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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: I wake up to horrible, back pain every day for a couple of years now. It feels like the middle of the back in the lungs. It s hard to breath and feels like my lungs can t expand without the pain. I end up waking up and staying up very early and I am now feeling a lack of sleep everyday. I suffer with acid reflux been on omeprazole very long term with known side effects now, so I recently stopped taking the pills and now drink a few swallows of probiotic Kefir which helps more then the pills. The pain in the back (Lungs) goes away once I am up and about an hour or so after getting up. A CT scan with contrast showed clear lungs." }, { "from": "gpt", "value": "Output: Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. Since your CT thorax is normal, no need to worry much for pulmonary causes. You are having mostly HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning chest pain in center of back. You need to follow these lifestyle modifications along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking, if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my son is 10 years old and has been complaining of an aching feeling and soreness around his pectorals. This has been happening for a while now and we can not think of anything he may have done to injure himself. He is generally a fit, athletic (he is a gymnast) young boy. Many thanks Alexis" }, { "from": "gpt", "value": "Output: Hellowelcome to ChatDoctoryour son is gymnast, so soreness may be due to severe and strenuous physical activity with faulty techniques or may be due to exercise after a long time. Follow these simple rules1. Do regular and continuous physical activity without breaking days2. Use vitamin C rich fruits which will reduce recent and future sore and aches.3. In diet, takes pulses and eggs for protein and also take plenty of fluids, will prevent deny Chat Doctor. Apply ice at the aching part, will reduce inflammation and also do massage from physiotherapist or experts5. Rest the affected part for a day and apply heat on other day6. If severe pain, use paracetamol or broken but no aspirin thanks for contacting and have a healthy life ahead..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am 25/M feeling terrible chest pain in addition to chrohns disease, high cholestrol,high BP Doctor diagnosed me to be of Vitamin D3 Deficient. Please suggest is this terrible chest pain is only due to Vitamin D3 deficiency(less than 4). Even I am being administered 60000IU / week for 6 months. I have taken 3 doses upto now but there is no relief in chest pain" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No, vitamin D3 deficiency can not cause this kind of severe chest pain. Most common symptom of vitamin D 3 deficiencies is bilateral lower limb pain. And after 3 doses of vitamin D 3 you are still having chest pain, so in my opinion we should search for other cause for your chest pain. Better to get done ECG, 2d echo and chest x-ray. If all these are normal then no need to worry about heart or lung related diseases. Apply warm water pad on affected areas. Take simple painkiller and muscle relaxant Chat Doctor. Wear rib belt. 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 felt a lump at the top of my stomache about a week ago. I have had severe nausea for 3 days with vomiting today. I have only eaten a slice of dry toast and drank about 20 oz of Sprite over the past 3 days. I called my pcp on Fri last week, but could not get in till tomorrow, Wed." }, { "from": "gpt", "value": "Output: Hi, understood your query facts. With a lump on top of your stomach with 1 week history, if you have 3 days nausea/omitting, You should consult your ER Surgeon and get hospitalized for further treatment, as things are serious. You seem to have-Obstructed Epigastric Herniation wait for your PCP till tomorrow. Keep Nil By Mouth. Get the USG of the lump in stomach. If it's not reducible, Surgeon would plan emergency Hernia repair for reduction of the obstructed Epigastric Hernial Contents. This reply would help you to plan treatment with your ER Surgeon urgently and immediately. Keep updated and Contact with a Followup Premium question to ME if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVT" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: We are using this Valparin 200ml syrup for fitz complaint. My son is very speed in all his activities but some times he was fell in like unconsious. After long sleep he got up and normal with tired. Is this any indication of any side effect please help me." }, { "from": "gpt", "value": "Output: Hello, Valarie is used to control your sons seizures. If he's still falling unconscious his fits are not controlled. He may sleep more with Valarie but becoming unconscious is not a side effect. Please contact his doctor, he may need a change in the dose or an additional medicine. Do get back to me if you have further questions. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am 23 years old healthy male and I am unmarried. I am doing bodybuilding for the past 1 year. 6 months a ago I felt pain in my left testicle and the very next day I went to the Urologist . He examined my testicles physically and then advised me to have a scrotal ultrasound . An early varicocles on the left side was found in ultrasound. He advised my to wait and see if the pain still exist then a surgery have to be done to correct it. I waited for 4 months and fortunately the pain has gone but there is another problem occurred and that is when I urinate, I feel pain on the right of my testicle. I feel pain only when my bladder is full and after I urinate. Again I went to the same Urologist and told him the situation. He ask me to do two test" }, { "from": "gpt", "value": "Output: Ok. Great description of your problem. Do you have any problem presently? What is the total sperm count per ml in the report - I did not find it here, Your sperm report is near normal. I don't think you need any treatment at all - no medicines and no surgery. There is no need for Varicocele surgery if it does not cause any problems like a low sperm count which I cannot establish in absence of absolute count. Feel free to let us know and will guide you further. Take care and relax." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have done my root canal treatment 2 months back but today morning its started paining there. What may be the reason?" }, { "from": "gpt", "value": "Output: Hi,First you need to discern that, is your tooth hurting or is it the gum around the tooth that is causing pain. Many a time in root canal treated and capped teeth food gets lodged in between the cap and gums causing mild infection in the area causing pain and discomfort. If it is the gum then you just need to do warm saline rinses3-4 times/day, use a good mouthwash and take a mild painkiller if required. The pain will be relieved in a day or two. If you are sure it is the tooth that is hurting then you need to visit your dentist who will take a X-ray and determine if you need a repeat root canal, if not then he may give you a course of an antibiotic and an anti inflammatory painkiller to remove whatever little infection caused it. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello i had the new implant put in my arm end of may and did not have a period till september and then i have only had a couple and its been very light for a couple of days. but i have a interest in new foods and i am slowely putting on weight but i am trying to lose it. i get a sick feeling every day but have not been sick. do u think i am pregant or is it just the implant? thank u" }, { "from": "gpt", "value": "Output: Hello what, and I hope I can help you today. The contraceptive implant is actually one of the most effective birth control methods available, and has a lower failure rate than even sterilization. Unfortunately, it is also very common to have irregular bleeding, mood changes, food cravings, and weight gain as a side effect of the hormones in the implant. So just in case, I would perform a urine pregnancy test to make sure that you are not pregnant, however the most likely explanation for your symptoms is general side effects from the hormones in the implant. Most people eventually stop menstruating completely with the implant and have minimal hormonal changes, but this may take 6 to 9 months to develop. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 39 I have had shortness of breath fatigue and discomfort under my right rib, i am a smoker from the age of 13, i get a metal like taste in the back of my throat, it feels like my lung is blocked sometimes. I have had two chest x rays. I have coughed up blood, but i dont know if that is caused by coughing hard. I have had blood tests etc, possible CFS but i dont know why it feels heavy in my right rib area, i havent lost weight as such, but i dont have an appetite. I constantly worry about lung cancer, and still smoke (stupid i know)i have a constant fuzzy head, i do have a lot of stress and have for a while, i know i need to stop smoking and reduce stress" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, possibility of bronchitis is more likely. Bronchitis (inflammation of airways) can cause cough, breathlessness, hemoptysis (blood in sputum) and chest pain. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Smoking cessation is must so enroll in dead diction center. Avoid stress and tension, be relaxed and calm. 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: All of a sudden last night I got sharp chest pain under my right breast, I went to bed and woke up and its still there.The pain in my chest is mild until I breathe in and the deeper the breath The worse it gets and it radiates to my head with a deep breath as well. I am a healthy 23 yr old female I exercise regularly and eat healthy" }, { "from": "gpt", "value": "Output: Hi thanks for contacting Chat Doctor... Noted you have chest pain while breathing . Here no other symptoms present...... But still chest x-ray done to rule out for any resp cause if present....like bronchitis... Auscultation and resp physical examination done and accordingly investigated.... If chest pain with sweating also present then ECG done for rule out cardiac cause if suspected... Here if no resp and cardiac cause present then it simply seems to be musculoskeletal pain by heavy exercise... Analgesic can be taken... Avoid strenuous activity.... Hot pad can be applied... Take care...." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am 15yr old female and earlier on this year i was diagnosed with hsp and already was on thyroxine now i also am on movicol, calcium and vitamin d. My doctor said hsp can cause kidney problems and since the hsp i have had 5 urine infections and had urine tested at every appointment i have had and since hsp there has always been blood in it.I also have a lump on left side of tummy, and occasional pain in my flanksnot gaining weight and constantly tired, even though i get really tired sometimes it takes me up to 5 hours to get to sleep at night." }, { "from": "gpt", "value": "Output: Hello. Abdominal pain, joint pain and kidney problems are frequent in HSP. The presence of protein and blood in urine is common in patients with HSP. If a patient with HSP have lump in abdomen, with pain in flank is necessary to do an abdomen ultrasound to rule out renal mass. Please, go to your doctor as soon as possible to request an abdominal ultrasound. I wish you good health.(In case the answer would have been useful please indicate this)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I have a rash that started on the tops of my legs but has spread to the tops of my arms, belly and neck. It looks a bit like a heat rash, very raised and itchy, spreading fast. The only thing I can think of changing is that I went out for an italian on Friday night, could I be allergic to something from there?" }, { "from": "gpt", "value": "Output: Hi, You have itchy rash on whole body. The lesions may be elevated and discrete. I think probably you have lichen ultimatum.... also known as popular urticaria. It is a hypersensitive skin reaction to insect bite.... You consult dermatologist for right diagnosis and perfect treatment. Antihistamines like levocetirizine and steroids in tampering dose might improve the disease. Apply mild steroid cream on the lesions. You may be alright after few weeks. I hope you got my answer. Thanks. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have this long straight rash on the ride side (buttcrack) and ive looked myself and it worries me. Its long and straight, it looks as though the hair that was around it is gone and it is bright red. I have tried non-itch powders and when it makes contact with the rash it burns and its very painful. I am very concerned about it and would very much like a few suggestions as to what it might be. Thank you" }, { "from": "gpt", "value": "Output: Hi ! Good evening. I am Chat Doctor answering your query. Your symptoms of itching and pain at the site may be heralding the appearance of a colonial infection/sinus, which occurs due to entrapped penetration of the broken hairs in that area and giving rise to a foreign body reaction and inflammation of the tissue. This may lead to a colonial abscess, which might require surgical Chat Doctor. If the above is excluded, then it could be some kind of fungal infection, with super added bacterial infection, which might be causing your pain apart from itching. Exact diagnosis is possible only after excluding the colonial sinus which can be done only with physical examination of the area. Therefore, I would advise you to consult a general surgeon/family physician, and discuss with him on the proper management after a complete physical examination. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr.Prasad- I ame 33 yr old Female 80kgs, have severe cracks on tongue for quite some time. Whenever I have Becelac capsules, it diminishes but doesnt go away. I cannot have anything spicy now as it burns the open cracks. My father also has same symptoms." }, { "from": "gpt", "value": "Output: Hello, thank you for consulting with Chat Doctor. The cracks on tongue which you are mentioning can be because of fissure tongue, as it is common condition occur in 30% of people. But burning is not so common. To get relief you have to start with some antioxidants and an anesthetic mouthwash. Till you start with medications you can also apply McCoppin gel on the tongue 3 times a day. Hope it will help you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i have dust allergy, due to which i get continous snezing and flow frm the nose when the climate is cold,even i face the breathing problem. i m faceing this problem frm last 2yrs i have met 3 docotrs who gave me a medicines which is just a temporary relief for just a couple of days,i heard DR.A.MAHADEVAIAH is super in this case,so i request you to suggest a rite doctor to whome should i contact." }, { "from": "gpt", "value": "Output: Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make you suggestions as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is the rhinovirus? For one week I have had light bleedin from my nose when I blow and what look and feel like soft scabs make it hard to breathe. My sinus do not seem to be stopped up, it is just that my nose is so full of these soft scabs it is hard to breathe. I use the NeilMed sinus rinse twice a day and it gives relief for a few hours. Could this be rhinovirus I recently heard about? Is my connection with rhino with nose correct?" }, { "from": "gpt", "value": "Output: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Rhinovirus would like to produce all routine symptoms of Viral Infection like" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have cold like symptoms;running nose, sneezing, and minor sore throat. What over-the-counter medication do you recommed that are pills ?" }, { "from": "gpt", "value": "Output: Hi. Your symptoms are suggestive of upper respiratory infection, or simple flu... You need paracetamol and antihistamines. These are available as minaret tablets or solo cold tablets. You may use them once a day or twice a day. Apart from these medications, warm salt water gargles or chlorhexidine mouth gargles is recommended thrice a day. If you develop fever, you need antibiotics along with these medications. It is equally important that you take care of your HY Chat Doctor. . See a doctor for a better care and advise." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Sir,I am vivek and I am writing from India. i just want to know about the drawbacks of using Asthalin, as I am suffering from breathing problem for the last couple of years. Actually I came to know from my friends that prolonged using of same medicine will hamper my life and there are some negative impact . So if you could suggest me some tips or other alternative medicines or treatment to survive from the current situation that would be more helpful to me. So hope you understand the situation and do the needful." }, { "from": "gpt", "value": "Output: Hello dear, thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done 1. Chest x ray2. PUT (pulmonary function test)To rule out asthma and bronchitis. And inhaled treatment is best for asthma and bronchitis. But the Chat Doctor. Stalin is having albuterol. It is short-acting beta 2 agonists. Its Action lasts for of 2-3 hours. So short term relief is there. Newer inhaled bronchodilators like long acting beta 2 agonist(LAB) with inhaled corticosteroid (ICS) are preferred now. Their action last for 10-12 hours. So twice daily dosing is needed. They are more effective and less toxic than Stalin. So they should be started in your case. Better to consult pulmonologist and diagnose yourself first. Then start appropriate treatment.Don't worry, you will be alright." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am having a dull achy pain in my abdomen. I went to the hospital and they told me i am having contractions but not in labor, but i feel like something is wrong. The pain is happening too often and i cannot get comfortable at all. They did a test that said i would not be having the baby for at least the next two weeks, but i dont know what to do to make this better" }, { "from": "gpt", "value": "Output: Hi, thanks for using Chat Doctor The pain may be due to Braxton hicks contractions. These are contractions that are felt before labor, they are the bodies of preparing for labor to occur. They start in the 3rd trimester of pregnancy in most women though in some cases they can start before-in the second trimester. These contractions can last from 30 to 60 seconds. There is no treatment indicated for Braxton hicks, but some women find that changing their positions and making sure that they are well HY 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: Hiya I ve had really bad knee pain all my life since I was a child and always been told it s growing pain my brother also suffers with the same thing and he gets told the same and my little boys also complain about there knees hurting too it gets so bad sometime I can t move and I m just stuck I can t go to the toilet get dressed or anything I m just stuck and I was wondering if you had any idea as to what it could be I m 19 years old but have a very high pain threshold Thank Louise" }, { "from": "gpt", "value": "Output: Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. 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: Hi my boyfriend has a lump under the skin on his right side below the rib cage. You can only feel it when you press quite firmly , he has had it for over a year now and only causes occasional discomfort. He has been to the doctors and they are unsure of what this may be and he has to wait 2 weeks fr a blood test and maybe a scan. They said it could have something to do with sorosis in his bones other than that they dont have any idea what it may be (it is not attached or near his ribcage) do you have any suggestions as to what this may be? He is 17, male and doesn t smoke or drink. Thanks." }, { "from": "gpt", "value": "Output: Hi.thanks for your queryPsoriasis is not likely in the case you mention. Psoriasis is a common skin condition where the skin lesions are red with silver-white patches called scales. It does not present like a lump under the skin and has no relation with bone, except for the condition called Psoriasis arthropathy which is an arthritis developing in some people having psoriasis. It involves joints of the body like upper extremities especially the hands, small joints of the feet, hips, knees, and ankles. I think that the only way you confirm the diagnosis is the scan that you are doing. So please do the investigations to be guided into the appropriate management. Hope this is helpful. 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 was wondering what this pain under my left armpit was. I feel heat like hot surges under my armpit when I take a deep breath it is more intense. I have some issues with my neck in the c4-5-6 area from arthritic changes , so i don t know if this is nerve damage or something more scarier? what do you think I should do?" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. All your symptoms are suggestive of Cervical disc disease with radiculopathy (pressure on nerve roots). An MRI scan of the cervical spine diagnoses the condition. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. 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 have started using Noriday as a contraceptive from 2 months but this time after having very heavy periods for about 5 days i have started bleeding again after 1 week. its been 3 days and i am still bleeding heavy.What could be the cause of it ? plus i think i am estrogen dominant is Noriday making be more? Should i ask my doctor to give me progesterone therapy to balance my hormone. I am loosing so much of my hair , gaining weight too and most of the time very tired. any advice would help. thanks" }, { "from": "gpt", "value": "Output: Hi, Your symptoms suggest you are facing the side effects of the hormone medication. You should definitely take the help of your consultant and see if any other additional supplements are needed or if you can change the medication. Usually, adjustments take 2-3 months after initiation of hormone treatment and once settled, are usually on track for whatever time used. You may need coagulation and blood profile, hepatic function tests, hormone assays and a sonogram to help you further. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im currently taking 45 mg Remeron, started 25 mg lamotrigine 5 days ago and am weaning off lexipro frl 20 to 10 mg. Am terribly depressed with anxiety. Lamotrigine makes me nauseous. Can I stay on the lexipro at 20 mg for awhile to see if depression and anxiety improve?" }, { "from": "gpt", "value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You are already on high dose Cameron and started Aborigine 5 days ago. You may stay at 20 mg of Escitalopram for a few days but with this combination there is an increased risk of serotonin syn Chat Doctor. If while titrating the dose you may stay at 20 but meanwhile after some time, it would be preferable to stay only on Cameron and Aborigine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further about the same query, you can use the below-mentioned link" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i went to swimming in a pool, where i drunk that water while jumping and swimming.. from the next day the cough started slowly.. then it became frequent cough i have consulted 4 doctors.. finally the continious cough is stopped.. now doctor said that i have breathing problem (veeze) i feel my breathing has little trouble... actual problem is if i do cough i feel like i am not able to breath for few seconds.. i think something get stuck and getting released after few seconds.. is it any problem in lungs???" }, { "from": "gpt", "value": "Output: Hello welcome to the Chat Doctor Your work up done as follows.... 1. Auscultation 2.CBC 3.chest x-ray 4.pulmonary function test if needed after Auscultation 5.sputum examination if x-ray suspicious If needed after above work up than suitable antibiotic course should be prescribed If x-ray shows consolidation than sputum culture done to choose antibiotic course For productive cough expectorant syrup can be prescribed like Aerosol Take one tsp turmeric powder with hot milk daily Take care Hope this will help you Consult pulmonologist for examination and discuss all these" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 35 f on celexa for anxiety. did have random chests pain before meds now only once and a great while i get them. NOW, I am suddenly getting random pauses or a skip in my heart beat? 55 beats, pause, 10 beats, pause, 9 beats, pause 35 beats, pause, thats where I stopped counting to come on here and ask why! I am scarred! should I get my meds upped? I have been good on celexa for 11 mons and now all of a suddan this!" }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that Elena can lead to QT prolongation and cardiac arrhythmia as a possible adverse effect. For this reason, I would recommend consulting with your attending physician and performing a resting ECG to investigate for this disorder. Some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels) are needed to exclude other metabolic causes that may trigger this clinical scenario. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. If cardiac arrhythmia or prolonged QT interval in ECG is detected, you may need to stop taking Elena. You should discuss with your doctor on the above issues. Kind regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI Doctors..Im female 26 from mumbai, India.I have done my MRI of lumbo-sacral Spine,Conclusion" }, { "from": "gpt", "value": "Output: Dear patient First I would like to know why MRI was done? Was it for back trauma or long term back pain? All MRI findings are compatible with normal life. Try these measures on long term basis 1. Avoid heavy weight lifting 2. Avoid forward bending 3. Avoid travelling on rough roads 4. Practice ergonomics while on job and home 5. Chat Doctor. Take tab vitamin d3 60000 unit weekly for 4 weeks.7. Take foods rich in calcium 8. Avoid smoking and alcohol. Exercise required 1. Back extension and back strengthening exercises 2. Abdomen strengthening exercise 3. Practice yoga if possible. Some medication helpful are tab diclofenac plus thiocolchicoside combination twice a day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there I have been taking the combined contraceptive pill and two days before I was due to stop them for my pill free week I had the runs just after I had took the pill, I also had the runs half hour later and about three hours after that. I was worried so didnt have my pill free week and continued to take the next pack. I now am due for my pill free week in several days, I have noticed my boobs have been quite sore I have had sex regularly whilst I have been on the pill the last five weeks. Do u think I could be pregnant that the pill lost its effectiveness because of the runs?" }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. Usually diarrhea won't affect the efficacy of the pills. But vomiting immediately after intake of pill can affect the efficacy. As you took two packs of pills without break, that may be the reason for delayed periods. If there is any history of missing the pill, there is possibility of pregnancy. So if you want, go for pregnancy test once. If the test comes negative, possibly you will get with Chat Doctor. If you do not get with" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 16 month son has been teething as of late and my wife has him out of province on vacation. She called me today and said he has had a high fever and is eating little and drinking little. He also hasnt been sleeping well. She has tried a few teething medicines but nothing has been working. Do you have any recommendatons" }, { "from": "gpt", "value": "Output: Hello, I can understand your concern. A very thick pad of gum sometimes causes troubled and late teething as teeth cannot break through the gum due to thickness of gum and causes pressure over gum making them inflamed. If little part of tooth has erupted, it may cause food impaction in the gum surrounding the tooth causing infection. In such case, child can have fever and other problems that you have described. Based on the weight of your kid, you should give him Amoxicillin Suspension (Kiddo) in the dose of 2.5 mg/kg/day three times a day. Cronin syrup (Paracetamol) can also be given in the same dose three times a day. If you had mentioned the weight of your kid, I could tell you the exact dose to be given. Continue these medicines for 10 days. After your wife and son returns, it will be better to consult a dentist for examination of oral cavity regarding this problem and to prevent future such episodes. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your son feels better soon. Best," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I bumped my shin today (trying to be funny) and it hurt and I immediately hit a good sized bump that hurt. I put ice on it for a good 45 min and took 4 Advil and the swelling went down by tonight it has come back up some and is throbbing. Any advice?Thank you." }, { "from": "gpt", "value": "Output: Hi there, thanks for your question at Chat Doctor A bump or bruise on the shin would usually take around a week or two days to resolve. Rest, Ice and bandage application over first 2 to 3 days accelerate this process of healing and reduce the amount of pain and swelling. I suggest you to continue the same. I would suggest you tense your physician if you have pain on standing or walking, the swelling doesn't subside by a week, or you are on blood thinners. Otherwise, you will be better in a weeks time. Hope this helps. All the best. 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 a very sharp pain in my left arm when I cough and my left arm has a tight squeeze from my elbow and up like if a blood pressure pad is warp around my arm and it can last anywhere from 10 sec. to 2 or 3 minutes and my right arm is the same way but lighter pain." }, { "from": "gpt", "value": "Output: Hello, I read carefully your query and understand your concern. Based on the fact that the arm pain seem to be related to the cough, it can due to a muscle strain. I suggest using an anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest doing gentle stretching exercises of the arm for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind 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 am Manjula I got married 3 years earlier I had one abortionBut after thet I didnot concieve atallI have Thyroid I am taking tablet Thronorm Tablet 50mcgI had Laproscopic operation Doctor told that There is no problem Will I get conceived ?" }, { "from": "gpt", "value": "Output: Hi Manual, Thanks for writing to Chat Doctor. Yes you will conceive soon. Don't worry. First thing is you should be stress-free. I would suggest you to get your thyroid profile done before starting other treatment. If it is less or more you can get your dosage changed by your doctor. Also get your husband semen analysis done. So that if treatment needed it can be done simultaneously. Apart from that I would suggest you to undergo follicular study. In this you will come to know you are ovulating or not and time of ovulation. It is better to start with ovulation inducing Chat Doctor. You can discuss with you doctor. Hope I have been helpful. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have severe abdominal pain, back pain, nausea, and just feel bad. I have hardly ate in 3 days and gained 3 pounds.-- Went to the ER and scan showed air pocket--how do I get rid of it?? I have had 12 surgeries for female issues and have scar tissue so not sure if this could be an issue too." }, { "from": "gpt", "value": "Output: Hi. 12 surgeries can have its own complications. There can be adhesions and intestinal obstructions causing these problems. I would advise you to go for clinical examination by your Surgeon and tests likes standing x-ray abdomen (which you must have by this time-air pockets as you mentioned), ultrasonography and as thought necessary by hi./her. Many times I can be co-incidental finding of another problem like pancreatitis or so." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, im a 21 yo female with a bmi of 23 who has just been discharged from hospital with a diagnosis of Acalculous Cholecystitis, with a meeting with a consultant 6 weeks away I am wondering what diet i should follow if any and what foods should i definatly avoid?" }, { "from": "gpt", "value": "Output: Hello, I hope you are well, it is important to mention that this type of disease is rare, mainly related in critical patients in a septic or ischemic situation, elderly or immunocompromised patients with poor prognosis. The differential diagnosis is with a calculus cholecystitis, right pyelonephritis, right basal pneumonia, peptic ulcer disease with or without perforation, acute pancreatitis, etc. I comment this because you do not have risk factors for it, so you should consider a second opinion in your diagnosis." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello!, My 14 months old boy has been suffering from fever for the last few days. Blood test revealed high ESR of 32 mm/hour and low haemoglobin of 7.7 g/dl. At the same time CRP is 12.0 mg/l. Is it problematic or life threatening. He is having small pimple kind of allergy all around his body after temperature came down. Please assist me what to do? Regards, Nasimul" }, { "from": "gpt", "value": "Output: Hi, thank you for choosing Chat Doctor. Your child is most probably having a viral erythematous fever, just observe him for a few days till he recovers completely. Just show him to a pediatrician as we can differentiate between allergic rash or some other kind of serious rash. And also he is anemic for which he will require treatment after he recovers from the viral fever. Hope this has helped you. Wishing your child a speedy recovery. Your vote of thanks is appreciated, Good luck, Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Someone I know has an 18 day old baby. Yesterday morning she woke up to breast feed him. She was sitting on the couch and fell asleep while still feeding. When she woke up the baby was cold, not breathing and had blood coming from his ears, nose and mouth. Currently he is in ICU and isn t doing well at all. Could this be intentional or is there a medical reason this could happen? Could this be Shaken Baby Syndrome?" }, { "from": "gpt", "value": "Output: Hi, It is quite unlikely for a medical condition to cause the said symptoms all of a sudden in a previously well baby. There are blood disorders that rarely can cause spontaneous bleeding from nose and mouth, but bleeding from ear is not expected here, and this strongly suggests a traumatic cause. The only possible cause for bleeding from ear, nose and mouth is a significant head injury with skull base fracture. Head injury or significant bleeding can cause apnea and cold skin. The treating doctor will discuss more details, as this needs to be interpreted on a background of examination findings, blood investigations and brain imaging. Take care. 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 I am 22 weeks pregnant with my third baby. I have been having uncontrollable itching for the past two weeks, there is no rash associated with it, until I start scratching so hard it causes one or my skin to bleed. My Dr. did a Liver enzyme test and my ALC was 59, and my bile acid was 12, she said that it is normal, but everything I have read says you can have ICP with anything above 10 Bile acid" }, { "from": "gpt", "value": "Output: Hi there,Homeostasis of pregnancy could be the cause of your itching. Did you have similar complaints in the later weeks of the previous pregnancies too? Itching without rash, almost normal liver enzyme levels and slightly raised bile acids, no other identified cause for itching definitely point towards Homeostasis of pregnancy. You need to consider tests to rule out hepatitis infection. The itching will increase with time, you will need symptoms relief with local application of creams such as calamine lotion and menthol and if itching increases Ursodeoxycholic acid can be considered, it decreases bile acid levels and receives itching. Also consider vitamin K supplementation after 36 weeks. Rarely Obstetric homeostasis can cause still birth, so fetal monitoring could be considered. Some women prefer to deliver after 37 weeks if the itching increases. You will need to do regular liver function tests and bile acid levels. 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: Iam a 26 year old female experiencing severe headaches at the back of my head.An MRI brain scan was done and it shows that the theres are Ischemic areas involving the bilateral frontal lobe and posterior periventricular white matter. What could be the cause of this and Can this be corrected" }, { "from": "gpt", "value": "Output: Hello, Human brain is a complicated structure and having changes in the white or the gray matter is little complicated. Sometimes brain tissues take its own call to decide the modifications. It may be pathological issue, work related issue, infection etc. We need to correlate the MRI scan along with the clinical symptoms to come to a conclusion. Based on which the treatment can be initiated by medical intervention. As there are ischemic changes there must be a lack of blood supply yo the particular parts or the brain and why this happened is not known without any clinical and lab test. Visiting a neurologist should help you to get some precise medication based on the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,I got married in November 2012. I was pregnant at December start. I got abortion in January through pills medications. Everything went well. I also went for the follow up and I wasnt pregnant.Now, that everything is settled down. We are trying to conceive for months but could not.My periods are normal. My husband is no taking me to doctor. I really wanna know what could be wrong?" }, { "from": "gpt", "value": "Output: Hello, Your present condition is secondary infertility. Some basic investigation is advisable like husband semen analysis, pelvic USG, complete hormone assay, ovarian follicular study, test for tubal blockage etc. For proper guidance, you need to consult with gynecologist. Do unprotected sex around ovulation time to maximize the chance of pregnancy. Use ovulation prediction kit to predict ovulation time in mid-cycle. Take healthy diet with folic acid supplements, control body wt by regular exercise, avoid stress, maintain genital hygiene and take sound sleep. Hope it helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi sir, My name is Mahesh Molakere. The Closest-s cream has been written me for psoriasis but i went so many medical shops but i didnt get so now am came across Lobate cream. Just i wanna know about whether lobate is useful for psoriasis or not..Please kindly provide me solution. Thanku sir." }, { "from": "gpt", "value": "Output: Hi, Mahesh, I can understand your concern with treatment of psoriasis. But, you should know few things for psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. There may be genetic tendency. It may be precipitated or exacerbated by few factors like Chat Doctor. .etc. You want to know about local applications. You are trying to find out combined ointment of steroid and salicylic acid. Both the" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 37 years old male, non smoke or drink. Experiencing numbness in both feet. Went to my general doctor and did blood work with all results being normal. Numbness going on for a week now....pins and needles feeling. Have been prescribed 75mg of lyrica but no relief yet. Any suggestions? I m not diabetic either." }, { "from": "gpt", "value": "Output: HiT hanks for your query and welcome. You have mentioned numbness in both your feet since 1 week. Numbness in the lower limbs can be due to multiple causes" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi ,my grandmother(75 years) is suffering from 3rd stage cancer on lip and in throat.Her wound has become infected with worms probably maggots..can maggot therapy be used to help remove the maggots?is there any other method?please help .she is in a lot of pain" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Cancer of the lip should be treated depending on the treatment response after initial chemotherapy and radiation therapy. As the cancer is stage 3 therefore the tumor is large. Nodes should be searched for in the neck region. The presence of nodes makes is possibly stage 4. In this case there is a need to first give chemotherapy as that can make the node to decrease in size and then surgery might be possible. Some doctors also recommend radiation after chemotherapy to shrink the tumor and then make it operable. First the maggots causing infection need to be treated with medications and the cancer area to be kept clean. For the proper staging, both CT scan and pathology reports are to be assessed in detail. The chances of five year survival in head and neck cancer is better than other cancers with proper treatment and follow up. Five year survival for stage 3 lip cancer is 35 percent and is better than most other cancers. Please do not worry." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor, during his first 5 years our child often had throat infection & Azithral 100 has been the medicine suggested by the doctor which got him cured. We as parents now know what to look for if he has a temperature. He is now close to 7 years & body weight is ~34 kgs. For the last 2 days he has a throat infection & we re just wondering if we should shift to Azithral 200/250 syrup / suspension and halving it at 2 times per day ? Thanks .." }, { "from": "gpt", "value": "Output: Hi, Thanks for writing to Chat Doctor. Hi Throat infection may be one of the reason for fever, But it's not the only reason for fever. It's advisable in greater interest of your child not to start treatment by yourselves without proper assessment of child. Please give on fever medicine Paracetamol at 15\\u00a0mg/kg every 6 hours if fear present, give cough medicine like some over the counter syrup for cough, observe for fever trend and if it's continuous for more than 2 days please visit your pediatrician. Irrational use of antibiotics may be harmful for your baby. Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a bump on the bottom of my foot. It s on the pad of it and it s been there for a few weeks. At first it was sore to walk on, and then it was only a dull ache if I were to touch it. Now there are five more similar bumps in the same general area. Each one is yellow-ish in color except the first, it s darker. I was curious, so I started picking at it (probably not the smartest thing to do), and there are these bits of black, I think it s skin, sticking up. I tried to pull a few out and it led to some minor bleeding. Do you know what this is? Or if there s any way to make these bumps go away?" }, { "from": "gpt", "value": "Output: Hi ! Good afternoon. I am Chat Doctor answering your query. With your history, it seems that you have got multiple plantar warts with secondary infection due to the pin pricking you did on these. The first advice for you is not to fiddle with these things anymore, and vaccinate yourself against Tetanus if not done so far. Next you must take appointment with a skin specialist (Dermatologist) or a General surgeon and get these examined by him at the earliest possible to have a definitive diagnosis and to rule out any other graver conditions, following which proper treatment could be instituted. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to an urgent care on 10/01/14 and they told me that I had bronchitis. They gave me a prescription for prednisone, albuterol, guaiatussin, and azithromycin. It has been 6 days now and my cough is a lot better but I have been running a fever of 100.something everyday still. Also, I have this burning sensations on my skin in multiple spots, mainly my back and arms? Just wondering if this is normal or if I need to return to see a doctor." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. In my opinion prednisone should be stopped now. And you can take inhaled steroid rather than oral prednisone. And diagnosis of bronchitis needs PFT (Pulmonary Function Test). So consult pulmonologist and get done PFT. Oral steroids have many side effects and your skin lesions can be due to this only. And oral steroids have specific indications in bronchitis. Not everyone should be given. So better to consult pulmonologist and start inhaled steroids." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my father age 83 suffered from harpies in June 2011. The harpies was on head and behind ear one side. He has consulted the Neurologist and take medicine. Still he has headache and at night he feel some sound in his ear which disturb his sleep. can you please advice me on this matter" }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Opioid analgesics can help solve your problem. Pain due to herpes and that is also to late is very serious problem. It will not solve with routine analgesics. This analgesics won't be available with OTC it requires a Doctors prescription. You should also take acyclovir which take care of herpes, erosion forte for neurological problems. Please take good sleep and do not take stress. These parameters can affect the headaches. Please wear black glasses as it is also helpful in headache. Please maintain good hygiene as this alone can take care of many things same as active Chat Doctor. I will be happy to answer your further concern on bit.ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: years ago I noticed heart palpitations which led to panis attacks because they scared me 30 years later dealing with them ive noticed a link to them.the question is I believe the main trigger is in the garden vegetables from the store.I know this sounds a little bit reaching but I told my wife to lay off the frozen vegetables and they have decreased dramatically could there be a link or could it be the pesticides causing the to re-surface.ive tried to live with them for years and wished they woulg go away.yes its true anxiety and palptations are related but why would they dramatically increase.ive also notice when my blood pressure is a little higher than normal I dont have palpitations at all.so why would my blood pressure being around normal cause me to have them and being a little higher not have them.why would eating vegetables cause me to have them alot.its hard to find a medium area but since ive laid off the vegetables its bearable.ive tried everything humanlly possible.I guess if I never felt my heart beating would probably cure me.I also use to be a track runner in school years ago long distance runner is it possible that the excessive running triggered them?just searching for answers thank you." }, { "from": "gpt", "value": "Output: Hello, I passed carefully through your question and would explain that your symptoms could be related to indigestion or gastroesophageal reflux. A panic disorder cannot be excluded either. I don't think that pesticides can give this sudden reaction. In fact, they may lead to nausea, diarrhea as more common adverse effects, but the heart is usually affected later. Anyway, I would also recommend performing some other tests to investigate for the possible causes" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dr,today is my 15th day and follicle is 30*27 (left) , 14*16 (right) on 12th day i had ChatDoctor 2000iu injuction but not ruptured yet . is any chance of concieving this month ? my dr didn t prescribed any medicine after ssing this ? will any medicine help to rupture within 16-17 of cycle" }, { "from": "gpt", "value": "Output: Hi, Thanks for the query under Chat Doctor platform. I understand your concern. You have been already given Chat Doctor injection for follicular rupture. ON an average rupture is achieved by 24-36 hours of injection. As your follicle has grown sufficiently. Giving second dose in the same cycle is not advocated. You will be observed till 16- 18 days for probable rupture. There is no chance of conception without follicular rupture & discharge mature ovum in tubes/ abdomen. So, better luck next time. IN the next cycle you would be given altered dosage of Chat Doctor for better results. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, my 4 years old doughter had for 1 day a stuffed nose and running eyes...since this morning she started caughing and her nose started to run. She is cauching pretty bad and her breathing is heavy...she doesn t have fever, her mucus is white and she has a good apetite. Please tell me if she needs an antibiotic and if she does which one do you recomend. Thank you!" }, { "from": "gpt", "value": "Output: Hi, I am Chat Doctor. Decision to start antibiotics is taken by proper examination and history of patient and can not be generalized. Absence of fever and good appetite are against possibility of missing anything serious. But she needs an exam to rule out possibility of bacterial throat infection and congestion in chest. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, for the past couple of nights my chest area ha really ached. My rib area aches and the ribs halfway down the rib cage hurt to touch. Also I thought I was getting indegastion but what felt like my heart just had a massive pain go through it. Like someone was squeezing it. It only lasted for a couple of seconds - I have had this feeling before but felt it was time to find out whats going on. Also noticed tony veins on my rib area earlier - dont know if its related." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely rule out heart diseases first because your chest pain is on left sided and more in night. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can be the cause. So avoid movements causing. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. 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 ve had bronchitis for 2 weeks. Very wheezy and coughing up yellow mucus. This is the 7th time I ve had bronchitis this year. I now have terrible sharp pain on left side of chest which seems to wrap around to my left shoulder blade. ICould this be pneumonia? I do not have a fever, just completely exhausted." }, { "from": "gpt", "value": "Output: Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Chronic bronchitis with Pleuritic pain in left chest-wrapping around left shoulder blade. This pain is from chronic bronchitis with clogged up terminal alveolar groups, causing pleural inflammation from infection. X-ray chest may show few dense shadows with thickened pleura-which indicates edematous thickened inflamed pleura. In your case as the cough is with productive yellow mucus, indicating enough infection of air track. Possibility of Pneumonia, accompanying by this is more and needs to be kept under watch, by closed observation. But the afebrile body, with this yellow mucus indicates recovering Bronchitis with pleuritic pain in left chest laterally and in back near left shoulder blades. Pneumonia would be indicated by high fever with chills which is not there in your case. Exhastion is from chronic infection with deny Chat Doctor. Possibility TB Bronchitis with Pleuritic pain is to be kept in mind. For this to find out-AFB sputum / PCR tests of yellow mucus to find out TB antigen of live/ dead bacteria/ IGRA-blood test to detect hidden subclinical TB. Exhaustion may indicate TB infection with no fever/ or mild fever. Course of Augmenting duo(Amoxicillin with clavulanic acid) may differentiate NON-TB cause, if it responds to this course for 10 days time. Supporting it with high protein bland diet with plenty of fluids / vitamins would recoup you soon from this condition. Hope this would help you to plan further treatment from your doctors there. Welcome for any further query in this regard. Good Day!!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. Im Sally, 53 years old. I experience slight pain at the upper right quadrant of my abdomen, have sgpt of 142, and experience heartburn. Ultrasound showed I have moderate fatty liver infiltration. Sgpt gone down to 68 after taking ursofalk for a month. Did not continue medication. Am still having slight pain in my abdomen, sometimes extending at the back. What could this be? What should I do? Pls. help. Thanks." }, { "from": "gpt", "value": "Output: For your heartburn have you taken antacids for the required period. Fatty infiltration of liver is deposition of fat in liver cells and would suggest you to moderate your lipid intake as much as possible and do some exercises to reduce the fat as well. Continue ursofalk based on your doctors' advice which shall also help in reducing your fat in liver. Also, you may ask your doctor whether you need an endoscopy." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother has primary peritoneal cancer . She was diagnosed at Stage IIIC almost two weeks ago. Today, her legs are swollen from her thighs through her calf on each leg. Do we need to get her back in to see her Oncologist? Does this mean it is moving into stage IV? She has been constipated also for 3 days and we were told to watch for that." }, { "from": "gpt", "value": "Output: This could mean a number of things, and you definitely need to see your oncologist. It could be because of the disease in the abdomen pressing on the veins of the legs leading to edema. The constipation could also be due to the disease pressing on the rectum and colon (large bowel). However, the swelling in the legs could also be due to blood clotting in the veins of the legs particularly if it's painful. This is a serious life-threatening condition and needs immediate hospitalization and treatment. You have not mentioned the treatment that you are taking for the cancer. If that has not been started I suggest you do it at the earliest so the disease related problems subside. The treatment for stage AIIC primary peritoneal cancer is chemotherapy (injections for cancer)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have really bad pain in my gums and there is splits along the bottom of them an sort of white soft tissue at the top..i was treated for gingivitus before but this has litrelly came this bad in the last week..i have calvepen 666mg tablets here,but very few left..what should i do to ease the pain and try heal my gums?" }, { "from": "gpt", "value": "Output: Hello he gone through your query. You may had gingivitis with periodontal pocket formation.is your gum bleeding also.I recommend you to visit a dentist and get a thorough scaling(cleaning) of teeth and gums done. Meanwhile take ofloxacin ornidazole tab it'll help reduce the inflammation. Rinse your moth thrice with a God mouthwash. If pain is more painkiller CN be taken. Maintain a God oral hygiene. Hope this ans helpsRegards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! The right side og my tongue and actually mouth hurt a lot. I first thought it was because I was about to Get a new tooth (even though Im nearly 20). I have felt thus for there day and it only gets worse. Now I even have excessive salvation and I Cant swolloe properly. What is wrong with me?" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The pain in the tongue could be because of the ulcer secondary to trauma or herpes infection. Pain can also arise from the wisdom tooth. Consult your oral physician and get yourself examined completely and take radiograph of the wisdom tooth to rule out any pathology. meanwhile you can take topical anesthetic and analgesic like Anabel gel. I hope my answer will help you. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I have had these hard bone-like bumps on the end of my tailbone. I have had them for about 8 to 9 years now and at first they were moveable and painless so i thought nothing of them, but now they seem to be really sore and no longer move causing pain from sitting and walking. It started about two days ago and I have yet to see a doctor. Has anyone experience something similar to this?" }, { "from": "gpt", "value": "Output: Hi, I had gone through your question and understand your concerns. See as per your complaint your pain is in acute condition or exacerbated due to some injury or posture, as you mentioned pain in tailbone may due to constant pressure over the last bone due to improper sitting and lying habits, this is known as coccydynea (pain in tailbone) see you need to take rest ultimate option is prevented weight-bearing over that part, lying down in side is good. See your physiotherapist and take ultrasound treatment for 15 days continuously twice a day. Which subsides your pain and inflammation. don't apply heating modality to pain full part. Apply ice and analgesic cream while sleeping. I hope you have satisfied with this answer." } ]

[ { "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 Steve, Im 29 years old, i dont smoke, i exercise regularly and I drink moderately. I have found two lumps on my left leg, a small pea size hard movable lump on my shin with no pain swelling or discolouration. The second lump on my quad is between my leg and hamstring, halfway up my thigh, it is not movable about one and half centimteres in size, appears to be part of the muscle and again no swelling, discolouration or pain. What can they be?" }, { "from": "gpt", "value": "Output: Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Causes -for lumps on leg and shin and thigh-1- Mostly it appears to be -Lipoma-fibroma ? Sebaceous Cysts at these sites-as they are painless.2-Surgeons consultation would fix the diagnosis -who would treat it by Excision Biopsy.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies." } ]

[ { "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 24 years old female with good health.Suddenly i have developed lymphnodes at both the armpits and is about 1cm in size,mobile,red and painfull.i have consulted my family doctor and she has prescribed me 2 antibiotics,but it am afraid to take the antibiotics without proper diagnosis.i feel very upset regarding this issue.Please help me with what are clinical tests which has to be done for this." }, { "from": "gpt", "value": "Output: Hi, It seems that you might be having some infection in surrounding parts like arms, neck, breasts, chest producing enlarged tender axillary lymph nodes. There is no problem going for one short course of antibiotic medicine. If problem persisted after treatment then you might require, Through breasts examination manually by GAEC, Complete blood checking for any bacterial infection.If you require Mammography. Ok and take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 27 years old and with a 5 yr old kid, I am having Thyroid (8+) and a mild PCOD and i am taking thyroid Tablets (100 mg) anf taking treatement for it.. and i am having Asthma Problem and Using Inhaler as my surrounding is covered with total dust Pollution.. Give me some Permanent Solution for these Problems" }, { "from": "gpt", "value": "Output: Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 66 year old male who is in relatively good health. following kidney stone surgery to break them up and a subsequent stent for 1 month, I have developed knots in the back of both calves, both ham strings, and both deltoids. The pain has become quite debilitating and is made worse by sitting, especially in the car. The best way to describe the pain is like a lactic acid build up after strenuous exercise. I do have a factor five blood clotting disorder that I have never had any effects from previously. Would appreciate any help as I am grasping at straws!" }, { "from": "gpt", "value": "Output: Hi.thanks for the opportunity to help you. From your description it looks to me like thrombophlebitis of the veins in the calf, hamstrings and buttocks. This has happened as a result of prolonged immobilization due to kidney stone surgery and stent insertion for 1\\u00a0month and as you have factored 5 deficiency you have tendency for hypercoagulability leading to clotting of blood. Thus stasis due to prolonged bed rest, old age and factor 5 deficiency leading to hypercoagulability and clot formation can lead to thrombophlebitis. However we should rule out DVT which is a life-threatening condition in which there is formation of thrombus in deep veins.this thrombus can dislodge and block pulmonary vessels leading to pulmonary embolism and death. Though from your description it doesn't look like DVT.kindly visit a surgeon and get a venous Doppler of lower limbs and get a coagulation profile, genogram, Radioactive,I125 fibrinogen study done. If it shows thrombophlebitis, oral antibiotics, thrombophobe ointment for l/a and t.choral forte 1-1-1x5 days can be taken .if however DVT is diagnosed by Doppler of venous systems in. Low molecular weight heparin followed by warfarin as per surgeons advise. If surgery is required. These methods to be considered in case of fixed thrombus.in case of free thrombus fibrinolysins, thrombectomy using forty catheter or IOC filter can be used. Surgical options are" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,iam 23 years old..i have been doing (gym) heavy weight exercises since two months.three days back i incresaed the weights in the gym for doing exercises as usual,one more thing i started aerobics also since 5 days.So three days back i did my aerobic and then gym and after that within 15 minutes i took power horse,then after coming home almost after an hour took bath and i boiled eggs in which by mistake too much salt felt.so i thought the egg shell would prevent it from penetrating in the egg.gradually after two hours my heart heart started beating fast and its been three days i havent seen any change..its still beating fast.i went to the docter,the docter told me that its 159 BP ..i was so shocked.she said no need to worry but just dring as much as water as i can...please docs here .please guide me.what should i do..should i take steam bath and swimming or should i go to gym for removing the access salts in body....please suggest me" }, { "from": "gpt", "value": "Output: The information regarding your readings is incomplete. I am not sure whether 159 is your pulse rate or blood pressure (BP). In either case, I would suggest you to be retained your calmness. A single ingestion of high dose salt does not cause any harm in most of the cases. Your body does have a mechanism to get rid of excess salt. Please follow the instructions given by your consultant. Chat Doctor. Have a regular blood pressure and pulse rate measurements till you are normal. Stay calm and relaxed buddy. You will be normal in a few days. Hope the above information helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir my uncle is 50 yrs old and is suffering from cancer for last 1 and half......we took treatment in tata hosiptal in mumbai but now they say nothing is possible at this stage.....he was operated twice...for the first time the report wher negative and second time it turned out to be positive .......what should we do.......should we go for homeopathic treatment......can u please suggets some good homeopathic doctors in mumbai for cancer treatment......" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. Treatment of cancer depends on type and stage of cancer. In late stage surgery is not possible so radiotherapy and chemotherapy can be used. For homeopathy treatment also type of cancer is required. So please tell me which type of cancer your uncle have, so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 26 year ols son got married in November He ws diagnosed with ADD in 2nd grade His Sr year of high school he did not medicate and got straight As He now has a carpenters apprenticeship He and his new wife are having problems she says he soes not listen or is easily distracted when she is speaking to him and thinks it is something she is doing wrong or he just dosent care. he came to us tonight very upset I asked him if he explained to his ADD to his wife he admitted he has avoided this subject with her I would like a good informational site for her to go to to help how to communicate better with him" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. I appreciate your concern for your son and his wife. In my opinion it is always better to let the partner know about the persons' health problems so that they will be able to understand them better and offer the necessary support. The following websites have reliable information about ADHD - useful for both persons with the disorder and their carers" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was prescribed Tamaflu - two tablets for five days. I have taken it for two days and my husband through area the box today. And yes, today our garbage was picked up. Are there any problems with not taking the entire five days of tablets? Patricia" }, { "from": "gpt", "value": "Output: Hello, I think that you've been prescribed Tami flu because of a Flu, so I answer for that case. If you are not immunosuppressed (due to an illness or a medication) or under chemo/radiotherapy, I think that you could stay without taking the rest of the therapy. Moreover, you have to consider how do you feel" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im cheerymeel from philippines, i just want to ask questions regarding with the condition of my mother who is diagnosed with endometrial cancer probably stage 2, our doctor told us to undergo my mom with chemotherapy before she proceed a surgical operation. is it right to undergo chemotherapy before she proceed with thw surgical operations?" }, { "from": "gpt", "value": "Output: I am sorry to say that this is not the right treatment protocol for endometrial cancer. Normally, the first step in the treatment of endometrial cancer is surgery. If this we remove the uterus, both tubes, both ovaries, bilateral pelvic nodes and take a number of samples from various parts of the abdomen. We also take washings from the abdomen surface and send it for cytology testing. This is called a staging laparotomy as this not only is part of the treatment, it also gives the exact stage of the cancer. Depending on the final stage that comes after surgery, she may require postoperative radiotherapy. There is nor role of chemotherapy in endometrial cancer except in the last stage for palliation. You can visit nccn.org and see for yourself. I suggest you change your oncologist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...I did not receive any training on how to lift heavy objects safely. I was only asked to sign training documents. I injured my back after I have carried box with vouchers on 3 Jan 2011. I was asked by my GM to carry full box with vouchers. I have point it out that the box was too heavy however my GM did not replay on that so I have decided to carry it anyway.I went to my GP on 5 Jan. Doctor said that I am suffering with back pain (Sciatica , sciatic nerve pain) cause of heavy lifting and I have been told to take rest for a week. Also I have been told by the doctor to make a new appointment for next week on 12/01/11. On 12th I was told by my GP to stay off sick and my next appointment was on 19/01/11 and other on 26/01/11 when I was told to stay off sick for one month more and given repeated prescribed medications. 5/01/2011" }, { "from": "gpt", "value": "Output: Dear patient Considering your case there is high possibility of disc prolapse with nerve roots compression which is leading to shooting pain in both legs. So you need to go for MRI of lumbosacral spine with screening of whole spine. MRI gives detail information of discs and nerve roots and final in confirming diagnosis. So visit radiology center nearby you and get it done. Continue your medications tail report is done. Need to consult expert spine surgeon with MRI report." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m a 21 yr old young woman and I have bronchitis, my doctor said. Each time I get cold or fever, I have symptoms like temperature rise, running nose, throat pain etc. These symptoms reduce and are eventually cured. But when cough starts, it doesn t reduce as fast as the other symptoms. If antibiotics are not used, then the cough can last upto a month or so before its completely gone. Doctor says I have bronchitis which is causing this. When I told him about my problem, he prescribed glemont F for three weeks. Is that the solution for my problem? What can I do to prevent this kind of long lasting cough again?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines. Lemont is oral bronchodilators and having side effects so better to start inhaled bronchodilators. So consult pulmonologist and discuss all these and start appropriate treatment." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there my name is Alison and Im 36 years old,I have been to see my GP and he is referring me to a breast clinic for screening. I have found a lump on the wall of my breast beside my arm pit. Also I have had a sore neck and throat and severe bloatin gof the tummy. Im very scared as I have twins aged 7 years and worried that I had IVF to conceive them? Can you offer any advice as to what the doctors at the hospital will do? Thanks very much." }, { "from": "gpt", "value": "Output: Hello,1. Lump in the breast wall, axillary region (armpit region), neck region lump, and throat infection seems two causes.2. Once it could be lymph nodal enlargement because of the infection or inflammation in the throat.3. Second is breast infective causes also cause lymph node enlargement.4. If you are my patient, after examination, I would have asked for an ultrasound breast and axillary region and neck - to characterize breast lesion and lymph nodes. If necessary fine needle aspiration cytology (FNAC) and do what is necessary treatment.5. I don't think It's something to do with IVF.6. They will mostly do what I have said. So start investigating good luck. 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 a 29 year old man and i have been mastubating since my teen age.I have been mastubating excessive over the last many years.Frequency ranges from 2 times a day to as many as 5-6 times in a day.Does too much of mastubation cause testical cancer?.If i stop mastubating the way i used to would it affect my health in anyway?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Too much masturbation will not cause cancer but can cause other physical and mental problems. Excessive masturbation around 5 to 6 times a day can get addictive and cause you loss of concentration in doing your regular activities and prevent you from doing your job and study. The appropriate masturbation frequency is 2 to 3 times a week and not more than once in a day. Frequent masturbation also causes depletion of sperm and erectile dysfunction as it affects the mental health. You can do other activities like listening to music, talking to friends and reading a book when you get masturbation thoughts. This will help you to control masturbation. There is no need to stop masturbation completely as it is a normal behavior when done within limits. Please do not worry." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hijust wanted to ask a question about my 5 yr old son, he was playing in the garden with a broom (running) he was trying to help tidy up, and the broom hit a step and bashed in to his belly right where his belly button is he has some discomfort and has a red mark there can this cause any damage as i know the belly is a delicate area.thanks Emma" }, { "from": "gpt", "value": "Output: Welcome to ChatDoctorHello, the pain and redness may be due to the direct impact of the broom, since the location is belly button there may not be much damage to the organs, you need to visit a pea Chat Doctor. Some rest is advised2.light digestible food should be given3.watch for increase in pain, redness in the area, coughing blood, blood in stools you have to rush your child to emergency room Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My left arm, below elbow and top side, goes numb when i am sitting. after i stand up and wait basically as long as i had been sitting, my arm feels normal again. i usually wake up with either a stiff neck or my arm is asleep but returns to normal quicker than it takes to return to normal after sitting. i try sitting all different ways, rest my arm all different ways but nothing works. i have never had any injuries, i am a 28 year old female." }, { "from": "gpt", "value": "Output: Hi, thanks for giving me an opportunity to assist you. You need to try strengthening your triceps and trapezius muscle. Try doing static neck strengthening exercises as well.it could be a nerve entrapment in your cervical region. By doing regular strengthening exercises you will get rid of these issues. I have seen several patients with same complaint, and they almost get better by performing regular exercise. If you are a heavy computer worker, kindly take breaks in between your work. As both gets fatigue by static position. Hope I answered your question. I wish you a speedy recovery and a smiling face again. God bless you. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i think i rubbed my penis raw on one side from my girlfriends underwear. My penis is kind of pink, and blotchy... now just a few spots are dried up skin on my left side only. I have no pain, or symptoms or tingling. just weird to look at. I have been tested for HSV2 14 weeks negative. What does this mean?" }, { "from": "gpt", "value": "Output: Hi, Dermatologist conditions are hard to discuss without seeing them. Then the herpes test can be done many ways. In the US 15% of penile herpes is herpes type ONE not 2. And the older tests would probably show some herpes anyway and wasn't that good at distinguishing type. So, it could easily still be herpes. In Japan about half of genital herpes is type 1 not type 2. Or it could be something else. As mentioned it is difficult to say. Without an exam, I can only give general information. 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 have had my gallbladder out 4 years ago and can eat fine but sometimes i get pain under the rib cage under the right breast and ripples to the side i have been doing stepping exesises have i hurt muscles and what can be the pain i have had ultra sounds and blood tests and all come back normal" }, { "from": "gpt", "value": "Output: Hi, Presentation of post cholecystectomy pain. Differential" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has been diagnosed with stress fracture in his left foot, then his right foot is showing the same symptoms. He can barely walk on either foot. He didn t do anything to bring this on but he is an athlete always in training. Now what could be wrong with his right foot?" }, { "from": "gpt", "value": "Output: Hi thanks for asking question. Your husbands left foot having stress fracture. Now according to history there are also chances of it in right foot. The pain is very mild in initial stage, it will gradually get worked. Here is some suggestion for your husband. Any new exercise started slowly and schedule wise. Make sure that your husbands shoes not loose, and it fit well in your foot. Always take proper nutrition that make your bone strong like vitamin D rich and Calcium rich vegetables. Brace wearing at foot for stress fracture is also helpful. If pain is severe and getting worked then it is better to take rest for few days and then gradually sport activity started." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: So I fractured my ankle and I had to get it wrapped and put in a medical. It was so itchy that it I scratched it and it started bleeding. Now there s a bruise with a hard lump and the bruise is spreading and wrapping around my ankle. It hurts so much when I walk because of have the pain of the bruise and the pain of a fractured ankle. What should I do?" }, { "from": "gpt", "value": "Output: Bruised ankle in the process of healing and fracture us paining. For such cases anti-inflammatory and analgesics SOS die is to be taken, provided you are not allergic to those. More assured and harmless long term advise to my patients would be to start Chat Doctor. Its natural anti-inflammatory and analgesic and bacteriostatic. If you can get Lanai GGUL (common in India, elsewhere find it on net) for rapid fracture healing and bruises etc. Totally safe Ayurvedic Medicine. Your fracture must be set right because it will heal in the given setting only. Hope it helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Over the past three years, always around November, I get a new symptom that requires me to go to the doctors. First my hands went numb, they passed it off as carpal tunnel. The next year, I had muscle spasms in my neck and hands. They said it was nothing. This past year I went in for a reoccurring blind spot in my eye. They found nothing. An MRI showed a lesion on my frontal lobe, but they said it wasn t wnough to make a fuss about. My first cousin has MS, and my grandpa has Parkinson s. Could it be some sort of immune disorder they are ignoring? I m a relatively healthy 23 year old female so I don t think they are taking this as seriously as they should be." }, { "from": "gpt", "value": "Output: Hello! Thank you for asking on Chat Doctor! I would like to have more information on the nature of the lesion found in your MRI. You should know that there are different sequences in MRI exam, which can orientate towards the nature of the lesion (white matter gloss, inflammation, vascular or tumor). Your symptoms don't seem to be related to a lesion on the frontal lobe. Numbness in both hands is not caused by any lesion in this region of the brain. The spasms of your neck muscles too. I recommend you to perform a cervical spine x-ray and routine blood test for inflammation, which could be related to this clinical scenario. Regarding the heredity for MS, I would say that the probability for you to have MS when a first cousin has it, is very low. While Parkinson has other symptoms and no brain lesion in MRI. So I think you should not worry about heredity in this situation. Hope to have been of help! Greetings!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, my name is Elmeine. I started my period but was very light like spotting for 3 days. Then it got a heavy period. Had so much pain in my back,lower abdomen and my legs. It lasted for 2 days like this then went back to like spotting for 2 days. But I kept on getting the pain. Today it looked like it was going to stop. But my husband and I had sex and it started all over again. My leg my back and lower abdomen is in so much pain. And I also have bad headaches and feel nauseas sometimes. And I am feeling very tired all so. What can this be? Please help me!!! Thanks." }, { "from": "gpt", "value": "Output: Hello Elaine & Welcome to Chat Doctor, I studied your case, I need more history like your age and any other complaints along with this like white discharge, hot flushes, pain over ovary and duration of history like from how many months back of this history. Causes may be fibroid, endometrial thickness(inner wall of uterus), polycystic ovarian disease or might be menopause. For this you can do one thing the ultrasonography of lower abdomen. The final cause will be diagnosed. There is not so much worry problem. You just give your detail history. Hope so it will be effective for you. Thanks & Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor, i am 30 old male my work is field job i usually work at late till evening whole day sometimes i skip meals for a couple of months i am checking my bp - 140/90 , 145/88 and so on i never drink or smoke, i mom is hypertensive patient, i have consulted doc he told to cut down salt, i am not on allopathy medicine this bp is majorly harressing me at summer even last yr summer should i consult some specialist physician" }, { "from": "gpt", "value": "Output: Hello, Your blood pressure is round the margin as age increases 140/90 is considered fine. As your physician told to go for a saltless diet go for it. Try not to stress much avoid pressure cooked good to for steamed foods. As you're susceptible to hypertension as your mother is hypertensive do the BP checkup often to be on safer side. If it goes above this you should go for antihypertensive Chat Doctor. Also check your cholesterol levels to be on safer side, HDL, triglycerides and LDL. Otherwise, don't stress much. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband had distal bicep surgery recently and by now should have returned function in his wrist and fingers. He does not- instead he has wrist drop . If surgery is required to fix this,presumably his radial nerve. How long is general is recovery? If surgery is not required and it is just a stretched or bruised never as a result of surgery- how long is recovery generally? Also. how often does this happen to patients? is it common?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. It is important to know the exact location and reason for wrist Chat Doctor. Recovery might be slow and take weeks to months in some people. Supportive measures such as analgesics, steroids and anti consultants should be given for weeks to months. Physical therapy is also important to avoid long term complications in mobility of the affected wrist. The main concern is to prevent complications arising out of wrist" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello,I doubt if you know what is wrong with me. I have blots clots, was operated on left side. Blood clot was beneath collar bone. Was removed and came back again, and now I have one on my right side also. Do you have any idea what is causing this, because my doctors are baffledMarie" }, { "from": "gpt", "value": "Output: HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.GOING BY YOUR CLINICAL HISTORY IT SEEMS EVIDENT THAT YOU HAVE INHERITED BLOOD COAGULATION ABNORMALITY \\\"-THROMBOPHILIA\\\" EX-PROTEIN C /S DEFICIENCY, ANTIPHOSPHOLIPID ANTIBODY SYN Chat Doctor. THIS RISK IS QUITE SIGNIFICANT AS IT CAN CAUSE COMPLICATIONS LIKE Heart ATTACKS(MYOCARDIAL INFARCTION), STROKE , RECURRENT ABORTIONS ETC.CLOT DISSOLVING METHODS INCLUDE \\\"EMBOLECTOMY, WHICH YOU SEEM TO HAVE UNDERGONE.RECURRENT CLOTS SUGGEST SOME INHERENT DEFECT IN YOUR BLOOD CLOTTING MECHANISMS.OTHER TREATMENTS INCLUDE PLACEMENT OF AN \\\"IVF-INFERIOR VENACAVAL FILTER\\\" TO PREVENT CLOTS TRAVELLING TO HEART." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I was playing field hockey 2 days ago and someone hit and lifted the ball and I got hit very solidly on my leg just above my shin pad and just below and to the left of my knee. I iced and rested immediately and have been taking it easy however it is still swollen, sore and feels warm, and no bruising has come out either even with using arnica. Also while touching it lightly it has a kinda numb feeling to it and only hurts with more pressure. Am not sure what s going on or what to do?" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. It seems to be soft tissue injury over leg. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father has recently been diagnosed with Lung cancer, the doctor has arrange for a FNA to check his glands. I am confused as I taught this test was to check the glands at the upper part of his lung but on reading some info on the net I am lead to believe that the glands which the neddle will be inserted to are actually in the neck. is this correct? or could this test be preformed to test glands on the upper part of the lung? Thanks Lorraine" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. FNAC (fine needle aspiration cytology) is a technique in which cells are aspirated through needle insertion in the mass. It is simple, easy to perform, less harmful and day care procedure. And it can be done in any mass or swelling of the body which superficial or easily accessible. Since neck is the common site for enlarged glands and swelling, FNAC is procedure of choice for diagnosis. And lung mass, if superficial and easily accessible then FNAC is also indicated and can be diagnostic. So no need to worry, get done FNAC from lung mass. It is very safe procedure." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: have a child in my neighbor who is 3 years old. Apparently, when his mom was away, he might have swallowed something, or been bitten by a cat (NO one knows what actually happened), but the lil boy has been unable to talk for over 4 days now. He has been unable to eat any food or even drink water and is on severe medication and glucose dosage to keep him going. The doctors say that he has swelling in his wind pipe/food pipe and therefore has been unable to breathe or eat properly. NO one knows what actually happened, but apparently, he also has a bruised index finger and the doctors are speculating if he was bitten by a cat or some animal. He is having severe porblems talking, breathing, eating, and has a internal swelling. The doctors had asked to do a complete MRI, which showed the swelling has not crawled up to the brain yet and therefore the parents are hopeful again. What do you suggest Doc? I will appreciate any and every input from you." }, { "from": "gpt", "value": "Output: This history goes with anaphylaxis which is sever allergic reaction, possibly from a toxic substance caused by biting or sting, could be a spider or even a snake .when these substance goes to the blood stream it causes multiple tissue damage, including systemic reaction and edema, this edema or swelling appears fatal in the narrow life dependent passages, such as the wind pipe. Which causes a subglottal stenosis and therefore difficulty in breathing and talking.these effects are worn off on few days but assisted ventilation and steroids are mandatory. 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: am a 24 year old man.i have applied for migration to newzealand.on medical examination all my values exept sgpt was normal.my sgpt was 50.i am planing to take the test again by next week.can you help me by suggesting effective ways to reduce its value by that time,without affecting other values?" }, { "from": "gpt", "value": "Output: Hello You have mildly raised SGPT, and it is not alarming. You need few other investigations Viral markers, ultrasound of abdomen. Further investigations can be done if needed. Proper treatment depend upon findings. You may need few medicines after investigations. If all findings are within normal limit then you may only need regular check-up. Get well soon. Hope I have answered your question. 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: Hi. I fell starting t cross the street last Thursday. Twisted my left foot and broke the shoe (they were flats) and landed hard on my right knee. Knee has some fluid on it but seems to be getting better. Foot is swollen and seems to be getting worse. It is not discolored. Hurts most on top left of foot. Is this just a bad sprain or could I have broken something?" }, { "from": "gpt", "value": "Output: Dear patient Since you have pain and swelling on left foot after twisting injury and not getting better possibility of fracture needs to be ruled out. I would advise X-ray of left foot anteroposterior and oblique views. Visit radiology center nearby you and get it. If report shows fracture you need to consult expert orthopedic surgeon nearby you and get yourself examined. If there is no fracture diagnosis is sprain and treatment is application of cr\\u00eape bandage for 3 weeks and rest and elevation. Take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. All the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to the dentest and behind 1 of my front teeth I had an infection and somehow my bone behind my tooth is gone.. The dentest didnt know why it happened and said he would have to pull my tooth out. Im only 26yrs old and really dont want to have one of my front teeth pulled.. i was wondering why this happend and if there is something i can do to keep my tooth? Will the bone grow back?" }, { "from": "gpt", "value": "Output: I would like to know if you have had any incidence of trauma previously? If not and it's an infection by itself then the reason can be the position of the tooth is such that there is constant trauma to it by your lower tooth which has lead to such a bone loss and infection, or it could be an infection of the supporting tooth structures by inadequate brushing in that region without any trauma. In either case if adequate support is remaining then the tooth can be saved though if trauma is present you will need to get tooth position correct by braces and only then any gum surgery would help. The bone won't grow back, but bone grafts can be added to support your tooth which again would depend on the condition of the tooth which can be seen by your dentist. Though if you are told that the support is such that it has to be removed then at such a young age you can go for a dental implant immediately to restore that tooth which good esthetic results which will be as good as your lost tooth. But be sure to brush right and prevent any such thing further. 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 just have a few question I think iam pregnant I had few test but they were all negative I supposed to have my periods last week but I didn t had it this morning I had bleeding normally when I get my periods the blood colour is red or dark red but this time it s brownish I don t know what s happening" }, { "from": "gpt", "value": "Output: HI, I read your query & understood your concern. Delayed periods/ nausea, vomiting/ sore breasts/heaviness in lower abdomen.are usual signs of pregnancy Home Pregnancy test gives reliable results when it is done after 8 days delay in menses. You seem to have done it earlier. If it is, so please repeat it at proper time, it may be +ve the scanty bleeding you had might be implantation bleeding. Even if it is - ve . Simple causes like illness, physical or psychological stress can cause delay in a solitary period. Observe how is period this time. It may be normal. But in case the same symptoms follow again, you should get examined/ investigated for finding the cause (USG lower abdomen/ CBC/hormonal assessment.including, thyroid function tests as per a gynecologist advise) followed by specific treatment. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a teenager and i have been feeling kind of depressed for a while, so i took some online tests and they said i have a high chance of having dysthymia. I read some articles about it and it seems to describe almost exactly how i feel. All of the stuff online says i should be getting help, but i really dont think its that big of a deal. Im not suicidal or anything, and i really dont want to make my family pay for any medicine or therapy. Its not like its totally ruining my life, im just feeling kinda down. Should i go to my school guidence counselor, or just kinda see how things play out? Our health class is doing depression screening in about a month, so if anything is really wrong they will find out and tell me what to do i guess. I just dont know if this is serious enough to make a big deal out of it. I know my parents would either think im making a big deal out of nothing or they would overreact and get super upset.Any advice?" }, { "from": "gpt", "value": "Output: Hi, You are a teenager, and the hormonal changes you are normally experiencing (involuntary) do play a role in your mood changes. It is perfectly normal to get those feelings" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have an extra rib on my right side. Im a female, 16 years old 54 110lbs. I have already been to a doctor about the pain I have been feeling from it but it seems like it hurts more frequently now. Sometimes I have to apply pressure to my rib because it feels almost out of place. I have asthma but no other diseases or conditions." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having accessory rib. And this can cause chest pain and pressure. So better to apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Try all these in your day-to-day life. You will mostly improve. But if you don't improve then surgical removal of that rib is the only option. So better to first try above-mentioned nonsurgical measures. 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: My baby fell 2ft off the bed and landed on stomach. She cried but no change in behaviour. 10 hours later she vomited and had terrible gas. She did have a new cereal yesterday as well, had the influenza shot on Wednesday. Then this morning she had diarrhea. Should I take her to the ER?" }, { "from": "gpt", "value": "Output: Hi....whatever symptoms you are quoting are not dangerous and not related to the fall form cot. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15\\u00a0mg/kg/dose every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Iam 39years, male. Whenever iam sitting down i feel a warming kind of disturbing pain spreading out on the left hand side of the stomach. most times i cannot pinpoint the exact location. But on an occasion i feel it was spreading from my left testicle while sitting in a bus or office chair. This has not been all the time but is more frequent of recent. LHS Stomach Ultra scan reavels on two occasions that my kidney .liver. spleen and some other associated parts are okay. If standing, the pain drastically reduced but not eliminated. Also persistent back pain concentrating now at the lower left side (waist line). I have been treated for thyphoid at some times and ulcer on several occasions. I also experience erectyle dysfunction probably as a result of these and is getting worse; i dont know.. I presently have in addition sever mouth ulcer with about 5 point ulceration in my mouth and throat. I was treated with zinnat antibiotic but it didnt go. HIV test negative. Can i get help pls.." }, { "from": "gpt", "value": "Output: You are taking it very seriously, but nothing wrong came out in your thorough investigations. You are not suffering from any disease, after all body is also like a machine & some minor harmless problem do occur to most of the people but they after getting investigated become free of anxiety of having anything serous to them, but you are not coming out of it. I don't advise that you forcibly try to suppress this idea of having nothing to you rather you let it come and go, do not take it seriously, take it easy, accept it as it is happening and get yourself busy in your work, suddenly without your notice you will find it is no more there now." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. Please do not worry." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 5 year old daughter was admitted with severe fever and pneumonia.Later though, it wasnt confirmed, but she became better after treating for H1N1 flu.Now she has atrial standstill.P waves are absent in her ECG.Could swine flu be the reason for it?She never had any symptoms of heart disease in the past." }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, swine flu has no effect on the heart. Influenza virus of swine flu mutant has effect on the lungs only. It has no pathogenic over the heart. But pathology related to lung with heart can cause the signs related to the heart. e.g. pleural effusion can compress the heart and stop the heart from pumping. You can go for chest X-ray PA view. This will guide us for exact situation. Instead, you can go for clinical examination to the nearby doctors they can guide you regarding the pathogenic. If its effusion than aspiration and treatment for the condition can cure you. As she is not having any symptoms of the heart disease in the future. There is no need to worry because it has compromised only atria which has almost no role on the pumping of the heart, and it will be corrected soon. Please make continuous note on the heart beat. If the heart brat is compromised less than immediately visit the nearby hospital as it can be severe condition. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My name is Senada and I have a Question regarding my Father. He is 60 years old, and has type 2 diabetes, high blood pressure, high cholesterol, no gallbladder and occasional hernias, also he just got diagnosed with the beginning stages of prostate cancer.I try my best to take care of him to the best of my ability but its very hard. He also is a social drinker and smokes. We own a family restaurant and is always very stressed out. So, my question is what can I do now! I will put him on a very strict diet but, I dont know where to start with it, what to give him what not to give him and how much and how little! I have done some research and have now just become more confused. Also, what sort of supplements/vitamins should he be taking? Thank you SO VERY much for any help.Senada G." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. He is diabetic and hypertensive, so better to avoid sweet, sweetener, rice, potato, fruits like banana, Apple etc. Also avoid high salt diet. Prepare his food in sunflower or olive oil. Both are good for diabetes and hypertension. Regarding prostate cancer, food is not an issue. But maintaining good immunity is important in cancer patients. So give him high protein diet like eggs, beans, legumes, pulses etc. Multivitamin tablet containing folic acid, niacin, riboflavin, pyridoxine, vitamin b12 etc. is also important for immunity. Zinc, selenium, vitamin C etc. are good antioxidants and helpful in immunity, so antioxidants' tablet is also recommended in his case. Hope I have solved your query. Wishing good health to your father. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Recent BP reading was 169/96. Dr. said could be combination of white coat nerves, taking Sudafed and otherwise overall illness (taking Biaxin + steroids for URI). That was 12 days ago -- not on any meds, still ringing in the ears and whirly sensation. Next steps? 51 y/o; 165# no high BP in family history" }, { "from": "gpt", "value": "Output: Dear Sir/ MadamThanks for your query.1. The relevance of single reading of BP is very low unless it has significant symptoms associated with it and attributable to it.2. There are many more factors adversely influencing the BP like Steroids, Sedated, white coat etc. We have to remove such inciting factors and take multiple readings of BP before we could decide anything about them. Only if we can not remove any of them, e consider therapy even in their presence. A consultation with your GP is the best way out to see, if you can remove these influence or not. In the meantime regular monitoring of BP is warranted. Do not ignore any symptoms. Avoid excess of salt. Do meditation. Keep optimal weight. Try to exercise daily if not forbidden otherwise. SincerelySukhvinder" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello,my son is 2.5 months old. When he was 1.5 months,he had accute diahherea with green loose motions along with blood and mucous. After the motion test,got to know that the reducing substance to be 1.5%. So doctor advised to switch to zero lac. Otherwise baby was on exclusive breast milk. After introducing zerolac,there is no problem as such. I read in one of the Internet pages that blood in stool is due to milk protein intolerance. Doctors says it s lactose intolerance. When I try to give him breast milk,the problem re occurred. Tried twice,with a gap of 15 days.but no luck. Is this due to milk protein intolerance or lactose? Will my baby develop resistance against this ? On breast milk he had gained weight vigorously. But now his weight gain is slow. Any alternative for zero lac. Also due to the tasteless powder,my son sometimes resists having milk. What can be done?" }, { "from": "gpt", "value": "Output: Hi... Greetings from Chennai. After going through your question in detail - this is my opinion and this is what I would have done if I were your treating pediatrician. Possibility -1. Cows milk protein allergy is a strong possibility as there as blood in the stool in exclusively breastfed baby. Suggestions -1. Mother should go off the cows milk products completely - including biscuits and chocolates and all products related to milk.2. Continue exclusive breastfeeding and if it is not sufficient you can opt for Zero lac.3. Cows milk protein intolerance in transient as it will go off as the kid grows up.4. Avoid all cows milk products till the kid is 1 year age.5. Mothers milk is the best for good growth of the baby. Rather than stopping mothers milk, it is best for the mother to avoid all milk products and continue breastfeeding. If you have any further queries you can approach me at the following link. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Okay, this is a REALLY personal, strange question, and I m not 100% positive that you can answer it for me, but I am willing to try, really need an answer here. Let me start by saying I already sought medical attention, today actually, I went to the ER and I told them (what I m about to tell you) what I was experiencing, and they literally completely ignored my problem and only investigated into vaginal discharge they discovered upon examination. I went in because last night when I was about to take a bath, I noticed a small fleshy piece hanging from my vagina (yeah, sorry this is personal, and I feel strange asking, but clearly the ER doctors thought it was nothing yet neglected to ease my mind and let me know what it was). I was not experiencing any pain (until they did the examination and am now a little soar, which is somewhat common for me after such examinations) it s just something I have never seen before and because I am approximately 3 months pregnant it REALLY freaked me out. I have been sexually active since I was about 16 years old, and I googled what I could only describe as fleshy piece of skin hanging from vagina and everyone online seems to think it s the hymen or cherry. This answer doesn t make sense to me because I obviously had multiple sexual relations, and I bled on my first time. PLEASE get back to me on this as soon as you can, I m EXTREMELY frustrated with the ER for not doing what I went it (and paid ONE HUNDRED DOLLARS for...ridiculous). I do plan on seeing an OBGYN in person, but I am currently without a job (searching) and without money and plan on applying for medicad. If you think it s best and cannot honestly for sure 100% answer my question here, I WILL go to see an OBGYN if that is your recommendation. I just want to see if I can get this taken care of without a fee." }, { "from": "gpt", "value": "Output: Hallow Dear, I would not claim that I can satisfy you 100% without seeing the tissue or the hanging skin. However, I will share my opinion with you. This type of skin like looking hanging flakes can be found in fungal (yeast) infection. It causes quite an itching. They can be treated by local application of antifungal cream like Bandit. If you are willing to accept messy treatment, you may apply Gentian violet intravaginally. This treatment has to be followed by both the partners simultaneously. Shaving private parts is advised. Also till you are cured, observe sexual abstinence. If you can take a clear photograph of the hanging tissue and upload them for my review, I will have a better concept of your lesion. If you are not relieved by the antifungal treatment, you may ask me a Direct question on this forum by going to my profile. There you can write the whole problem in details and upload the pictures. I hope this satisfies you to some extent." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My boyfriend and I were outside earlier and I m not sure if something bit him or something stabbed him, but something happened&There is a bump thing on the top of his foot and he is having severe pain and swelling around it. Any ideas of what it might be or what might help?" }, { "from": "gpt", "value": "Output: Hi...thanks for sharing your problem here in this forum... I can understand your problem...your boyfriend got swelling with readiness and pain on the foot...if it was abruptly enlarged and there is some sting mark this must be a bite by something ...I will advise seeing the doctor...you can give him some antiallergic for time being.but he should get tat nus immunization if its trauma or bite...hope you got your answer...thanks 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 Ramesh. My mother suffered a heart attack on 01.02.11 at 23.00 hrs. She was given a blood thinning injection at around 02.00 hrs on 02.02.11. Her health started deteriorating from 03.30 hrs onwards. She suffered from ventricular tachycardia. Now she is on life support system in Mumbai, India. her condition is bad. heart rate is 100 and blood pressure is 129/51. Is there anything that can be done to revive her. please let me know urgently. Thank you." }, { "from": "gpt", "value": "Output: Hello Welcome to Chat Doctor. Your mother sustained a heart attack, and she was given blood thinning medication to break the clot which caused the heart attack. After a heart attack, the heart muscle gets damaged. This leads to irritability of heart muscle and hence it starts producing extra beats leading to ventricular tachycardia in some patients. Also, as the heart muscle gets damaged, the pumping function of heart also decreases leading to decreased blood supply to vital organs and fluid congestion in the lungs. This decreased pumping function along with ventricular tachycardia causes complications. Patients can go on the ventilator and need medication support for LOW BP. I assume your mother is suffering from above issues and hence is in life support. She should be on two blood thinning medications, diuretics (water pill), cholesterol lowering medications (statins), anticoagulants like heparin or clean, Chat Doctor. The ventilatory support must be continued till she starts breathing on herself and lung congestion gets better. The other life support medications also are continued to her body responds well. The prognosis is guarded since she is requiring life support. They may also suggest an angiography and angioplasty to evaluate and treat blockages in the heart. Wishing her 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 have a friend who can t find answers of what has been happening and his doctor told him he should of been dead by now..he doesn t know ho to turn too or talk to..he is young in his late 40 s ..I m so concerned about him and I cry so much ..he needs help . This is his plea PLEASE HELP any the nurses or Dr s on my fb my specialists have no idea going on as along heart failure this is neurological. I have had CT scans and other brain scans can t see a brain symptoms slurred speech, dazed, extreme tiredness, weakness in left side and un co-ordination, legs give way from under me, it comes on fast like a seizure then seems to subside wth is going on ???" }, { "from": "gpt", "value": "Output: Hi, thanks for mentioning brief history of your friend. It is sad to hear he is not well with so many symptoms. As you mentioned the slurred speech, tiredness, weakness in left side and no coordination it is related to disturbance in the brain activity. You need to meet a neurologist and plan an MRI which will help to open some hidden answers. Your neurologist will help you with the proper medication which will be of help. Later on you can look forward with the physical therapy which will help your friend to make the muscles stronger, coordinating exercises will help improve coordination. For the slurred speech a speech therapist is of the help. I wish your friend a speedy recovery and blessings of God" } ]