a young adult, and you are most probably suffering from disc prolapse, so you just have to take some painkiller with muscle relaxants like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort. Apart from these you can also go for physiotherapy exercises after an expert opinion of physiotherapist. Also, you have to sleep on plain surface as you are doing because it is a good practice in case of back pain which is due to disc prolapse. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, Roughly around three weeks ago i was tumbling in my front yard. Haven t done so in a while. Nothing seemed to bother me that day. I woke up with my back causing me so much pain.The Feeling was in the middle of the spine. Feels like It constantly needs to be popped. About a week later i start having horrible pains in my rib area. Right under my breast. So i finally go to the doctor the take xrays of my lungs to make sure its not a collapsed lung. Nothing found. I can t sleep at night. I find it more comfortable sleeping on the floor. And sometimes in the middle of the night i have so much pain in the back/rib area i feel the need to get up and vomit.The MRI on my spine is next..?"
},
{
"from": "gpt",
"value": "Output: As you have not mentioned your age it is very difficult to plan the treatment because age is very important determinant as far as back pain is concerned. But from your narrative I think you are a young adult, and you are most probably suffering from disc prolapse, so you just have to take some painkiller with muscle relaxants like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort. Apart from these you can also go for physiotherapy exercises after an expert opinion of physiotherapist. Also, you have to sleep on plain surface as you are doing because it is a good practice in case of back pain which is due to disc prolapse."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I wake up with palpitations every morning, and they often occur when Ive eaten. My blood pressure is on the low side. Could the two be related or have you suggestions to stop waking up like this please? This has been going on for months. Im female, 42, and in good health otherwise. | Hello, Is there any anxiety, stress? If yes use some relaxation techniques like yoga and deep breathing exercises. Do you have any bloating, burping, upper abdominal pain, nausea, if yes this suggests acidity problem? You should get one hemoglobin and thyroid tested. You can get Tablet Collar LA prescribed from your local doctor. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I wake up with palpitations every morning, and they often occur when Ive eaten. My blood pressure is on the low side. Could the two be related or have you suggestions to stop waking up like this please? This has been going on for months. Im female, 42, and in good health otherwise."
},
{
"from": "gpt",
"value": "Output: Hello, Is there any anxiety, stress? If yes use some relaxation techniques like yoga and deep breathing exercises. Do you have any bloating, burping, upper abdominal pain, nausea, if yes this suggests acidity problem? You should get one hemoglobin and thyroid tested. You can get Tablet Collar LA prescribed from your local doctor. 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. | 32yof, 51; hx of root canal/crown placement of right front tooth in 1999; now have palpable raised area between right nostril down to gums- beneath gums- not externally visible; tender to pressure/percussion; no fevers; throbbing pain/pain with pressure to tooth; abscess? cyst? tooth or sinus? | Thanks for using Chat Doctor. Read your query. Re-infection of the root canal treated tooth can be the cause for the swelling, tenderness and pain in the region leading to the abscess formation. I would advise you to visit your endodontist and get a radiograph done to see the status of the root canal treated tooth. If needed, carry on the re-treatment. If not periapical surgery can also help you. For the pain take ibuprofen tab (if you are not allergic to any medicine). Antibiotics may be required like amoxicillin 500\u00a0mg and metro lag 200 mg on prescription by your dentist. Hope this was useful. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 32yof, 51; hx of root canal/crown placement of right front tooth in 1999; now have palpable raised area between right nostril down to gums- beneath gums- not externally visible; tender to pressure/percussion; no fevers; throbbing pain/pain with pressure to tooth; abscess? cyst? tooth or sinus?"
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. Re-infection of the root canal treated tooth can be the cause for the swelling, tenderness and pain in the region leading to the abscess formation. I would advise you to visit your endodontist and get a radiograph done to see the status of the root canal treated tooth. If needed, carry on the re-treatment. If not periapical surgery can also help you. For the pain take ibuprofen tab (if you are not allergic to any medicine). Antibiotics may be required like amoxicillin 500\\u00a0mg and metro lag 200 mg on prescription by your dentist. Hope this was useful. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I m a 22yr old male. I exercise pretty rugularly. I feel like I have a low fever. I have a white color on the back and mid part of my tongue and a salty taste in my mouth. I have been kinda thirsty and not too hungry the last couple of days. I was taking Keflex for sinus/ allergy trouble, which I ve had a lot of ever since I can remember. Oh, I have asthma and take an Albuterol inhaler . I also take Famotidine for acid reflux . A lot of problems, I know. I hope I have given enough info. | Hello and welcome to Chat Doctor forum, according to the medical history presented by you, it seems you had an upper respiratory tract infection couple of days back, as you were on reflex. I would like to inform you that excessive thirst is due to Chat Doctor. Also, white color patches which are present over your tongue are due to inability to maintain your oral hygiene as you were down with fever and sore throat, kindly use a soft bristle brush to clean your tongue, do not apply excessive pressure. You can also use a mouth wash (twice/day), I would recommend you to | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m a 22yr old male. I exercise pretty rugularly. I feel like I have a low fever. I have a white color on the back and mid part of my tongue and a salty taste in my mouth. I have been kinda thirsty and not too hungry the last couple of days. I was taking Keflex for sinus/ allergy trouble, which I ve had a lot of ever since I can remember. Oh, I have asthma and take an Albuterol inhaler . I also take Famotidine for acid reflux . A lot of problems, I know. I hope I have given enough info."
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor forum, according to the medical history presented by you, it seems you had an upper respiratory tract infection couple of days back, as you were on reflex. I would like to inform you that excessive thirst is due to Chat Doctor. Also, white color patches which are present over your tongue are due to inability to maintain your oral hygiene as you were down with fever and sore throat, kindly use a soft bristle brush to clean your tongue, do not apply excessive pressure. You can also use a mouth wash (twice/day), I would recommend you to"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I ll be as brief as possible. Basically I m wondering if my rapidly decaying teeth I was informed of 30+ yrs ago would have any connection to the myxoma (benign) that was discovered growing (and removed in 2014) in my left atrium. When it was confirmed I d had a minor stroke , ER Dr. said there was evidence of older ones as well but couldn t tell from how far back. I had absolutely no idea. It ts still doesn t seem real. | Hi.... Welcome to Chat Doctor. You have problem of decay tooth that may be because of poor oral hygiene... more prone to infection. Lack of saliva also lead to more decay tooth. Food lodgment or more sweet consumption also lead to this type of symptoms. Consult a dentist for oral examination and treatment plan. If tooth decay not treat than it progress and involve full tooth sometimes access or bony infection. Better to treat a decay tooth in initial stage. In decay tooth filling or act or extraction that one treatment plan...all treatment depend on tooth situation... I hope this will help you. Get well soon. Thank you. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I ll be as brief as possible. Basically I m wondering if my rapidly decaying teeth I was informed of 30+ yrs ago would have any connection to the myxoma (benign) that was discovered growing (and removed in 2014) in my left atrium. When it was confirmed I d had a minor stroke , ER Dr. said there was evidence of older ones as well but couldn t tell from how far back. I had absolutely no idea. It ts still doesn t seem real."
},
{
"from": "gpt",
"value": "Output: Hi.... Welcome to Chat Doctor. You have problem of decay tooth that may be because of poor oral hygiene... more prone to infection. Lack of saliva also lead to more decay tooth. Food lodgment or more sweet consumption also lead to this type of symptoms. Consult a dentist for oral examination and treatment plan. If tooth decay not treat than it progress and involve full tooth sometimes access or bony infection. Better to treat a decay tooth in initial stage. In decay tooth filling or act or extraction that one treatment plan...all treatment depend on tooth situation... I hope this will help you. Get well soon. Thank you. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had bronchitis about 2-3 weeks ago. I took all the medicine; however, I still have a slight cough. Also I have been having what feels like heartburn all down my throat into my chest. Also I have been getting an occassional sharp pain in my chest and when trying to drink anything cold it does not go down easily. | Hi. I can understand your concern. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had bronchitis about 2-3 weeks ago. I took all the medicine; however, I still have a slight cough. Also I have been having what feels like heartburn all down my throat into my chest. Also I have been getting an occassional sharp pain in my chest and when trying to drink anything cold it does not go down easily."
},
{
"from": "gpt",
"value": "Output: Hi. I can understand your concern. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | this is to certify that Mr. moosa ibrahim 64yrs us a case of (CAD )effort angina, TMT +ve, systemic hypertension, dyslipidemia. He underwent (CAG) on 9/6/2011 which revealed LMCA steno sis with two vassel disease. He is advised early (CABG) can u explain this is serious or normal and this short forms | First of all the abbreviations | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: this is to certify that Mr. moosa ibrahim 64yrs us a case of (CAD )effort angina, TMT +ve, systemic hypertension, dyslipidemia. He underwent (CAG) on 9/6/2011 which revealed LMCA steno sis with two vassel disease. He is advised early (CABG) can u explain this is serious or normal and this short forms"
},
{
"from": "gpt",
"value": "Output: First of all the abbreviations"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir my dad had gas trouble and got some pain near the chest i just want to know whether gastric trouble leads to heart attack.and he checked his condition near a doctor that to a cardiologist and the doctor had tested him i.e. ecg blood test and sugar test everthing is negative | Hello if your father is diabetic?? What is age ?? Smoker?? Obesity?? Gastric symptoms many times present as heart attack. ...these are not classical symptoms. But if you have these symptoms. And risk factor I mentioned earlier.... Don't neglect... Just do ECG... Which rightly done by you...u can go ahead with TMT and echo....once sure...these are not related with heart then can treat separately gastric symptoms... Need not panic every time ...take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir my dad had gas trouble and got some pain near the chest i just want to know whether gastric trouble leads to heart attack.and he checked his condition near a doctor that to a cardiologist and the doctor had tested him i.e. ecg blood test and sugar test everthing is negative"
},
{
"from": "gpt",
"value": "Output: Hello if your father is diabetic?? What is age ?? Smoker?? Obesity?? Gastric symptoms many times present as heart attack. ...these are not classical symptoms. But if you have these symptoms. And risk factor I mentioned earlier.... Don't neglect... Just do ECG... Which rightly done by you...u can go ahead with TMT and echo....once sure...these are not related with heart then can treat separately gastric symptoms... Need not panic every time ...take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a protruding abdomen which has been getting bigger with the passing years. I am a 63 year old female and moderately active, I dont drink but I do look like I am 9 months pregnant. My weight has not increased but the size of my abdomen has. I have had several abdominal surgeries and have had a mesh inserted under my navel. I would really like to know what is causing this. There is a history of colon cancer in my family. Would this cause this increase in size? | HI, Thank for choosing ChatDoctorFor sure this not a colon cancer even if you have colon cancer family history, the protuberance of belly is kind of obesity and this is due to genetic defect (Mutation of specific gene), only thing you can do right now just to control it, reduce the high calorie diet do regular exercise under guidance of physiotherapist or instructor, this may help you a little, Have good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a protruding abdomen which has been getting bigger with the passing years. I am a 63 year old female and moderately active, I dont drink but I do look like I am 9 months pregnant. My weight has not increased but the size of my abdomen has. I have had several abdominal surgeries and have had a mesh inserted under my navel. I would really like to know what is causing this. There is a history of colon cancer in my family. Would this cause this increase in size?"
},
{
"from": "gpt",
"value": "Output: HI, Thank for choosing ChatDoctorFor sure this not a colon cancer even if you have colon cancer family history, the protuberance of belly is kind of obesity and this is due to genetic defect (Mutation of specific gene), only thing you can do right now just to control it, reduce the high calorie diet do regular exercise under guidance of physiotherapist or instructor, this may help you a little, Have good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | feelingvery low, crying for no reason, aching upper legs and arms, cold toes and fingers but rest of body very hot, currently on low dosage evorel hrt patches, lost interest in many things, l get two good weeks and a real bad week just now and feel so low in self esteem etc | Degree understand your concerns went through your details. I suggest you not to worry much. All the described symptoms correspond to menopause. Most of the women go through a depressive state due to the hormonal change in their body during menopause. That is quite natural. But worrying about it worsens problem. You should be aware of it. Read the literature available all over internet. If you want to come out of the situation, the only way out is activities which keep you engaged throughout the day. Studies confirm that working Women come across menopausal depression far lesser than non-working women. Please engage yourself in hobbies or other activities. 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: feelingvery low, crying for no reason, aching upper legs and arms, cold toes and fingers but rest of body very hot, currently on low dosage evorel hrt patches, lost interest in many things, l get two good weeks and a real bad week just now and feel so low in self esteem etc"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. All the described symptoms correspond to menopause. Most of the women go through a depressive state due to the hormonal change in their body during menopause. That is quite natural. But worrying about it worsens problem. You should be aware of it. Read the literature available all over internet. If you want to come out of the situation, the only way out is activities which keep you engaged throughout the day. Studies confirm that working Women come across menopausal depression far lesser than non-working women. Please engage yourself in hobbies or other activities. 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. | Two years ago after receiving a tooth filling, my mother developed very strange symptoms. Let me start by saying my mother has fibromyalgia, so I believe the the symptoms are nerve related. She continually secretes a salty/foamy fluid from between her teeth and gums. Secreting the fluid is painful and burns. If she swallows it, it makes her sick to her stomach, so she has to spits it out all day long. She is taking pain meds to control the pain, and has tried several antibiotics but nothing seems to work and no doctors or dentists seem to be able to accurately diagnose or treat it. She is losing weight rapidly because it is difficult an unpleasant to eat. Have you ever heard of a similar situation? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of painful secrete salty fluid between the teeth and gums which seems to be due to inflamed gums and gum infection. If you could be possible you have symptoms of gastroesophageal reflux disease. This is not so threatening situation, but it could progress to a more severe infection if you do not get it treated. I would suggest you to visit dentist once and get complete examination done and start treatment after thorough examination. Maintain proper oral hygiene. Chat Doctor. Avoid intake of sharp and fried food. Hope your concern has been resolved. Get Well Soon. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Two years ago after receiving a tooth filling, my mother developed very strange symptoms. Let me start by saying my mother has fibromyalgia, so I believe the the symptoms are nerve related. She continually secretes a salty/foamy fluid from between her teeth and gums. Secreting the fluid is painful and burns. If she swallows it, it makes her sick to her stomach, so she has to spits it out all day long. She is taking pain meds to control the pain, and has tried several antibiotics but nothing seems to work and no doctors or dentists seem to be able to accurately diagnose or treat it. She is losing weight rapidly because it is difficult an unpleasant to eat. Have you ever heard of a similar situation?"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of painful secrete salty fluid between the teeth and gums which seems to be due to inflamed gums and gum infection. If you could be possible you have symptoms of gastroesophageal reflux disease. This is not so threatening situation, but it could progress to a more severe infection if you do not get it treated. I would suggest you to visit dentist once and get complete examination done and start treatment after thorough examination. Maintain proper oral hygiene. Chat Doctor. Avoid intake of sharp and fried food. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I noticed about a month ago that my 8 yr old daughter had what looked like a small canker sore right above the front tooth on the left side. It was bothering her at the time and was red around the area. I didnt give it much thought at the time because I really thought it was just a canker sore. She has been to her orthodontist twice since I noticed it to get things started for her braces (she only has spacers at this time). The orthodontist didnt say anything about it at either visit. I noticed last night that it is still there. I decided I would feel it and it is hard and spiky feeling. It doesnt seem to bother her at all, but she acted like it hurt a little when I touched it. Do you have any idea what it might be? | Hello, thank you for consulting with Chat Doctor. Canker sore does not stay for so long, it takes maximum 7-14 days to heal. The type of lesion you are mentioning, it can be a sinus opening, as it is present above the tooth in the gums. It is condition, which occur when a tooth is infected and there is an abscess formation in the apex of the tooth, and when the pus starts coming out it forms a sinus opening. You should visit your dentist and get an x-ray done of that tooth as it will show the infection. Hope it will help you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I noticed about a month ago that my 8 yr old daughter had what looked like a small canker sore right above the front tooth on the left side. It was bothering her at the time and was red around the area. I didnt give it much thought at the time because I really thought it was just a canker sore. She has been to her orthodontist twice since I noticed it to get things started for her braces (she only has spacers at this time). The orthodontist didnt say anything about it at either visit. I noticed last night that it is still there. I decided I would feel it and it is hard and spiky feeling. It doesnt seem to bother her at all, but she acted like it hurt a little when I touched it. Do you have any idea what it might be?"
},
{
"from": "gpt",
"value": "Output: Hello, thank you for consulting with Chat Doctor. Canker sore does not stay for so long, it takes maximum 7-14 days to heal. The type of lesion you are mentioning, it can be a sinus opening, as it is present above the tooth in the gums. It is condition, which occur when a tooth is infected and there is an abscess formation in the apex of the tooth, and when the pus starts coming out it forms a sinus opening. You should visit your dentist and get an x-ray done of that tooth as it will show the infection. Hope it will help you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i am 28 years old female.... I am suffering from Polycystic ovarian Syndrome & bulky uterus....My thyroid level (TSH) now come down to 3.18 (from 7.2).. we are trying for a baby... but my periods are irregular.....(like last period i got on 4th July) till now i have not got my periods. My doctor suggested me to take Lupigest 200 orally for 5 days... Please let me know whether it will help me to regularise my monthly cycle... (I am since having this problem since from last 1 year) | Hi, It is good that your TSH levels are within normal limits. As part of the investigation, you should also get other hormone levels checked, glucose tolerance test performed and tubal patency tested. Lupines 200 will help you to attain your menstruation for this cycle. For regularization of cycles and regular ovulation to help you to conceive, you need specific treatment that is possible after complete evaluation. Please maintain a healthy weight, do some regular exercise and take a healthy diet. 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 am 28 years old female.... I am suffering from Polycystic ovarian Syndrome & bulky uterus....My thyroid level (TSH) now come down to 3.18 (from 7.2).. we are trying for a baby... but my periods are irregular.....(like last period i got on 4th July) till now i have not got my periods. My doctor suggested me to take Lupigest 200 orally for 5 days... Please let me know whether it will help me to regularise my monthly cycle... (I am since having this problem since from last 1 year)"
},
{
"from": "gpt",
"value": "Output: Hi, It is good that your TSH levels are within normal limits. As part of the investigation, you should also get other hormone levels checked, glucose tolerance test performed and tubal patency tested. Lupines 200 will help you to attain your menstruation for this cycle. For regularization of cycles and regular ovulation to help you to conceive, you need specific treatment that is possible after complete evaluation. Please maintain a healthy weight, do some regular exercise and take a healthy diet. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi am having a major fear after seeing a lot of boils around my genital area.its mostly spread and often the size changes on its own.I had a (one)wart earlier an year ago and its not seen anymore. it might be a skin tag too but am not sure.Once i broke it but it came back again.but now i do have so many boils and its freaking me out.Please help | Hello, Welcome to Chat Doctor, I don't know if for sure this is a boil or a swollen lymph node in response to a wound or infection that you have on the lower limbs. If you have no wound, then this is most likely a boil. You seem to have pyoderma in groin area. It is a bacterial infection caused by staphylococci. You consult dermatologist for firm diagnosis and investigations. Antibiotics like definite and anti-inflammatory Chat Doctor. Immunoboosters may be taken to improve immunity. Hygiene should be improved to prevent relapse. Detail bath may be taken to improve hygiene. I think you might get good result. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi am having a major fear after seeing a lot of boils around my genital area.its mostly spread and often the size changes on its own.I had a (one)wart earlier an year ago and its not seen anymore. it might be a skin tag too but am not sure.Once i broke it but it came back again.but now i do have so many boils and its freaking me out.Please help"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, I don't know if for sure this is a boil or a swollen lymph node in response to a wound or infection that you have on the lower limbs. If you have no wound, then this is most likely a boil. You seem to have pyoderma in groin area. It is a bacterial infection caused by staphylococci. You consult dermatologist for firm diagnosis and investigations. Antibiotics like definite and anti-inflammatory Chat Doctor. Immunoboosters may be taken to improve immunity. Hygiene should be improved to prevent relapse. Detail bath may be taken to improve hygiene. I think you might get good result. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was in the emergency room with severe sudden back pain. I was given Toridol and an Xray. The results will be reviewed by the Radiologist on Monday. I was given Percocet as well. Neither medications have helped with the pain. The ER Doctor said it looks to be lipping in my spine. What will the course of action be should this be the result? | Thanks for writing to us. Sudden onset back pain may be due to disc rupture. Lipping of the vertebral body indicates degenerative changes and called osteophyte formation. X-rays not of not much help in disc prolapse, and you may need to get MRI spine to diagnose the problem. Please consult a spine specialist and get thorough exam. It is important to know the pain pattern, any leg pain, previous episode if any. Till that period continue percent with muscle relaxant and physical therapy if possible. Take some rest which is crucial. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was in the emergency room with severe sudden back pain. I was given Toridol and an Xray. The results will be reviewed by the Radiologist on Monday. I was given Percocet as well. Neither medications have helped with the pain. The ER Doctor said it looks to be lipping in my spine. What will the course of action be should this be the result?"
},
{
"from": "gpt",
"value": "Output: Thanks for writing to us. Sudden onset back pain may be due to disc rupture. Lipping of the vertebral body indicates degenerative changes and called osteophyte formation. X-rays not of not much help in disc prolapse, and you may need to get MRI spine to diagnose the problem. Please consult a spine specialist and get thorough exam. It is important to know the pain pattern, any leg pain, previous episode if any. Till that period continue percent with muscle relaxant and physical therapy if possible. Take some rest which is crucial. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Went from no panic attacks for 28 years since I was born to three in the last 2 months. I stopped smoking 9 months ago but have started Hookah Pipe Smoking . It seems to happen when I feel my heart beat when I smoke . Is it a trigger for my panic attack and is it normal to get a higher heart rate 100 to 129 bpm when smoking? Thanks | Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms seem to be indicative of panic attacks and smoking can indeed trigger such attacks. It is definitely not normal to have a such a high heart rate when smoking. Please consult a psychiatrist for further evaluation and therapy - both for your panic attacks and for help in quitting smoking. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Went from no panic attacks for 28 years since I was born to three in the last 2 months. I stopped smoking 9 months ago but have started Hookah Pipe Smoking . It seems to happen when I feel my heart beat when I smoke . Is it a trigger for my panic attack and is it normal to get a higher heart rate 100 to 129 bpm when smoking? Thanks"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms seem to be indicative of panic attacks and smoking can indeed trigger such attacks. It is definitely not normal to have a such a high heart rate when smoking. Please consult a psychiatrist for further evaluation and therapy - both for your panic attacks and for help in quitting smoking. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my mum has pancreeatic cancer for the last year she was brining up blood last night was taken in to hospital is in side room drs think that it might be her meds that have caused her to bring up blood i think its the next stage of her cancer can u help | Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Cancer Chat Doctor. Another possibility is worsening of pancreatic tumor which is now involving stomach and cause blood vessel erosion and hematemesis. So better to get done CT scan of abdomen and upper GIs copy to rule out above-mentioned causes. First diagnose herself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your mother. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my mum has pancreeatic cancer for the last year she was brining up blood last night was taken in to hospital is in side room drs think that it might be her meds that have caused her to bring up blood i think its the next stage of her cancer can u help"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Cancer Chat Doctor. Another possibility is worsening of pancreatic tumor which is now involving stomach and cause blood vessel erosion and hematemesis. So better to get done CT scan of abdomen and upper GIs copy to rule out above-mentioned causes. First diagnose herself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your mother. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife has a severe depression. Her doctor put her on Latuda and she experienced slurred speech and mouth/teeth chattering. The Latuda was discontinued but she is also on Wellbutrin which will be discontinued tomorrow. The mouth/teeth chattering is wearing her down. This has been going on for the past three days. Going to emergency is not in the cards as it is holiday time and all that will happen is being put in an emergency room with an iv doped up until Tuesday. By chattering; the mouth is opening and closing as if she is shivering. Eating is almost impossible. She is able to drink. It appears that rivitol helps but only short time. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Latuda is duration, and it is definitely not an anti-depressant. Probably your wives' diagnosis is either psychosis or bipolar depression. The side effect that you have reported is an extrapyramidal side effect and this will require either shenanigan or Pakistan to improve. This is reversible and will take some 1-2 days to recover. There is no emergency, if she is troubled take her to ER and one shot of Shenanigan 25 mg IM will settle her down. Or else visit your psychiatrist at the earliest possible time. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife has a severe depression. Her doctor put her on Latuda and she experienced slurred speech and mouth/teeth chattering. The Latuda was discontinued but she is also on Wellbutrin which will be discontinued tomorrow. The mouth/teeth chattering is wearing her down. This has been going on for the past three days. Going to emergency is not in the cards as it is holiday time and all that will happen is being put in an emergency room with an iv doped up until Tuesday. By chattering; the mouth is opening and closing as if she is shivering. Eating is almost impossible. She is able to drink. It appears that rivitol helps but only short time."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Latuda is duration, and it is definitely not an anti-depressant. Probably your wives' diagnosis is either psychosis or bipolar depression. The side effect that you have reported is an extrapyramidal side effect and this will require either shenanigan or Pakistan to improve. This is reversible and will take some 1-2 days to recover. There is no emergency, if she is troubled take her to ER and one shot of Shenanigan 25 mg IM will settle her down. Or else visit your psychiatrist at the earliest possible time. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last month my dentist put in a crown, and since I have tasted and felt like there was dental cement stuck to the back of my tongue and my lips on that side of my face go numb feeling as if the novacaine is wearing off. Do I have nerve damage? | Hello, I went through your query. There might be bit of cement stuck below your crown. You can go back to your dentist to get it removed easily. For the numbness of your lip, it is unlikely that you have a nerve damage, because nerve damage usually occurs after any kind of surgeries in the mouth. One possibility is Nickel allergy from the crown(if your crown is made of metal alloy), which usually can cause tingling sensation of tongue or lips. In any case, it is better to visit back your dentist to correct it. Hope you have benefited from the answer. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last month my dentist put in a crown, and since I have tasted and felt like there was dental cement stuck to the back of my tongue and my lips on that side of my face go numb feeling as if the novacaine is wearing off. Do I have nerve damage?"
},
{
"from": "gpt",
"value": "Output: Hello, I went through your query. There might be bit of cement stuck below your crown. You can go back to your dentist to get it removed easily. For the numbness of your lip, it is unlikely that you have a nerve damage, because nerve damage usually occurs after any kind of surgeries in the mouth. One possibility is Nickel allergy from the crown(if your crown is made of metal alloy), which usually can cause tingling sensation of tongue or lips. In any case, it is better to visit back your dentist to correct it. Hope you have benefited from the answer."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctors.. last dec.4 i had may medical examination the result of my sgpt was 132.. my doctor gave a godex 3x day, she said that i would lower my sgpt. after a week i had taken again my medical exam but the result of my sgpt goes higher it is now 489. should it be alarming the continues rise of my sgpt in spite of the medication and diet? is there any effect or symptoms if u have a higher sgpt and does it mean that i have a hepatitis because of my sgpt? | Dear sir, Elevated Sept can because by hepatitis of any kind, biliary diseases, diabetes, some medicines and other liver damage. 489 is pretty high and this definitely means something. You don't need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen, nausea and other non-specific symptoms. Furthermore, you need to do liver US or CT to find is it just fatty liver or some more serious disorder. Also, you need to check viral markers and change you are lifestyle, avoid food and Chat Doctor. Besides repeat your enzymes tests constantly to see the dynamic of it. Wish you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctors.. last dec.4 i had may medical examination the result of my sgpt was 132.. my doctor gave a godex 3x day, she said that i would lower my sgpt. after a week i had taken again my medical exam but the result of my sgpt goes higher it is now 489. should it be alarming the continues rise of my sgpt in spite of the medication and diet? is there any effect or symptoms if u have a higher sgpt and does it mean that i have a hepatitis because of my sgpt?"
},
{
"from": "gpt",
"value": "Output: Dear sir, Elevated Sept can because by hepatitis of any kind, biliary diseases, diabetes, some medicines and other liver damage. 489 is pretty high and this definitely means something. You don't need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen, nausea and other non-specific symptoms. Furthermore, you need to do liver US or CT to find is it just fatty liver or some more serious disorder. Also, you need to check viral markers and change you are lifestyle, avoid food and Chat Doctor. Besides repeat your enzymes tests constantly to see the dynamic of it. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im 20 years old and 2 years ago i had my little girl.. i also had severe pre-eclampsia, since then i have sufferd with pain in my chest in the heart area.. every now and then (sevral times a day) i have had an ecg, all came back clear and also tryed tablets to see if it was to do with indegestion, they didnt do anything but mabie made it abit worse. The docters have given up on me abit but im realy worried. Dont know what the next step is. | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your frequent ECG s are normal. In my opinion, your allergy symptoms are related to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. 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: Im 20 years old and 2 years ago i had my little girl.. i also had severe pre-eclampsia, since then i have sufferd with pain in my chest in the heart area.. every now and then (sevral times a day) i have had an ecg, all came back clear and also tryed tablets to see if it was to do with indegestion, they didnt do anything but mabie made it abit worse. The docters have given up on me abit but im realy worried. Dont know what the next step is."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your frequent ECG s are normal. In my opinion, your allergy symptoms are related to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body. | Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However, worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti-allergic like fexofenadine or cetirizine for a couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body."
},
{
"from": "gpt",
"value": "Output: Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However, worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti-allergic like fexofenadine or cetirizine for a couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I work out and life weights recently Ive had a really bad pain in my right arm along the ulna, one of the muscles in the area seems to be a little bigger than the same area on my left. I was wondering if the pain is coming from a pinched nerve there, the pain can go down into my palm but never travels up. thanks you | Hello, You lift the weight. Its more possibilities of there is muscle injury or strain or ligament sprain with nerve stretch. Improper weight lifting causes arm pain. And your right hand is looking slight heavier than left, so it may be swelling due to strain or sprain. When ever you push the affected area the pain goes down it means nerve is also affected. But the other causes are rotator muscle injury, it occurs when over head weight lifts as bench presses, shoulder presses etc. in this case the pain radiates up to elbow. Other reason is torn of rotator cuff, patellar tendonitis, back sprains and strains, herniated disc. Do some stretching before weight lifting. For the swelling reduction take painkillers like ibuprofen and naproxen. Apply hot and cold fomentation. Although you don't get the relief get MRI and consult the or tho. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I work out and life weights recently Ive had a really bad pain in my right arm along the ulna, one of the muscles in the area seems to be a little bigger than the same area on my left. I was wondering if the pain is coming from a pinched nerve there, the pain can go down into my palm but never travels up. thanks you"
},
{
"from": "gpt",
"value": "Output: Hello, You lift the weight. Its more possibilities of there is muscle injury or strain or ligament sprain with nerve stretch. Improper weight lifting causes arm pain. And your right hand is looking slight heavier than left, so it may be swelling due to strain or sprain. When ever you push the affected area the pain goes down it means nerve is also affected. But the other causes are rotator muscle injury, it occurs when over head weight lifts as bench presses, shoulder presses etc. in this case the pain radiates up to elbow. Other reason is torn of rotator cuff, patellar tendonitis, back sprains and strains, herniated disc. Do some stretching before weight lifting. For the swelling reduction take painkillers like ibuprofen and naproxen. Apply hot and cold fomentation. Although you don't get the relief get MRI and consult the or tho. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
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