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PranavHarshan

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi My 5 yr old son has what looks like either broken blood vessels or a rash on his upper lip. (looks like a juice stained mustache) I tried to wipe it off but it is not a juice stain. The mark has remained on his lip over a day. Do you know what this might be from and will it go away? Thank you!" }, { "from": "gpt", "value": "Output: Hi.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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: hi my daughter is 6 years old its been a week since she has fever and cough took her 4 times by the doctor last night the doc say she has a chest infection he gave her ventolin,predcort ds and zithromax ....for the pass week i took her to 2 other docs an it was useless.cant u give me some addivice how to deal with this since all week she been under so many medication 3 different cough syrup" }, { "from": "gpt", "value": "Output: Thank you for choosing Chat Doctor.I'm sorry to hear that about your child. How many doses of Zithromax have you given your child already. Usually, it takes 48 hours before you can see the effect of the antibiotics (like the fever goes down or may completely go away, child is regaining appetite) provided you give the proper dose as prescribed. Remember that the cough is the last to go away. If after 48 hrs your child worsens, it is best to bring to the hospital. Does your child have any history of asthma or allergic rhinitis. If yes, usually the course of a respiratory infection is prolonged. I hope your child feels better soon. Sincerely, Handle Dulay-See, M.D. Pediatrician" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I cannot help being constantly tired. It doesnt matter how much I sleep, I will always be tired. If I go straight home after work, I always find myself falling asleep without knowing it. Also am always cold (especially my feet) and frequently have headaches. I am slightly overweight, but eating very healthily and still find weight going on rather than off. Dont know if this could be related, but every few weeks, I go for a few days with very bad back ache between my shoulder blades. Would be great to get some advice, I am covering for 2 people at work just now so dont have time for a doctors appointment. Thanks" }, { "from": "gpt", "value": "Output: Dear patient You are showing all signs of hypothyroidism. But it could be due to deficiency of vitamin D and calcium. So you need to be investigated with 1. Serum level of TSH, T3, T4 levels 2. Serum level of vitamin D3 3. Serum level of calcium, phosphorus and alkaline phosphatase. Visit reputed lab nearby you and get this done. Take visit to endocrinologist with report. Do not neglect your health and do this asap." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When I go to bed at night there is a nagging pain that goes though the middle of my thigh, I been tested to see I have any blood clots and I do not I had a any. I also had a bone dinstanted test done and the result show that I have artisitha in the lower part of my back. Sometimes I can not lay on my right side because it cause me pain. That is the same side where the nagging pain is in my thigh. It mostly only happen when I go to bed" }, { "from": "gpt", "value": "Output: Hi, A back pain along with radiating to thighs can be attributed to sciatica in which a nerve gets impinged along its route, and it causes pain. So to treat it conservatively sleep on hard bed that too straight with a small cushion under your knees will relieve the tension on nerve and will relieve you paint times while you are travelling use of lumber corset will help in preventing any further trauma, have your blood calcium, it d and it b-12 levels check as there below normal levels will worsen the condition. Travel light if your work require you to travel. In diet have lots of green vegetables, fluids and have b12 supplements as (it B 12 is a euro tonic) do lightweight exercises and low impact aerobics like cycling and swimming) and maintain correct posture and ergonomics like sitting straight. Correct ways to use computers and mobiles as maintaining wrong postures worsens the condition. If pain is affecting mostly while going to bed consider sleeping on hard bed or consider changing your mattress to half inch memory form mattress. Hope you find the answer useful. 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 question is -- sometimes I can feel my heartbeat hurt a little beat. With each beat, it is a very faint, but noticeable pain. What could this be? Its not always, just once in a while. I can feel it in the center of me (where my heart is) and in my back some, too." }, { "from": "gpt", "value": "Output: Yellowest pain may be due to many causes like cardio-pulmonary causes, refulx etc. It important to know your age. It is safe to exclude cardiac causes first. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver and renal function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. You may need further test like angiography after these initial tests. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What does this mean, Acromion type II. There is a thin line of contrast signal within the undersurface of the supraspinatus tendon over the lateral humeral head on coronal 11 & 12 of 21 most indicative of undersurface fraying of the tendon measuring 9 mm transversely, 1mm in thickness & 6mm AP. there is intermediate signal surrounding this area on T2 weighted imaging coronal 11, 12, 13. A tiny 3 mm area of undersurface of the infraspinatus sagittal 22 coronal 14. A small glenohumeral joint effusion." }, { "from": "gpt", "value": "Output: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, these are grading of acromion, types and this means that yours is a bit hooked on the under surface and has more propensity to cause tear in your rotator cuff tendons, and if surgery to repair your cuff is undertaken, you will need acromioplasty as well hope that answers your query. If your want any more clarification, contact me back. 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 45 years old and after i eat anything my face goes bright red and my neck and then takes hours to go away it is making me feel very self concious and also if i drink alcohol this happens i am so fed up with this and cant find out what is causing this thakyou for any help" }, { "from": "gpt", "value": "Output: Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my level best to explain you. As per your symptom you have hypersensitivity reaction or allergic condition. It may also due to over consciousness or anxiety. I suggest you some points like never think much more about it, divert your thought in some things, think about your enjoying movement, do not much more concentrate or get tense about this. If symptom persist than I suggest you to consult a good allergic specialist. I hope my answer will help you a lot. 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: I had a living donor kidney transplant in June 2012. The donor has genital herpes. Can this be transmitted through the transplanted kidney. I have noticed a small painful sore on my penis and have outbreaks of small, oozing rash that too are painful and then scab over and heal on various areas of my midsection. If this is possible I will mention it t o my nephrologist in my quarterly visit this coming week. Thanks" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive Chat Doctor. Hope this helps" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son got married last December, and lives with his wife and mother in law. Hes very unhappy living there but financially cant afford to move out. Ever since he got married hes been losing lot of weight and has bad moods. He says the wife and mother in law are not good cooks and he doesnt eat healthy food. I am very worried about my son. He was never this skinny and looking very sickly. He used to use Marijuana when teenager but not anymore? I sometimes wonder whether hes using other stuff to ease his pain or frustration or if hes suffering depression? Please help me because I dont know how to approach this matter? Thank you" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. I do not think food is the only reason behind his behavior. Secondly calling this behavior as depression may not be right because this could be just dissatisfaction. I suggest you talk to your son with all your love and compassion. Or else, take him to a psychological counselor and counselor should help you. The reasons behind the behavior should be analyzed and accurate treatment method to be suggested. Understanding family and its intricacies is the trick. Your son should change, but it might take some time, and he might need your assistance as well as his wife. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. 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: Hello.I am 44 years old, and I am a seaman. Very often I was exposed to stressful situation, until about a year ago I had panic attack. I was feeling very scared when I was alone, thinking that I am going to die, I could not sleep in my bed because of some fear. If i have slept 2 hours I was awaking in panic and fear. Could not stay alone, could not concentrate on my job, constantly having bad thoughts passing through my mind. I have visited doctor who gave me Deanxit tablets, and after first one i felt amazingly better, only i had trouble sleeping. I was taking two tablets per day for about a month, than I signed off from the ship and stop with Deanxit. During vacation I have visited psychiatrist, explained what happened to me, and he told me that I have suffered panic attack. My psychiatrist has prescribed me SEROXAT - Paroxetin tablets, 20 mg, if happens againAfter two months at home, where everything was ok, only trouble sleeping from time to time, I have signed on another ship, and situation has started but not that strong as before.I have started taking Seroxat and everything was ok, only trouble sleeping again, and I have been taking Seroxat for full 4 months while I was on board the ship.Another two months at home without tablets, but again trouble sleeping, and here I am on my present vessel, just signed on today.After talking with my family I am sensing and experiencing some kind of fear, now when I am alone in my room.Fear comes and goes, but I am still kind of afraid to go to sleep, even I am very tired.Thinking about taking Seroxat again or maybe Deanxit.Could you please tell me what to do and how and if is possible to treat this fear permanently.Thank you very much." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Let me make things clear for you. Panic attack comes to people who were previously anxious. Anxiety is stress is just common happenings for them. It that is your case, you experienced a panic attack. Otherwise, it was just stress related momentary fear. You have to be a bit more realistic. What is there to fear? If you fear being alone, be with others. If you fear your job and want to be with your family, be with them and find a new job near home. If you fear your health, consult a doctor and confirm that you are alright. We have solutions for every fear. Instead of fearing what-it-might-be, try to find a logical solution and accept it. 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. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been feeling unwell for 5 weeks now, it started with me losing my voice, coughing badly, so much so that it hurts my chest and I am gagging when Im coughing could this be from cleaning products being inhaled because I clean outside my house about 13 hours per week. I have been to my doctor twice he gave my two lots of antibiotics but neither has helped me. Please Reply Vicki" }, { "from": "gpt", "value": "Output: Thanks to Chat Doctor I can understand you issue I came to know that you are working on house cleaning here cough is coming not only from infection , it may be due to irritating allergens in dust .please try to avoid that type of work for few weeks ,or otherwise wear mask and do moreover a lot of antibiotic will spoil your health , have a chest x-ray once ,CBP and ESR.tests you can use antihistamines like levocetrizine 5\\u00a0mg if not montage LC for 5 days with low dose antibiotics moreover be away from cold and cold items ok don't worry it will subside" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my dad has stage four lung cancer which has spread to his brain. He was diagnosed 7 months ago and was only given weeks to live but has so far kept fighting. Weve now been told that the cancer has to his lympth nodes. What does this mean? how long would you say he has left?" }, { "from": "gpt", "value": "Output: Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly, sorry to hear about the same.* As there is spread to multiple organs, now it is not curable as you know very well by this time, treatment is only & only supportive to take care of symptoms and general supportive care.* Life expectancy can not be uttered by any consultant with the highest efficiency as there are innumerable factors governing it, most important one is destiny written by almighty God which is beyond all the researchers of the world ! Hard to believe, but it is the fact of universe. Wishing him less and less suffering till his last breath. Welcome for further assistance. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor..... I have black patches over the walls of cheeks inside mouth for nearly 1 year. I cannot eat any spicy or sweet stuff. I burns like hell. What is the reason. I tried so many medications and nothing worked. Due to this problem, my gums bleeds when I brush and mouth burns when there is paste in my mouth. Thereofre, I am unable to brush my mouth properly and I get bad odour." }, { "from": "gpt", "value": "Output: Hello, Thanks for consulting ChatDoctorRead your query as you have black patches on cheeks with burning sensation don't worry this patch can be due to lichen plans, licensed reaction for this I will suggest you to consult oral surgeon for examination of patches on buccal mucosa and oral prophylaxis for bad breath and bleeding gums. In meantime you can do warm saline rinses, and take medicine Antioxidant like Lycopene, and vitamin A, you can apply ointment like Tess buccalmpaste or Heal plus on cheek for burning sensation. Hope this will help you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my liver function test report suggests my SGOT 51.0 IU/L & SGPT IS 64.0 IU/L. PLEASE SUGGEST an Advice, Atul" }, { "from": "gpt", "value": "Output: Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns.... Raised Sept and got levels occurs in variety of liver conditions. .what is your age? Any family history of jaundice or liver abnormality? In my opinion you should consult hepatologist do that proper workup can be done and diagnosis can be established. You need to get your liver function test done along with screening for HBV and HCV...you should also Be tested with metabolic liver disease profile also for autoimmune hepatitis.ultrasound should also be done to look for fatty liver too... Don't worry and meet your hepatologist... Regards Said Sultan" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...Hi My father is struggling with severe low back pain that is at the end where spinal gets over for the above past 5 days and he had Taken the tablet of HIFENAC-MR but still no improvement , still same prob continues" }, { "from": "gpt", "value": "Output: HiI may suggest an x-ray of lower spine and consultation with orthopedic doctor He may take Tramadol or Vicodin tab for pain. Also make him sit in tub filed with hot water (site bath) for 10 minutes twice a day. Tail end of spine called coccyx may be inflamed called coccidynia-its a painful condition. Short course of prednisone will also help., otherwise local infiltration with injection depose Chat Doctor. But for above, an examination by an orthopedic doctor for confirmation of diagnosis is a must. The above stated suggestions are only a guideline which may be kept in minds history for prostate, bowel habits, urinary functions have to be simultaneously assessed for" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Why does my body feel wierd one day Im dizzy headache the next day Im tired and feel discomfort in my upper chest area and other days feels like my body wants to give up. I just feel wierd and dont know what to think. I get worried alot and stress out so I really dont know if that maybe the cause. I always think I feel like its my heart but I was checked before and its not that. I know when I did some cardio workout for a lil while couple days of the week my body felt so much better. So what could it be??" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. By your history and description, possibility of stress and anxiety related symptoms is more. Your symptoms are improving with Cardio workout. Heart and lung diseases actually precipitate after Cardio workout. So possibility of major heart and lung diseases is very less. Stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. 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: Hi I went to urgent care today, haven t been feelin well. Extreme nausia, loose stools and headaches . A few months ago I had What I believed to be gallstones, the pain was severe but after an hour or two pain subsided so I never sought treatment, now I get dull pains upper right abdominal under rib, but not as painful as I had experienced before, I also had some blood in my stool for 2 days which has currently stopped. But I had a UA done about a month ago that came back with abnormal WBC when culture and sensitivity was done it came back negative. At urgent care today my Bloodwork came back fine but my UA showed 500 count leukocytes. I m going to have ct done of gallbladder . I am a 20 year old female , any idea what could be wrong" }, { "from": "gpt", "value": "Output: Hi young lady, you do have both gastrointestinal and urinary problems from the information provided. The CT scan will give us some information about how your kidneys and gallbladder look. Are you having any white discharge per vagina which is contaminating the urine? Infection of the urinary tract is the most common cause of pus cells in the urine. Repeat the culture. If repeated cultures are negative and there is no kidney stone on CT scan, you will need tests to look for causes of Sterile Syria. Blood in stools is not due to gallstones nor urine infection - it needs further assessment. Most commonly it is due to hemorrhoids (piles), but a doctor (surgeon/ GP) should examine you to confirm or negate this." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, Doctor! If I may ask, is there any danger of overdosing on a birth control pill? I took 4 today to catch up. I have PCOS and my doctor advised me to take Diane35." }, { "from": "gpt", "value": "Output: Hi, Overdosing up to two pills is done to make up for a missed pill, but taking four pills at a time is not going to help make up the missed doses and the cycle is no longer protected. You may also see a breakthrough bleeding due to excessive hormone levels. Other side effects like rashes, nausea, breast tenderness or abdominal pain, apart from vascular disturbances, may also be seen with high doses. I do not think you should be using some other form of pill once you are on Diane 35. You are amply protected if you are regular with your medication. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter and son in law have been trying for 2 years to have a baby. In that time they have suffered 2 miscarriages. They have 1 unsuccessful attempt at artificial insemination and 1 unsuccessful IVF treatment. The doctors say it is unexplained infertility. They are both healthy in every way. So I discovered the Natura Cure product and want to know if it is safe and worth giving it a try before I recommend it to them?" }, { "from": "gpt", "value": "Output: Hi, I have gone through your query. NaturaCure is a herbal product, and it claims to treat infertility, but Success has not been documented. It is better to avoid all these products. As you have mentioned that they have gone for IVF also, then there may be some abnormality in semen analysis or uterine problem in your daughter. You can upload their reports on my page so that I can have look at it. Better than Naturalize, give him Oligocene and her Ova care. Hope I have answered you. You can contact me on my page http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son 5 years old is suffering from high fever around 103 def F and complaining throat infection . It seems to be a viral fever. We had ice cream and food outside yesterday. . Pls advise, we can use the Crixan Syrup with Ibugesic plus. or Advise accordingly. regards rakesh" }, { "from": "gpt", "value": "Output: Hello Rakesh. I'm sorry to hear that about your son. Did the fever only start today? How is he after you give the fever medicine? Is he active and eating well? Fever can be due to a viral or bacterial infection. Aside from the throat pain, does he have colds or cough? For most viral infections, the patients appear well after given antipyretic (fever medicine like Eugenic or Paracetamol) in between fever episodes. The throat infection caused by viruses is usually accompanied by colds. Viral infections are not given antibiotics like Azithromycin or Brian. It is mainly supportive like giving fever medicine, lots of fluids, antibacterial gargle. Fever caused by viral infections can last from 3 days to a week. After 3 days, you will notice the fever to go down and the patient will show improvement already. You may try to check his throat to see if the tonsils are red and swollen sometimes with streaks of pus. If you see this, chances are the throat infection is caused by a bacteria like streptococcus or what we call as the strep throat. Patients who have strep throat can also have severe headache, difficulty swallowing, sometimes with rashes. Bacterial throat infection will be more sick looking compared to that caused by viruses. For this you will need antibiotics that is properly computed based on your children weight. I hope I was able to help you. Sincerely, Handle Dulay-See, M.D. Pediatrics" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my age is 25 and my husband is 28. we planned for a kid. consulted a gynecologist. sperm count for my hubby is 27 million but his motility percent is 0. Our gynecologist referred as an urologist and adviced to take qu energy tablet. i want to know the seriousness of our problem" }, { "from": "gpt", "value": "Output: Hello, I can understand your concern. Kindly share the total semen analysis report. The sperm count is low in your husband. There is no information about the number of live sperms. Mobility is zero which indicates that sperms would not be able to move to reach the ova. Due to all these features you are facing infertility. Kindly consult an Chat Doctor. Certain causes of male fertility are total treatable. Donor get disheartened. This requires thorough examination for proper evaluation. Hope you are satisfied with the response. Thanks for choosing Chat Doctor" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi...i have been masturbating regularly since puberty...5-6 times a day...i have less grown beard and my penis upon erection curves to the left... i also have itching problem in my penis and scrotum. My crotch remains dry and has developed scars. can u help me?" }, { "from": "gpt", "value": "Output: His understand your concern. Masturbation is normal and physiological function of the body. It will not affect your health. It won't harm so do not worry. Itching in pubic area may be due to local infection. Wwash with warm water regularly. Medicines like antibiotic and antifungal can help. Do not scratch it. If it is Chat Doctor. Do not wear tight and uncomfortable underwear. Still if you have a problem then consult dermatologist. Happy to help you further. Thank you. Get well soon." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi ive been suffering lower abdominal pain now for 7 months ive been to the gp numerous times and have been referred for an ultrasound scan, recently after sexual intercourse i started bleeding bright red fresh blood, after the intercourse myself and my partner could feel like a lump on the front wall of my cervix and abdominal pain increased" }, { "from": "gpt", "value": "Output: Hi, thank you for your query, Vaginal bleeding, and a cervical mass may indicate the presence of malignancy. Also, moderate pain during sexual intercourse and vaginal discharge are symptoms of cervical cancer. Cervical cancer is a malignant neoplasm arising from cells originating in the cervix uteri. The pain in your lower abdomen is mostly because of the lump on the cervix. The most common cause for cervical cancer is Human Papilloma Virus (HPV)At this point i would suggest you to undergo a basic Pap Screening and a further Biopsy of the lump to confirm the diagnosis. Depending on that your OB/GUN will start the prescribed treatment.thanking you, wishing you good health" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My grandmother recently passed away from gallbladder cancer and i have a lot of questions about her death. I feel like they made her pass away faster then she was suppose to. I can be wrong but i would like to investigate my grandmother death because something doesnt seem right. She was 75 year old and the doctor just found out she had gallbladder cancer and they had surgery on her and tried to cut it and he said it spreaded. I thought thats very high risk with her being that old. Ever scince then my poor grandmother. Could not eat,talk,smile she couldnt even open her eyes.they put her in hospice she didnt even stay in their for a week she passed within 2days. I want to get to the bottom of this because it doesnt sound right. She couldnt even say anything to any of her kids and grandkids before she passed away. Someone please help me!" }, { "from": "gpt", "value": "Output: Gall bladder cancers are silent killers. By the time the cancer is detected the tumor will have usually spread to the liver making treatment futile and survival poor. Surgery attempts at removing as much of the tumor mass as possible in order to reduce the tumor load to prolong life and make the residual tumor more susceptible to anti-cancer Chat Doctor. Overall prognosis in gall bladder tumors is very poor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i just wanted to get some information on herpes type 1. Ive been dating this girl with it and she rarely gets cold sores to me i beleive its minor but i never get more information about it from her and i researched alot about it lately but everything is still the same. She told me she would tell me if she had a breakout but im scared and i really care about her. I sometimes afraid to kiss her even when her face is clear (which it usually always is). Can you please help me with some information on being able to coup with it and if i would be able to show any affection to her at all?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Herpes type 1 infection causes cold sores over the lips and face and commonly involves the lips. In case if a person has a history of cold sores he/she tend to transmit infection to other individuals by close contact like kissing and using things like glass, towels etc. But in case if there is no cold sore present then the viral count seems to be very low over the skin of infected individual, although it does not become zero. But in this condition the individual is considered clean and chances for other person to get infected are less.Moreover, you can go for her blood investigation to rule out for viral count so that the exact status can be clear. But in case if her skin is completely clear then you are at a lesser risk of getting infected. She should also take a long course of antiviral medications to prevent recurring episodes of outbreak of infection. Hope this information helps. 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: Hi Doctor I am 35 weeks pregnant and am experiencing regular trembles or shakes in my tummy, like the baby is having a small seizure or like when an adult has that weird involuntary tremble down the back of the neck. What is this? and is it normal? Thanks Lishai" }, { "from": "gpt", "value": "Output: Hallow Lisa, The baby inside the uterus is continually moving. It is calm when the baby is sleeping. This movement is felt by the mother from about 20 weeks of the gestation or earlier. As the pregnancy advances, the water around the baby goes on diminishing and hence the movements of the baby are more perceived. You may please count the score of the movements. During 12 hours time if it is moving about 10 times, you do not have to worry. This is normal and is indicating a healthy active fetus. Any variation in the fetal movement count needs to be reported to the Obstetrician. I hope this helps you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 38 Yr Old man. I am having a female child of 5 years old. I am suffering from varicocele problem fully on left side and mild on right side. on having none sperm count i undergo homeopathic treatment for 6 months and my sperm count increases to 25 millions / cumm. and motility 23 % active., volume 3.0 ml ph - 8.2 70% of morphology is normal. whether fertyl 25 helps me to improve my counts . i need your suggestion to get second child. my wife is normal." }, { "from": "gpt", "value": "Output: Hihaving varicocele is the most common cause of male infertility, I would like to know the complete semen analysis report for better advise. If you are having varicocele then you should be more worried about the decreased motility of sperms rather than the sperm count as varicocele leads to qualitative defect rather than quantitative defect, moreover you have sperm count of 25 million which is good enough for fertilization.I would recommend you to start cap.Evian and tab. Lycopene which are natural antioxidants, and they will improve the health of sperms, secondly I would advise you to get operated for your varicocele as varicocele cause States of blood in testis, and it increases the temperature within the testes which causes the sperms to die or deform ultimately causing reduced sperms' motility." } ]

[ { "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 yrs old single girl, i have problem with irregular menstruation and i am worried about is there will be any problem to conceive?also,i am having breast tenderness and pain before my periods. and i am always embarrassed about my small breast as i am 28yrs.so please provide me good suggestion accordingly." }, { "from": "gpt", "value": "Output: Hi, Thanks for writing to Chat Doctor. Yes irregular cycles cause infertility. So I suggest you following investigations to know the cause of irregular cycles and take treatment accordingly.-- thyroid profile, serum prolactin, ultrasound abdomen to rule out polycystic ovary disease (PCs). The pain in breast during cycles is seen in some people. Don't worry about that. You can take primrose tablet after consulting your doctor and painkiller. Normally breast develop in proportionate to body. If you still feel your breasts are small compared to your body then for external appearance you can wear thick padded bra. For your sexual life, then you can go for breast enlargement surgery by a plastic surgeon. Hope I have been helpful. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im 29 years old, regular paps and regular periods. Ive been off birth control for 2 years and have not conceived. Is it normal after intercourse for his siemen to come out? Does any of it stay in? I keep thinking there is something wrong with me." }, { "from": "gpt", "value": "Output: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic 2. As you have regular cycles, please get ovulation study on USG from day 10 of the cycle to know about the day of ovulation. 3. Post menstrual HSG - hysterosalpingography, within first ten days of the cycle will be helpful to know about the patency of fallopian tubes. 4. Please get husbands semen analysis done with abstinence of 3 to 5 days. This helps to know about quality and quantity of sperms. 5. You can simply opt for unprotected sex act on and around the day of ovulation. 6, Lastly, about your concern of seminal fluid coming out of vagina. Normally, the motile sperms start travelling inside the womb and the seminal fluid remains in the vagina. This fluid leaks out of vagina after some time. So you need not worry about it. I hope this answer helps you May God bless you with a bundle of joy. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a vet tech at a small animal hospital. I was scratched during a dog nail trim a week ago. It has almost fully healed but now I m getting sever pain in my arm from the elbow to my hand, on the bottom side (sensitive ski. Area) is there any concern from the scratch or is this something totally different? No swelling and no rash." }, { "from": "gpt", "value": "Output: Hi, Thank you for contacting us. I will to ad Chat Doctor. The single most important thing to rule out here is an infection. Antibiotics are prescribed for bite wounds to prevent infection in certain situations. For example, if" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi sir, my name is vinod dubey, age 48 years, 5.5 ft, 82 kg and had first typhoid and then chikunkuniya and now finally suffering from joint problem at knee and unable to stand up on it, once i stand up i am unable to sit, infact i am unable to transfer my bodyweight onto my knees. please suggest me ..........." }, { "from": "gpt", "value": "Output: Hello, In case of post chikungunya in a good number of cases there are chances of having joint pain. This is due to an immune reaction with joints. As you have already consulted your physician and there is a confirmation diagnosis then I will suggest you following for relief" } ]

[ { "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 Cathie, i m a 56 y.o. woman, caucasion, obese, and I suffer from Type 2 diabetes x 20 yrs., chronic depression and chronic pain. Lately I can t sleep.[1-2hrs/24 hrs,] my major symptom is a twitchy, spasm all over my body. do you think you could tell me what is happening?" }, { "from": "gpt", "value": "Output: Hello ! I read your question and understand your concern. In my opinion the twitchy spasm all over your body may be a disorder called myoclonus or myoclonic jerk. It may be caused by different problems like" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For the past several months, my 42 year old husband has been experiencing headaches, dizziness, light headed, weakness, fatigue, unstable blood pressure going really high or really low with no in between, night sweats, and says he s freezing a lot in the evening hours. No fever. He s had exams/blood work for diabetes, etc. along with MRI and stress test, which all report back normal. He has passed out with these symptoms. It appears to get worse each week. There s definitely something going on with him but we re not getting results from family physician or ER physicians. I truly feel he may have a blockage decreasing blood flood to the brain. Yes, he has smoked since he was 15-16 years old. Please advise." }, { "from": "gpt", "value": "Output: Hello! Welcome on Chat Doctor ! I understand your concern and would explain that his symptoms could be related to blood pressure fluctuations. It is important to investigate for the possible causes of these blood pressure fluctuations. For this reason, I would recommend performing some tests (if you have not performed them yet)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi.. my dad, 93y/o very physically active b4 he had cough/sob that seeked him admission 2 d hosp. on 9/14/14. right now, he s been treated 4pneumonia..he was in ICU 4close monitoring, 2r/o pneumothorax vs. atelectasis.. had chest tube inserted 2drain out excess air..chest tube still in since his admission. his Dr. advised him to have surgery to repair d collapsed lungs.m my questions are..1. how long can a chest tube stay in to drain d air out? 2. is it advisable to have surgery to repair his lungs at his age? 3. his pneumonia hasn t been r/o jst yet.. he s given Zithromax 500mg iv q24hrs..what is best to do, considering not much antibiotics to choose from in the PHILIPPINES on top of high costs.. ThNKS A LOT FOR D RESPONSE..." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Surgery is not at all advised at this age (93). Because lung surgery is considered as major surgery and heart lung bypass is needed during surgery. And chances of post-operative complications are very high at this age. So I will not advise surgery for him because of his age. Better to keep ICD and wait for resolution of pneumothorax. Better to get done sputum culture to identify organism. And also get done sensitivity report to guide the antibiotic therapy. Once infection is resolved, pneumothorax will definitely subside. So discuss all these with your doctor and plan accordingly." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For three days I have a constat sharp pain on the left side of my abdomen which becomes more intense when i cough or burp or inhale. This started when I was sedentary, I was not involved in strenous activity. I have felt this pain in the past, but Id always explain it away due to excersize or intense walking. What could be causing this? Also my period is very late and Im certain this is not due to pregnancy. I am 42 years old." }, { "from": "gpt", "value": "Output: Hi and thank you so much for this query. I am so sorry to hear about this pain. It would be difficult to tell what the exact cause of this pain is. I will suggest that you get consulted and evaluated for the possible cause of this pain and treated accordingly. A primary care doctor would be a good person to start with. I hope this ad Chat Doctor. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: AGE 36, LAST year in july i have already operation lamber spine L5-S1 disc prolesped,after few month i m attacked spondylosis same disc prolapsed..doctor suggest the operation but i can t after physio thereaphy i m well but some time i have some problem, please u suggest me" }, { "from": "gpt", "value": "Output: Hello, I will suggest you to continue the spine strengthening exercises as advised by a professional physiotherapist. Avoid over straining your spine. Do not lift heavy weights. Do not lean down to lift a weight placed on floor. Sit in a lordosis posture (your tummy protruding in front) on chair. If you need to lift a weight from floor you need to sit on floor first and stand up with a strong support. If physiotherapy keeps your spine healthy you can wait on being operated. Hope I have answered your question. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 22 yrs of age who has hep b. can it help taking mx3my family history has hep and i think i got it from my mom. i have hep b and the doctor said it is acute. what should i do? do i need to continue taking mx3? and what good things or nutrients that you can get form taking mx3?" }, { "from": "gpt", "value": "Output: Hi thanks for asking question. No specific need here for using mx3. I need to know duration of hepatitis b.... Mostly if you acquire from mother you are having chronic hepatitis and now in active stage. In chronic hepatitis active stage determine by liver enzymes' estimation, HBO DNA and Head estimation.... If you are in chronic active stage antiviral specific medication started.Meanwhile, take low fat diet. Fruits taken more. Green leafy veg useful... Avoid alcohol. If jaundice occur immediately consult doc. Close clinical follow-up necessary. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has G6PD. He just found out about three months ago when having a treatment for cancer when he had multiple organ failure , and a stroke . He is home now but he is itching on his buttocks and on the sides of his genital area. What creams or medication can I try with him. I have tried the cortizone and lotrimin but it is not working." }, { "from": "gpt", "value": "Output: You\\u2019re husband can try Tab Atari 25 mg thrice daily after food for 5 days. It contains antihistamine which will reduce the allergic itching. U can apply Ubisoft gel 1% locally which contains HY Chat Doctor. Along with the above two your husband can take T. Forcan 150 mg once daily after food for 7 days. Forcan contains antifungal agent fluconazole. These 3 medications should reduce the itching in your husbands buttocks and genital areas." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a 5 year son who for about a week now is having these random coughing spurts and sometime will make him vomit. he does not have any fever but very fatigue. it sometimes happens atleast 4 to 5 times a day. he cannot even talk during these spouts of coughing." }, { "from": "gpt", "value": "Output: Hi...by what you quote I feel that he might be having a pertussis cough and the infection would have been caused by an atypical organism. If the child is coughing in bouts and the eyes are becoming red and face is becoming red during the cough bout and if after cough he is having a whooping inspiratory noise then it could be whooping cough or pertussis cough. I suggest you consult your pediatrician and get an antibiotic prescription and a cough suppressant. Once started this type of cough can last for 4-6 weeks. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A friend of mine in Thailand has a son with what I strongly suspect is Icthyosis. My friend says he heard of an herbal remedy produced by a company in Connecticut. I have not been able to find anything on this remedy on the net. Do you know of anything that can help. The boy is about 20 and is beginning to have social problems due to the disease." }, { "from": "gpt", "value": "Output: I don't aware about the medicine that u mentioned.ichthyosis diagnosed as genetic origin little time to take treat. Depending upon the severity and type of ichthyosis, affected individuals may need treatment from about 6 to12 months, in order to significantly improve from this condition. Ayurvedic treatment for this condition includes oral and external medication along with some diet restriction. If needed (yoga also)If u give a clear detail of this patient I can guide u more." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i was in a severe car accident 4 months ago with head trauma. ive really had no problems other than dizzy spells so the doctor then did an mri and it came back fine. but then today i was standing in a line talking to my aunt and i was talking and all of a sudden all that would come out was mumbles. like i was totaly drunk. my whole body went very limp and i had to sit. it scared me so bad all i couls do was cry cause i knew what i needed to say but couldnt say iyt. this lasted for about 10 minutes then for about 30 minutes after i was stuttering a little and shaking. now i feel ok just like my balance is off a little what could this have possibly been?" }, { "from": "gpt", "value": "Output: Hi! I read carefully your query. I think that you have vertiginous disease which may be" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi..would you please give the ways of conceiving. my semen analysis says" }, { "from": "gpt", "value": "Output: HelloThanks for your query, based on the facts and report of your semen analysis that you have posted it appears that your semen parameters are well within normal range of WHO standards except presence of pus cells (Leukocytes) and auto agglutination which suggest presence of infection either in Seminal Vesicle or Prostate. Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. You need to take appropriate antibiotic for 6-8 weeks to combat infection completely. Repeat semen analysis after completion of course of antibiotics. With this you should not have any problem to impregnate your wife. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have taken azithromycin for bronchial asthmatic infection. Taking 250 mg for last 4 days. Have one pill left. My condition is completely better but the med. is causing me to have a bad stomach and a dizzy feeling. Would it do any harm if I didn t take that last pill?" }, { "from": "gpt", "value": "Output: Hello,First bronchial asthma is not an infection. It is a condition in which there is spasm of bronchial muscles and air pipe which causes breathing difficulty. Whenever we start any antibiotic, the course should be completed even if you are feeling better before the course gets completed. The reason behind it is if you do not complete the course, the bacteria or infective agent develops resistant to the antibiotic which you didn't complete the course. And next time if you again get the infection by the same infective agent, the antibiotic won't work the next time, and you will need higher antibiotic. So whenever you are put on any antibiotic make sure you complete the course as per prescribed by your doctor. I hope I have given you satisfactory answer. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Respected doctor, My sister in law is 62 years and general medical specialist referred her to cardiologist for stress thalliumtest/debulleaine plus minusCA-RP. She is diabetic for the last 22 years. We consulted the cardiologist who after seeing the history and on going treatment first conducted TMT and then advised and carried out angiography, Angiography report is as underHTN, DMII, CA-DOE, TMT moderately positive(21/03/11) and CAG-Triple VesselDisease(22,03.11)Past History k/c/o DMII 22 yrs on reglar Medicine ,HTN since 20 yrs on regular medicineNo H.o RHD/BA.TB/ other chronicillnessangio graphy report as followsLmca normalLAD MID AND DISTA lad-SEVERE CALCIFICATION,LONG TUBULAR 70 PERCENT Stenosis Ds normalLCX Co Dominent VesselOMs-OMI-Diffused DiseasedRCA Dominent Vessel- Mid RCA 75 percent stenosis PLV/PDA-NormalLV ANGIO NOT DONEFINAL DIAGNOSES CAD, Triple Vessel Disease DMII,TMT POSITIVE (MODERATELY)RECOMMENDATION Stress Thallium for Inducible Ischemia.Now we are advised to go in for Thallium Test. Kindly advise whether Thallium test only as recommended by medical specialist should have been carried out before Angiography or the cardiologist has used his discretion as we are laymen and did not know about thallium test . If thallium test was not available in cardiologists clinic/hospital why he did not refer us to another hospital where Nuclear Science test facility for Thallium test was available. ALso we shall be grateful for the correct advice at this stage to safeguard the interest of the patient ,.REGARDS" }, { "from": "gpt", "value": "Output: After having gone through the reports and the finding of triple vessel disease on coronary angiography, i don't think stress thallium would achieve anything much as far as diagnosis is concerned. It has probably been advised because TMT has come put to be moderately positive instead of being strongly positive which would be expected with the angiography findings. She mostly needs a coronary area by pass surgery (CABG)." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Why is it that if I believed doctors I would have already been dead three times? Now I have prostate cancer two doctors told me only surgery, and other suggested radiation . I refused all of these, and took two herbs that stopped the symptoms in three weeks that I had for more than a year. Yes, I could die in a couple more years as they expected, but I would rather die than have surgery." }, { "from": "gpt", "value": "Output: Hi, I am extremely sorry to know the condition. I want to assure you that prostate cancer is slowly progressive disease. The treatment depends on the stage. You have not mentioned any detail of investigation. Specially serum PSA, Gleason score, and invasion size and lymph node status to be mentioned. In early stage if life expectancy is more (like more than 10 years or 5 years depending on additional criteria) radical treatment is offered. As they have offered surgery or RT probably your disease is at early stage. Anyway if you do not want surgery then go for radiotherapy. Radiotherapy can be given Dy image guided technique and is non-invasive. Minimal toxicity is there. Adjuvant hormone therapy will be prescribed also. There is a good chance of total tumor control. Consult your radiation oncologist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been in hospital twice during the last 3 weeks... first they thought it was galstones or blood clot through my lung. It started with pain in my lower back... felt like the start of labour... then it moved to the front over my liver and I had some stabbing pain too.... the to just below my sternum (very sore when I breath in ).... then I also had pain in my right shoulder and up the right ride of my neck. They could not find blood clots or galstones.... my bloods seemed normal except for CRP 92 and D-dimer 663 and after the third test they told me my liver function was slightly off...Bili 12, ALP102,GGT43,ALT61, CRP 11. By week two the pain was much less and they send me home with antibiotics. Now another week on.... I feel like something get stuck under my ribs - feels like when a baby pushes with his feet against it (not sore, but pressure).... I also get a feeling of movement in my stomach from time to time... again like when you are pregnant... I am not!!! Had my period a week ago.... and I am 46. They also found a haemangioma in my liver during the scan, but said it was small and could not have caused the pain (1-2cm). I am worried about this... something is not right." }, { "from": "gpt", "value": "Output: Hello, Welcome at Chat Doctor. I have read details of your question. As per your details, it looks to be a pain due to gall bladder problem. There can be inflammation of gall bladder which is not detected by other investigations. At present, you should have HIDE scan. This is a test which is able to detect the dysfunction of gall bladder, which may be the reason for your pain. Hope this will help you. With best wishes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My screening of whole spine report is screening sagittal T2 weighted image through cervical spine reveal mild changes of spondylosis . C5-6 disc show posterior protrusion. C4-5 & C6-7 discs reveal mild diffuse posterior bulge. Screening sagittal T2 weighted images through lumbar spine reveal mild changes of spondylosis . There is small posterior protrusion of L3-4 disc.L4-5 disc show right paracentral bulge. My lower back & legs have pain.Can you tell what to do to stop pain" }, { "from": "gpt", "value": "Output: Hi, Thank you for posting your query. I have noted your complaints and MRI spine findings. I would like to reassure you that these abnormalities are minor and do not represent any serious neurological disease. For pain relief, you can take pregabalin or gabapentin capsules. In addition, physiotherapy with IT/ultrasound and neck extension exercises would also help. In some cases, epidural injections are required for pain relief. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir , we have unprotected sex on 15th apr night , 16th morning and night, my last period date was on 5th apr, kindly advice can i go for ipill as i have taken the same before 2 months ago and felt lower abdominal pain for a long tym or should i wait for my nex period" }, { "from": "gpt", "value": "Output: Hello misunderstand your concerns think you have to take the pill to prevent the unwanted pregnancy as you did sex around the time of ovulation as sperm live in the female genital tract for the 4-5 days. So I advise you take I pill, You can also take postinor-2 or unwanted 72. You should to take as early as possible after sex or with in 72 hours after the sex. If you have pain then take analgesic like metal spas. Chat Doctor. Period may be delayed or earlier after taking pill. Hope this may help noncontact further Chat Doctor for any health issue. 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 just trying to report something that happened to me upon taking flexiril. 2 days after beginning to take it, I pulled a muscle in my right lower back while doing virtually nothing. 4 days later, I was feeling better then I pulled the muscle in my lower left back. again, for doing almost nothing. It has now been over 2 weeks and I am still recovering. I am worried that this might be my new normal state. If so, I am screwed. I quit taking the drug and my recovery has been extremely slow. I don t know if anyone else has had similar problems." }, { "from": "gpt", "value": "Output: Hello, As a tablet, Flexeril is also a muscle relaxant, but your symptoms not relieved. You can take tablet Myosins D instead of that. Along with that, you continue with physiotherapy as advised. Take rest for some days. You can do an x-ray back or MRI back after consultation. You can apply Diclofenac gel or Voting spray. I will suggest you review here with detailed history or consult with the orthopedic with reports. 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 is 60 yrs ols and has been suffering from fatigue and being very cold all the time. He looks like he lost weight also. He coaches ice hockey(28) yrs. And can t tolerate the cold. I am wondering how concerned we should be. He is only on cholesterol medication." }, { "from": "gpt", "value": "Output: Hello,,, at 60 yrs fatigue with loss of weight, is a point of concern. You need to have him tested for diabetes and thyroid straight away. Then a general health check for not so common problems. Also, let him stop the cholesterol tablets for a month and see how he feels. This tablet can cause muscle pains which may be interpreted as weakness. Also, consider adding It D, Vitamin B1B6B12 along with Zinc as tablets. A general health check up with an X-ray chest would be essential." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, on the left side of my mouth my gums are swollen inbetween two teeth and the whole left side of my gums are red and tender. The lining of my gums hurt and there is white lines. Also underneath my jaw (i think it is my glands) hurt to touch. What could this be and should I see and doctor or a dentist? Thank you for your help. I am really worried this is the beginning stages of mouth cancer . I am scared because I did smoke on and off for 7 years. I am 23 now." }, { "from": "gpt", "value": "Output: Hellion the basis of your dental history these white lines could be white precancerous lesion like leukoplakia. But proper clinical diagnosis and biopsy will confirm edit.I would advise advice you to show this to an oral pathologist and get a biopsy done .please maintain your oral hygiene. Use mouthwash twice daily and get cleaning of your teeth done since you are a smoker. Plz give up smoking because this will worsen the condition. Have high nutrition diet." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor, good evening. My mother (92yrs) has this artritis-like 2 lumps (5mm high each) on first joint of her right middle finger, pain on touch. What are the precautions, what to take, or rub, to relief the pain, and therapy? Is voltaren gel advisable or can you please suggest anything else I can do or give her? Do voltaren gel and oral type can cause the same side effects and adverse reactions? Thank you Christina" }, { "from": "gpt", "value": "Output: Hi, Thank you for providing the brief history of you mom. A thorough musculoskeletal assessment is advised. As she is 92, I will advise to undergo physical therapy, as by the use of therapeutic ultrasound therapy the inflammation will be reduced. Since due to arthritis the joints get swollen, also with little of strengthening exercises like pressing the ball should help her. In my clinical practice I see geriatrics and 99% of times, physical therapy helps them to be functionally active and avoid much of the pain and aches due to systemic illness. RegardsJay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I thought I sprained my ankle badly week and a half ago and did the RICE therapy. On Monday I saw an orthopedist who said I had actually fractured my fibula and put me in an air cast. She said I could walk without crutches on the cast and that my swelling would go down. My foot is still swollen, but the troubling thing is that in the past 2 days I have gotten extremely light headed and felt like I was going to faint (this has never happened before). This has happened after long periods of walking/moving around. Could this be related to my ankle?" }, { "from": "gpt", "value": "Output: Hello, What I would say is this nowhere related to the fracture of the fibula. Next thing I would like to know are you on any medications? If so please check this could be related to that. Also, what is your age? Are you on any High blood pressure medication? Are you diabetic? If the above one doesn't fit your category than this should be just having weakness of the body and nothing else. For swelling, I would advise you to keep the leg elevated over a pillow at most times because you have a cast applied and also there is very less mobility, so there will be an obvious chance of reduced venous return. Keeping the leg elevated helps more. Try having Lemon juice with added auger and pinch of salt for dizziness. Rest assured, you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last night I noticed a small red patch on the shaft of my penis and a small bump barely 2x2 mm. Its been 5 days since I last had sex which was protected. The red mark is slightly irritating though I think it might just be due to my own periodic self examinations. The surface around the bump is sometimes shiny as if moist. The seems no bigger then a nodule for a hair but I can see any hair coming from it and Im not sure if its an ingrown or not." }, { "from": "gpt", "value": "Output: HelloThanks for query. Red patch with small bumps on glans penis after having protected sex is mostly due allergic reaction to chemicals in condom used as lubricant. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical steroid cream of combination of antibiotic and steroid like Newsprint H for local application twice daily. 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 recently discovered that i have klebsiella spp, after having a complete digestive stool analysis done. i have suffered badly with diaharreh for 2 years and 6 doctors later i have been given cefaclor monohydrate 375mg twice a day to treat it. after taking it for 10days i was again sick so went back and saw another doctor (as mine was away on hollies) this doctor then told me that i would need to take it a lot longer than 10 days. Im confused and not sure how long i should be on it. Im scared if i dont have them long enough i wont kill this bacteria bug off. Help! Kim" }, { "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. Usually Klebsiella bacteria are pathogenic in the respiratory tract and urinary tract but not on the GIT or diarrhea. We can count these bacteria as a communal flora of the intestine and can ignore its presence in the stool. So in my opinion you should not take the Chat Doctor. Pathology for diarrhea may be something different and so can be diagnosed and treated accordingly.Maybe you have taken the long-lasting antibiotics that has washed of your communal flora. I advise you to take the probiotics like Lactobacillus spore. This help replaces the flora and can help in prevention of diarrhea. I will be happy to answer your further concern on bit.ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, im michelle and im 20, ive had a stroke 3 years ago and now im wearing a walk aid on my right leg. however, the right side is affected and i cant feel anything. although, recently, my right heel hurts. i did some research and the two that popped out the most is the heel busitis and heel spur. usually its fine in the morning but then it right leg and heel hurts like crazy. should isee a doctor or possibly take some treatments. what do you think?" }, { "from": "gpt", "value": "Output: Hi, as mentioned by you the brief history of you I will recommend to first take an x-ray and confirm that it's a spur. Also, post that your physician may help with treatment which will help ease the symptoms. Next to understand is that this spur once confirmed needs an attention by doing some exercises for feet and also getting a shoe insole. Which will help further to avoid the pain and reduce the inflammation.regards. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am concerned about my sons swollen axillary lymph node. It is 1cm in size, movable, soft but has been there for 2 1/2 months. The doctor has said there is no need for biopsy, as it is small ,not getting bigger and there are no other prominent nodes. His CBC shows a normal WBC profile but his RBC is microcytic, hypo chromic. His eosinophils are about 10 times normal . He has been given worm medicine and has been on a course of iron therapy for 2 months but the follow up blood work still shows no change. Should the lymph node be biopsied?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, The axillary lymph nodes filter the lymph from the arm, chest wall and breast. It is often difficult to feel normal axillary lymph nodes. Not all enlarged axillary lymph nodes feel the same. Axillary lymph nodes may swell from an injury or infection to the arm or hand. A rare cause of axillary swelling may be breast cancer or lymphoma. I would suggest you to take your son to pediatrician for physical examination and to find out the reason for the palpable axillary lymph node. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 33 male. frequent bubbling sensation under my testicle or scrotum area? No Pain.? have been having issues of erectile dysfunction all of a sudden for last few months which has been a source of stress of lately. Prior to this never had any issues with erection ever. in fact i have had sex continuously for an 1/2 to hour on average. but all of a sudden ? i am a bit scared and embarrassed. not diabetic" }, { "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. Such a feeling is common in hernia. I suspect that you are having a hernia and content of which is the intestine. That is why bumbling sound is hearing. If the hernia is obstructing the content coming in between like spermatic cord its vessel than it may cause the erection problem. In my advice you should examine yourself with the nearby surgeon, and you can also diagnose your self with the USG examination. This will reveal the correct pathology and can be cured thereafter. Till that time you can avoid heavy exercise, the work which causes pressure on abdomen can also be avoided. 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: My baby boy is 11 months old. For the last 3 weeks, he has been developing a rash (like mosquito bite as it starts with tiny dot and while going it leaves a black pigment mark, which usually feds away in one day). The rash occurs every 2 or 3 days. What can be the cause?" }, { "from": "gpt", "value": "Output: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possibly chemical induced rash from clothes. Look for any relation with specific food, environment or clothes.2. Location of rash is important to correlate. Food could be generalized, whereas others will be localized.3. Apply calamine lotion locally and if excessive redness then antihistamine syrup can be given. Hope it helps. Any further queries, happy to help again." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sakshi bajoria Female 33 years, Suffering from acute stomach ache for last 4 days, despite on regulalar medication like Ornidazol oflaxacin, pantaprazole, ulgel A. developed symptom of burning sensation and acute pain in upper portion of stomach after taking alangesic Flexilor - Lornoxicam for pain relif spondolytis. Please advice suitable treatment" }, { "from": "gpt", "value": "Output: Greetings, After going through your history I can understand the concern you have regarding the disease condition of yours.my advice is to withhold T.lornoxicam for time being and make sure that you are taking pantoprazole tablet twice daily before food. These symptoms of stomach pain(sudden onset), burning sensation is suggestive of analgesic induced gastritis.my advice is to Chat Doctor. Gelusil (antacid) 2teaspoon Thrice daily.consult general surgeon and get appointment for endoscopy if symptoms persists. I would be glad to provide answers to any further queries. Thanks for using Chat Doctor Have a good day! Regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can I Yeast infection cause pink discharge on the toilet paper after wiping. There is no blood in the urine. I am taking Rocephin 2 g IV and have the last two weeks with six more days to go. I had a mild uti when I was in the hospital but was being treated for bacteremia." }, { "from": "gpt", "value": "Output: Hello, THX to contact us. If I am your treating doctor I would like to advice you that that yeast infection won't cause pink discharge. In fact any fungal infection won't cause pink discharge it may be something else. It may be bleeding that gives you pinkish tinge. Such things may happen in severe Urinary tract infection. If you suspect fungal infection I advise you should go for Grams staining, culture and sensitivity from the discharge. If you have anything else to ask please contact me. Than. 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 23 years old, and very rarely drink alcohol (every 2-3 months) the last couple of times I have consumed alcohol, within 15 minutes I have suffered severe upper right chest pains. This happened last night after half a glass of wine - and the chest pains lasted through the night. Along with this I was unable to sleep as suffered a serious chill. Should I be worried?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are mostly having alcohol induced HERD (gastroesophageal reflux disease). Alcohol causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So better to avoid alcohol. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, My age is 44 years and I have been undergoing infertility treatment for past 6 months. I have done IUI in Oct but no results. Next cycle was put on medicines and after 44 days my legs started to swell. Had met the doctor and she advised for tests and all tests normal. My endometrium is 13mm thick and one folicule is available now in right ovary. pls advise why my legs are swollen and any effect of thick endometrium?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor forum. The causes of the swelling of the feet are hypovitaminosisB, anemia, heart failure, etc. I advise you to consult a physician for diagnosis and treatment. In such a health condition, with one mature follicle, the chances of conception are very less, still you can try. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to provide relief of some conditions. Wishing for a quick and complete recovery." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello my Liver test ALT was 112. I drink a few beers on weekends. I m 49.. I don t drink on week nights. Now back way when in my youngest days I was a party-er. But now I m just a weekend beer and grill person. I am over weight 5 7 about 232.. I m walking 2 miles a day cut back on what I eat..My concern is could this be from drinking or weight. Is it something to panic about?" }, { "from": "gpt", "value": "Output: Hello, The life liver enzymes could be due to both alcohol and weight. I would suggest you get blood tests for hepatitis B and C as both these can cause raised enzymes in case they are negative I would suggest completely stopping alcohol and repeat liver enzymes after 6 to 8 weeks. The levels are not alarmingly high but if not controlled can lead to permanent liver damage in the future. Hope this helped get back in case you have further queries Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: This may seem pretty silly, well it is very silly but I m a bit paranoid.. I fingered my girlfriend today, but then I had to adjust myself, I didn t touch my penis, I adjusted it over my pants, I was wearing two layers (briefs and shorts) I didn t feel any precum on my pants but in the moment I may not have, and then used my fingers to well go at it again... I doubt there was any precum on my fingers as I don t think it could get through two layers of cloth but in case it did what are the chances of her getting pregnant..? I don t generally have a lot of precum, the usual drop or two Please help, I m just a little freaked out" }, { "from": "gpt", "value": "Output: Hi, There is no chance of pregnancy in your case as you described your act. You are on both brief and pant. You did finger your girlfriend without touching to penis. If you have touched penis then also extremely fewer sperm can attach\\u00e9 to finger. By fingering, sperm can not enter in to vagina. Sperm require seminal fluid as a liquid medium for movement inside uterus. To become pregnant, penetrative sexual intercourse with or without ejaculation during fertile period of cycle is required. Use condom in future to prevent unwanted pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, I am 18 years old, 140 lbs. On monday I had the roots of my dental implants done, and it pains me to wear the retainer. everyday I try to put the retainer in hoping that it won t hurt and i ll be able to leave it on. But the pain hasn t faded and I m worried my teeth will shift. What should I do?" }, { "from": "gpt", "value": "Output: Hello, It's not a good sign to have pain after getting an implant in our jaw. The pain can occur for a day or two but if it is prolonged it could be a sign of infection. However in your case, you mentioned you wear retainers- that is one of the possible cause of pain. You are not supposed to wear retainers for at least two weeks till the gums over the implant heal well. Or if it is too important then your retainers must be lined by a \\\"soft tissue liners\\\" which will prevent any trauma to the underlying gums when you wear the retainer. it's not a good idea to wear retainer in post surgical phase. Avoid for two weeks and consult your dentist. Let him do a clinical examination and take an x-ray of the area. Be cautious if you see \\\"pus\\\" coming out. that's a sign of infection. Must go back to your dentist and talk. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had I pill on 28th December then I got my periods on 7jan then again I had ipill on 15jan n on 21st got my periods n on 4th feb had intercourse didnt take I pill now today is 19feb still my periods have not started n again I took ipill now when my periods r expected" }, { "from": "gpt", "value": "Output: Hello, Firstly, let me tell you that you have misused the emergency pill and put it into too much use. An emergency pill is meant to be used only a couple of times a year; else, it can lead to catastrophic patterns of menstruation. Since you have attained menstruation which was indeed a with Chat Doctor. Emergency contraception can be of use only when used soon after an intercourse and not at any part of the cycle. In the current scenario, I would suggest seeing a specialist if you do not see a period in the next two weeks; get a pregnancy test and plan further management. In the future, please go for some form of regular contraception and do not use emergency pills so frequently. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a blister on my nipple. I am 19 weeks pregnant. Before pregnancy I had black discharge coming out of this nipple as well. The doctor did an ultrasound on my breast (before I was pregnant) and said he had no concerns at the time. Now that I m pregnant I am still getting black discharge and I now have what seems like a blister right beside my nipple. What should I do?" }, { "from": "gpt", "value": "Output: Hi. Blisters on the nipples or around them (in the areolar region), most commonly occur due to 2 reasons, either due to friction (from clothing, sexual activity, etc.; or what we call a milk blister which occurs while breastfeeding. As for the black nipple discharge, this could be associated with a hematoma in the breast, an abscess, etc.; and will require more concrete investigations into finding the cause as you will soon have to breastfeed. Best wishes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, i am 25yrs old girl. Last year I suffered from viral fever for one week in which i lost my weight for about 6 kgs. Later hair fall and acne has been started. My TSChatDoctore 5.50 whereas T3 and T4 are normal. should i go for thyroid treatment or not? Should I prefer homeopathy for it or allopathy? Whether I will have to take the medicine for my lifetime? Kindly reply" }, { "from": "gpt", "value": "Output: Hi and thank you so much for this query. I am so sorry to hearing about this high TSH levels and the hair loss. However, I will suggest that you get this value controlled again since it has been over a year. If it should remain higher than normal, I will suggest that you strongly consider getting treated for hypothyroidism. Chat Doctor. Homeopathy measures can accompany the treatment and not constitute the main stem. I hope you find this helpful. I wish you the best of health. Thank you so much for using our services and dew feel free to request for more information if need be." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fake my emotions all of them other then anger Nothing makes me happy or sad or worried honestly I fake my feelings to see what would the person Im talking to with feel or say Im always lieing I can never tell the full true last week my friend was annoyed that guy hit on her so I faked that I was mad and talked to the guy infornt of her just to make her like me more which she did not after she got mad at me I cant even remember last time I laughed from heart or enjoyed something I just do stuff for no reason" }, { "from": "gpt", "value": "Output: Personality disorders stem from biological vulnerability to feeling emotions more intensely than others, combined with a stressful environment. Please remember to rate and close this answer thread when you are finished and satisfied. In the future, for continuity of care, I encourage you to contact me directly at my private web ad Chat Doctor. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir my i have recently got my sperms, only 15 percent are alive, 40 percent are sluggish and rest were found dead . 110 million sperm count in 2 ml, colour yellow,i was married two years back........i got married at the age of 29 , till this age i had a strong desire of sex but i could,t have the right one for that,so i used wrong ways and lost my strength , my pennis is now so sluggish and sometimes does not show erection while i am with my spouse................i have no baby after two years which is a big problem.....please help me and suggest me some medicine...plz my wife, s wieght is more than 90 kg...she has often feels irrugularity in periods and a white secretion mostly comes out from her urine place.........she had the same past like me.........plz suggest some medicine for us both so that we may be parents...i feel mental and body weakness severly,same is the case with my wife too...plz suggest" }, { "from": "gpt", "value": "Output: Hello, It is sad that both of you are showing infertility factors. First thing is got over this depression and try to find a good doctor for your wife and yourself. She may visit a gynecologist to regularize her periods and then start ovulation causing medicines. AS per you, see a urologist who can prescribe something for your faltering sperm counts. If things don't turn up well after a year or so, you may opt for IVF. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 76 yr old woman with PD.....some cognetive problems....slight depression..periodicaly... I find my self singing-humming 85percent of the time. Nearlly uncontrolable......Is this a mental health thing.....I live alone, have never been a singer......" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. In your case, self humming of songs are not at all a mental health thing. Instead, it is clearly healthy. We often ask people with mental problems to sing or hum songs which they like. Such an exercise keeps their mind away from unnecessary thinking and thereby other related mental troubles. Means, you are healthy otherwise and do not relate the humming with mental illness. Actually it is entertaining. 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. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor, am dilip kumar.,, my sister in la affected for Recurrent demylienation ... she getting pain day by day increasing, while taking steroid she better few month after again getting pain .. this happening from 2 years.. so please help me what we do cure this disease ..." }, { "from": "gpt", "value": "Output: HIT hanks for posting your query to Chat Doctor. Declination can occur due to some treatable causes and sometimes due to untreatable causes. First the diagnosis has to be made. What is the cause of declination has to be evaluated. Has it been done ? If so kindly let me know the diagnosis. If your doctors are not still clear of cause of declination then kindly upload the tests done till now so that I can go through them and let you know what else needs to be done for the diagnosis. Treatment can be advised only once we come to diagnosis. Hope you find this information useful. Any clarifications or Queries feel free to ask." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am treated for minimal PTB f 3 years ago, nom im apllying for a working visa ni saudi Arabia, before undergoing for the medical exam of an agency, i went to the see a pulmonologist and have xrayed, the result is just a scar on my lungs..would i pass the medical exam? how will i get rid of the scar?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. To have lung scars after treatment of tuberculosis is normal healing phenomenon. These scars are inactive, harmless, noninfectious lesions. So no treatment is required for this and no treatment is available today remove them. But for visa clearance, we need to prove that these lesions are not active and infectious. For this, you need to get done CT thorax and bronchoscopy with BAD (bronchoalveolar lavage) analysis. CT is more superior in diagnosis of scar lesion as compare to chest x-ray. If both these are negative for active infection, you can argue with visa authority that these lesions are old, healed, scarred lesions and not active, infectious lesions. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have brief sharp stabbing pain and random twinges of pain on the right side lower part of my abdomen and I would like to know what the most likely causes are. They said there are no ovarian cysts on the right side what else could it be? The symptoms don t really fall under the stereotypical appendicitis category. Help?" }, { "from": "gpt", "value": "Output: Hi. Read and understood that you have pain in the right lower abdomen. They have ruled out ovarian cysts and you don't feel it to be classical appendicitis. The causes can be" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am trying to conceive. And have been for about a year. I have 25 day cycle, which regular, and having intercourse during my fertile week. However, nothing has happened as of yet. I have had chlamydia (which went undiagnosed for at least 1 1/2 - 2 years) as well as BV. I am wondering if I may have PID now and if so, what are the symptoms? And what are the treatments for it as I would love to become a mommy before my 30s (I am currently 27). Thanks." }, { "from": "gpt", "value": "Output: HAI, In PID you will likely to have lower abdominal pain, especially on either side of your bladder, even tender, and sometimes you may have dysphonia, pain during intercourse and pain during vaginal examination when your doctor moving your cervix. If you don't have all these symptoms you may unlikely to have PID. CHLAMYDIA can be treated by DOXYCYCLINE capsules for a period of two weeks. Your sexual partners also should be treated simultaneously. Otherwise, it is useless. PID may lead to bilateral block of your Fallopian tubes and may lead to infertility. So check yourself for pat-ency of your tubes either by laparoscopy or though Hysto-salphingogram. If it is cleared you'll become a mother. Good luck. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son scratched his eye this evening, took him to the doctor and they said he was fine. Got about home and he started terribly crying that his head hurt. When he got home, he threw up twice and now is fine. What should I do, what is going on with him?" }, { "from": "gpt", "value": "Output: HI...it could be a viral illness responsible for all this. I suggest you give him Paracetamol for headache. 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. But if the vomiting persists or if he is behaving weirdly or is excessively sleepy, then I suggest you get back to the doctor or nearest emergency room. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, I have always had pain around my right side carotid artery, under my jaw, radiate to my ear, and my shoulders. Sometime i feel it is on the side of my throat. It is wearing me out, my memory is geting weaker and weaker, sometime i feel as if everything blocked as it affect my proper breathing and i dont feel i am relaxed...i am 49 by the way and i had this for few years now ... but it is geting worse and causing me to be rigid and stiff... can u tell me plz what i should do and what could be the diagnosis and what kind of doctors i should visit... thx.. MK" }, { "from": "gpt", "value": "Output: Hello MK! I passed carefully through your question and would explain that your symptoms could be related to a temporomandibular joint dysfunction or a bulging disc in the cervical vertebral column, causing articular nerve pain in this region. For this reason, I would recommend performing a cervical spine MRI study. If this test results normal, I would recommend consulting with the ENT specialist for a physical exam of the temporomandibular junction. Anxiety could also play an important role on all this clinical scenario, too. 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: Hi, I recently had a scheduled angioplasy and two stents implanted. I had a followup visit this week with the cardiologist. He informed me that he implanted an expired stent. This is a Taxis drug illuding stent. Is this against FDA regulations to implant an expired stent in a patient? I believe there must be strict FDA regulations in doing so? Tom J" }, { "from": "gpt", "value": "Output: Hi, Using expired stent is against the law and illegal. There is a shelf life for every product in medicine beyond which its use is not recommended. You should have got the cover boxes of the stents, and you can see it yourself whether they were expired at the time of placement. If they were expired, you can file a legal lawsuit on the doctor and hospital. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor I have been sufferring from Psoriasis on my palm, fingers and feet from last 10 yrs. I have tried several medicines but nothing helps me other than Topisal 6%. I have recently had a flare up which is bad. My figers are all scaly and itchy. I have been applying topisal 3% but its not working. Could you pls suggest what can do to get relief from the scales and itch. Thanks" }, { "from": "gpt", "value": "Output: Hello. Thanks for writing to us at Chat Doctor Psoriasis affecting palms and soles is debilitating, hindering routine activities; it is responsible for significant social stigma as well. The psoriasis patches on palms, soles are Chat Doctor. It is well tolerated and is given in weekly doses. Methotrexate can be combined with topical treatment to hasten the resolution. However, methotrexate requires monitoring for side effects by blood tests (hologram, Liver Function tests)I would suggest that you speak to your dermatologist for the needfulRegards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi Ive had rheumatoid nodules on my elbow for several years know , after each operation to remove them they regrow , the doctor says that I do not have the artheritis though.for the past 12 months I have been having allergy attacks and itching on my hands between the fingers and eyes this usually goes within 24hrs of starting.I have tried antihistimenes but these dont work I also get very tired during the day could this all be related and what should I do Iam 44 not overweight walk every morning with the dog the problem with the elbow started about 8 years ago and to date it has been operated on 4 times and Iam waiting to see a surgeon again" }, { "from": "gpt", "value": "Output: All that I can convey to you on the basis of my three decades old clinical experience is that you must get support of Ayurveda treatment. While surgery can remove nodules, it cannot prevent regrowing. Here Ayurveda can help you in a safe n side effect less way.Similarly, anti Pittman regime in Ayurveda can effectively manage allergic conditions and common herbs can be used to ad Chat Doctor. No interaction of any Ayurveda med. With any other" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Had 2 stones in Left kidney 5 x 7 x 8. Used lots of water and lemons and potassium citrate etc. for 1.3 months and they dont show up on 2nd ultrasound any longer. Still have what doc thinks is severe ureter spasming and he ordered a CT today to see if any pieces are left in ureter. He said that even if nothing is found the irritation can continue for weeks before both ureters calm down. It hurts to evacuate in morning. He said that the irritated ureter can irritate the bowel but Im not understanding that? How does that happen? Have never has any bowel issues at all. No diahhrea currently at all or IBS symptoms. Cant eat alot because when full and food moving downward the 2 lines going down become tight and sore. Can it take this long for the ureters to calm down? Having CT scan later today. Thanks." }, { "from": "gpt", "value": "Output: Hi.you had renal stones, probably it has come out with HY Chat Doctor. . Since it has not shown up in the earlier CT scan.you have sore throat, it is a completely different issue. You have acute pharyngitis, probably due to water infection.see you ENT surgeon for this, for examination.and you need to start with antibiotics, analgesics, salt water gargling would help.your ureteric colic will be diagnosed with the scheduled ct scan today.see your urologist with the report for the further management.bye." } ]

[ { "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 Gary I was diagnoses and had colon cancer stage 4 and spread to liver. I had treatment 5 weeks for radiation, and total 6 times chemo. It seem like first 3 times chemo therapy is not working so my doctor change to different chemo medicine, is seem like cancer wont spread and shrunk. by that time i met some one and he recommend me to change my diet, drink more water, no sugar, so when i went to draw blood my CEA went up from 24 to 30 and after i change my diet and last 3 chemo my CEA back down to 13 and my doctor told me i have to do one more chemo. And i decided not to do because a lot of people told me radiation and chemo kill people more than cancer kill people. So i went back to draw blood and check with my doctor my CEA go back up to 26. I would like to know am i do the right thing? just only change my diet and not listen what my doctor tell me what to do??? right now i feel just like normal person, i can go to exercise, running, walking, but i lot some weight because i eat only fish, vegetable, and fruit.would you please, answer me what am i suppose to do?? Thank you so muchGary" }, { "from": "gpt", "value": "Output: Hi, I went through your query. I am afraid changing your diet at this stage will not cure your cancer. Colon cancer mainly occurs due to a high fat diet. Dietary fiber as in fruits and vegetables has a protective role. However once you have the cancer it does not help much. It is true that chemotherapy and radiation have very serious side effects and can themselves cause cancer. But at stage 4 that is the best possible treatment available. I would advise you to continue with your treatment. But you can talk to your doctor if you do not wish it and ask him/her for some other palliative treatment. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son has really foul smelling stools. What could be the issue besides possibly lactose intolerance & celiac disease? He is 7 years old. He had a upper GI endoscopy done a few years ago and at that time he was diagnosed with eosinophilic esophagitis and they also mentioned that he had lower than average lactase levels. His dairy intake is not excessive. He has a glass of milk in the morning or afternoon and occasionally pizza. I m concerned because although he has no other symptoms such as stomach discomfort or gas or bloating, his stools are really malodorous to the point where we have to have him change his underwear and shorts often for no other apparent reason. Please advise. Thank you!" }, { "from": "gpt", "value": "Output: The foul smelling stools could be due to overgrowth of certain bacteria in his intestines. A course of metronidazole thrice daily for 5 days should be helpful. Also give him plenty of curd. You may skip the glass of milk in the morning and give other nutritive food items instead. The primary manifestation of lactose intolerance would be bloating and abdominal distention which your child does not have. In case of celiac disease, failure to grow properly and frequency of stool are generally present." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi sir, i got pain in lower back. i feel it is in middle of hip and lower back. actually i am feeling the pain 3 days back onwards. And it started paining when i woke up in the morning 3 days back. i have used one of the spray but no relief. Used some myospaz and aceclo but no relief. Not able to understand what could be the reason and how to avaoid this." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor After going through your query I think You are suffering from acute backache. 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. To father investigate MRI of the region is advised. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi , My Wife is detected with cervical Lymph node TB. She has been put on R-Cinex 600 1 tab daily, Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..she is having violent shivering with fever (~ 103 degree centrigrade), joint pains etc after 1 hour of taking Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..any suggestions ?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Patina is having pyrazinamide. Mycobutol is having ethambutol. Both of them can cause rise in uric acid level (hyperglycemia). This high uric acid can accumulate in joints and cause joint pain. It can also cause fever with chills. So in my opinion, she should get done uric acid level and if it is raised then she needs to take Eurostat tablet. Eurostat is having property of reduced uric acid production. So consult her doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,i have been sick with cough w excess,mucus,a rash developed on chest ,and back,i also haveon elbow s. I also have red swollen fingernail beds.On my pointer and index finger i got rash and just above top crease there is a small dot that I can pick w a tweezer,have gone for 3 cat scans going back to doc on Tuesday,says its not lupus.connective tissue disease.its really getting old,starting to get fatigue .lost bout 10 pnds.Doc is ok,but its like a month between visits any ideas I can ask him bout.i have taken 2 rounds of antibiocs, been on inhaler,just got off predisone,cough is back up but it productive,but im slow moving.been going on 5 months,since December.any insight would be great 53yr old female lori" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. If connective disease is ruled out and since your CT chest are normal as told by you, no need to worry about lung infection. 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) with lung volumes and DCO. 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. Now since rashes are not your problem and cough I'd only issue now it should felt with. 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 have a sore bump on my gums that makes it difficult for me to put in my implant dentures. What is an over-the-counter drug I can use to reduce this bump and relieve the pain? I have been duding salt rinses, using listering and the rinse my dentist gave me without results. Please help!!" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The bump on the gums could be because of gum infection secondary to chronic irritation by the denture. Consult an oral physician to rule out whether it is a gum infection or an over growth of the tissue. If it is infection you can take a course of antibiotics and analgesics. If it is a growth then it has to be surgically removed. I hope my answer will help you, take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had xrays of my lower back recently and the following was part of the report. I don t really understand any of this. Can you please help me understand. There is a curvilinear opacity overlaying the left upper quadrant seen only in the AP projection. While pathological calcification within the abdomen cannnot be excluded, this appearance is new from the prior study, decreasing the likelihood that this is a significant finding. This could reflect overlying artifact or bowel contents. A punctate opacity overlying the superior pole of the right kidney on the current view was noted to be projected more superiorly on the prior study and is likely a hepatic granuloma. Impression" }, { "from": "gpt", "value": "Output: Dear sir /madam I would like to know why was the radiograph taken, As for the reporting seems like there is an incidental finding, I would like to know more about the clinical history and also like to know other finding in the radiograph Some incidental findings could be artifacts. So before jumping into conclusions I would suggest talking to your primary clinician about your primary illness and then decide about this incidental finding" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im constantly horny and when i dont get laid coz my girlfriend doesnt want to do it or doesnt want to do it quick i feel like end of the world, I know this is not normal" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. You have not given your age here. Please understand that sex is not essential for human being. That is just another emotion where body and mind gets pleasure feeling rather than pain. Your frustration is understandable. You are denied of sexual pleasure, and then you are irritated. What happens if you desire sexual pleasure from someone you don't know? What happens if you don't get it from them? You are expecting your girlfriend to behave according to your wish and when she disagrees you are disappointed. What is wrong in that? How can you call yourself horny on that aspect? Masturbation once per day for teenagers and thrice or four times a week for adults are OK. Once you get married, your masturbation stops. When you get a job your masturbation reduces. If you require more of my help in this aspect, Please post a direct question to me in this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: one week ago I felt my chest constricted, but thought that it was due to adding some free weights to my regimen. Today, Im feeling some slight constrictions, my pulse is 94, and Ive felt some light constrictions in my neck, just behind my ear...what do you think?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related diseases in your case because chest constriction, neck pain and high pulse rate (94). All these favor heart diseases more. So consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular spasm cannot also cause constriction feeling. So take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor, i am 21 year old female. i noticed undigested rice in my stool today and undigested food for past 10 days. i am taking clarithromycin from 3 days because i am told to as i have folliculitis. what could possibly cause this condition and is there any treatment?" }, { "from": "gpt", "value": "Output: Thanks for posting you query to Chat Doctor.there is no relation of folliculitis with indigestion as folliculitis is infection of hair follicle and not associated with indigestion, so I am not understanding the purpose of taking Azithromycin. If you are having any painful lesion of hair follicle then let me know so that I can suggest you correct remedy as Staphylococcus is the most common organism to causing it. Indigestion could be due to some other cause alteration in your daily food intake or timing of meal may cause such problem .for your digestive problem you should presently start to take plenty of water per day and increase green veg in your date. Take Sachet or capsule of gut flora" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 68 years old and have Agent Orange related type 2 diabetes (since 2000). In 2005 I had a related stroke (Rt. medulla CVA). I take insulin injections. Recently I developed a rash with itching on my right lower leg. I am trying to figure out if this is food related and what I can use to stop the itching (cortisone does not work). Thank you, Dennis Maddox" }, { "from": "gpt", "value": "Output: Cellophane you for writing to us on Chat Doctor. Based on your history the response to your question is as follows.1. For itching, antihistamine like loratadine or cetirizine will be helpful.2. Also apply calamine lotion over it.3. Right lower leg, only, look at local cause. Possibly socks or footwear or environmental. Not food related. Hope this is helpful to you. Do write back to me for further questions. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is presenting with pneumonia and a terrible cough, producing yellow phlegm and or clear liquid water like substance. He has finished 10 days of antibiotics, currently 6 days post antibiotics. He still has cough, phlegm, and now has blurred vision in both eyes. He is otherwise a healthy 53 year old." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Ideal treatment of pneumonia is to first isolate the organism a dthan start antibiotic according to the sensitivity pattern. So in your husbands' case I advise you to consult pulmonologist and get done1. Repeat chest x ray2. Sputum culture and sensitivity3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. Since after 6 days of antibiotics, he is not improving, so we need chest x-ray to determine whether pneumonia is worsened or not. Sputum culture is necessary to isolate the causative organism and sensitivity is needed to guide antibiotic therapy. So consult pulmonologist and discuss all these. Avoid haphazard use of antibiotics in pneumonia as it will cause Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good morning Doctor or Doctors. here the question..i am having this tight feeling in the middle of my Brest to my throat. am on meds. the only time i have been in the hospital was last oct. for a bleeding ulcer. and they also found i have pfo. not to worry about it..thank you connie" }, { "from": "gpt", "value": "Output: Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Acid reflux with HERD. Yours being Known Ulcer case, these complaints of tight feeling in chest and throat-indicates that that acid control treatment needs to be reviewed and changed under expert doctors advise. I would suggest you to have Second opinion from Third party Surgeon/ Physician and review acid controlling treatment which you are taking. Other causes for these complaints-like IBS and IBD/ anal ailments like fissure in ANO/ H. Pylori re-infection / inadequate PPI dosage / Improper diet style/ habits, need to be ruled out before planning any treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Dr My Father had a bye pass surgery on 19th November 2010. Dr had advised to have Glycomet GP 2 for future. But due to having a very low sugar our doctor changed the medicine to Glycomet GP 1. The sugar level became normal for few days which was around 125-145. but since few days his sugar is again keeping low - Jan 17, 2012 at 9 pm sugar level- 74 Jan 18, 2012 at 9.30 am after tea sugar level- 164 Jan 18,2012 at 9.45 pm sugar level-84 doctor please advise in this matter and do let us know any good diebetician in dehradun whom we can consult. Waiting for your response. Regards,Upasana" }, { "from": "gpt", "value": "Output: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that 74 is not a very low level of sugar. Anyway, if he feels symptoms like dizziness, fatigue and sweating, this could be a sign that his body does not tolerate these low levels of glucose. I would recommend reducing the dose of Glycogen GP in order to have higher levels of glucose. You should know that all oral antidiabetics can lead to hypoglycemia as a common adverse effect. That is why the dose should be adjusted based on the fasting glucose levels during the day. You should discuss with his endocrinologist about the above issues. Hope to have been helpful! Kind regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have the mirena a coil fitted for the past five years due to be replaced in June been at the hospital Monday got told it Was a womb infection Put on two lots of antibiotics Went back to gp who said was not caused through the coil as had water infection previous was advised to leave coil in and wait and see if infection clears before removal pain has eased how long will it be before i am completely better" }, { "from": "gpt", "value": "Output: Hi, Thank you for choosing Chat Doctor. Once the course of antibiotics is over you can get this IRENA removed. And kindly make sure the whole infection is cleared before the new IRENA is inserted. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am experiencing right abdominal pain and pain in my right groin area. I have had liver panel, blood tests all came back okay. Had abdominal CT Scan and no problems with internal organs detected. Will schedule colonoscopy within days. But the doc doesnt have a clue whats causing the pain" }, { "from": "gpt", "value": "Output: Hi. Thanks for your query. Read the history and understood your problem. Pain in the right abdomen and the right groin can be due to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 20 years of age and for the past month and a half I have felt very tired, not a lot of energy, low sex drive, and at times light headed and nautious. Could these be signs of low testosterone?? I am 6 foot 2 inches tall and weigh 160 lbs. thank you" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. You are just 20, and should not think about low testosterone level. The given conditions could be due to many other problems including stress and obsession. In your case, I am suspecting your stress and obsession. Think about it. Were you stressed? In the near past? Do you think and obsess too much about sex and related problems? You may consult a sexologist and get your testosterone checked. But don't worry about it. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my sister has been having right sided pain for 1 week, went to ED and they did cat scan with negative results,they checked ovaries by manual and I believe blood work and urine sample. Lortab she has been taking & morphine given in hospital not touching pain,we are stumped." }, { "from": "gpt", "value": "Output: Hi! Good evening. I am Chat Doctor answering your query. I would insist on an ultrasound of abdomen to rule out a renal calculus, which a CT might not be able to pick up, causing this kind of pain. If inconclusive, and the pain increases or is not relieved, I would refer you to a general surgeon for a clinical assessment and related investigation like a diagnostic laparoscopy for further management of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." } ]