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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 I am a female of 31 yrs,I had typhoid for which my treatment is going on.Then from blood examination I discovered that my WBC count is 1500 and in 2 days it increases by 200 and from further examination i now came to know that i have pelvic ascites.Please advice treatment for it" }, { "from": "gpt", "value": "Output: HelloPelvic ASCIIs(free fluid in pelvis) may be due to peritonitis in a case of typhoid fever. Typhoid fever causes intestine infection and fluid in pelvis may be considered as complication. Patient may need surgical intervention after evaluation. Mild free fluid in pelvis in females may also be due to many other reasons like during ovulation(it is naturally seen), pelvic inflammatory disease(PID)etc. Your condition need clinical correlation. 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: When I go to the doctor, I have a blood pressure reading of 150/90 with a pulse of 60.When I take my pressure here at home, I mostly stabilize between 130-140 and 80-85.The day before yesterday, I had a reading of 134/77 with a pulse of 58.I am taking Diovan 320mg and am 76 years old and in very good physical health.Should I be concerned about these BP differences between home and doctors office?" }, { "from": "gpt", "value": "Output: Hello, Welcome to ChatDoctorNothing to worry about the BP differences between home and doctor's office. This is an entity called White coat hypertension. Blood pressure readings will be 10-20 MMH more when you visit the doctors' clinic, because of increased anxiety levels when meeting a doctor. I would advise you to continue your medications and be relaxed. Hope I have cleared your doubts. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had gall bladder surgery two weeks ago. I was fine for five days and then I had an attach like I was having a heart attach, went to the hospital and given nitro and it put my heart rate over 140 and my blood pressure went high. They gave me a bunch of drugs to get rid of the symptoms, but the next morning I felt like my nerves where jumping out of my body. I have not been able to stop shaking since. I shake really bad and I m very nauseated. Any ideas on what is causing this. My doctors can t seem to help me." }, { "from": "gpt", "value": "Output: Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour HOLDER monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated, as it can also be a panic attack. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yes, hello My 2 years old son, last night went to the hospital after a fall and he got stiches on his chin, and two on the inside of his bottom lip. Today on the inside of the lips I see some kind of yellow substance, and the lip is swollen. Can it be infected?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, Yes, it can be infected. Swelling is often a sign of infection, especially when it is accompanied by too much reddening of the skin. Marked tenderness and a burning sensation, pus and fever are also signs of infection. So if these signs and symptoms are present then you should consult a doctor. You can give ARN ICA 30, one dose daily for 3\\u00a0days,it is a homoeopatChatDoctoredicine which is very good after trauma and helps in prevention of infection and early healing. You should consult a doctor and get the wound rechecked. Hope this will help. Take disregards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I tripped on a pillow in the floor in a bedroom and hit my left arm (on the outside of the arm just below the elbow) on the dresser as I fell. I had immediate bruising. It was a huge bruise. I applied ice and the bruising went away within a week or so. However, it has been about a month ago and I still have a 2 in x 2 in swollen area that is firm in that area. Is this something I need to see my doctor with or will it heal?" }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have bruise on left arm after having an injury. Well there can be many reasons for symptoms you mention in query like hematoma, soft tissue injury or infection. I would suggest you to apply ice pack thrice a day, take ibuprofen or acetaminophen and keep your arm elevated while lying down. If condition doesn't get well then consult general practitioner for proper examination. Doctor will examine physically and prescribe anticoagulant like heparin or main Chat Doctor. Doctor may also prescribe antibiotics along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. Best Wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have gluten intolerance, along with milk intolerance, irritable bowel and chronic lymphocytic leukemia. I am considering going on a paleo diet with very low fructose. Is this realistic? I m concerned with wt. loss. I cannot afford to lose any more." }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor forum. You are gluten and lactose intolerance, and using paleo diet, with very low fructose. If you use very low calories, there will be weight loss. Without the gluten and lactose you can use anything. The avoiding the vegetables etc. also can cause I.B.S. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods. Chronic lymphocytes leukemia is a different thing and to be treated separately. 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: I have, what I call, attacks sporadically. I have it usually at night and months can go by and I start thinking its not going to happen again. It feels like theres, like prisoners being executed, a wet sponge in my head and someone connected electricity. And it doesnt stop for hours and hours. Nothing stops it unless I take a bunch of sleeping pills." }, { "from": "gpt", "value": "Output: Cellblocks like a kind of abnormal electric discharge in brain-kind of seizure disorder. It gets better with sleeping pills also points in same direction. Get an EEG and MRI Brain and starting an anti-epileptic Chat Doctor. Something like- option 300\\u00a0mg at night or oxcarbazepine 300\\u00a0mg twice a day will help you a lot. It will be best to get the reports checked by a neurologist. Hope this helps you and makes you good." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have noticed a loss of skin pigment on my genitals. One dime-nickel sized spot on the shaft, perfectly round and another spot at the base of the shaft leading onto my left testicle. I am 29 years old. I would like to know what is causing this and if it is in any way harmful to my health." }, { "from": "gpt", "value": "Output: Thanks for asking in Chat Doctor forum In short" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My brother a knee looks like it is protruding. Almost as if the bottom half of his leg is shifted backwards making the knee stick out a lot! His leg is also very hyper extended, but only that one leg! The other is completely fine and nice and straight. This condition was not always this way, he one day just noticed that one of his knees was hyper extended a bit. It is our belief that it has gotten worse over time! Please, any ideas what is wrong?" }, { "from": "gpt", "value": "Output: Hi, thank-you for providing the brief history. A thorough clinical examination is advised along with an x-ray or an MRI. As the knee is in his it needs a thorough clinical examination and an MRI to understand the ligament injuries.Also, there will be shortening of the qua Chat Doctor. You may need a thorough assessment and a physical therapy to help make this anatomical corrections. Regards Jay In" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my urine dip test shows blood ++ and there are white flakes floating..My pregnancy test is +. I have crumbs in lower abdomen. If I am pregnant I have conceived 10 days ago. Is blood in urine and white flaks normal in the first 2 weeks of pregnancy?" }, { "from": "gpt", "value": "Output: Hi, No, blood in urine and white flakes, could indicate infection of the genital tract. Please ensure that the sample given was not contaminated, and a laboratory based urine routine and microscopy is advisable for you. Urinary tract infection is common in early pregnancy and needs to be treated to prevent miscarriage and other complications.Also, as you have cramps you need to get an ultrasound done and get evaluated by a gynecologist immediately. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Thanks. 2010 I was told by my son s pediatrician that the muscles in his legs were breaking down ...enzymes? He couldn t shake a flu like occurrence that started Feb of that year and he was complaining of weakness through March. I can t recall the diagnosis. Any direction is appreciated. I can call the doc s office in the am and obtain the data if I have not provided enough data. Thanks again" }, { "from": "gpt", "value": "Output: What I can collect from your post is that your child is suffered from weakness and recently having prolonged fever. He might be suffering from Myositis or other congenital disease associated with weakness. I can't help you without the investigation workup that already you have done. Kindly post it to me. In many of the cases there are definite treatments which should be started as early as possible to get the best results. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, my son has taken a spot on his side, its just the one spot, but it went quite septic and we out cream on it, there was abit of puss coming out, but now it looks like there is a hole in the middle of the spot and im just concerned as its the only one. What could this be and why has he taken it? A worried mum, thanks" }, { "from": "gpt", "value": "Output: Welcome to ChatDoctori appreciate your concern about your sons health symptom you are telling points that are your son is having a boil which has eroded and pus has come out.Don't worry pus oozing out is a good sign. Just take care of cleanliness so that it does not turn into an access. Keep cleaning it with methyl spirit. Let it Chat Doctor. don't apply creams. If it persists for two or three days give him a 5 days course of antibiotic like amoxicillin and see a physician." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i m 30 yr old boy from lidhiana( punjab) i had a prob on my face before 15 days ago i had chiken pox .now mostly chicken pox is finished bt i have so much black dark doats my face or my body.now i m using sun cross aqua gel ( ranbaxy Company) with 1 tab of limcee daily ..pls give me suggesion wt mdi i can use to remove all dark doats ........pls i will very thank ful to u plsss" }, { "from": "gpt", "value": "Output: Hello and Welcome to Chat Doctor, Thanks for writing to us. Vitamin E, known for its healing qualities, helps nourish skin and fade scars. Open a vitamin E capsule and apply gel directly to the scars twice a day until you see them start to fade, then apply once a day thereafter. Eat foods rich in vitamin K. These are good for your skin because vitamin K helps heal and protect skin from wounds and scars. Slice a fresh lemon and brush across your chicken-pox scars. Coat chicken-pox scars liberally in honey once a day. Rub raw garlic on your chicken-pox scars at night. If your scars are new, rub sandalwood oil on them. Do this for a few months, and you just might prevent your scar from setting in the first place. If your scars are very old, rub coconut oil on them every morning. Hope this helps you. Wishing you good health... Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I started having tremors in my right thumb and finger several years ago. Then 3 years ago I started having severe nerve pain. My legs don t want to move freely. I have been checked for m.s. and was told it is all in my head. Tremor is now spreading and my legs still dont work with ease. I am now having tremors or constant movement on the right side of my body. Drs make me feel like im crazy. One other thing is that I can identify with all symptoms. I get a numb feeling in my mouth right side feels like I have been given novacaine. Please help" }, { "from": "gpt", "value": "Output: Your doctors might be reasonable on the basis of allopathic science. In Ayurveda, it is called vitiation of Data humor esp a kind of Data is Van V\\u0101yu which manifests itself in the whole body nerves. It, most probably, is camp Data and can be corrected if select medicine on the basis of more info is given for some time. Medicines are harmless and natural. If you agree, meet any Ayurveda doctor near you or write me direct question giving some more history. Hope it's helpful." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am anorexic and I am taking Aciphex 20 mg. 2xday; Topomax 75mg.2x day, Pritiq 100mg. 1xday, Lyrica 125mg. 2x day, and Abilify 10mg. 1x day. I have been experiencing muscle spasm, where I can not control my legs, and fall and stumble, I do not know where I am at times, I am confused, I can not say what I want, my mouth will not say what my brain wants. Are they interacting with each other an causing me harm?" }, { "from": "gpt", "value": "Output: Your symptoms of disorientation, weakness in legs may be due to hypoglycemia, a condition where blood sugar gets lowered due to inadequate food due to anorexia. You may consult a neurologist if you have doubts. Blood sugar testing should be done. Cause for anorexia should be diagnosed and treated. Report to your treating doctor too to know whether any of medicines you are on is causing side effects" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: FOR PAST 1YR IAM SUFFERING FROM SKIN ALLERGY RASHES FREQUENTLY(THRICE LAST YR)(TWICE THIS YEAR)...I DONT KNOW THE REASON BEHIND IT.....BUT TWICEI GOT THIS ALLERGY WHEN I GOT FOOD FROM OUTSIDE....I AM 30YRS NOW....FOR PAST 28 YRS I HAVE BEEN EATING OUTSIDE....FREQUENTLY....BUT I HAVE NOT SUFFERED ANY KIND OF ALLERGIES,BUT FOR PAST 1ST YR ONLY I AM SUFFERING FROM THIS KIND OF FREQUENT SKIN RASHES....IS THERE ANY POSSIBLITY TO FIND THE REASON FOR THIS....OR IS THERE ANY REMEDY...WILL MAIDA OR CORN FLOUR CAUSE ANY ALLERGY....WILL A PERSON GET THESE KIND OF ALLERGIES SUDDENLY(I.E..,MID OF THEIR LIFE SPAN)" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having some food allergy, these allergens will stimulate the mast cell to release histamine which is producing all these symptoms. I would suggest you to undergo skin prick test (SPT) for different most prevalent food allergens to identify the food causing these symptoms. By doing to this it is possible to identify the allergen, by doing this you can avoid the food causing these symptoms, if it is not possible to avoid the food you can go for immunotherapy either with sublingual immunotherapy (SLIT) or subcutaneous immunotherapy (SUIT). Thank you." } ]

[ { "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 fizzah.. i am facing severe depression and a feeling of loneliness and hopelessness... i am a married women and i have a son of 6 months... even after i had a love marriage my life still seems to be empty.. the fear of my past relation still haunts me and the fear of losing a loved one is taking over my mental peace. i feel depressed and guilty every time someone mistreats me or makes me responsible for something i didnt do. please tell me how can i get over this depression..." }, { "from": "gpt", "value": "Output: Hello fizz ah, I can understand the stress which you are facing. This problem of depression is awful. But excellent treatments are available. You need to start with antidepressant Chat Doctor. Few other important things are" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im 25 yrs old i did unprotected sex with ny boy friend on 4th of april i took birth control pill on 5th of april and also did pregancy test it was negative than i did another test on 11th april it was also negative than again we did sex on 18th april and again i took birth control pill i have some early symptoms of early pregnancy but i dont knw its a sign that im pregnant or these are the side effects of the birth cobtrol pill.if im am pregnant i dont want this baby plz help me and suggest me a abortion pill" }, { "from": "gpt", "value": "Output: Hi dear user, thanks for your query. You have not mentioned anything about your menstrual cycles. Pregnancy test cannot be positive just after having intercourse. Also, morning pills are protective in 75% cases. So, I cannot rule out pregnancy in your case. In my opinion, first, you get a serum beta Chat Doctor test done to diagnose pregnancy only if you have missed your period and, if it comes out to be positive then, one ultrasound to see gestation and location of pregnancy. Only after that, you should think of abortion. 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 10 months old child when he was for day old he had fits and then after four months again he suffered from fits. but not he taking treatment with a neuroligist but still today he didnt have one. But he is moving his hand and legs very well but still not started to crawl. When we make him stnd he keeps on jumping and climbing up. Is there any problem" }, { "from": "gpt", "value": "Output: No not at all. Crawling usually started on 3 -6 months of age. At 6 month babies are usually sitting on the floor without any support and around 10 months of age they try to stand and walk with some support. According to your history the baby shows appropriate developmental stage. So do not worry. Fits may be due to febrile convulsions which may not need any treatment and usually resolve after 5 year of age.(But history is not sufficient to tell whether it is febrile convulsions)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 32 year old woman having bulky uterus and endometrial thickness. I have been suffering in irregular and heavy menstruation for more than 15 years. I want to get relief from this.I have a 2.4 years old son, if I wish to conceive now, is there any problem?pls advice me ." }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. Better to go for dilatation and curettage once with your doctors' advice. This helps for diagnostic purpose, to obtain the tissue for histopathological examination. And for therapeutic purpose. By doing D&C heavy bleeding can be decreased in next cycles. If the histopathological examination shows normal tissue, no need to worry. Once check for hormonal profile and thyroid profile. If you are having regular ovulation, there may not be any problem in getting pregnancy. Track the ovulation and plan intercourse around that period. This will increase the possibility of pregnancy. If hormonal profile is somewhat abnormal, you may need support of hormones in the early pregnancy. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am getting my follicular ultrasound done today...i am 23 and trying to concieve for the past 4 months..i have regular periods..and i am on my 13th day of the cycle today..we had sex yesterday..will a follicular study today reveal if i have concieved today ?" }, { "from": "gpt", "value": "Output: Hi, A follicular study shows the development of the egg in the follicle, and can indicate the size of the follicle and can identify when the follicle ruptures. It cannot say if fertilization has occurred or not. Have you taken ovulation induction as well? If you have been trying for 4 months only, I would advise you to wait for 1 year, as most couples(85%) conceive in a years time on their own. The remaining need to be evaluated for the cause and then treated. The most likely period to conceive is 36 hours after the follicle ruptures. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Blood sugar has been high for several days now. Today it keeps going up again. It is now at 356. I have also been peeing ALOT and very thirsty last couple of days. Should I adress this or wait to see if it levels out. Also I am on Metfromin 500mg twice a day." }, { "from": "gpt", "value": "Output: Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on Chat Doctor. Such levels of blood sugar, excessive urination and thirst you are experiencing lately indicate an uncontrolled diabetes. Unfortunately metformin you are taking seems to be unable to control blood sugar by itself. You will need a combination of Chat Doctor. I would recommend you to contact your endocrinologist as soon as possible to help you get the proper cure and lower the sugar level. Don't stay at home waiting if it levels out. It won't. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Is it a dangerous condition to have a bulging disc at L4-L5 and a herniated disc at L5-s1 both of which are compressing the thecal sac. Patients symptoms are intermittent back pain and intermitten pain on left side of buttock and mild pain in left foot" }, { "from": "gpt", "value": "Output: Hello, As this is not a major condition and can be taken care of. Bulging disc and a herniated disc is due to degenerative changes in the intervertebral disc and this is one of the common problems which most people have. Some may have symptoms like - radiating pain where some may have nothing. Depends upon who has what symptoms they will be advice to undergo physiotherapy session for strengthening the core muscles, spinal muscles, hip muscles, and lower limb as a whole. Most patients have a positive outcome post physiotherapy treatment. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...hi Im 18 and I have a question about pregnancy. my LMP was july 21st and I havent gotten my period since then. I have a lot of cramps like if my periods about to come but it doesnt. and sometimes my breasts hurt but for 5 seconds and then it goes away. also I feel like Im leaking from down there and I think its my period but its nothing. Ive also taken hpts several times but they all come back negative. also I get like a tingling sensation around my belly button. could I be pregnant?" }, { "from": "gpt", "value": "Output: Hello dear, I understand your concern. The first sign of pregnancy is missed period. And to confirm a urine pregnancy test need to be done a week after missed period for accurate results. The symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The fetal movements start around 5 months of pregnancy. The chance of pregnancy appears less with your symptoms but confirmation need to be done by urine pregnancy test. If the test is negative there is no chance of pregnancy. So relax. Avoid stress because stress also causes hormonal imbalance and delays the period. Best regards..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello my daughter fell in the shower the other day and hit her head she seemed fine just a little sore now she has a fever stomach and crusty swollen eyes when she wakes up that are blood shot she also went swimming in lake Erie about a week ago Im not sure why she is sick like this." }, { "from": "gpt", "value": "Output: Hello, The blood shot eyes with crusting is because of the conjunctivitis I presume which she contracted in the swimming pool. Swimming pools infections need a thorough investigation by a competent ophthalmologist. I suggest you please consult one soon. Avoid self medications. The fever might not be related to the conjunctivitis. Though it is not rare to have both together but considering the situation I suggest you to get the eyes examined first." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is 10 years old and he is having 2nd molar coming out. He is experiencing terrible pain since past one month. In between he had some cold , fever. He took medicines and now complaining about wrist and joint pain in both hands. Can you please tell us why is it so ? Can it be because of new molar coming out ? His blood test report for Rheumatic Arthritis and Rheumatic fever is negative....... please help" }, { "from": "gpt", "value": "Output: Good evening, the wrist and joint pains is unlikely because of arthritis or coming of molar. Some fevers also cause joint pains. However, if the fever has subsided and still the child is having pain it could also be because of calcium or vitamin D deficiency. A blood test for Serum Calcium/ Ionic calcium and vitamin D levels should be ideally done and started on appropriate supplements. X-ray of the involved joints can be done to support the diagnosis." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a tetanus shot about 3 days ago and now I have a very sore small lump in my neck near my collar bone, is this normal? The only reason Im concerned is I just had a c-section and Im worried about blood clots. I did not notice this lump before the shot, so I dont think it is a clot but I thought I would check." }, { "from": "gpt", "value": "Output: Hi, Reviewed your query.Don't worry, as by no means the sore lump near collar bone would occur due to clot after the tetanus shot in the arm. This lump seems mostly due to the general immune reaction with flare up of the lymph node near the collar bone. Still I would advise you to have a check-up from your doctor to get the worry ruled out. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. 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: I am a 22 year old male and I work aboard cruise ships. In order to be approved for work, I must undergo a full medical exam. 18-19 months ago when I took my exam, they came back with high levels of SGOT and SGPT and absolute monocytes. After taking the test over again, all numbers where back to normal. The doctor while unsure what caused it, suggested perhaps the intense work out I had done the night before the initial tests caused the numbers to go up. Two weeks ago I had to undergo the same full medical exam to go back to my new ship, and this time the SGOT and SGPT came back high again. SGOT at 191 and SGPT at 97. I did have drinks the night before the tests but I still would like to know if I should be concerned." }, { "from": "gpt", "value": "Output: Hi thanks for contacting Chat Doctor... Previously when liver enzymes high yes it can be by myositis or muscular problem by too much work load.... But again this time enzymes level high, and you have history of alcohol.... So investigate your case with USG first to rule out fatty liver.... It will also reveal gall stone like condition if present....HIDE scan also seems to be helpful.... Alcohol also is the causative factor... So try to avoid over Chat Doctor. .... If still needed viral marker study done to rule out chronic carrier case....Meanwhile, take low fat diet.... Fruits more.... If still cause not clear detail history taken with subsequent investigation for detail work up... And if doctor needed even biopsy might be done for advance investigation ... Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: First off I do have hpv.... I had sex with someone new and a few days later noticed my lymph nodes in my groin were sore. No discharge nothing else just swollen nodes for a week now. Today I noticed the fluid filled blisters under the head. Is this my hpv acting up?" }, { "from": "gpt", "value": "Output: Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is not an HPV.HPV never causes fluid filled blister and lymph nodes. It is other STD. Definitive diagnosis can be possible only after Grams staining from blister fluid followed by microscopic examination. You can wear condom during sex. This will prevent further transmission of infection. You can take the simultaneous treatment of HPV and other STD. Treatment for both the partner is necessary to prevent cross infection. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, If you are an orthodontist, please help. I have been wearing retainers for almost a year. Nonstop aside from when I eat. My last visit, I was advised to wear them only at night. I noticed significant change 2 weeks later after doing so. My teeth kept shifting. So I switched to wearing them all the time again. The shifting doesnt stop. Did I mess up?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Orthodontic Retainers are advised to maintain the changed teeth position after achieving proper alignment of teeth post completion of orthodontic treatment. But in case if the teeth movement has started occurring and not being controlled even after increasing the time duration of wearing retainers, there is a possibility that the retainer wires have become loose and not providing sufficient pressure over the teeth leading to relapse of the maligned teeth. I would therefore suggest you to consult your Orthodontist and get evaluated and a thorough clinical evaluation and x-rays can help in diagnosis and treatment can be done accordingly. You might need a fixed orthodontic treatment followed by repeated wearing of the retainers. The orthodontist might also advise you removable orthodontic appliances for re-achievement of alignment. You should also not delay the treatment or else there can be complete relapse of misalignment and then treatment can take a long time. 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: ok iam 40 years old i have the diagnoses off carcinoid sydrome also had carcinoid benign removed years ago now my heartvalves are damadged uncontrooled bloodpressure fluctiating from 80 over 38 and than jumps to 158 over 126 my spect scan was normal but does a spect scan show subcentimeter lesions ? because thats what i have multiple lesions liver kidney and endlarged lymphnotes pulmenery arch also acteleases off both lower lobes off the lungs , ostreotide scan came back normal uptake 24 hrs only but c t scan showed it dont know what else to do?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Atelectasis is partial collapse of part of lung. Most common cause for this is mucus collection in lungs. So treatment of atelectasis is 1. Broad spectrum antibiotic like levofloxacin or azithromycin once a day.2. Bucolic and expectorant Chat Doctor. 3. N acetyl cysteine (NAC)4. Chest physiotherapy and deep breathing exercises. So consult pulmonologist and discuss all these. Don't worry, your atelectasis will be improved with above treatment. 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 dermatologist had prescribed me Finax tab and a particular hair oil for cure of hair loss. However after taking tabs for 1 month I noticed increased acidity and also lesser errection. I am afraid that it might lead to impotency so I have stopped taking this tablet now. Please suggest." }, { "from": "gpt", "value": "Output: Hi, Yes, these are some common side effects of final. The common side effects of final include headache, weight gain, abdominal pain, and swelling of the fact and lips. Since it acts by preventing the formation of active male sex hormone, it can cause decreased interest in sexual intercourse, inability to have or keep an erection loss in sexual ability, desire, or performance. Ask your doctor for an alternate effective, but a safer medicine for hair loss like minoxidil lotion. Hope I have answered your question. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my mother age 51 was diagnosed with pnuemonia in the right lung.she was hospalised for 5 days on antibiotics.she came home.pain at the back was gone.only thing she struggling with is coughing,fatigue,decreased appetite,short of breath.what can be wrong with her? Sputum was send away came back negative.no blood when she coughs." }, { "from": "gpt", "value": "Output: Hi, I am sorry for the situation your mother is in. I am also happy to know that her pneumonia has gone, and no blood was when coughing. Cough is a remaining symptom after pneumonia or other respiratory tract infections. She might not need to take antibiotics anymore but symptomatic medications" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, I had taken aten-25 last October-10 for 15 days only, early in the morning. after that I feel my pulse comes down 48 from 84. I asked my doctor, he advised me to stop this medecine. now my pulse 55 when I wake up, after taking meals and going to office it gradually increase to 60 and 70 maximum. also I note that pulse is not regular, after 20 - 25 pulse the gap between 2 pulse increase upto 4-5 pulse than come down at starting level again. should I go to a doctor for this?" }, { "from": "gpt", "value": "Output: Hellothanks for posting here. As per your statement, a pulse rate of 50-70 are quite within the normal range. You seem to have missed beats every 20 -25 beats which may be normal in some people. But if it is causing you symptoms like dizziness, or loss of consciousness then they are a matter of concern. Also, we must know what type of missed beats they are. So if it is troubling you too much, a holder monitoring which is a 24 hr heart EKG monitoring should be done. Also a stress test should be done which will show if these missed beats increase with exercise. Atenolol and its group of Chat Doctor. You can be started on half dose of 25 mph atenolol only if you are having symptoms or if any of the above tests come positive. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear sir there is swelling in my mouth left side n i have consulted with three dentist and all told me the reason is wisdom tooth n today a doctor suggested me for ogr x ray n after seeing that xray doctor told me that i have rasoli under my left side teeth no 6,7,8 n suggested me for surgery n told me that may b my left side teeths get damaged . so pls guide me sir" }, { "from": "gpt", "value": "Output: The jaw swelling is a symptom of wisdom teeth growing in, and it can also happen due to infection of gums which is basically due to either less space for eruption of wisdom tooth or due to wrong angle of growth of wisdom tooth. This swelling of jaw is very painful and patient is unable to open the mouth. It is not always that wisdom teeth causes problems but if they are impacted they can be really Chat Doctor. So getting the treatment for wisdom teeth is very important, and the treatment is extraction of wisdom teeth. In addition to this, you must be open with your dentist regarding any reservations that you may have about the procedure. You have to discuss the dangers as well as the advantages of doing the procedure. Furthermore, you also have to decide whether you feel that the procedure would be good for you. After the discussion, if you are still not satisfied with all the information that the doctor gave you, it is best to have a second opinion about the matter." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been on Dian 35 on and off for about 15 years. I have has two bouts of major depression and I am on lyrica and lexapro for the past five years. I am 45 years old. I am now experiencing Utis. Could they be caused by dian 35 and could my anxiety and depression caused it too? Would you recommend that I come off Dian 35?" }, { "from": "gpt", "value": "Output: Hi there ~ Diane 35 is a contraceptive medication and will not cause Otis. Anxiety and Depression are treated with Learn and Lyrics, however you need to understand that you should also consider if you are experiencing any changes in your symptoms of anxiety and depression that is making your lifestyle worse i.e. you are not Chat Doctor. If that is the case then you might have had Otis indirectly due to that reason. However, not good sexual or genital hygiene and deny" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had been taking 50 mgs of Zoloft and my doctor raised my dosage to 100 mgs, she did this to take me off xanax, which I had been on for 12-15 years, I was taking 2mg at bedtime to calm me down so I can sleep. I am now having tremors and involuntary muscle movements, always occuring through the night, and cant sleep now until the wee ours of the morning," }, { "from": "gpt", "value": "Output: Hi there, thanks for asking. Tremors, involuntary muscle movements and sleep problems are the common side effects of serotonergic reuptake inhibitors which Zoloft, paroxetine, fluoxetine, etc. are belonged to it. Most of the time, the side effects you mentioned are transient and decrease after several weeks. If sleep problem persists, the doctor can change this medication to a medication from the class of tetra cyclic antidepressants if your situation allows. I wish you a good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i had a tooth taken out about a month ago ,the cause started with receeding gums,which caused infection,and became to loose to save, i also have a recceding gum on a front tooth, i had never had problems with it before, but now my lower front gums are stinging,i brush mt teeth twice daily,and use a mouth wash 3 times a day," }, { "from": "gpt", "value": "Output: Thanks for using Chat Doctor. Read your query. The loose teeth, recession , inflammation all shows signs of chronic periodontitis. Using the mouth wash thrice will not help as it may cause over usage and in turn stain the teeth. I would advise you to visit a periodontist in your area and get your teeth cleaned professionally and then use the mouth wash for a few days. Use the proper technique of brushing. Use a desensitizing paste for a while. Once the teeth are cleaned and maintained well, the recession and mobility may reduce. If still persistent recession, the periodontist will plan the next treatment for recession. Hope this was useful. Thanks and regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son just fell off his new bed and hit the metal bar on the side causing an instant goose-egg below his eye on his upper cheek bone. It is swollen and bruised, but my concern is that the lump is extremely movable and feels like a bag of gel. What are your thoughts?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint it seems that due to hitting with a metal bar there has been soft tissue injury and due to injury there has been inflammation and swelling due to accumulation of inflammatory exudate and cells at the injury site. There also seems to be ruptured blood vessels leading to bruising and formation of a Hematoma. The movable gel like lump seems to be a Hematoma and is due to accumulation of blood from ruptured blood vessels. I would suggest you that you need not worry about it as it will resolve gradually. You can do alternate warm and cool compresses over the lump. You can also give him anti-inflammatory painkillers like Ibuprofen. In case if there is pain numbing gel containing Lidocaine can also be advised. You can also apply Heparin gel over the area as it will help in faster disruption of the hematoma as well as bruising. 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: I have been sick for few months now. I had hives on my face first and then my lymph nodes got swollen and it hurted. I started having breathing problems and I still have breathing problems scince then. My tonsils are swollen too. I had periods 2 times in january of this year. And i have geogrophical tongue. its still there. I dont know what could it be? when I go to doctor they tell me its an allergy." }, { "from": "gpt", "value": "Output: Hi! Geographical tongue is usually related to glossies, however, there are some instances that yeast overgrowth in the stomach can cause tonsils, pain in the submandibular lymph nodes/ pain and lymph adenopathy and later on will result to glossies. As we know that yeast can grow in an acidic environment and sugar-laden environment. However, there are several causes that the tongue may swell and that could be caused by allergens, nutritional deficiencies and/ or infections. If the swelling of your tongue/ glossies/ geographic tongue is caused by allergens then probably that is also the cause of your hives on the face. We need to treat the cause of your geographic tongue, if you think it is from yeast overgrowth in the stomach, then, a diet modification will do. Like avoiding acidic foods and beverages, avoiding cheese, nuts or those foods that is high in sugar and at the same time a probiotic Chat Doctor. If you think it is caused by allergy then avoiding all the foods and allergens is the mainstay of prevention, and at the same time taking an antihistamine" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Doctor, I am taking Telekast-L tablet daily at night. I asked my father to get that tablet from a medical shop. He bought Telekast-10 instead of Telekast-L. Is there any difference between those two tablets...? Shall i have that tablet Telekast-10 instead of L? Plz reply me.." }, { "from": "gpt", "value": "Output: Hi, Telekast-L may be taken in the dose of one tablet once a day. Telecast is a combination of an antihistamine (levocetrizine) and leukotriene receptor blocker (montelukast) commonly prescribed for the treatment of allergic symptoms such as runny nose, stuffy nose, sneezing, itching, swelling, watery eyes and congestion or stuffiness. It also reduces inflammation in the airways and make breathing easier. Telekast-10 consists of montelukast only and prescribed to prevent and treat allergic conditions like asthma, seasonal allergies, and exercise-induced asthma. You may take telecast-10 if you do not have allergic symptoms associated with cold as listed above. Hope I have answered your question. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI, im a 22 yr old who hasent been sexually active for the past 11 months. my period has stopped completely. Im not on birth control nor is there any possible way im pregnant. Any thoughts of while my cycle has stopped. Also, for the past few months i have been having serve cramps. any thoughts?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor . The cause are many like hypothyroidism, sex hormone imbalance, block in the cervix, Polycystic ovarian disease etc. There are no chance of pregnancy. I suggest you to get your thyroid and sex hormone profile done after consulting gynecologist. And also ultrasound of abdomen. These will tell the cause, and it may be treated accordingly. Hope I have answered your query. 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, I need help. Im having a lot of issued right now, I dont know whats going on. I have asthma, and I use my Advair inhaler everyday. But, a few nights ago I was perfectly fine one second, and then next second I couldnt breathe. I had to gasp for air, I thought I was having an anxiety attack, but nothing bad was happening; and thats never happened before. It lasted about five minutes, and then went away. But even now I have to take a lot more deeper breaths than usual. Also, earlier today I was using the bathroom, and sometimes when I get huge migraines, I feel like Im in a complete dimension. I had no headache when I went into the bathroom, I was completely fine, but as I was in use, for about five seconds I felt out of place. My whole body went cold, I was shaking, and my vision blurred and I saw two of everything. After about five seconds, I returned back to normal and nothing happened. Its really stressing me out, what is going on?" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. Since, how many days, you are taking AFFAIR inhaler as the ingredients are beta agonist+corticosteroids. Now your main complaint is same breathlessness and cessation of breath. In my opinion consult a physician and get in complete examination of heart and blood for anemia and calcium (if corticosteroids uses for long time may cause calcium depletion and this causes such type of symptoms). 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 experiencing some chest pain. I was going to get it checked out yesterday when all off a sudden at work my boss told me I looked flushed and told mento sit down. She then asked me how I was feeling. I said okay and all of a sudden my chest started burning really bad and then the burning went from head to toe. I thought I was going to die. My body was also tingling and the pain was a 10/10. Blood test normal.. EKG normal.. Enzyme test 0.01. Do you have any clue what is going on?" }, { "from": "gpt", "value": "Output: Hi thanks for asking question in Chat Doctor... Here sudden chest pain with flushing and sweating can be due to here two reasons....-ischemic heart disease or -panic attack...Sometimes it could be by pulmonary embolism .... Here ECG or echo done to rule out cardiac cause... D dimer for pulmonary embolism... If no significant cause present then by taking severe stress you can have such panic attack... Counselling done by psychiatrist for it.... Hope keeping this in mind you can solve your concern by contacting doctor. Take care. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a small area of sore gums inside my mouth . It s on the bottom left side, on the inside side of the jawbone where my wisdom tooth would be if I had not had it removed years ago. It hurts to push on it, feels slightly bumpy underneath the skin, and may be slightly swollen. I haven t had any injuries or anything. What could it be?" }, { "from": "gpt", "value": "Output: Hello, the swollen sore gums behind your second molar after removal of wisdom tooth, is indicative of distal periodontal pocket(gum infection) in relation to second molar. It is very common after extraction of wisdom tooth. Treatment of it involves-small periodontal surgery (cleaning of region). And irrigation of area regularly. Cleaning of the swollen gum region via interdental aids. And finger gum massage." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have an abnormal rib cage. Instead of having more of a flat, broad torso, It s more narrow and sticks out. My shoulders slouch forward, and my collar bones are not straight across. Who would I need to consult with, and is there anything that can be done?" }, { "from": "gpt", "value": "Output: Hello, Firstly you need to meet up and orthopedist who will assess you and guide for x-ray or MRI which so ever is needed post assessing you clinically. Post that you will be asked to undergo certain exercises under the guidance of the Physiotherapist who will help correct the biomechanics of the bones, joints, and muscles. Which will help you correct the current symptoms to a greater extent? Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have middle back tenderness, and pain on gentle pressing of the spine specifically on one vertabrae. Also it feels that this vertabrae is very slightly enlarged, although not visibly. I am obviously concerned about this, but more so as lately my memory seems a bit impaired, and I am concerned it is related. What are the possibilities please?" }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, you should know that the back pain and the tenderness while touching could be related to chronic degeneration of the spinal column. As the pain does not radiate and is localized only in the back and at one point, it seems to be just inflammation and not a herniated disc. Coming to this point, I would recommend a thoracolumbar column X-ray study and inflammation tests (PCR, sedimentation rate, complete blood count). Regarding the memory problems they are not related to the back pain. Working too much or lack of a balanced diet could be the causes. I would recommend regulating your daily regimen (alternate work with relax pauses, try to have a good sleeping hygiene) and take a balanced diet (full of vitamins, proteins, lipids and carboy Chat Doctor. Anxiety could also trigger all this situation. Hope you will find this answer helpful! Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my dad is 82 years of age he is good in shape but little over weight as per his height ,he told me that he is having pain in the left side of his stomach ,little above waist but it is bareable.he is having urine problem for which he takes medicine.doctor has given him medicine so he takes regularly not to go more than two times at night.what type of pain you think and precautionaly which medicine we should give him" }, { "from": "gpt", "value": "Output: Hi welcome to Chat Doctor forum. Your father is having pain on the left side of the stomach, just above the waist. It could be due to Benign prostatic hypertrophy, urinary tract infection, or pro Lithuania or could be something else. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation of the condition. UN less all the tests are done, and the patient is examined personally no one can suggest any medicines. Wishing for a quick recovery, and thanks for choosing Chat Doctor. F. Best regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I woke up early this morning with sharp chest pain ,it was so bad it hurt and I used inhaler to help. I also took a Motrin and layed back down. All day it s been a dull achy feeling in my chest . Also bloating in my abdomen and a little sore when I get up. I had my appendix out few weeks ago ,but this is different feeling ,I m also waiting to be seen for a positive rnp test ,I dint know if this pain has something to do with my mixed connective tissue disease." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you are having mostly HERD (gastroesophageal reflux disease), but better to rule out cardiac cause first for your symptoms. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. It seems HERD more. Gaseous distension is also seen on HERD, and this is giving you bloating feeling of abdomen. GERD is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach, tends to come up in the esophagus and cause the symptoms of dull aching, burning central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid stress and anxiety.2. Avoid large meals, instead take frequent small meals.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under your head in bed." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I had a full abdominal hysterectomy 3 weeks ago. I m an insulin dependant type 1 diabetic and also have Behcets. I have bad pains in the tops of my legs and lower back and have noticed blood when passing urine. Is this normal after a hysterectomy? Many Thanks Catherine" }, { "from": "gpt", "value": "Output: DEAR FRIEND I UNDERSTOOD YOUR CONCERN, abdominal hysterectomy OR ANY OTHER ABDOMINAL SURGERY WHERE THERE are INCISIONS ON ABDOMINAL WALL SO DUE TO THAT YOUR ABDOMINAL MUSCLE MAY BE WEAKENED... PAIN IN LOWER BACK MAY BE DUE TO THE IMBALANCE BETWEEN TWO OPPOSITE SIDE MUSCLES GROUP.... SO HERE THERE SHOULD BE COORDINATION AND BALANCE IN STRENGTH IN EQUAL AMOUNT IN BOTH GROUP OF MUSCLES..... BUT AS YOU SAID DUE TO SURGERY PAIN AND WEAKNESS OF MUSCLES ARE OBVIOUS.... SO YOU MAY HAVE PERSISTENCE OF PAIN. NOW WE CAN GRADUALLY IMPROVE THE STRENGTH AND ENDURANCE OF BACK MUSCLES BY GRADED PHYSIOTHERAPY EXERCISES... I HOPE YOU SATISFIED WITH THIS ANSWER.... STILL IF ANY QUERY, FEEL FREE TO ASK ANY TIME...." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: MY BLOOD PRESSURE IS ALMOST PERFECT WHEN I TAKE WHAT I KNOW WORKS FOR MY BODY AND I AM ABLE TO KEEP THE PAIN UNDER CONTROL AS WELL AS MOVE ABOUT AS I NEED AND WANT TO.TODAY AT IT WAS 142/106 P 93 THEN 135/105 P95. THE LOWEST IT WAS SINCE 5-22-13 WAS 123/84 P94 THAT WAS AT 7" }, { "from": "gpt", "value": "Output: Degree understand your problems are clearly anxious. That is ll. Pulse rate of above 90 explains that. BP above 140/90 is said to essential hypertension. Systolic varies with age and other circumstantial factors and diastolic measures health of heart. If lower reading goes beyond 95 you have reason for worrying. Do trust your physician, otherwise you cannot be cured or managed. LAK of trust in your physician caused your anxiety problem. You feel that he is not right. You are actually not right because you are not a doctor. Or better you find a physician who is most suitable to you and leave the rest to him. Your anxiety will vanish. You also need help of psychologist /psychotherapist. Please come to me through \\\"ask specialist opinion\\\" in this website. Wish you speedy recovery." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Dr.Rangadhar Greetings My mother has a genetic disease, which has risen polycystic kidney toxins in the body do you have a cure for this disease, please tell us because the toxins in the body increases and lost a lot of kidney function Creatine 7. R Urea 120 Thank you saleh" }, { "from": "gpt", "value": "Output: Dear sir/madam, she is in renal failure. There is no cure for polycystic kidney disease. Only options for the renal failure will be dialysis and kidney transplant(depending on her health profile). Her creatinine is high. Needs further work up also, to see are there any precipitating factors which are worsening renal function and if any correctable ones are there then her renal function might improve. Better consult nephrologists at the earliest. Hope u find this informative." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI , Recently i have been having pain in my left chest area also my shoulder blades and neck , just recently after this pain i started to notice little clicks or gurgling in my heart just after the beat or maybe even before it vary s each time , there is no pain just a weird sensation like my heart has liquid in it and it gurgles, thank you" }, { "from": "gpt", "value": "Output: Hi, Whats your age, any risk factors for cardiac disease like smoking, family history, obesity, high cholesterol, or high BP? There are two possibilities one is cervical pain, which is usually associated with trauma to neck, numbness, tingling sensation and increases on neck movement. Other possibility is cardiac disease. Its usually exertional pain and subsides on rest. So one ECG, sugars and lipid profile is indicated. Also, cervical spine x-ray app/ lat view. Review with some information and 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: I am having pain in right costo-phrenic angle since last 3 days. I had a small injury while playing cricket 3 days back. the pain is getting worse. i have had hot fomentation, local analgesics and anti-inflamatory drugs but no effect as if yet. please suggest me what could be the possibility and what can be done to relieve the pain. Thank you." }, { "from": "gpt", "value": "Output: Thanks for asking a question. With right cost-phrenic injury there could be several other causes of your pain. Most common would be soft tissue injury to the muscles. Treatment would be similar to what you have already been trying. In addition to the muscle injury could be increasing muscle spasms which would gradually increase with time. Treatment again would be local heat or ice and muscle relaxants along with local massage therapy and physical therapy. Deeper injuries could be fractured lower rib or kidney contusion. Further testing would need to be done including x-rays urinalysis. I would recommend seeing your primary care doctor to do further testing and treatment" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been getting frequent yeast infections after my chemo ended after a full hysterectomy due to ovarian cancer. It is the weekend, so I will have to reach my doctor on Monday. What can a person do for frequent yeast infections that are treated and then come back?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, As you are having a symptoms suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will produce its symptoms. I would suggest you to follow below-mentioned measures.1. Keep they are clean and Chat Doctor. Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had gall bladder removed two years ago and I continue to have pain on right side under rib Last night it hurt even to bend to pick up things. I m not sure if food isn t digesting properly causing inflammation? I took aleve and it helped a little. Worried" }, { "from": "gpt", "value": "Output: Hi, thank you for posting your query in Chat Doctor. I understand your problem. Usually pain under ribs occur due to indigestion of food, especially fatty foods, due to straining of the muscles. After gall bladder removal, there is likely chance of developing infection in the liver, this can also cause pain under ribs. Hope I have answered your question. If you have any further questions I will be happy to help." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hellooo,doctor m sufferring 4m pimples since i was a student of class 8.But after consulting wth doctor when i was in class 12 i was perfectly cured.but unfortunatly again during m last years of graduation i got them again,which left very bad spots,wat should i do nw,,i hv 2 oily skin,,,,now m 22 yrs old,pursuing m masters. plz reply...thnz" }, { "from": "gpt", "value": "Output: HAI, Welcome to Chat Doctor. Pimple at this age is due to excessive activity of your oil glands of your skin due to bubbling hormonal action. Up to the age of 25, it is an ongoing process. After the hormonal tides start reduced your problem will vanisChatDoctorpletely. So the treatment cannot totally eradicate the appearance of pimples whereas it will help to reduce the intense to the maximum extent. Frequent face wash, consuming adequate water, vegetables, fruits, greens and avoiding foods containing butter cheese, ghee, and antipathy etc. will help you to keep this menace well under control along with specific medical treatment for pimples. Medical treatment has a lot of choice according to the severity, your skin and type of lesions from topical preparations, oral antibiotics, soaps etc. Your dermatologist will guide you in this regard for a better treatment of choice to suit your present condition. Following all these measures together you can keep your problem well under your control. Wish you a speedy recovery. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi good day.. Im Gian, from Philippines.. I just have my laboratory exam yesterday and my sgpt result was bit high,97 in figure, my question is, what are the reasons of increasing sgpt? and do i need to take medications, what diet to take and lastly if ever i take medications, will it affect my other oragans? thank you very much.." }, { "from": "gpt", "value": "Output: Hi, gain. Noted history of elevated liver enzymes. Are you experiencing any symptoms like abdominal pain, jaundice (yellowing of your sclera and skin), fever, nausea or vomiting? Most common causes are fatty liver, chronic alcoholism, infective and obstructive (gallstones or tumor lesions) pathologies. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Am also from the Philippines and my clinic is open for consultation anytime. Hope this helps. Good day!!~ Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had 2 episodes of pain developing pre-orgasm in my head (back of head at the base) and neck. It starts a couple of minutes pre-orgasm and peaks at orgasm. This starts as a dull ache and builds towards orgasm. I take 2 paracetamol and it settles within 15-30 minutes. It has happened on a couple of isolated occasions in the past. One of the recent 2 occasions was when masturbating so no great exertion was involved. My bloods indicate I am menopausal and I am only having periods about every 4 months currently. I am 53. I am on bisoprolol fro high blood pressure. I am also on Mirtazipine 45mg" }, { "from": "gpt", "value": "Output: Hi, Of course, pre-medicating with the same medicine that reliably works on pain 15 to 30 min after taking it is generally MORE effective than treating the pain after it has begun. I cannot say in your particular case and the pain follows a particular pattern which implies where the pain is from. Going from the neck to the back of the head is a very typical pattern for a nerve being pinched and/or a muscle spasm. Either of these can be treated with several NON-ADDICTING mild prescriptions. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I ve been coughing for nearly two months now, i don t feel sick at all. I ve just been coughing. No mucus or anything out of the ordinary. Breathing is also difficult when my coughing spells are bad. As time goes on, I m cough much less frequently, but I still have a pretty heavy smoker-like cough. Is what I have serious? Why am I still coughing? And what would be the best thing to do next? Thanks, Mateusz Majka" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough since 2 months). We should definitely search for the cause of this chronic cough and treat accordingly. Common causes for chronic cough are 1. Bronchitis 2. Asthma 3. Chronic lung infection like tuberculosis or fungal infection. 4. Lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test) 4. CT thorax if required. So your next step should be to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Gud morning Doc.. i have severe pain around my lower waistline particularly at lower back going to the right side .. i cant hardly move or twist my body to both sides, hence, causes pain. I am diagnose with generative osteoathritis at lumbar area before but i dont felt so much pain unlike this one. My urination is normal. The pain started 3 days ago after cleaning n carpentry works. I am planning to take pain reliever for d meantime. If d pain will not aftet a week i will be forced to see a doctor.. tenk u doc for ur advise now.. god bles u n ur family.. Mr Rolly" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. The symptoms that you are having are likely to be due to a nerve root compression. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment.Meanwhile, you can follow these measures" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a smal lump near my bellybutton at the right side wich feels hard and round. something it will become bigger and little bit painfull but after pooping it will return to smaller lump and pain will dissapear. Then only sometimes it will tikkle and burn but that s all. Can you tell me what s the matter with me?" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have umbilical or para umbilical hernia. You should go for physical examination and ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my sons age is 1year radiology report shows there is a difference in the size of the left kidney . the size of the left kidney is measured 7.7cms while the right one is 7.1cms. and the report shows duplex moiety of left kidney with renal pelvic prominence of lower moiety. what does it mean." }, { "from": "gpt", "value": "Output: Good Day, and thank you for being with Chat Doctor !Your son has a congenital abnormality in his left kidney. It is called a duplicated collecting system meaning other than one tube Chat Doctor. It will depend on if he has a complete duplication meaning he has two ureters(tube that connects the kidney to the urinary bladder) all the way from the kidney to the bladder or incomplete duplication where the two tubes will fuse somewhere in the middle and would have one insertion to the bladder. When we have a duplicated kidney we call the collecting system in the upper pole of the kidney upper moiety while the lower pole is the lower moiety. Prominence of the lower moiety means that it is more dilated than the upper pole. This means there might be some form of obstruction happening and should be investigated by CTS Can or MRI. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: In 1985 I had a astrocytoma brain tumor which was removed. Following the crainiotomy I had 30 radiation treatments. About 10 years ago, I began having petit mal seizures, which my doctor said are caused by the scar tissue from my operation and radiation therapy . After trying every anti epileptic medication I am currently on Felbatol and Onfi. In October I experienced a different type of seizure becoming basically numb on 1 side of my body. I went to the hospital" }, { "from": "gpt", "value": "Output: Hi, Thank you for posting your query. It is good to note that you have no recurrence of astrocyte, after surgery and radiation therapy, nearly three decades after the initial diagnosis and treatment. Your current symptoms are due to a small stroke, as per the new MRI. Treatment is mainly with blood thinners such as aspirin. In addition, any risk factors such as diabetes, high BP, cholesterol etc., should be looked for and treated, if present. Wishing you good health, 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 24 yrs old, i have got pimples on my face from past 14 years and is left behind holes on my face,and when i travel far i get small pimples all over my chin ..so can u pls help me out" }, { "from": "gpt", "value": "Output: Hi.dear Pramspramod., Thanks for choosing Chat Doctor., Pimples on face is common in young and adult persons., it is called ACNE VULGARISM....it is inflammatory process of., sebaceous unit of the skin....due to hyperactivity of Hormones.,1) Frequent washes with FAST bar...contains Triclosan...,2) Tab Isotretinoin 20 mg daily for 30 days.,3) Avoid fat and spicy food., take plenty of vegetables and fresh fruits.,4) Apply 1% clindamycin and nicotine acid cream.,2 times daily.,5) Tab... Azithromycin 250 mg daily for 5 days...nighttimes...ok...good luck.," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i keep having tightening in my upper chest bottom throat say , it also makes me cough to almost clear it it only last seconds , sitting down can bring it on or exercise but very rare , but mostly its tight clothing i also get a rattling feeling in my tummy when i breath deeply , this has happen all week about 20 times a day and even though this has happen for years its only been now and again , have been feeling really breathless , lately 33 year old female no med non smoker" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Chest tightness, cough, breathing difficulty etc. in young females (33 years) is mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a cavity on the right side in the back of my mouth so I have been chewing all food on the left side of my mouth. I am noticing large white raw patches on the left side of my mouth, feels like its on the whole inside of my left cheek. Any ideas, how long it will take to get rid of or things I can do to get rid of this? Things to avoid eating! Thanks a lot" }, { "from": "gpt", "value": "Output: Dear friend. Thanks for sharing your concern. The white patches could be due to many reasons like oral sub mucous fibrosis or leukoplakia.it is generally seen in habitual tobacco users and smokers. Please mention your habits if you have any?Also, please visit your dentist soon and get the tooth restored where there is cavity. Simultaneously get the current lesion examined.Meanwhile, use antiseptic mouth rinses. Hope it helps. Thanks. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have 2 white spots in my mouth 1 is size of a small pin head(very small) other one is a thin small line at the bottom of my gum line.no pain.Im 48yrs old 5ft 3 and about 160lbs..Healthy except i get nigrines.I have been told by the dentist ive had gingivitis and i have receding gums..I deal with alot of stress daily" }, { "from": "gpt", "value": "Output: Hi I had gone through your problem. Already you had been told that you have gum problems i.e., gingivitis and receding gums. These problems will not cause white spots on the gums, which are painless. Second thing and important thing in your query is you deal with a lot of stress daily. Because of that stress some kind of white spots which are pain less, may form not only on the gums but also on the entire mucosa of the oral cavity. I strongly suspect that white spots may be because of that stress. Anyhow you kindly visit the dentist one more time. If those spots are same what I suspected, then the treatment is required apart from stress relieving methods. I think my answer would satisfy your query." } ]

[ { "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 maria,for the past 2 weeks everytime i touch my armpit and down my arm,i feel tightness n it also feels hard..it hurts alot ..i could see like a vein or nerve swollen,that is noticeable and puffy thru my skin,,it starts from my armpit to my forearm,,Is hard to explain,please give me a few ideas,what could it be" }, { "from": "gpt", "value": "Output: Hello, I have studied your case and I think that this can be an enlarged lymph node. It can be due to infection. I would also suggest you to show it to a breast expert, and he may advise you to get needle test or an ultrasound of the breast. It will give us final conclusion if you need any further treatment. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 DVT factor 8, had this condition for 11 years. I have had pressure in my chest. I have a greenfeather filter. Today I went to the emergency room. They did test and stated after testing INR result was 0.97 low. No clots. They upped my coumadin after being on only 2.5 to 5.0. That was Wednesday. MY INR has not raised, I am worried about why it has not raised. I was sent home told to contact my doctor on Monday. Nothing was given to me to raise it. They did cat scan and testing and found nothing including a blood clot. I have been on 2.5 Mg. for a year. I have not had my INR checked until two weeks ago because the doctor I use to have said it was ok for six months to not have it checked. My new primary said that was not correct. Two week s ago I had a blood clot that the filter did catch. Was taken to Freeman Hospital where they did test, and even a echo of my heart, while doing a stress test. They said it was heart burn!!!! My primary said that was ridiculous that it sounded like I had passed a clot that the filter did catch. Never had this close of a call. Today the right side of my tongue swelled for no reason. The emergency doctor said it (the tongue swelling) was probably something due to an allergic reaction. I am not allergic to anything!!! They found nothing sent me home saying to talk to my primary. I am 42 years of age female never smoked, been in great health. Now these items are coming up. I am scared these doctors are not finding what is wrong even with my condition. Why would my right side of my tongue swell during this?" }, { "from": "gpt", "value": "Output: Hello, I can understand your concern. It seems that the swelling of tongue that you have developed has nothing to do with the DVT and pressure in chest you are having. I agree with your doctor that it seems to be an allergic reaction. I would advise you to take Antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for at least 5 days. If it was an allergic reaction, you should find immediate improvement in the swelling in 1-2 days. Otherwise, the cause is not allergic. The allergy could be due to anything that you have been exposed to through air, water or food. If the episodes are frequent, you should go for a blood test for allergy to find out what substance you are allergic to, and you can avoid exposure to that in the future. However, if the swelling does not decrease with the antihistamines or if it increases, then you should consult a dentist to examine the oral cavity and investigate further regarding the cause. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Had a tibea plateau surgery about five years ago. A few days ago I got a severe pain at the middle of the shin that permeates down to the ankle making it hard to walk. It has been coming and going gor about a week now and the pain is so bad I cant sleep." }, { "from": "gpt", "value": "Output: Hi, The pain can be due to infection, muscle weakness, or surgery gone wrong. You can take hot packs to soothe pain and don't force your body to bear weight on the limb as this will deteriorate the condition further It would be good if you consult an orthopedic for a thorough examination. For the time being you can take over the counter medicines like Ibuprofen. Hope this helps you. 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: Good Evening Dr,I have my sister who have done abortion last year as baby was sufferrring from \\\"Spina Bifada\\\" and doctor has insisted for abortion, she was in her 6th month of pregnancy. Now after a year my sister and broher in law are trying for baby but are hardly getting any success. So far we have approached 2 doctors who have recommended for folical treatment, they have already had there 5-6 trails on the same. Since there is no success both of them are getting depression since this treatment is more mechnical and has no result. Kindly suggest your advise Sir.Regards,sarika" }, { "from": "gpt", "value": "Output: Hi, Your sister and her husband should have proper counselling and guidance before trying to conceive again. Also, I presume the doctors have investigated for any tubal blocks and TORCH titles. Treatment for infertility is most often time and patience consuming. I suggest that they see an experienced infertility specialist to have further management. Unnecessary medication and investigation make the process complicated and unfruitful. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor I am 29 year old, going through the fertility treatment. All Hormone test, thyroid test, PCOS test, all seems to be normal. Semen analysis of my husband also shows all normal. Doctor prescribed me 100mg clomid from day 2 to 6 day. but the follicle size is not at all growing, till day 18. after 18th day the follicle size starts growing all of sudden 3-4 mm a day. And on day 21st follicle size became 24mm, My doctor then injected me with injection (I dont remember the name) , but that was for ovulation to occur then on 23rd day I ovulated(As per sonography reports, one follicle from my right ovary got ruptured). for continuous 3 days i had relation, but still I got my period on day 32 of my mensuration cycle. My doctor is now prescribing me to go for IUI. My concern are" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, so I have severe pain in my gums and they are a bright red. They bleed a little bit when brushed. No matter how many times I brush my teeth or how many breath mints I take my breath still isnt the best smelling and its not normal for me. Also I had a little lump under my chin which in 2 days turned into 3 and its very painfull. The inside of my mouth is a mix between a yellow-ish and a red and the inside of my throat hurts badly. Its been this way for about 5 days I thought it would go away on its own. Im scared now whats going on?" }, { "from": "gpt", "value": "Output: Hello thanks for quarry, bleeding gums caused by gingivitis-inflammation of gums, mouth ulcers could be due to traumatic or authors ulcers,also you may have tonsils inflamed, may be a case of tonsillitis, then whole throat region will be appearing red, kindly do salt water gargle thrice daily, get an oral prophylaxis done-scaling and polishing and do gum massage with the pulp of your fingers,apply topical anesthetics for reducing the pain of mouth ulcers, hy Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr. I realised that i have certain psychiatric problem in 2005 and started with Feliz S 10, Mirtaz 7.5 and Clonotril 0.5. Was asked to take for 2 years and I was fine after that. But the symptoms came back in a worse manner just 6 months later. Again, I was put on Nexito 10mg and clonotril 0.5. Later, the medicine was changed to Fludac 20mg and then to Nexito 10 mg back again from last 1 month. I feel better for some time during medication , but if medication is off, then i return to same panic, depressed and anxiety disorders. What could be a long term solution? I am 31 and married. Thanks for your answers!" }, { "from": "gpt", "value": "Output: Hello Welcome to Chat Doctor The medicines Felix S 10 or Escitalopram, mirtazapine 7.5 and control 0.5 are given in Depressive episode mixed with anxiety. You were given these medicines for about 2 years, so I assume that you had episode of depression. When symptoms reoccurred you were given Next or Escitalopram 10 and then fluoxetine 20. Both are of same group SSRI. Long term solution of your problem? Depression is an episodic illness, it tends to occur in intervals or in episodes. So if you responded to medicines and then relapse of disease occurred there is no surprise. You have to continue the medicines for long at least 2 years and also go for Cognitive Therapy for early response. Once you achieve pre morbid level then maintain the condition by Cognitive Therapy. Don't afraid of medicines as they are very safe Chat Doctor. So visit a psychiatrist for opinion and continue medicines again. Thanks" } ]

[ { "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...Happy new year sirs. I have a problem with actute sneezeing. I have been suffering from this illment for almost 3 years. And eachtime i sneeze i see pint of blood when i spit. I hope you can have a solution to my problem." }, { "from": "gpt", "value": "Output: Cellophane you for contacting Chat Doctor. Sneezing mostly occurs because of allergic response. As you have chronic allergy problem, so there must be some allergic element which triggers sneezing. If I were your treating doctor then I would have advised levocetirizine for it. Also, I would have suggested montelukast once daily for one month. Blood spit occurs because of severe sneezing response. It damages the mucosal lining which in return results in blood spitting. I would also suggest you to visit an allergist for detailed examination of what is the causative allergen, and then he will prescribe immunotherapy which will resolve it, hopefully. Thank You" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: how can I find a doctor that knows about severe traumatic brain injury? I got hit 4 years ago - died on scene - went to a great trama hospital - Tampa General - but even they don t know what to do about living with TBI - seems now I ve learned more than a doctor has about it. I was on life support and in a coma for a couple of months - died 3 more times there too.... know I got sent back for a reason - maybe to help folks understand about this..... just need help finding a doctor that can help me" }, { "from": "gpt", "value": "Output: Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had elevated triglycerides at a recent doctor visit. Doctor ordered an ultrasound and was told I had an inverted kidney during the test. What does this mean and what might cause elevated triglycerides?54 - W male - 200lbs - diabetic - triple bypass surgery" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. An incidental finding of this malformation, is not of any worry. If the kidney is not atrophic(shrunken), it should be working well. If there are any other changes noted, you should've a CENT(contrast CT scan). Thatll show the function of the kidneys very clearly.You'll need to take statins for your high TGL.(triglycerides). If you've any doubts, you may send reports as a direct question, in my name. Chat Doctor. Manga." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear sir. my self mahesh i am 25y old male. i was suffer from vericocele since 7 year. i was done vericocele surgery before 4 year. but now i have slight pain on the scrotum, testis, & the surface of penis. also my penis size is 4 inch please tell me answer" }, { "from": "gpt", "value": "Output: Hi greetings. Usually varicocele will not cause pain in scrotum. Rarely long-standing can cause some pain which will disappear after lying down. So if you are having pain we should rule out some infection in epididymis and testis situated in scrotum. Coming to the size of the Penis it is very much normal and more than enough to satisfy a woman. So to confirm consult a urologist. Hope my answer helps you. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son is 2 years old now. when he was 3months old he developed reactive aiway disease and he was prescribed with budecort and asthalin inhaler. now since november he is having cough and cold with mild fever.once he was prescribed with antibiotics but with in 10 days again he had the same problem when he is on ast& bude inhalation doses." }, { "from": "gpt", "value": "Output: HI, thanks for using Chat Doctor At his age, age 2, he is expected to experience up to 10 colds a year because his immune system is now developing. Most of these are viral and would not respond to antibiotics. When he gets a cold, there is an increased chance that he may wheeze, his doctor may suggest altering his medication at this point to prevent this. To help with his immunity, you can consider (1)making sure he uses a wide range of fruits and vegetables(2)the probiotics in yogurt may be helpful if he likes these(3) a multivitamins child Chat Doctor. I 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 been on 60mg of methadone a day and also 10 mg. of oxycodone for breakthrough pain for about 10 years for severe back pain and it has really helped my quality of life. I am a Vietnam veteran and also have severe neuropothy. The VA has been a tremendous help in my life! Just wanted to let folks know that these drugs can help if used correctly and not abused!! Thanks for your time. Michael!" }, { "from": "gpt", "value": "Output: Hi, SIR THANKS FOR SERVING OUR COUNTRY !, A salute from civilian. Lets, start with understand what do we mean by \\\"POLYNEUROPATHY\\\", NERVES are like electric wire conducting the information from one point/ part to the brain and back, now nerve like electric wires have an insulation, but due to various reason the insulation layer gets withered and so the nerves will have issue concealing the information with the secure track (like short circuit as in case of electric circuit), and the information will be misrepresented as pain instead of mild touch or in matter of fact even heat can be represented by damage nerve to brain as PAIN. This is major issue in polyneuropathy, It's not yet possible to entirely replace the lost insulation of the nerve. Now cause for polyneuropathy are various as well as the treatment varies with different cause, Following are the causes and available treatment,1) Diabetic polyneuropathy - treat diabetes and keep sugar in control and give pain medication for symptoms of pain.2) Alcoholic polyneuropathy- Stop alcohol consumption, pain medication for pain if needed.3) Familial amyloid polyneuropathy - Tatamis (only approved by European Union not by FDA yet)4) polyneuropathies due vitamin deficiency - vitamin replacement. + pain medication for pain if needed5) Autoimmune polyneuropathies - Immunosuppression therapy, + pain medication for pain if needed. *********************************************************************************YES so the METHADONE AND OXYCODONE will help if taken correctly, and thanks for the COMMENT." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have edema in my legs from a liver condition. I take diuretic (Lasix) and Aldactone to releve the swelling and rid of water retention. I am taking a 20 hour flight in a few days. Should I wear a sock during flight? I also have varicose veins. Should I take Venoruton? Thanks." }, { "from": "gpt", "value": "Output: HI, How are you? My name is Chat Doctor. I am a Liver transplant surgeon and I hope to answer your question today. I am sorry to hear about your problem. Leg edema is a frequent complication of liver failure. It is due to low protein levels and combined with varicose veins, can be very troublesome. Since you are already on diuretic therapy, I would advise you to wear \\\"compression stockings\\\" which are usually available in any" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Respected Sir, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do?" }, { "from": "gpt", "value": "Output: Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mom slipped and did the splits on my back porch Friday.she said she heard something pop under her butt cheek. She has been to the Dr , they did a xray now she waiting for those results. Her Dr said it was more then likely just tissue damage bur she s an medical assistant and she thinks its more then what the Dr said" }, { "from": "gpt", "value": "Output: Hi, thank you for providing the brief history of your mother. As mentioned she has taken an x-ray for which she is uncomfortable I will recommend undergoing a CT scan of the skull. As certain times injuries to facial bones are not seen in x-ray and also soft tissue injuries don't make much sound. If any bony abnormalities are present due to injury a CT can detect and plan the next rehabilitation processRegardsJay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. My husband has been under a lot of stress lately. Due to my health issues. I have recently in the last month been having seizures, these are new onset seizures. I have never had one before. He has never had blood pressure problems until now, and has never had a major anxiety disorder until now. Recent;y, his blood pressure hasnt been below 152/98 and the highest its been is 178/118. He has been started on a BP medication Atenelol, but has been experiencing numbness in his right hand on his ring finger and pinky finger. It is constant, and its starting to get to where its worrying me! Should we ask his Dr to change his med?" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I can understand. High blood pressure could be due to the anxiety disorder associated with your health issues, as well as white collar syn Chat Doctor. Thinking about having his blood pressure checked might trigger high blood pressure. His anxiety also needed to be managed. You should talk to your doctor regarding this. After thorough check up, on finding nothing is wrong organically, you should request your husband to consult a psychologist for anxiety related behavior and cognitive therapy. He should be alright within months. 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: Hello, Im 49 yrs. old and had a series of issues, this past year regarding my upper respitory, including pneumonia twice. Just recently, I feel im getting these symptoms all over again, however, I have heaviness in my legs along with this, which I never had before.Could this be something entirely different?" }, { "from": "gpt", "value": "Output: Respected user, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* Respiratory issues are in relation with lung infection either relapsing pneumonia or else.* Legs issue may be in association with lungs or not as - weakness induced cramps - other pathology as low hemoglobin, vitamins, minerals, anti oxidants - mobility related issues - perfusion related compromise - other systemic disorders.* Needs detailed case evaluation with series of necessary lab tests, x-ray of the chest with or without Doppler examination of the lower limb according to the clinician concern. Feel free to ask any further questions. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My left foot/toes are freezing it feels like there is no circulation and they have pins and needles ive been to my gp and have had an mri that came back clear we have no idea what it is i had a blood test today and am going to see a neurologist, i just want this solved i havent been able to walk or run properly for a week" }, { "from": "gpt", "value": "Output: Dear patient what is your age and what is the duration of your symptoms. This should be always mentioned. Tingling and numbness In left foot may be due to local pathology in foot or due to pathology in lower spine. Are u having back pain ? If yes possibility of disc prolapse is there. Common perineal nerve involvement at lateral aspect of knee may also lead to foot Chat Doctor. You said MRI is done but did not mention for which area it is done? I mean foot or spine? Your visit with neurologist is highly recommended. Meanwhile start tab regain x 75 at bedtime for relief.thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 4 year old has been complaining of a stomach ache for about 4 days now, she will be fine one minute and then will complain it hurts again. yesterday she puked and had runny bright green stool... now today she is crying her stomach hurts again and she just vomited, whats should i do?" }, { "from": "gpt", "value": "Output: Hi, Abdominal pain, loose stools and vomiting indicates acute gastroenteritis. If she don't have fever and stool does not contain mucus or blood, we need not worry. Give zinc syrup (20\\u00a0mg / 5ml) 5ml once daily for 2 weeks and ondansetron syrup (2\\u00a0mg / 5ml) 5ml 2-3 times a day for 2 days. Abdominal pain can respond paracetamol. Also give frequent sips of fluids like ORS solution after each stools to prevent deny Chat Doctor. She will be fine in 3-5 days. If she develops fever, stool becomes blood stained or becomes lethargic with poor feeding, kindly take her to doctor. 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: Im 17 year old male, 6 foot, and 175 pounds. Im afraid the tube that semen moves through from my left testicle is clogged. I masterbated earlier while not purposfully pushing on my the top of my ballsack with my left hand. Now, it is very the tube is very swollen, thick, and lumpy. mY right testicle did not have this problem, it is normal. Is there anyways to unclog it without going to a doctors office? Thanks" }, { "from": "gpt", "value": "Output: Hi, thank you for quarry. As you mention that your left testicle tubes look like swollen and blocked there is a condition called varicocele in which laciniform venous plexus become prominent causing worm like swelling in 90% on left side due to its anatomy. Its cause male infertility with reduction in sperm count along with production and structural abnormalities of sperms. Sperm count along with Ultrasonogram required to confirm the diagnosis. If its confirmed no medical treatment only surgically its corrected. After surgery prognosis is good and improve semen bulk and fertility in males. Hope the answer will help you. Wish you a good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi so I ve had a spinal fusion for scoliosis four years ago and I was fine until September when my back started to hurt when I had a cold and hasn t stopped. I feel something moving at the top of my spine and it s really freaking me out, not to mention there s a bump on my spine that s hard and tender and my shoulder blades are really painful and itchy. Now all of a sudden on the top of both my shoulders by my collarbones are these big hard bumps. What on earth could be wrong?" }, { "from": "gpt", "value": "Output: Hello, I have studied your case. I will advise you to do MRI spine and CT scan spine. There may be aggravation of deformity, If there is any neurological involvement then you may need surgical correction. For symptoms analgesic and neurotrophic medication can be started. You can consult neurologist and spine and physiotherapist for Hemphill time, avoid lifting weights, Sit with support to back. Continue your exercises. You can consult physiotherapist for help. For symptoms analgesic and neurotrophic medication can be started. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have extreme apathy, a lack of mental energy, a lack of focus, a lack of drive and motivation, inhibited executive function, (I cant make long term plans and stick to them), poor short term memory, procrastination and indecisiveness, inability to concentrate sufficiently to read a book, very poor verbal fluency. no suicidal thoughts. I don t think i have depression i think it s something else. what do you think?" }, { "from": "gpt", "value": "Output: Hello thanks for asking can understand your concern. You have symptoms like extreme apathy, reduced energy, poor focus, reduced motivation and Chat Doctor. The mood is more or less not affected as you haven't mentioned this. If we consider the information you provided then two main possibilities can be there. One is depression, which you don't think you have. But even if you have normal mood and no disturbance in functioning even then reduced energy, lack of motivation, poor focus, apathy, indecisiveness etc. could be occurring due too mild to moderate depression. This should be evaluated by a psychiatrist. Other possibility is adult ADD. In adult ADD poor focus, procrastination, indecisiveness etc. are seen commonly and this could lead to other symptoms which you've mentioned. So please visit a psychiatrist for evaluation and diagnosis. Thanks and Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been trying for a baby for a year with my partner i have normal periods .. ive noticed my husbands semen is clear like water i went to the doctors he said i dont fall into the criteria for fertility tests im twenty and my husbands thirty please help me" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Watery semen doe snot mean low in fertility. The water content in semen depends on so many aspects and the thickness varies. You need to conduct fertility tests to determine the fertility of the semen. You told you are trying to conceive. There are time periods where you should try to conceive. 10 days after your period and 10 days prior to the next period is ideal time period. You get almost 10 days. Try to conceive in these days. If this is not a success, you may approach an infertility specialist for fertility test. If you still need my assistance in this regard, please use this link. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I got my second ear lobe piercings done about 4 months ago. Its been taking a while for them to heal. Today I was changing and my ear got caught on my clothing and I pulled pretty hard. Now, its pussing clear liquid and is kind of throbbing and feels swollen and hot. Is it infected? I try to clean them regularly." }, { "from": "gpt", "value": "Output: Hello, Infection of the ear-piercing can be due to wearing ear rings made of metals that are not inert in nature. Such metals decompose when exposed to air, water and can release decomposition products that can cause allergic reaction and infection. Some individuals with sensitive skin tend to get the reaction faster and can cause irritation, pain and fussing. So, first she should not wear earrings till the infection gets healed. Clean the ear-piercing site with Betadine solution and apply antiseptic ointment over it. Do cool compresses. Once it heals, she should wear earrings made of inert material like gold or plastic. 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: Beginning yesterday my tongue and throat/esophagus started feeling swollen. It has continued today. No breathing problems yet, but Im worried this is going to get worse while I sleep. It feels like a lump in my lower throat. My tongue isnt super swollen but seems bigger that I notice it in my mouth, pressing against the front roof of my mouth. I also have been burping more than normal but do not have any burning sensation. Ive read several things but not sure what to make if it. I have a doctor appointment next week, but wondered if I need to see someone sooner. What are your thoughts" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your tongue. As per your history, signs and symptoms it seems to me that you are suffering with allergic reaction to your tongue and throat, or it can even be the infection to the tongue too. You don't need to worry, in case there is any difficulties in breathing you need to visit the emergency room as soon as possible. Otherwise, there is no need, sometimes because of acid regurgitation there seems to be numbness in the tongue, and you feel it is swollen, but practically it is not like that. You can have pantoprazole in morning empty stomach once daily to reduce the burping and regulations. Also take antiallergic like. Levocitrizine to reduce any sort of allergy. If you feel any breathing difficulties please visit the emergency room. Hope my answer will help you and visit us back if you have any further questions. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: During intercourse I have had fluid in my lungs 3 times and today I quit before it got bad. I e-mailed my doctor but no answer yet. I don t have this problem anyother time. I found out it sounds like pumonary edema. I know it is to be checked and I have a stres test on Friday. Advice?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. In my opinion you should avoid heavy exertion and take rest at home. Get done TMT (Trade Mill Test) first to rule out cardiac cause. There are many causes for fluid in lungs but when it is due to cardiac cause, we call it as pulmonary edema. So we need to rule out cardiac causes first. I advise you to get done 2D Echo also for evaluation of heart function. As decreased heart function lead to pulmonary edema." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i went to exercise class for heart people and i had good bp reading 112/70 however my pulse rate was at first before exercise 112 after 121. i find also i have lost weight and got back my smell and taste. this has been transitory gone gor months then back.however i believe the senses may be tied to stress or sinus. this electric anxiety i have in dealing with problems may trigger senses. is there a connection. now i can taste and smell lately. i do however have anxiety tonight. thanks from cape breton" }, { "from": "gpt", "value": "Output: His had gone through your query. I understand your concerns. Anxiety is unconcerned fear with physical symptoms like heart beating sweating etc. It can be controlled by nature way improper sleep and diet.Stress-free activity pleasurable activity, music and hobbies. I have treat so many patients with mild dose of benzodiazepine and mild dose of SSRI, in SSRI mild dose of Escitalopram and paroxetine like Chat Doctor. Still have a query then feel free to ask. Thank you. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m expected to have my period in 2 days but I have been feeling some cramping pains like you would your period but it hasn t arrived yet...I don t usually get this pain without having a period a few hours later. I ve had this pain for 2 days now and it comes and goes, I also have some tiredness and heartburn . What should I do regarding these symptoms?" }, { "from": "gpt", "value": "Output: Dear Leana, abdominal cramps are, unfortunately, a usual symptom during and before the periods. Cramps are caused by prostaglandins which cause uterus contraction. The contracting muscles help push the blood out through a girls' vagina during her period. So these contractions can be mild or very unpleasant and can vary from month to month. Also, other hormonal disbalances due to menstruation cause nausea, vomiting, headache, fatigue and abdominal swelling. Girls who are younger when their periods start, who have longer periods or heavier blood flow and smoking are a risk factors for cramps. Heartburn can be related to this story, but also it can mean TAH you have some kind of gastric problems such as HERD, Ulcer/gastritis, so you should do gastrostomy to find the exactly what's going on. Use analgesics(nonsteroid) for pain relief because they decrease prostaglandin production in blood. To be sure that you're healthy do gynecology examination and pelvic ultrasound to check your uterus and ovaries and steroid hormone levels. Wish you good health," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I consider myself to be a healthy male,19, always active, but eveytime i drink a protein shake (jay robb protein, half a bannana, berries, almond milk) my chest hurts left lower pectorial and left upper ab. This has been going on for quite sometime now, over a year, no doctor that i have visited has given me a clear answer they just say \\\"it may be this or it may be that\\\" any help at all would be appreciated." }, { "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, You seem to have suffered from-Banana -fructose/ or Milk shake-with lactose intolerance / or Whey protein in -Protein powder allergy, would be possible cause of Chest pain after Chat Doctor. Chest pain with left pectoralis muscle pain-is due to allergic gastritis and esophagitis is due to protein, milk and banana allergy. Food intolerance testing with biopsy of the small intestinal mucosa, would resolve the issues in diagnosis and would resolve treating it accordingly. 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 to ME, at following Chat Doctor link-http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir I,m problem with Premature Ejaculation within 5-10 Sec I finished my activities because I,m failed So whats I will do I have Diabetics & I will take metformin 850 two times a daily.So please tell to me whats kinds of Indian medicine I will take or whats treatment I already taken before therapy in before also." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Most of the premature ejaculation problems are due to anxiety and apprehension, and they are purely psychological. Diabetic induces some tiredness into the system and more anxiety. Most of the people affected with diabetics do complain premature ejaculation in the early stage, and it becomes alright itself later. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have stuffy nose and congestion from past many days now and it does not seem to be common cold/flu as I was suspecting it. It seems like alergy to me which is common in Bangalore during this time. Last year my doctor prescribed Tab Montek LC (1 at Bed time for 3 days) and Tab Montek 10mg (1 at bedtime for 7 days). Along with this she also recommended Capsule Mucolite SR (three times a day for 3 days). And after three days, she asked me to continue the Montek LC for another 5 days. Unfortunately she is out of town now. Can I take the same medicine and dosage?" }, { "from": "gpt", "value": "Output: Hi there!I agree with you over the fact that allergy is common to Bangalore, however all attacks of cold/flu cannot be attributed to allergy. Morever indiscriminate use of anti allergic is not advisable. What I have seen in general is intensive steam inhalation using capsules of Karol plus along with tab ivory will bring you good relief. To confirm an allergic etiology to your cold you should check your serum IG e levels. If elevated they need to be monitored and specific antigen needs to be isolated for long term precautions and benefits.I would also recommend you getting yourself evaluated for chronic sinusitis as this also contributes to chronic cough and cold in many cases. Chat Doctor." } ]