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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 am a 45 yr old male and last summer i noticed that i am occasionaly forgetting easy things for example 3 seperate times last summer and forgot to put the mower deck down . Since about November 2013 this has picked up in frequency and now At times i am forgetting things at work or Not doing things right . also i find myself slurring my words at times and really having to think about what i want to converse in a sentence . I know i need to get into see a Doctor but i dont know what type of doctor i should see a neurologist or a psycholgist or a general MD . I also find myself at times living in a fog . What is your advice ???" }, { "from": "gpt", "value": "Output: HIT hanks for using Chat Doctor Forgetful at age of 45 years may be due to dementia or underline depression. In dementia usually happens in later age and patient would not able to accept his problem, only his family member or friends make him realize about the problem. In case of depression, patient would be able to realize about the forgetfulness. Same thing may be with you. I would suggest you to consult a psychiatrist to rule out underline depression. Thanks" } ]

[ { "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 Rosa and I am 57 yo with history of diabetes, high blood pressure, have had 4 mini strokes, seizures, heart problems due to strokes. I have been feeling sluggish, tired, out of breath, even just walking from my lving room to bedroom, calmy and do not feel when I have abowel movement. This has been going on four 3 days now." }, { "from": "gpt", "value": "Output: Hi, As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels .and check if they are in normal limits . And correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence, I suggest u to once consult cardiologist and get your 2D echo done once and take further treatment. 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 come down with a cold and my neck is very painful on the left side from my jaw to my shoulder. It hurts to move and if I am jarred. There seems to be a small hump on my neck behind my ear. I do not have a fever or rash. I have been treating with Advil and ice but it is not getting better. Any suggestions?" }, { "from": "gpt", "value": "Output: Hello, I have studied your case. I think you are having neck muscle spasm along witChatDoctormon cold. I would suggest you to follow This advises.1. Hot water fomentation of the neck.2. Volini gel local application.3. Myoril or MySpace tablet for muscle spasm.4. Decongestant like win cold tablet or levocetrizine tablet. I HPE these steps will be helpful for you. Let me know if there is any other followup questions. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have just had ct scan. They found 1mm spot on liver.5mm spot on kidney and 9mm in bladder. What dies this mean. I have had small amts of blood in urine along with frequent uti s. Protein found in ua. Thank you for any light you can shed on this . j . A." }, { "from": "gpt", "value": "Output: HAI, As per your quote it seems to be renal stone in kidney and urinary bladder. Which possibly cause blood in urine. Stone while passing through the ureter from kidney to bladder causing some erosion internally leads to blood in urine.it will lead to urinary tract infection.1\\u00a0mm spot in liver possibly a node or cyst or any mass should correlate with your symptoms. There is no connection with kidney and bladder stones with liver 1\\u00a0mm spot. Blood in urine relates with kidney stone. Thank you hope I answered your query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a lipoma removed from under my arm a month ago. And just in the last few days I have developed a red rash under my arm. All I have been using is sorbeline cream with vitamin e. I tried tea tree oil twice but it made it sting more. Have taken tell fast today to stop the burning and itching" }, { "from": "gpt", "value": "Output: His you seem to be developing an allergic reaction because of the various home remedies that you are using. You should surely avoid using all of these since they are further increasing the irritation even further. You should just clean the affected area with plain water twice a day. You may need to use a topical steroid cream over the affected area twice a day. Some oral antihistamines along will help in decreasing the allergy. Do not apply any oil over it now. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Creatinine level is 8. what does it indicates ?" }, { "from": "gpt", "value": "Output: Hello Amir Syed;welcome to Chat Doctor Please see the report again" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am a recent kidney transplant recepient and over the last day or so my gums are hurting and appear to be swollen. I had called my transplant coordinator and she said that she really didnt think it had anything to do with the medication I was on. She did say that prednisone may cause a delay in healing....so the question is, why else would my gums be painful and swollen? I have flossed several times but didnt find anything up near the sore gums." }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your concern. After a recent transplant, youre on a regime of steroids and immunosuppressants. Swelling of gums is a minor issue. Maintain good oral hygiene, and brush your teeth, twice daily. Also, using a mouthwash helps. You may use Chlorhexidine gel over swollen areas, with a gentle massage. The swelling will subside gradually, as the dosage of steroids also is reduced. If you've any other doubt, send it as a direct question to me. Chat Doctor. Manga." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last night while open a can of corn, the lid cut the lower inside part of my thumb, just right in the crevcise. it bleeds periodically, its looks like a pocket when i pull the tip of my thumb back. it does throb and pain of course but not sure if i hit any tendons. will an urgent care facility be able to sew it up or care for it?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, As you got hurt last night while opening a can of corn which has led to cut of the lower inside part of my thumb which bleeds periodically with throbbing pain. This incident suggests me that you are having some open wound following the cut by the lid of the can. I would suggest you to follow1. Immediately apply the pressure over the affected area to prevent bleeding.2. In TT should be taken, if you are not taken the injection in last five years.3. A course of Augmenting, 625 mg, twice daily for 5 days.4. If there is deep cut it should be sutured under aseptic precautions.5. Oral NSAIDs for three days.This aforementioned treatment will improve your condition. 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 my daughter is addicted to roxycontin although she says that is the only thing that helps her pain,she says she has severe back pain from a wreck she had 4yrs ago she was left with some alterations in her moter. Skills,when she walks it looks as if one leg is weaker than the other" }, { "from": "gpt", "value": "Output: Hello, I have studied your case. Dependence on medication can be hazardous, you need to contact your treating doctor and start alternative with Chat Doctor. You can take neurotrophic like methylcobalamine with pregabalin for pain. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 45 year old female. Generally healthy, but have suffered from bilateral reocurring kidney stones for several years. Slightly anemic. Was tired most of the weekend, woke up this morning with sore throat , runny nose, plugged up ears, sneezing and oddly - swollen gums specifically on around bottom four front teeth. Feeling progressively worse through the day. No sores in mouth and gums were fine last night. No fever. Had a flu shot a week ago. Had teeth cleaned about 4 weeks ago and had no issues with them." }, { "from": "gpt", "value": "Output: Hello, a delayed reaction to the flu shot is a possibility although unlikely, but you are definitely having release of histamine with the sore throat, runny nose, plugged ears and angioedema (swelling) affecting the mouth. Delayed reaction to mouth washes at the dentist is more unlikely. A skin prick or specific IGE blood test would elucidate if you have any allergies particularly dust mite. Stopping smoking is a priority (if you do) for several reasons. Antihistamines such as cetirizine should suffice (taken one daily for 7 days). If you are on any blood pressure pills, do get these checked as ACE-i Chat Doctor. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Since I woke up this morning I have had numbness in a couple of my fingers on my left hand. Also, last night I felt pain on the back of my neck and noticed a red bump, then started to feel pain up my neck/bottom of my head. Could they be related. If not, why are my fingers numb for this long?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Your symptoms can be related this can be related to cervical spondylosis proceed further we need1. Clinical Examination2. Radiological Examination please consult a Neurosurgeon in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had an abortion 12 weeks ago, after 3 weeks i returned to clinic as my pregnancy test was positive, they scanned me quickly and said all was ok. Last week i suffered a hemmerage due to retained products of conception from my abortion, i have also become anemic..However 1week after my op im now in alot of back/pelvic pain right through to inside of thighs, im suffering hot sweats and i cant sleep?" }, { "from": "gpt", "value": "Output: Probably some pelvic inflammatory disease is also there after evacuation of contents and control of hemorrhage which can lead to backache and other symptoms as well. On precautionary side show to orthopedics doctor also and get x-ray lower back also done. USG for present uterine position. Meanwhile continue on anti-anemic medicines (iron, minerals, calcium etc.) along with green leafy vegetables and high proteins diets. Your gone/or tho docs. Should give you antibiotics and anti-inflammatory 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 friend who recently is having dizzy spells. We have sort of figured if he ate to much sugar then stand up he gets dizzy. This does not happen all the time. He does have a drain tube in for gall bladder that is to be removed. Could this be causing the problem?" }, { "from": "gpt", "value": "Output: Hi, Thanks for your question. After going through your question, there are following possibilities for your friends symptoms-1) Reactive hypoglycemia - this is due to sudden release of insulin after sugar intake which lead to low blood sugar level (hypoglycemia) which can be confirmed by doing blood sugar level during episode of dizziness.2) Postural Hypotension - fall in blood pressure after standing from lying down or sitting position. Which can be confirmed by checking blood pressure in lying down and standing position.3) Other rare possible causes may be - - Syncope. - Deny Chat Doctor. - Inadequate nutrition. It may not be related to his gall bladder" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am rahul. Age 34 i often suffer from fatty liver this is the fourth time why does it often comes back i also have chronic constipation from years which is herediety currently i have pain on my right side of my abdomen exactly below the ribcage where the liver is situated can you suggest any permanent relief...i once consulted to gastro specialist.Dr.shankaran a year back who treated me for fatty liver but it seems like it has return back. the pain is worse after eating" }, { "from": "gpt", "value": "Output: His went through your concern regarding your condition of fatty liver. Fatty liver is a condition in which triglycerides are deposited in liver. And this condition has strong relationship with obesity and other metabolic conditions like diabetes etc. And if inflammation is also present along with fatty liver in the form of raise ALT level in blood then it is called as NASH (non-alcoholic steatohepatitis). NASH needs aggressive treatment. Well for your condition you have to concentrate on losing your weight if you are obese by changing your lifestyle n dietary modification. You should start regular exercise and avoid junk foods, oily foods and sweets. If still your fatty liver condition persists after 2-3 months then you should start capsule ursodeoxycholic acid 250 mg once a day along with vitamin E 200-400 mg once a day. Combination of these two medications has shown promising effects in clinical trials. Hope you will try to follow the advice. I wish you good luck" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: How to reduce SGOT and SGPT enzymes , i have gone through the LFT and found SGOT are 109 and SGPT are 140. How to reduce them...what is the diet and what are the medicines as i have less money to consult a doctor in delhi who are charging more than 500 consultation fee as Gastro experts." }, { "from": "gpt", "value": "Output: Hi & welcome. I can understand your concern. The raised liver enzymes (GOT & SGPT) are suggestive inflammation of the liver or gall bladder. Alcohol intake is also responsible for the liver damage. You need certain lifestyle changes to reduce the raised enzymes like1. Stop taking alcohol (if you are alcoholic), avoid smoking2. Avoid fatty meals3. Eat home cooked foods, increase the intake of fruits and vegetables4. Do regular exercise, try to reduce your body weight if you are overweight5. Take vitamin E containing supplements which are beneficial in reversing the liver injury.6. An abdominal ultrasound is also recommended. Hope this helps you better in getting rid of raised enzymes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good morning, I had an unprotected sex last saturday at 1 pm and then i take 4 pills (nordette) at 8 pm and after 12 hours i follow it with another 4 pills. is is really effective in preventing pregnancy?the first day of my last period was May 26, 2014. Hope you can help me. Thank u" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. Nordette can be used as emergency contraception. You have taken them correctly. When used within 5 days of unprotected sex it reduces your chances of conception by 75%. There is a slim possibility of pregnancy due to method failure. Therefore, get a pregnancy test done if you miss your period. In order to avoid such unnecessary stress, I suggest that you consult doctor and start regular contraception like birth control pills. They are more effective in preventing pregnancy than emergency contraception. If you feel that you are at risk of STDs, always use condoms during sex. I hope this is helpful. If you have further concerns, contact me through Chat Doctor. Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, last night I masturbated with soap and while washing the soap off, I feel this burning sensation on the bottom part of the head of my penis. When I looked I saw a few red spots. It also burns if water comes into contact or urine. I tried putting Candid B cream but still the same. It began maybe 6 hours ago." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Masturbation using soap can cause irritation to the soft skin of penis and this could cause momentary inflammation. Your red dots and burning sensation could be due to the inflammation. Leave the area like that. Keep it clean and Chat Doctor. No need to use any cream. Observe for three days and if no improvement found, please consult a urologist. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I ve been getting freezing cold shake attacks where I can not even move. It paralyzes me and makes my teeth shatter . I feel like I m gonna die. I also experience dizziness and when I get up I feel like I m gonna black out. I have to struggle with my eyes to keep them open while talking myself out of passing out... What is wrong with me please help" }, { "from": "gpt", "value": "Output: Hello ! I understand your concern. I would like to know more about your age and the duration and frequency of these attacks. In my opinion the experience of dizziness that aggravates when you get up may be related to hypotension. The cold shake attacks may be a disorder called Epilepsy, although not very typical. You need to see a doctor, have a physical examination. An EEG would be helpful to rule out Epilepsy, followed by a brain CT scan if it's not normal. Hope to have been helpful to you! Thank you for using Chat Doctor!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my veins stripped in Aug. 1 of the 7 incisions did not heal. In Oct. my Dr. put me on a 5 day antibiotic because it was so red, swollen, warm to the touch, and I was getting sharp pains. The pain stopped slightly, when I called him back, he said he would send me to a wound care specialist. I am still waiting for the appt. Last night I noticed another incision site further up my leg was red all around it, warm to the touch, and a hard bump underneath the skin. So now I have 2 different areas that are red all around it, warm to the touch. Are they related? What do I do?" }, { "from": "gpt", "value": "Output: Hello! I have been through your question. According your concern I think the diagnosis for the two cases is erysipelas. It is an infection of the upper and deeper dermis and superficial lymphatics, usually caused by Streptococcus bacteria on scratches or otherwise infected areas. It appears as a red, swollen, warm, and painful rash, similar in consistency to an orange peel. More severe infections can result in vesicles, blisters, and petechial. The infection may occur on any part of the skin, including the face, arms, fingers, legs, and toes, but usually it tends to favor the extremities. You should know that people with immune deficiency, diabetes, alcoholism, fungal infections, and impaired lymphatic Chat Doctor. So, what I suggest in your case is a physical examination by an Infection Disease Specialist to find the proper reasons of this situation, to do a differential diagnosis with cellulitis and in the same time you should start antibiotics (usually I prescribe ampicillin or amoxicillin, or penicillin if you aren't allergic) prescribe by your doctor. Furthermore, you should try to rest as much as possible with the leg elevated above your hip (you may support your leg on some cushions while lying down). It is also important to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have bilateral wrist pains that I feel are related to the amount of typing at wk and ultrasound in July showed some fluid around the second extensor tendon left hand which responded well to steroid injection . I used splints at wk however began to get recurrent symptoms . I saw a hand specialist -repeat ultrasound was normal -an MTI scan showed early OA changes in that small cysts were present in the lunate and capitate bones . My wrists ate settling with rest but I am having a battle with wk and may loose job as they are reluctant to agree to voice activation . Have been adv against long term splinting . Am 51 and athetise well -how significant are the bone cysts in the right hand only (tenosynovitis diagnosed left hand ) ?co-incidental finding -are they likely to progress is OA related to excessive typing" }, { "from": "gpt", "value": "Output: Hello, About the pain in both wrist joints, see its more often due to repetitive strain injury while typing continuously. Need to assess the strength of small muscles of wrist and forearm which are more commonly used in writing and typing work so as it has been diagnosed as cyst near late bone. So I suggest you go for Physiotherapy treatment and take therapeutic ultrasound therapy and IT therapy for at least 15 days once a day. Simultaneously exercises to increase strength and flexibility will minimize the reoccurrence. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a small, hard lump on the left side of my Adams apple (thyroid?). I have no other disturbing symptoms (pain, difficulty breathing or swallowing, weight loss, sweating), but my vein right below my jaw on the left side feels tighter than the one on the right. I noticed this about 1,5 weeks ago, any reason to be worried?" }, { "from": "gpt", "value": "Output: Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, with a hard lump I would at the earliest refer you to either a ENT specialist or a general surgeon for a clinical examination and related investigations like a thyroid function test, an ultrasound of the thyroid and neck region, and an FNAC of the hard lump. Further management would depend on the results of physical examination and reports of the investigations. 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: Hi, Yesterday I depilated my arms, and chest area with Braun epilator and got itchy, red bumps. I use epilator often and I do get red bumps but they are never itchy and usually go away in couple hours. I used Aveeno afterwards, thinking it will help with irritation. The rash keeps getting worse and they spreaded on areas that I didn t epilate. They are not constantly itchy but often. Is there any over-the-counter lotion I can use? I ve been searching for a remedy online and read creams with cortisone will provide relief but might leave permanent marks on the skin. Is that true?" }, { "from": "gpt", "value": "Output: HI, Dear,Welcome with you query to Chat Doctor Virtual Clinic. Reveiwed your problem after messed up emulation. You seem to suffer from Chronic Acne witChatDoctoredones mostly, which is causing its recurrence along with neglected chest cleansing and hygiene. Suggested Remedy plan for you is as follows-Consult your Dermatologist-Control messed up chest lump infection after dedication of the arm/chest, With Topical Antibiotics Only. Steroid combination if need be and leave it to your doctor to plan. Zincovit to supplement your healing power. Good Diet with Fruits for 2 weeks. Maintain Good digestive system and stoolsEnough liquidsContact after 2 weeks time with a Followup Premium question to ME. Will appreciate your Hitting, thanks. Will appreciate review with your excellent review write up comments. Welcome with any other further query in this regard, if need be. Good Day!! Chat Doctor. S. Genl-CVTS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. I am 34 weeks pregnant and have something like tissue protruding from my vagina. I have been to my doctor, who says it is not a prolapse, or a varicose vein, but just hormones causing the vaginal wall to swell and protrude. He says it may get larger during the next six weeks, and when I am pushing in the second stage, he would expect it to protrude further, but that it is not a cause for concern - the midwife should just push it in again! I am scheduled to have a home birth. Do you think I should change my plans now, or is this, as my doctor seems to think, an uncomplicated issue?" }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. I understood your concern. After 7th month of pregnancy, preparations for delivery start in mothers body. One of them being increased mucus discharge from vagina... this is to facilitate / lubricate fetal head while childbirth. For this vaginal mucus membrane cells get enlarged / sort of swell. & some part of such enlarged mucus membrane may protrude out of vagina. After delivery, as the complete mothers body gets to normal . The mucus membrane also regresses back to normal shape. So, please don't worry. After examining you, your doctor has excluded prolapse or curiosities. So you should believe him. Only need is to maintain vaginal hygiene/ do not try to pull/ prick or cut the protrusion. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What could be causing both sides of my ribs to feel like they are sinking or caving in? Sometimes both sides feel like that sometimes it s one side or the other and it feels like it s last 2-3 and I m not sure if this is normal but I ve never noticed it until recently that right under my breasts (both sides as well) there is a deep indent in one of the ribs in the front" }, { "from": "gpt", "value": "Output: Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 16 year old daughter has had a sore stomch for a month I took her to the emergency room they did test on her and said it was her appendix sore we went o the hospital had it done. but the next week she still had the pain but was worse. We went back to the doctors had blood test and found out she had a kidney infection. they gave her antibiotic, but this week her pain has come back sore all over and she gets dizzy when she stands up for 5 mins I want to know what 2 do because her white cells aint killing the bacteria. Do I take her back to the doctors for more test or have you got a solution on her condition" }, { "from": "gpt", "value": "Output: Hello.thanks a lot for your query on Chat Doctor, it sad to see your daughter referring so long...from your history given, I would suggests you better to leave the doctors who have already seen her and consult a doctor and undergo a battery of tests again, that should give an exact insight as to what she is really suffering from, there are numerous causes that can cause features that your daughter is facing from.afterwards take specific and accurate treatment.things will go fine...don't worry.be positive..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my brother is a patient at the ENT section of the Johannesburg General hospital. he has been diagnosed with throat cancer. They have inserted a tube into his throat for oxygen. He cannot eat and has been there for a while. He is in terrible pain and seldom receives medication. He basically is left to himself. What is the possible solution to his disease." }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your brother has throat cancer. Treatment depends on stage of cancer. In early stage surgery is helpful. In late stage surgery is not helpful and chemotherapy and radiotherapy remains the treatment options. Consult your doctor and start treatment according to stage and spread off cancer. 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: hi i recentley had my 7 years old sons lymph node checkd on neck and he said do you kbow he has anemia? i didnt but there special doctor i see didnt say what i should do and my son is very tired at times an his eyes hurt when tired? please could you advise many thanks" }, { "from": "gpt", "value": "Output: Hi.... I understand your concern. Anemia is a very simple problem, but at the same time, if it is only isolated anemia the most common reason is Iron deficiency. As a physician has recently checked your son and told that it is only an isolated anemia, and he is also symptomatic - like easy navigability, I suggest you use iron supplements at 3 mg per kg per day in 1 of 2 divided doses. But this is a prescription Chat Doctor. I suggest that you get back to your sons' pediatrician regarding this. He will be requiring iron supplements for 3 months consistently. 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 growing lump between my stomach and below my chest. It is not painful. However, my breathing is impaired by it after even short walks. Also, I find myself coughing quite often. I had a quadruple bypass over a year ago. In addition, the hospital I was recuperating in gave me two staf infections, which resulted in several weeks more in the hospital receiving antibiotic treatment and wound treatment for a leg they had to open up to remove the infected area. Right now I am very concerned about my breathing problem. Thank you" }, { "from": "gpt", "value": "Output: Therefore, there is a lump between your stomach and chest; it is not painful; it is enlarging; it causes breathing problem; it causes coughs; you have significant surgical/antibiotic history! Thanks for sharing all details with Chat Doctor! I think you got hernia-king of lesion could be hiatal hernia or epigastric hernia. It is not tumor or infection; some portions of your gut have entered into the chest cavity causing all symptoms; a simple chest x-ray /USG can confirm this!Therefore, please visit us with the reports ASAP; regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 53 yrs old and at age 47 I had a mild heart attack with 1 stent placed in the RCA. Now in the last few months I have been having what my Dr calls angina. I have been taking Imdur for this but in the last month or so I have been having more episodes as many as 20 a day. I had chest and arm pain thursday for about an hour that did not go away so i went the the ER and then to the cath lab for heart cath but my Dr said everything is fine, so what could be the cause of the pain that I am having? Any suggestions as the where to look next." }, { "from": "gpt", "value": "Output: Hello welcome to Chat Doctor. Since you have got yourself evaluated by an angiography and your doctor has cleared you from the heart side, means that the stent is working well. Angina can be caused by microvascular ischemia, which means the smallest vessels of the heart arteries are having blocks. These blocks cannot be seen by angiography nor can be scented. The treatment for microvascular ischemia is antianginal, statins and anti platelets. You need not worry because it won't cause you any health issues. Other causes if chest pain here should be excluded. Like hyperacidity can mimic chest pain of cardiac origin. Please take a course of antacids for 14 days and see if your pain abates. Another cause can be Costco Chat Doctor. This inflammation can be contained by using anti-inflammatory medications like diclofenac and ibuprofen. Next Vito levels should be checked. Bit D deficiency can also cause rib pain, bone pain fatigue. Please check your It D levels and take correction for it D of they are low. You have a low probability of this pain originating from cardiac causes. So please continue taking tour cardiac medications and along with it take antacids, diclofenac and It D correction as advice. Wishing you good health. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 9 year old boy, healthy, no allergies, NKDA. In the last two months, has become sick, very suddenly at night. No fever, no vomiting (though he thinks he might). Severe headache, hot/cold, general malaise. attributed it to dehydration first few times but I have been strict about water intake as of late. worse night was tonight, he seemed to not be able to get comfortable at all (body aches?) Cool compresses helped, finally asleep. Seems like the flu but no fever and usually wakes up feeling 100%. Any ideas?" }, { "from": "gpt", "value": "Output: Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you and if so rate it if you are happy. I wish your son a speedy recovery. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Apart from very few people i avoid social interaction. I m 20. I love being alone. I don t like crowded areas they drain me. I avoid parties they make me feel a little alone. I m an artist so most of my downtime i sketch in my little notebook. I don t involve in group projects, i avoid giving opinions and mostly sit at the back of the class. Stage presentations make me nervous and i d rather workout all day than give a presentation which seems more tiresome to me. I have these two three friends i enjoy my time with or go out for a walk or get a cup of tea or watch a movie. I m usually the last person if asked for volunteer. Most of time i have heads free on so i can avoid small talks with people. I have trust issues. I really don t trust anyone. I keep my stuff to my self be it good or bad. Alone time makes me feel good. I do have a little sensitivity to negative emotions so i have a short temper. I m a little shy so i prefer to remain quiet rather engage in some talk that will end in an awkward silence. I actually am a little active on social sites not that i interact with anyone much, i run my art pages and i have quite a fan base. and yes i am wearing braces so i struggle with smiling most of time and it gets so awkward. Is this all normal?" }, { "from": "gpt", "value": "Output: Hello! Welcome to Chat Doctor ! In my opinion it is normal to feel anxious and in social situations. If it is effecting your day-to-day routine, then it is very important to go on cognitive behavioral therapy with a trained therapist. Creating hierarchy of situations from lower to higher ones that cause anxiety and face those step-by-step basis is important. Hope this clarifies your concerns. Thank you for the query. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I applied, for insurance recently and was denied for out of range results by companies allowances. Having kept records of previous test,(all which have been within range ) as recently as I/2014...my sgot/sgpt levels have gone up. Current readings are sgot146/ sgpt 116. ??? I wish to follow up with someone but have no doctor at this time. Which professional should I seek for comparative testing and evaluation? I moderately drink, work out vigorously 3 days a week, am about to turn 50. Puzzled...." }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. Normal levels of AST and ALT may slightly vary depending on the individual laboratories reference values. Typically, the range for normal AST is reported between 10 and 40 units per liter and ALT between 7 and 56 units per liter. ALT and AST are two of the most reliable markers of hepatocellular injury or necrosis. Their levels can be elevated in a variety of liver disorders. I would suggest you seek consultant with the gastro-hepatologist in your local region. You do not mention any other blood test report like GGT, ALP or Bilirubin level, in order to help me find determine the cause of your elevated transaminase. Hope I was helpful with my answer. Don't hesitate to ask again. Take Care," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just wanted to start skipping rope as an work out.But when I just started it my back started to ache so badly that I couldnot stand even.Is this common or do I need to change anytyhing.I have been not working out since along time.And I wanted to start now." }, { "from": "gpt", "value": "Output: Hi, To start with any exercise there will be some strain of muscles initially. But after some time your muscles will accustom to this type of exercise and there will not be any problem. Start with low intensity and gradually increase the time. Go for worm up exercise before starting real exercise. Go for regular and daily exercise, gap for few days might give rise this problem again initially. 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 have a history or MRSA and I have had two c-sections. I also have mitral valve prolapse and experience irregular heart beats every day. I hope to have a third child but I am worried about risks since I would probaly have to had a 3rd c-section since I have had two. What can I do to reduce risks and increase likelyhood of a healthy delivery?" }, { "from": "gpt", "value": "Output: Hi, With two previous cesareans and a heart condition, it is very unlikely that you will be delivering normally. Women with previous two caesareans are offered an elective repeat Cesarean section at 38-39 weeks. There is a slightly increased risk of scar rupture with previous 2 caesareans. And most obstetrician would advise you to avoid vaginal delivery. The exact risk would depend on a lot of factors like, the indication for previous Cesarean section, gestational age at which they were done and post-operative recovery. Also do discuss your heart condition with a cardiologist before planning for another pregnancy. MRSA should be kept in mind while taking antibiotics prior to cesarean. 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: Hi, I have a bit of swollen forehead and general awareness of my forehead area. I was working hard yesterday in our crawl space to deal with and clean up a water issue. I noticed that I was sneezing some in the evening but thought it may have been some dust, etc. I was not in the space for many hours, perhaps an hour total over the course of the day. It was the hottest day we ve had thus far in Raleigh, NC at 98 degrees. I have also been somewhat prone to dehydration over the years. I am 45 and am a professional engineer in the office most of the time. Should I just rest, get water? No significant pain just a full type feeling in the forehead area along with the visual. I m not sure if it feels warm but maybe a bit. Any advice greatly appreciated. Thank you." }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling and weird feeling in forehead. Well there can be many reasons for symptoms you mention in query like viral syn Chat Doctor. Such symptoms can also appear due to allergic reaction or sun stroke. I would suggest you to consult neurologist for proper examination. Doctor may order certain test to confirm the diagnosis like CT scan MRI. Doctor may order blood test along with checking vitals. Doctor may prescribe antiviral like acyclovir along with anti-inflammatory, grosgrain, beta blockers, furosemide and physical therapy of neck. Doctor may also refer you to ENT specialist for sinusitis like problem. For now take paracetamol along with taking proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: felt like something snapped in arch of foot - have had knee pain & pain in lower back, hip. when bending the knee - feels like swollen. no problems walking. when elevating feels like stretching form hip to knee. after dancing & jumping increased pain around knee & just below knee cap." }, { "from": "gpt", "value": "Output: Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised with MRI of lumbar spine. As the pain you have which cover the lower back up to the heel, I suspect it to be a neuropathic pain. A thorough neuromuscular assessment is advised. Also, with simple physical therapy training, the symptoms can be controlled by therapeutic ultrasound therapy and TENS therapy. Performing exercises on later stages for strengthening the core, spine, pelvic floor and lower limbs as a whole should give a better outcome. In my clinical practice, most patients respond well to physical therapy. RegardsJay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 44 year old woman, had a t-bone accident about 12 years ago and suffered injury to sternum, alon g with severe whiplash. A year or so later I have suffered with mid sternum pain, throat squeezing, heart flutters and near fainting. I have been on paxil, metoprolol and buspar, and Robaxin. I am sometimes symptom free, and then the symptoms return. I have been seen by cardiologists, endocrinologists, allergists, gastrointerologists,. Help, I have run out of answers." }, { "from": "gpt", "value": "Output: HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.WHIPLASH INJURY IS EVALUATED WITH MRI CERVICAL SPINE.IF AN ABNORMALITY IS FOUND, THEN SPINAL DECOMPRESSION THROUGH LAMINECTOMY IS DONE.CORTICOSTEROIDS ARE VERY HELPFUL.STERNAL INJURIES ARE OFTEN ASSOCIATED WITH CARDIAC CONTUSIONS.THIS EXPLAINS THE CARDIAC SYMPTOMS IN YOUR CASE.CONSIDER HAVING 2-DIMENSIONAL ECHOCARDIOGRAPHY.CONTINUE WITH ALL THE PRESCRIBED MEDICATION.KEEP IN TOUCH WITH CARDIOLOGIST.THANK YouTube CARE" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My four year old son recently had a pretty bad bloody nose in the middle of the night. He has has these before in the winter, so we didn t think too much of it. (There is a humidifier in his bedroom that runs all night every night, and we put Vaseline in his nostrils at bedtime.) Just a few days later, he had a meltdown from being overly tired, and his nose started to bleed again. Just a little this time; it stopped fairly quickly. After this episode, he developed a hacky, dry cough, and he s had another incident of his nose bleeding slightly when he started to cry. He doesn t have a fever, but this dry cough has persisted for two and a half days now, and he s never had nose bleeds this frequently before. We have just today added a larger humidifier in our living area of the house to see if that will help. He takes a high-quality multi vitamin every morning, and we are adding a children s C supplement now. Any ideas what this could be? (It hasn t been a particularly cold or dry winter here.)" }, { "from": "gpt", "value": "Output: Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer. In such a patient, there needs some tests to find out what's causing him nasal bleeding. Cough can be explained by nosebleed. Does he bleed from any other place or is there any rash or petechial on his body? Is there any bleeding disorder in your family? How about his platelet counts? If there is no to all these questions, does he had of habit of pricking his nose or putting his fingers in nose frequently? As this has increased in frequency, so you need to consult your doctor. Till that, keep applying Vaseline to his nose at least twice a day, keep him away from heat and Chat Doctor. If there is a bleed, then apply pressure on nose, keep his head tilted forward and if available put ice packs or pour water over his head. Hope I answered your question. Feel free to ask if you have any doubt before contacting your primary doctor. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My brother in- law have Kidney stone (7.2 mm) and blood suger having about 400 and by Insulin injection it falls down to 130. He has also renal infection and temperature was also high and now normal. During investigation stone was found a fews days ago. He he is now under treatment. Now please advisie me whether operation should be done to remove the stone or medicine to be taken to dissolve the stone and for renal infection." }, { "from": "gpt", "value": "Output: HelloThanks for query. Your brother-in-law has Diabetes with kidney stone of a size of 7.2 mm with infection. I would suggest following line of treatment 1) Control his diabetes with Insulin and proper monitoring of sugar levels.2) Treat UTI with appropriate antibiotics after doing his urine culture 3)The stone of a size of 7.2 mm is likely to pass down spontaneously.4)Once his diabetes and infection is well controlled repeat Ultrasound scanning after 2 weeks and if the stone is in a same position he may go for Extra Corporeal Shock Wave Lithography to fragment the stone so that the gravel will pass out through urine. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my husband was told by an infertility speacialist who did a semen analysis that they found white blood cells so he took Cipro for 2 weeks and restested. He still had white blood cells so she ordered a culture. They found moderate skin flora in his semen along with the white blood cells she said since its moderate no further treatment is needed. We are unsure what skin flora is and why further treatment wouldnt be needed?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor . Normally many organisms live on our skin. These won't cause any harm to us. They protect from outside organism. The group of organisms is different at different places like skin, mouth, intestine. Those residing skin are called skin flora. Presence of skin flora in semen is not harmful. It indicates while collecting semen skin flora have come. This needs no treatment. Hope I have been helpful. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir/Mam, I am 22 and suffering from Erectile Dis-function and premature ejaculation.I don t know why but i have too much desire of sex. I have been masturbating since i was 14. But now i have stopped it. can You please tell me is it curable ? I am also suffering from hairfall since last 2 year.. and i have lost around 50% of my hair. should i use minidoxil 5% ?" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. Masturbation is not a disease. It's a way of expression of sexual energy in the absence of a sexual partner. There are no long term health problems reported with it except for fatigue. If you want to control it, try yoga and meditation. Using Chat Doctor. About erectile dysfunction, it can be psychogenic or vascular problems or due to hormonal imbalances, diabetes etc. My advice is to visit an" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctors, My name is Mohamed , 29 yo, 180cm.. I have been married since 1 year and my wife is not pregnant till now. I made this Semen analysis, please tell me is it ok or I need a cure?? ============== Volume 3.0ml Reaction Alkaline/PH 8.0 Viscosity Viscid Liquefaction time" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor . Your sperm count and motility are normal. Don't worry. But WBC are more which indicate infection. I would suggest you to consult your doctor and take antibiotics like ciprofloxacin for the infection. And after the course repeat semen analysis to see for infection cure. I would suggest you to also discuss regarding use of fertility improving Chat Doctor. These will improve fertility. Hope I have answered your query. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I have a bruise on my arm that I received when getting blood work done. The bruise quickly spread from the injection spot and is a purple/red colour even though it s a week later. The red seems to be spreading across the bruise, but the outline of the bruise is yellow. Should I see a doctor?" }, { "from": "gpt", "value": "Output: HelloThankyou for contacting Chat Doctor. Bruises usually take around 2 weeks to heal. They change their color from red to dark blue and then to golden yellow after they which they fade away. Your bruise seems to be following the same cycle and in my opinion it is fine. Please contact your local physician if the bruise starts spreading rapidly, starts hurting more or u feel a swelling at that area. Hope this answer your query. Please feel free to ask again if you have any query. Wishing you good health" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr. I have been getting frequent and continous sneezing in the mornings and some times in the evening, this happens once I get up from the bed, immly, my nose will get blocked and I will have atleast 25-30 hard sneezing, along with running nose, some times 2-3 drops of blood and some times sneezing is so hard that, me ears will get sucked or squeezed.....most of the time, my nose is blocked or iam having running nose.... I have shown to ENT dr, but they have told it is due to some allergy .....but it has not cured with their treatment..... pls advice as what should I do to get rid of this allergic.... Regards" }, { "from": "gpt", "value": "Output: Hello dear... The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Management includes" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,Im pregnat and in 2nd trimester (14 weeks completed) now. Im severely having tooth ache pain for the past 2 week, went to dental doctor and they told me to undergo root canal treatment. First day he started the root canal procedure and he cleaned the infected teeth. Next day morning I got fever and consulted gynecologist, doctor told me not to do root canal treatment now and it may affect baby. He told me to take imol and novomox for pain relief. Immediately I went to anoth dental doctor and closed the opened teeth without completing the root canal treatment. Im taking imol plus and novomox for pain relief. Everyday Im getting severe teeth pain. Is it advisable to do root canal root treatment now? Bcoz the pain is untolerable and not able to sleep properly. Kindly advice." }, { "from": "gpt", "value": "Output: During pregnancy also considerable attention should be paid to the hygiene of the oral cavity, because hormonal changes can contribute to swollen and bleeding gums, increased sensitivity of the gums to the emergence of plaque and tartar. The daily care of the teeth during pregnancy include" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my last period was on November 5th and i just found out that i was pregnant and me and my boyfriend have been together for 2 1/2 yrs and havent gotten pregnant and i cheated on him on November 15th(only this day), so is it possible to tell by ultrasound if i conceived on that day or after that. so will i be able to tell whos the father of my baby by how far along i am?" }, { "from": "gpt", "value": "Output: HI I understand your concern. Conception is around ovulation which is 14 days prior to expected day of menses. So ovulation can be calculated. Now if November 15th happened to be your ovulation time (or a couple of days before or after that). You have possibility of conception with sex on 15th Nov. Sonography can not calculate date of conception. It reports in terms of weeks of pregnancy. Confirmed Paternity can be tested by chromosomal analysis only. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my child is 2 yrs old and has a fever of 99.5 his body is shakeing and his eye lids and finger tips have a blue tint to them he does have a minor ear infection and his docter perscribe childrens tylanol but has no progress hes is worse than when he started getting sick and now is throwing up" }, { "from": "gpt", "value": "Output: Hi, If fingertips are blushing, you have to be careful about breathing pattern, if breathing is finer than you should keep your baby warm, It can be because of cold. Secondly 99.5 F is low grade fever, your doctor has prescribed the right medicine. Just make sure you are giving it in right dose as per body weight which is 10\\u00a0mg per kg. That means if your baby is 10\\u00a0kg than his dose will be 100\\u00a0mg. And you can repeat the dose after every 06 hours. Wishing you baby a healthy life. 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 had a surgary n the next day i woke up with sharp pain in at my collar bone. it has spread to the back of my shoulder to the bottom of my shoulder blade. then down the side of my rib cage n down to my shoulder. today it is down to my wrist. what is this?" }, { "from": "gpt", "value": "Output: Hello, I can understand your concern. It would have been helpful if you had mentioned what surgery you have been through and for what disorder. If you have had surgery in the head and neck region under general anesthesia, then you must have been put on the wooden block under your shoulders and back to raise the surgical region and have better vision and accessibility for the surgeon. If that is the case, then due to being still on the wooden block for long time may make muscles stiff, and you may feel pain in all the areas you have mentioned. The wrist pain may be experienced due to injection of IV anesthesia and medicines. If this is the case, then analgesics that you must have been prescribed after surgery and local application of Dialogic Sodium gel (Voting) can help. If the condition is not what I have thought, then you should discuss the problem with your surgeon for other possibilities. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you recover soon. Best," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 20 5ft 3 about 7stone. I had a filling put in my front tooth as I had a small cavity about 5 days ago. Ever since the tooth that had work done has been extremely sensitive and painful. Where the anaesthetic was injected, those teeth are also hurting a lot, and my whole mouth just generally aches to the point where it is difficult to eat. Its as if i have toothache in all my teeth! Is this normal? What should I do?" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The sensitivity in the teeth could be because of the deep decay or because of the improper base given below the filling. Consult an endodontist and get it refilled. You can get a radiograph done to rule out whether the decay is involving pulp or not, if the pulp is involved then it has to go for root canal treatment. The pain at the site of injection can be treated with topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily 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: pawan 30 nidhi 29 we do not have any child since last 5 years of our merriage.we do not have any problem .all the reports are normal.our sexual life is healthy.we have consulted many doctors all give us treatment.but there is no any profit. please tell us what we can do." }, { "from": "gpt", "value": "Output: Hi, If you have been for evaluation for infertility and all reports have come back normal. And, if both you and your wife do not have any medical or surgical illness and have no problems with intercourse, it makes this a diagnosis of unexplained infertility. Unexplained Infertility of 5 years is best helped with IVF. And since both of you are in 30 years, the results of IVF can be promising. I would advise going directly for IVF, without wasting much time and money on other treatments, if you both have no objections to IVF. Hope this helps. Best regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been experiencing so many different pains lately sometimes its my abdomen then my right side starts to burn and hurt my back hurts my spine does as well and sometimes burns sometimes its at the top sometimes its at the bottom pains through my chest my right arm leg and foot was numb just so much I just dont know help!!!!" }, { "from": "gpt", "value": "Output: Thanks for query on Chat Doctor. Pain in abdomen with back pain is suggestive of renal stone of that side. You have to go for urine test and USG abdomen to confirm the diagnosis. Numb leg, foot is usually occurring in b12,d3 and other vitamin deficiency. Chat Doctor. Start NSAID to subside pain. B12,d3,minerals and other vitamin supplement will be helpful. Consult your physician for proper diagnosis and better medical management." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain in the palm of my hand, below the thumb when I golf, type or try to unscrew something hard. My physician thought it could be carpal tunnel and gave me a wrist brace to wear at night. It s been about 2 months wearing the brace, the pain is better than before but still there. Your thoughts?" }, { "from": "gpt", "value": "Output: Hello I have studied your case, I consider that there was no injury/trauma to your wrist. As per your history there is possibility of De Quarries tenosynovitis. Physiotherapy like USG and TENS will help in relieving symptoms. Avoid twisting activity of wrist. Till time continue your medication. If not relieved local steroid injection will help, you can take that after consulting your treating doctor. Last aspect remains surgical release as long term cure. Another probability of carpal tunnel can be considered in which there is swelling over wrist. There is nerve compression near wrist which leads to pain on movement. 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: my 9 year old daughter has had a stomach ache and fever for 6 days now, (no vomiting but some diarrhea), i have been giving her calpol for children over 6 and it does ease the symptoms but they come back. i took her to the Dr and he said it was viral and that her glands were up in her tummy and throat and it would go away...but im worried please help." }, { "from": "gpt", "value": "Output: You've mentioned a condition called mesenteric adenopathy. This is common in child Chat Doctor. Lymph glands in her tummy gets enlarged due to viral infections, and they cause uneasiness/ tummy ache. This happens intermittently. Often resolves on its own with growing age when her lymphatic growth reaches a nadir. If there is any blood in her stools or weight loss like symptoms, she will need further work up." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am feeling down and low without understanding why I get angry quickly and can be very violent my family are worried and say I need help I cry sometimes for no reason and am very loud and excited the next can you help me please I have tried anti depressants called citalopram but to no avail my mum is worried about me what is wrong with me please help me please" }, { "from": "gpt", "value": "Output: Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that you are suffering from Depression with impulse control disorder but bipolar mood disorder and personality disorder may need to be ruled out. The reason of non-improvement with citalopram is - Less duration of treatment. Anti depressants take time to start action and one should allow 12 weeks before diagnosing it as non-working.- Inadequate dose of Chat Doctor. Usual dose range is 20-80\\u00a0mg per day.- Presence of other diagnosis like use of substance, bipolar disorder-Physical causes like thyroid dysfunction should consult your psychiatrist for detailed evaluation and treatment as per cause. Meanwhile, you may do stress management and relaxation exercise to control stress. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am vijay,25 varied myself about my habit masturbation. Please tell me is it bad for health? if so what is the side effects? how can i control,i tried a lot,but minimum per 2 time a day i have to do it.please guide me how to stop this,up to what age it may happen?any medicine please..." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Don't worry. Masturbation is natural, normal and is not harmful for your health. Masturbation in moderation cannot harm your health directly. There are no health related side effects. But if you masturbate more than essential, it may cause tiredness and related stress and anxiety. I suggest masturbation thrice a week. You can engage in physical exercises, outdoor games, education, career, entertainment with friends etc. to keep yourself away from masturbation. Become so tired that you cannot masturbate. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...hello doctor, I will be 30years in sept this year, I had a baby when I was 28years and started taking pills. I lost my baby in march last year and stopped taking the pills to have another baby but its a year since I stopped and still havent conceived. Am really very confused" }, { "from": "gpt", "value": "Output: Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. 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 broke my leg and misaligned a partial knee. I had surgery that implanted a plate with six screws on my leg and my partial knee was restructured. I ve been non weight bearing for 8 weeks. I can now bear weight as tolerated. what can i do to regain strength in my leg and begin to walk again?" }, { "from": "gpt", "value": "Output: Hello, You have taken rest for 8 weeks which is needed for fracture to heal. But during this period non use of muscles leads to wasting of calf and thigh muscles and stiffness of knee. Physiotherapy is needed to regain knee range of motion and to gain muscle strength. Please visit physiotherapist nearby you for assessment and to schedule physiotherapy regimen for you. Also Advise from your operating surgeon regarding physiotherapy should be taken. Exercises needed are knee range of motion, Ankle range of motion, Qua Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my partner has agina, has had a previous stent which is still showing intact, after the stent he improved terrificly and now a year later he is saying something is wrong again. He will be having a myoview in the very near future. My partners gp has told him to go to work but my partner decline to do so." }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would recommend consulting with his cardiologist and performing some new tests" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i recently have been getting sharp pains near my heart area and it is really starting to scare me i have looked it up online and it says agina not really sure what that is im 14male health dont smoke or drink and can it be deadly i also have had mono for the last 4 weeks and terrified of death" }, { "from": "gpt", "value": "Output: Hello, I have gone through your query. Thanks for using Chat Doctor.First it is very, very rare to get angina at the age of 14. You can be sure that your pain is not angina. It must be either muscular 0r due to gas and acid reflux. Over and above this, fear factor is troubling you more than pain itself. You may take simple analgesic like Diclofenac along with Omeprazole for few days. You should be fine, don't worry. My best wishes Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a root canal started on tooth #4 after feeling like it was abcessing - I was having pain behind my eyes and getting nauseous and shaky/weak - but the tooth didnt hurt! The dentist confirmed the tooth was dead (no sensation), and then drilled it and cleaned the roots a little. He left a hole filled with cotton to let it drain for 7 days while I wait for the final root canal appt. Is there any danger to having cotton in the hole and draining this way - i.e in bacteria migrating up the cotton filled drainage port? Also, the back of my head is tender where this root is emanating, and my neck is stiff ..... and I feel weak/tired - how dangerous is it to wait for this procedure? Ive been on antibiotics since having this procedure -still 2 1/2 days until the final procedure." }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The cotton kept after the cleaning procedure in a root canal treatment is common. It is done when the canal is not Chat Doctor. In that situation a medicated cotton pellet will be kept for 3-5 days. Nothing to be panic, Complete the course of antibiotics, the infection will come down. The stiffness in the neck is not related to this. 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: im 25 years old ..i started using mtp kit on 5th of august. and the bleeding started on 7th of aug for two days which was heavy...but after 1 month i didnt get my regular periods yet...I did check for pregnancy after the abortion and the test was positive...im tensed now...plz help me..." }, { "from": "gpt", "value": "Output: Hello, Thanks for letting us know your health concern. If you self-medicated for inducing the abortion, you should see a specialist for further help. You also need a sonogram of the pelvis preferably in the trans-vaginal route to clarify. Any retained products would have caused persistent bleeding/infection and so on. Ineffective abortion can lead to continuation of the pregnancy, but, since you had heavy bleeding after medication, this is unlikely. Pregnancy test remains positive for sometime after the abortion since the hormone levels take time to decline. The test can be repeated now. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 5 year old son has been coughing for a month. I ve taken him to the doctor twice. The first time he had an ear infection and was given medicine for 10 days. He has continued to cough the entire time. His cough is a loose cough and gets worse in the evening and especially at night. He coughs all through the night. He coughs so much that he nearly throws up. We have tried breathing treatment and cough syrup with no luck. What should I do now???" }, { "from": "gpt", "value": "Output: As you have mentioned in your history that your son has been coughing since month and gets worse in night, first I would suggest you to go for manitou test or chest x-ray to rule out the possibility of tuberculosis as his symptoms are quite related to TB. Secondly, for his current problems you can give him syrup co-amoxiclav 5 ml three times daily or syrup cefixime-cv 5 ml twice daily along with syrup febrex-plus or syrup tusked 5 ml three times daily with syrup vomiting or syrup ondansetron 5 ml twice daily for vomiting. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My toes on right foot more than left are numb and now are turning blue (big toe). I have gone through a nerve study a vascular study (slight sluggish in flow behind knee) ultrasound all they have found is bulging disk #3 4 5. The blood work was good high calestarol blood sugar ok thyroid ok what more should I do what could this bee I feel like its getting worse" }, { "from": "gpt", "value": "Output: Hi. The numbness and blue discoloration could both be due to be arterial insufficiency since they detected sluggish flow in the popliteal artery behind the knee. With a high cholesterol you may have plaques in the arteries, and you need to work on bringing that down. Exercise is advised to help improve the pumping action of the muscles to improve blood flow. The bulging discs in the lumbar area can cause backache and pain radiating down your legs. I suggest get physio and good back care and strengthening exercises." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosis with pleurisy last Tuesday, and am still having sharp pains in my right side of my chest, rib cage and right shoulder blade and lower half of my back. I have already had an EKG and I am having a chest xray today. How long can these symptoms last can could it be something more serious?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. Treatment of pleurisy is depending on cause. There are many causes for pleurisy. But the most common ones are1. Pneumonia. 2. Tb3. Pleural effusion.4. Pulmonary contusions. So better to get done chest x-ray and start treatment accordingly. If chest x-ray is normal than possibility of muscular pain is more. Try to follow these for muscular pain.1. Avoid heavy weight lifting.2. Avoid strenuous exercise. 3. Take good painkillers and muscle relaxant. 4. Avoid bad postures in sleep.5. Apply warm water pad to the affected site" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Within the past few hours, my husband has developed a rash that covers his back, neck, and upper arms. He seems to have no other symptoms. He has been taking antibiotics (Levaquin, sorry about the spelling) and just finished the last one today. Was in the hospital last week for 2 days with bronchitis / pneumonia. Has also been taking Mucinex. He has gone to bed in the last few minutes and is sleeping peacefully. I was very nervous about the rash and wondered what I should do, as there seem to be no other symptoms.Thank you.Brenda Wooten YYYY@YYYY" }, { "from": "gpt", "value": "Output: Hello, Thank you for posting on Chat Doctor. The condition your husband is having is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you" } ]