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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 have a cracked tooth, and yesterday, my dentist prescribed some vicodin. I have been taking 600 mb of Ibuprofen every 7 hours or so. Can I continue to take the Ibuprofen while taking the Vicodin? Also, if I don t take any Vicodin, how often can I take the Ibuprofen, and how many mg can I take each time?" }, { "from": "gpt", "value": "Output: You have to take either one of them they both are analgesics there is no use of taking two analgesics you can better take Vicodin and stop ibuprofen and also get your tooth checked properly and get an x-ray of the victim tooth if root of your tooth had not fractured than it can be saved by simply doing root canal treatment and giving you a ceramic crown which duplicates your teeth and maintain aesthetics." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having symptoms of a sore tongue and gums, like the skin in my mouth is tight. It is a dull ache most severe on the sides of my tongue and lower parts of the inside of my gums. My teeth are not sore and I really am healthy with no other symptoms. It is painful to eat, hence the concern. Anything you may be able to deduce from this? Thanks for your help! Gabe" }, { "from": "gpt", "value": "Output: Hi. Thanks for the query. It looks like you have inflammation inside mouth. Due to inflammation you are experiencing pain and soreness. Inflammation and soreness can be due to numerous causes, but common ones are allergy to certain foods or chemicals, deficiency of or vitamin B 12 or both, burning the inside of mouth while eating something very hot or irritation with any chemical substances or mouthwash etc. Fungal infection can be another cause. So first consult an Oral Physician and get the cause ruled out. Treatment of the same will help in relieving the oral symptoms too. For now symptoms can be managed with gargling with numbing mouthwash containing Lidocaine like Magic Mouthwash. Start taking vitamin B complex supplements daily. You can also do cool water rinses and suck ice as both of these can absorb heat and reduce inflammation. Avoid hot, acidic and spicy foods. 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,<last week my 4yrs/Female kid was diagnosed with Jaundice, total bilirubin was 10.8 (8x + 2x), she has been talking medicine for 10 days now, a second blood report showed bilirubin total to be 32.x. Is it high? Is it serious? What count will be dangerous? our pediatrician said today jandice is high, it will increase before coming down something like that. After a week of taking medicine, jaundice getting higher doesnt not make sense to me. How is it possible? Can please some give some advise? Thanks." }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor. Thank you for your query. Jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to more complicated- High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. In children, common causes are Gilbert's disease or hepatitis viral. Medical imaging such as ultrasound is useful for detecting certain liver issues. Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 4 yr old has been complaining of stomach cramps and began running a fever she now is complaining of a sore throat and i noticed three red spots on her legs i am trying to figure out what is wrong with her as i took her to the er and they wernt sure what was wrong but said it could be possible she might be getting strep but said to give her advil for the fever and thats it." }, { "from": "gpt", "value": "Output: Hi... by what you say I feel that your kid maybe having very early signs and symptoms of Enoch schooling purpura. This is a sort of systemic vasculitis which can cause red spots on the lower limbs along with tummy pain. If she is rolling over the bed in severe abdominal pain or red spots on her legs are increasingly palpable, then I suggest you get her back to the Emergency Room immediately. But skin conditions are usually diagnosed and treated at their best only after seeing them directly. So I suggest you upload an image on this website and then get back to us, so that we can guide you scientifically. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have a 9 cm painful swollen bruise on the side of my left lower abdomen.Has fluid and a lump and is incredibly sore and all muscles around hurt and tummy is swollen tonight also. I noticed it yesterday afternoon starting to appear (it started as a hard lump sticking out, hardly any bruise) have not had a bash or fall. have been exercising a lot recently with weights and doing lots of sit ups. i am 34 years old. went to the doctor here in seychelles who gave me antibiotics? feel a bit worried." }, { "from": "gpt", "value": "Output: Hi. You had a definite history of strenuous exercises like weight lifting and sit-ups. The strain on the muscle group must have caused a tear in the blood vessel to cause a collection of blood called hematoma. I would advise you to get a CT scan pertaining to this area to study and diagnose whether it is just a muscle tear of Hematoma formation. A large hematoma needs aspiration and tight bandage, full bed rest, review with ultrasonography for the progress. Antibiotic may not be necessary if the skin is intact. Anti-inflammatory and muscle relaxants work well. IT takes about 3 weeks of bed-rest." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 40 years lady. I had got high fever 1 1/2 months ago and had taken antibiotic course for 5 day. That time I got the urine tested. Pus Cells. 20-30/HPF,Epithelial Cells.4-8/HPF, Micro Organism - present. But there was no growth in CULTURE Report. Repeat test is done and presently it contains Pus Cells. 15-20/HPF,Epithelial Cells.2-4/HPF, Micro Organism - present Protein - Trace. Again CULTURE shows no growth. What is its implication? I am taking medicines for thyroid - 25 mg only. I am not experiencing any pain or burning senstation while passing urine at present or when I had got fever last time. I have the history of Urine Infection after birth of my child (caeserian) who is now aged 4 years . At that time also there was no pain or burning sensation but I had suffered from fever with bodyache." }, { "from": "gpt", "value": "Output: Hii have gone through your question and I can understand your concern about fever ant UTI.as there is pus cell and bacteria present in urine it clears that you got a urinary track infection and your fever is also due to this. Before going to any conclusion I would like to ask you some question1) is there is weight loss in past few days?2) do you fell weakness?3) is there is any person in your surrounding who is suffering from tuberculosis.in almost all the cases of urinary track tuberculosis picture is almost same like yours. There is puss cell there is microorganism there is fever, but there is nothing in culture because tuberculosis bacteria need a special culture media for its growth, and it also takes more than usual time to growth.I will suggest you to go for a urine AFB test also request for culture for M.TB.also get an ultrasound done for your kidney hoping this information will help you and send the answer for my questions as soon as possible so that I can help 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 drank 4 water bottles today like bottal after bottal (right when I m done with one I gt another). After my 4th bottle my lower stomach by my hip started hurting when ever I was slouching or sitting straight (I haven t had my period yet so I m not sure if that is it {I m 14}). Please tell me what the situation is and If I should worry or not." }, { "from": "gpt", "value": "Output: Hi! Good evening. I am Chat Doctor answering your query. I do not consider this situation of yours to be anything to worry about. Chat Doctor. It would be relieved soon once the water gets absorbed, and of course, there could be some diuretic spell. So, do not get worried. As suspected by you, it might be the pre menstrual discomfort only. I hope this information would help you in overcoming your anxiety on excess water intake. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Using microgynon30, do I need to take the pill at the same or a regular time each day? I ve not taken the pills at a regular time each day (between 8am-2pm), and pretty sure a few times I forget a day and take it the next morning (and that day s in the evening or not at all). I m on microgynon30. Should the pill still cover me as contraception if I m taking it, almost haphazardly, like this?" }, { "from": "gpt", "value": "Output: Hello. Thanks for writing to us. If you are taking the pill on the same day even if it is at haphazard timings, then you are protected against pregnancy. In case you have completely forgotten the pill for more than 2 days then you need an additional protection. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just had my right kidney removed due to a clear cell Renal Carcinoma Fuhrman grade 4 there was mention of a few things one of which was a Bilateral Hilar Prominence, What is this or what does it mean, I am a 60 year old male with Lupus but eat somewhat healthy ; no Mcdonalds ,B.King and well you get the point" }, { "from": "gpt", "value": "Output: Hello, Your X-ray picture is suggestive of the following conditions. 1. Heart failure2. Emphysema. So please let me know 1. Do you smoke?2. Do you have hypertension or diabetes or other heart diseases? 3. Do you have breathlessness or cough or edema feet? Please reply to me answers of above-asked questions, so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Rammstein, General Surgeon" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother has spinal stenosis. Recurring and now growing very frequent, she experiences sensations when standing that begin in her legs and spread up into her back that her legs are collapsing beneath her (melting) and then she has to sit or feels that she will fall to the floor. Any suggestions about what is going on and what her next actions shoulc be?" }, { "from": "gpt", "value": "Output: Hello, I have studied your case and reportsCanal stenosis leads to burning/numb sensation and pain in your back and leg. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Epidural steroid shot can help. If there is no relief with all conservative measures then decompression with fusion or disc replacement can be done. 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 inquiring about the concern of a dear friend who has been mostly confined to her bed for the past 6 weeks due to the following symptoms" }, { "from": "gpt", "value": "Output: Hi, Thank you for posting your query. I appreciate your concern for your friend. Yes, it would be very useful for her to be examined by a neurologist. Her present symptoms may or may not be related to the past episode of shingles. After examination, she may require MRI of brain and spine, and blood work such as thyroid profile, serum vitamin B12 level, etc. to identify the cause. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a vasectomy 14 days ago. It was a no scalpel coterized open ended type of vasectomy. My testicles are still pretty tender and I must be careful not to bump them with my hand or something as this causes pain. When I am resting, I don t feel any pain. Is this normal after 14 days? Is so, how much longer till this issue goes away? Also, when my ball-sac hangs loose, it looks a bit deflated since having the procedure. Is this normal?" }, { "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. Pain after vasectomy for such a long period is abnormal. NSV or non scalpel vasectomy will never cause loose or deflated testicles. So pain may be because of the infection or some other thing. I suggest you should examine yourself with the doctor for pain in the testicles. Only visible examination and direct examination can diagnose the condition directly. And can help you cure. 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: husband had abnormal ecg echo test clear but positive stress test showing he may have had a heart attack.he is 59 and father had angina died at 68 with stroke husband is non smoker and non drinker,has to have angiogram,could it be a false alarm or am i deluding myself?" }, { "from": "gpt", "value": "Output: Hello, I understand your concern and would like to review his ECG for a second opinion. An exercise cardiac stress test or dobutamine stress echo would be less invasive tests (compared to the angiogram) to help investigate for coronary artery disease. Even though he has no cardiovascular risk factors like smoking or Chat Doctor. Which may lead to an increased risk for coronary artery disease. 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 a 13 year old boy, who grew to fast and will need back brace because of his ribs is not in position it should be. Xray have been done and Drrecommended Ct. Children Hospital.Can we get the brace for free or low cost.We do not have any insurance.Thank you for your advice. At this point I need financial advice before any other questions" }, { "from": "gpt", "value": "Output: Hi their state child Chat Doctor. Please ask your doctors about this. If they don't then ask them for the specific name and size because this matters and then search for it and see how much actually it costs, if cant afford it then turn to social media and as for help, describe your case and POST details of the brace, I am sure someone out there has used and has grown out of it, but it still is in good condition and can give it to you for free or for low cost." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am working as software engineer i have back pain . i am sotting 10 hours daily" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor. Since you are spending a lot of time siting down working on a computer, the back muscles are getting strained, causing pain. This is one of the professional hazards that you are having. Try to frequently change your posture and don't work continuously at a stretch. Take frequent breaks to stretch your legs and relax your back muscles. Avoid taking any painkillers, as they are harmful to the body." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About 3 months ago I had sharp pains in my right thumb off & on for about 2 days & then it went away. Now for about the last 6 wks I ve been having a lot of stiffness in top joint with pain especialy when I wake after doing a lot of gripping or lifting the day before. It s like a catch in that joint that s very painfull especially the first several times I try to bend it. I work with my hands so this is very troubling .Any ideas? Thank You." }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of arthritis of thumb joint. I would suggest getting this evaluated by an orthopedic for detailed examination. You may get the X-ray/MRI, some blood tests and joint fluid analysis under his/her guidance to reach the accurate diagnosis. Use heat and cold to manage pain. Both heat and cold can relieve pain in your joint. Heat also relieves stiffness and cold can relieve muscle spasms. Apply over-the-counter pain creams. Creams and gels available at the Chat Doctor. Take diet rich in calcium, vitamin d3 and minerals. 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 husband has had a nagging cough for two weeks. He had an appointment with his physician for another reason, and his doctor refused to talk about his cough, but only said that if it continued, he may have to order an upper respiratory x-ray. What can be done to alleviate his cough in the meantime?" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor, As per your query, You can try these remedies for cough, cold and sore throat.1. Saltwater gargle-gargling several times a day with warm salt water can reduce swelling in the throat and loosen mucus, helping to flush out irritants or bacteria. Dissolve half a teaspoon of salt in one cup of water. Just remember to spit the water out after gargling, rather than swallowing.2. You can take Anti-allergic Been Chat Doctor. Lozenges and spray-Sucking on cough" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a pinching in center of chest and my heart seems to stop then start please help i told my doctor this and he gave me x-ray ekg and stress test found nothing he tryed to give me depression pills told me i was having anxiety attacks but i am not imagining this" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Anxiety disorder is to be taken as the basic disorder. Chest pain could be due to the acid reflex created by the anxiety disorder, ensuing stress and of course, obsession. I suggest you to first consult a doctor and get your EKG taken to confirm everything is perfect with your heart health. Then a psychologist will be able to clear your anxiety disorder and thereby your chest pain. 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: Me and my girlfriend have had sex Atleast 5 days a week for last couple of months . Recently I have had a problem staying hard , and being able to ejaculate. Also, by the second round im able to stay hard but I m dmaller and takes way longer to ejaculate." }, { "from": "gpt", "value": "Output: Hello, What you are experiencing is a normal physiological phenomenon and nothing to worry about this. As you are having sex 5 days in a week definitely the amount of semen production will be less that doesn't mean your sexual desire has come down. When ever you are trying for the second round of sex normally ejaculation will be delayed due to the sympathetic activity. As per the history you are not having any problem with regard to your sexual activity. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have chest pain in the area of my sternum (radiating out just a bit), some extra saliva. 37yr old overweight female who does suffer depression & panic attacks. I took my sertraline & Prilosec about an hour ago. Should I be freaking out? (Which causes sharper pain)" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is common in depression and panic disorder. Both of these cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain. So proper treatment of depression and panic disorder is needed. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Start proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a very severe allergy to latex. Today I ate guacamole for the first time and quickly developed a terrible stomachache. When I googled it I realized avacados are related to the latex plant. I took an alavert but the pain hasnt let up for 15 minutes. What should I do?" }, { "from": "gpt", "value": "Output: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: since last one month, twice a week in night i get some daane (seems like an allergic ones) in my whole body. many times i find my lips swell when i wake up in the morning. Still unable to find any reason behind this. Is it some sort or disorder that i am going through or an allergy that i have generated?" }, { "from": "gpt", "value": "Output: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: a couple weeks ago my entire left arm went numb i went tothe er and the xrays showed soe inflamation in the cervical vertebrea. a couple days later i noticed my left forarm was swollen and it has not returned to normal size. this entrie time i ve been having burning sensations in both arms, hands, and fingers as well." }, { "from": "gpt", "value": "Output: Hello This appears to be the cervical radiculopathy. Need an MRI. When there is a change in the normal anatomical position of the bone of the vertebral column this may lead to disc compression and interim provided nerve root entrapment. Using cervical collar, hot water fermentation will help stabilize the spine and reduce muscle inflammation. Post this static neck exercise, inter-scapular muscle strengthening exercises, shoulder stabilization exercises will help reduce the symptoms and get good outcome score. 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: I had proton radiation therapy about 2 years ago and my psa has been dropping to.09. I now am experiencing blood in my urine and the passing of tissue. I had a test with a scope and my urologist noticed some inflamation or something on my bladder and I am scheduled for a biolpsy tomorrow. i understand that it may be inflamation or bladder cancer. Is this typical after radiation? What is the cure if it is scarring and what is the cure rate if it is cancer." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Scarring is more common after radiation than cancer. So for your symptoms, possibility of bladder scarring is more than bladder cancer. But biopsy is must differentiate between these two. So get done biopsy for the diagnosis. If it is scarring then treatment is available and your problem can be solved. But if it turned out to be malignant then you need to get done staging of the cancer. Future treatment will be decided on staging of the tumor only. Early stages of bladder cancer is having good prognosis with life expectancy of 6-7 years. End stage bladder cancer is having life expectancy of less than 2 years. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Doctor, I recently observed a small open area in a family member s chest. I was told opening has been present since early childhood, (25 years of age now). Family member shared there has occasionally been drainage from the area, (foul order). What is possible cause of opening/drainage?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. You should immediately consult pulmonologist for your family member because possibility of emphysema necessities is high in this case. Emphysema necessities is chronic bacterial infection of pleura which is spreading to the overlying skin and cause discharging sinus. Your family member is also having discharge with foul smell, this suggests possibility of mixed (aerobic and anaerobic) infection more. Treatment of emphysema necessities is video assisted thoracoscopic surgery (VATS). In this infected pleura and pus is removed and sinus has been closed. Patient needs antibiotics for 1-2 months. So better to consult pulmonologist 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: hi sirs,my father had met with an accident 1 month ago. the head was hurt. we got treatment from deep hosp. ludh. but no improvement at all. he is speakin but mund is upset. memory is half lost. we hv referred to come to ur hosp. plz advise us.thanksmanjit, distt-moga" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor, after a head injury treatment will start from first maintaining his airway, breathing and circulation. The headache after injury is due to the increase in CSF pressure, so the next step will focus on maintaining the cerebrospinal fluid (CSF) pressure. So we use mannitol, and hypertonic saline is used. These reduce the CSF pressure. While doing these things your father might have been investigated with ct brain which will tell you whether he has intracranial hemorrhages. In your follow-up please tell us and upload his ct results which will be of more use in treatment plan." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, Perhaps you might be so kind to settle a bet. Here are the symptoms" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should first consult cardiologist and get done 1. ECG2. 2d echo to rule out cardiac cause for your symptoms. If both are negative then get done 1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection and PFT is needed to rule out bronchitis. So consult cardiologist and pulmonologist and first diagnose yourself, then start appropriate treatment." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What can I take in place of Naproxen or Ibuprofen for my knee pain? I had arthroscopic surgery in August and was taking Naproxen. Caused issues with my hearing. Now I can hear but sitting or walking for long periods of time make it painful to move afterward." }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorDear, I can understand your concern For your info, all medications have side effects , good or adverse. You can contact your doctor for right advice. Meanwhile, I suggest Homeopathic ARN ICA 30 /2 Chat Doctor. A level spoon of Turmeric powder in a cup of hot cows milk at bedtime serves as natural antibiotic and anti-inflammatory agent, helps get rid of pains & accelerate healing process . Hope this helps solve your query. Take care don't hesitate to get back if you have any further query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Sir, Amit here. Last year on june 2009 my mother went for a slip disc surgery(L5 & L6). but still she was not feeling well, she get pain oftenly (infact daily) that starts from her lower thies till lower portion of her knees (according to her it seems like paining a veins) and moreover the portion where the surgery held (Slip disk surgery stitches) that is also getting lot of pain.I really appreciate if you could give me any advice on this.Thank you very much.Regards,Amit" }, { "from": "gpt", "value": "Output: Dear patient What surgery was done, and spinal fixation was done or not? Were your symptoms improved after surgery or there was no improvement? If your mothers symptoms remained same after surgery with no improvement it suggests surgery was not done properly. If symptoms improved after surgery for few years and now there is recurrence it can be 1. Disc prolapse at adjacent level 2. Spinal instability. This needs to be investigated with MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. You need to consult expert spine surgeon with report. All the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello there,Just today I noticed that my gum both on upper and lower row of my teeth are turning almost black. What could be the possible. If this helps" }, { "from": "gpt", "value": "Output: Hi ... This is called melanin pigmentation (dark color gingival) due to smoking. This is very womanly seen in chronic smoker. So I will suggest you to quit smoking habit. Smoking is injurious to health .it has bad effect on lungs gums and oral cavity. Initially you will find difficulty in avoiding smoking habit but by strong determination you can quit. I will advise you to contact nearby dentist. Hope you got your answer ..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: small lumps have been suddenly forming on one leg, on the shin and near the ankle. no sign of varicose veins... there is a burning sensation, I suspect nerves. I m a klutz, and have too many injuries to remember. last was a badly sprained ankle that didn t mend well" }, { "from": "gpt", "value": "Output: Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Varsity of the Short Saphenous Vein with multiple bumpy swellings on shin/ankle on one leg. Burning pain sensation is due to rural neuropathy due to pressure from engorged Varicose Lumps and stretch of the surrounding soft tissue. Multiple injuries could only expedite the basic defect of Varicose Veins in your case, but should not be directly correlated to cause the burning swellings on shin and near ankles. So your suspicion is wrong and could be confirmed by second opinion to evaluate your case clinically. Color Doppler study would confirm this. For this treatment GP and Surgeon and Vascular Surgeon team would be needed to treat your case. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A friend has been diagnosed with throat cancer, an small tumor has been removed...I don t know the area of the larynx involved. My question is" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. Treatment of any cancer depend on its staging. And for staging we need to know exact size of the lesion, lymph nodes involved or not and Metastases to distal organs present or not. So in your friends' case we need to get done CT neck and PET scan to know the exacts tagging. And usually chemotherapy and radiotherapy is needed to prevent local recurrence and distal metastases. So better to consult oncologist and start treatment." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I used the shower head to shoot water up into my vigina kinda like doushing. And I swear to god I felt ALOT of air go up at one point and now I have a weird feeling/ pressure all around my belly button area. Is it possible by doing this I caused a air embolism and if so what should I do!?" }, { "from": "gpt", "value": "Output: Hi ! Good morning. I am Chat Doctor answering your query. There is a possibility that the feeling might be due to some kind of inflammation/infection in the pelvic organs which could have been started by the act of yours. If I were your doctor, I would advise you for a routine and microscopic urine test followed by a culture sensitivity of the urine if need be and treat the same accordingly. Before jumping onto any other investigation, I would go for a general physical examination of yours with special attention to your lower abdomen, a gynecological check-up if thought necessary, and an ultrasound of abdomen at the end. Till then, I would advise you to go for an anti-inflammatory Chat Doctor. 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 have a lump on left side of neck , recently getting bigger. I felt around and have smaller one on right side, sort of where the vein would be. I know, I have been having teeth problems because can afford dental any longer and feel sick a lot from that, and sometimes feel like heart is effected by this. I have been getting sicker and sicker lately, but the flu cold has been going around that is quite bad, but lump was there before, now today, noticed a lot bigger. Im a little worried maybe health issues from teeth and then getting sick on top of that, but keep telling people for months feel like someone that would be dying. But just letting it go. Im so beautiful and love my looks but feeling so sick and lump on neck is actually hurting a little tonight, what could this be??" }, { "from": "gpt", "value": "Output: Hello there... Problems associated with teeth, nose and sinus (infections arising from them) would Chat Doctor. ...these get enlarged and become painful....there are swellings seen in neck as a result of an abscessed lower tooth-the infection spreads down to the neck and manifests in the form of swelling...swelling in each part of the neck has its own significance. Clinical examination is mandatory. If teeth related consult an Oral and Maxillofacial Surgeon. Otherwise, you can consult an ENT surgeon for further management." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 27 year old i done my HSG last week its (HSG reports shows that UTREUS" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor, You must understand that HSG is done to find out patency of Fallopian tubes which is necessary for pregnancy to occur this is good that your tubes are patent. The cause for not able to conceive may be other than tubal block there are many causes of failure to conceive. You should consult infertility expert Gynecologist and undergo tests for both the partner as many times there may be problem with the semen analysis of male partner. Complete examination and hormone tests like thyroid function and prolactin with TORCH, and other test will find out the cause. If every thing is fine then follicular study with proper ovulation and proper counselling it is possible to be successful in getting pregnant.Nowadays assisted reproductive is very advance and with good success so do not worry be positive. Take care Good Luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 43 year old female with a history of recurrant UTI s and kidney infections. I have recently treated a urinary tract infection several times and still have problems. I am nauseated, fatigued, unable to gain weight and my urine smells like hot dogs and it hurts to pee. Both my parents are diabetics and I may be there. I have decreased the amount of protein in my diet, increased water intake and take a cranberry supplement. What else can I do? I have no job or health insurance." }, { "from": "gpt", "value": "Output: Hello and welcome to ChatDoctorI have read your query hope this will helpRecurrent UTI is a common problem especially in females. You should have a URINE culture sensitivity test and ABDOMINAL ULTRASOUND. As your parents are diabetic you should be investigated for diabetes. As diabetes is commonly associated with recurrent UTI.Meanwhile, keep on using cranberry juice and once reports are available to discuss with your physician to prescribe you appropriate antibiotic according to the C/S report for at least 2 weeks. I hope I have answered your queryRegards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i hve polycystic ovaries dr prescribed cetapin xr , natyl. I HAD 3 ABORTIONS &hve no kid. I have thyroid & high bp . I am 33 yrs old weighing 69kg.I am undergoing infertility treatment.It is possible that i will be able to preagnant and bear a healthy child" }, { "from": "gpt", "value": "Output: Hi, you can get pregnant and have a healthy baby. Do a APA profile as you had 3 abortions. You can take some medicines like camphene for the growth of your eggs. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm you can take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone and aspirin for next 2 weeks. Talk to your doctor regarding this. Do a pregnancy test after that. Continue thyroid and BP medicines. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 36, female, 190 lbs. I am otherwise extreemly healthy, my mother is a diagnosed manic depressive, does not take meds. I am a naturalist at heart.... torn between the two worlds. I have been both anorexic and a cutter in the past.No surgeries, broken bones, occasional high bloodbressure." }, { "from": "gpt", "value": "Output: DearWelcome to Chat Doctor understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that whatever is right for you, is right for you. Unless otherwise proved. Be happy with your way of thinking. Always think that you are right unless otherwise proved. This method gives us belief and belief based self-confidence. Not necessary that you should also be troubled with manic episodes. Treat anorexia with psychotherapy which do not use medicines. Consult a psychotherapist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hey, my name is Alexis I m 18 years old I have a serious question Me and me ex boyfriend had unprotected sex two times in one night he came in me both times I was getting really worried if I got pregnant I have a 32 day cycle my last period was on Dec,25,10 I just looked up my fertile window it said I m fertile on the 9-14 we did it on the 7th my cervix wasn t open then but do u think it could have gotten in anyway.....I woke up yesterday morning with a crazy feeling like I was bleeding but when I checked it was a white creamy substance could have I gotten pregnant?? Help I m really worried and when could I take a test" }, { "from": "gpt", "value": "Output: Dear Alexis you had unprotected sex on 7th day of period. As you mentioned that your fertile period is 9-14 days. So don't worry about pregnancy. Regarding white discharge it can be due to many reasons. If a girl comes to my clinic with similar complain I would assure her not to worry as there are very, very fewer chances of pregnancy. White discharge I would treat it if she has any symptoms otherwise not hope now you are tension free. Feel free to ask 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 just read my medical records to find that I have stage 2 CKD. I am suffering from multi-level spinal conditions with pain and wondered why my primary care physician did not make me aware. I found out by accident . Is stage 2 something that my doctor is not concerned with?" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern.CKD is a term used to denote, level of kidney function. Stages are defined from 1-5. Stage 1 CKD, is mildly reduced kidney function. So you've slightly reduced kidney function. These are measured by blood test called creatinine, and urine albumin test. By stage 3-4, one is referred to a Nephrologist, for further treatment. If you've any other doubt, you can send them 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: Hi, I was holding the lease on a big dog and he pulled me into a wooden fence and it caused me to have this heaviness and very bad aching in both my legs. I tried Gabapentin for a couple of years and it bloated me. I have nothing for them now. Can you help me? Carolyn Baylies Thankyou for reading this Doctor" }, { "from": "gpt", "value": "Output: Hi Carolyn, Your symptoms are heaviness and aching in both legs which means you have pains along both thighs and legs. It's important to know if you also have numbness and any altered sensation in the legs and feet. If so then your problem is from the back a badly strained back with pains going down or even a prolapsed disc. If Gabapentin is not helping you please stop and take short courses of a celecoxib with muscle relaxant combination. Therapy in a heated pool will be good for you. Good luck and hope you get better soon" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have upper aches in my right arm and shoulder that sometimes radiates to the back shoulder area. Seems much worse at night,hard to sleep on that side,it even sometimes aches on the inner arm in that area. Had a few winters ago in both arms but not this bad." }, { "from": "gpt", "value": "Output: Hi, thank-you for providing the brief history of you.a thorough neuromuscular assessment is advised. As the pain is radiating in nature a thorough neuromuscular assessment is advised along with MRI of cervical spine. Also, getting a thorough musculoskeletal assessment will help understand the spasm and weaknesses. Also, undergoing physical therapy will help improve the strength in the muscles and improve the muscle elasticity to avoid recurrent pain and aches. In my clinical practice, patients with sucChatDoctorplaints gets a thorough clinical assessment and MRI. Recommended physical therapy to such patients will help them improve on an overall condition and functional ability. 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 have had a learning disability ever since I was a toddler. I also believe, I have ADD. I am a very mellow (very low blood pressure) person. I do stress out a lot when I struggle to learn. But I keep it private. I do not want to go through a battery of tests. I would like to take a drug to help me to relax. I do not have any addictions. I do suffer from severe insomnia. Any suggestions for me? I am currently not taking any meds. I am a 55 yr. old female. I would like to be able to have better focus on what I am doing or learning as I mature. Thanks for any advice." }, { "from": "gpt", "value": "Output: DearWelcome to Chat Doctor understand your concerns went through your details. I suggest you not to worry much. Self diagnosis is dangerous. You should undergo the psychometric tests of assessment. What if your worries about ADD and learning difficulties are just an illusion?. What if you were just imagining them and acting as if you actually have them? That is where you have to be careful. Please visit a clinical psychologist and get yourself assessed and be peaceful and get treatment if the problems exist. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son has been throwing up stool and sometimes blood,and he feels his gallbladder fill up and then he knows he s going to throw up is it his gallbladder??? He has had GI tests from down and up and nothing is showing up,please help me with this question,thank you" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. He may have some bleeding in gastrointestinal tract. It may be due to parasitic infection, ulcer, polyp or cancer. He should go for peripheral smear examination and GI endoscopy. Find the exact cause and take treatment accordingly. 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: I have left back pain. I have had it for 3 months and getting worse. Worse when I get up in the morning or lay down at night. But lately I feel it throughout the day. At time the pain is sharp. The np I saw felt it was a muscle strain but did no testing" }, { "from": "gpt", "value": "Output: Dear patient Pain in left side felt throughout the day is most likely muscular pain. Since it is for 3 months Bony pathology also needs to be ruled out. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views. Please get it done from radiology center nearby you. Meanwhile start tab moral 4 mg twice a day with tab attract twice a day for 5 days. If X-ray report is abnormal please consult orthopedic surgeon nearby your area. Avoid forward bending and weight lifting." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: we were told our child may have abdominal migraines- both of this parents have regular migraines( headaches) and strong family history of headache migraines on both maternal and paternal sides. One family member ( adult) has abdominal migraines. Our child has what appears to be very strong episodes of nausea that can last for as long as six hours but usually around 1 to two hours. nausea is in waves. He gets extremely pale and says his cheeks feel numb and then sometimes his hands and arms do as well.. this can last as long as nausea sometimes.. I thought the tingling sensations might be panic related ( panics when the nausea is very bad) but GI doc said tingling should not last that long with panic. He also has dark circles often with these and more recently has complained of back bothering him when he has these episodes. He has had stomach cramping for two months now as well as the nausea but nausea is getting more severe... he had upper and lower scoping done and has been recently diagnosed with acid reflux for which he is taking 40 mg of prilosec in capsule form ( capsules poured out). He has also been prescribed ondansetron for nausea ( which does not always seem real effective) also just started him on amitriptyline ( 10mg) just started last night. had been hesitant to start him on the amitriptyline as the GI specialist said that with as severe and as long-lived as the nausea seemed, he wondered if it was maybe abdominal migraines and that the nausea would not be that long lasting with reflux alone. So, my thought was if it was abdominal migraines, I wanted to monitor what he had eaten the days the nausea has been really bad. The common thread I found for each day was caffeine and he loves iced tea. He has had six episodes of severe nausea, tingling etc in the last two weeks..... all lasting at least an hour if not more... He also urinates a lot and when he has these episodes and sometimes says he feels dizzy. My main question is, if he continues to take the amitriptyline, is it then going to be difficult to diagnose him with abdominal migraines ( GI doc said if it is abdominal migraine, that is the med a Neurologist would prescribe). Can reflux cause abdominal migraines or make them worse? Looking back over the last couple months when this first started... he has been pale a lot ( looks sick)... we were pediatrician several times and were not to see specialist until next week but when he started losing weight specialist saw us sooner. Son had difficulty eating at times the past couple of months due to feeling so nauseated and became thinner. and thinner.. trying to get him some relief he is absolutely miserable when he has these episodes. Having nausea with headache migraines, I know how severe nausea can be... he does not cope with it well at all. I take something at onset of headache migraines and feel good within a half hour... this is not happening for him...I really dont want him on meds for a long time but since migraines are so strong in our family, I am concerned this may be the case. Do kids usually grow out of these if it is abdominal migraine? Could it be related to his hormones? He is 10 . Concerned about side effects of med.... maybe things will subside when reflux clears up? Thanks so much for any help you can provide!!! Heartfelt thanks!!" }, { "from": "gpt", "value": "Output: With such presentations in my clinic, I would prescribe Comparison 1 tablet 3 times after 15 min before meals. It is gold standard for acid reflux. Kindly follow Partners diet 1, don't give him ice or other tea, it will increase acidity, avoid chocolate and cheese, it can cause migraine also. Begin to take flax seeds(boil 1 tbs in 2 glasses of water, take 1/2 glass before meal twice a day). Give him yogurts, probiotics(Similar), it will decrease nausea and increase appetite. For headache migraines you can use 1 tablet of Diclofenac and 1 tablet of Risperidone. Hope this helps" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having unusual side effects to a new med. sore muscles and joints, tender and sore fingertips. a feeling of needles in knee joints and shoulders. I ve been advised that these symptoms don t relate to med. side effects. what else cause this unwell feelings?" }, { "from": "gpt", "value": "Output: Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned, medicines do not give a side effect of soreness or joint pains, medicines give symptoms like - nausea, skin rashes, constipation, etc. Now, coming to your musculoskeletal problems, you have tender and sore fingertips, feeling of needles in knee and shoulder, you need a thorough musculoskeletal assessment.These reactions could be due to some other factors like soft tissue pathology or a nerve pathology, which post assessment can be understood better. Also, performing regular exercises will help to improve the metabolism and immune system. Once, the root cause of the problem is identified the proper measures of treatment planning will be taken. 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 very light headed and dizzy, specially when I read , I am on Crestor and wonder if this med. can cause this. I had a spell one night of a severe headache and very dizzy, they took a MRI and I have a Schwannoma , very small and non cancerous close to my ear, nothing wrong with my ears just deaf more on the side where the Schwannoma in on . I have no ringing in the ears, and when I turn around in bed no dizziness just when I read it stays with me for about 40 minutes. So looking for a cure. Now I had cataract they were removed 3 years ago, now my eye docter says I have a dirty lense, so waiting for a Eye Surgeon, could this be theGen problem??? Please give your option, just now just writing to you I am very lightheaded and dizzy. Thanks for your opinion , this is really bothering me." }, { "from": "gpt", "value": "Output: I read your question carefully, and I understand your concern. Regarding Creator I would say no, that Chat Doctor. As for the Schwann, while it is a benign tumor, if big enough it can cause dizziness, it seems to have affected your hearing, so I would not exclude a contribution of it to your condition. However since it is a small one doesn't explain all your symptoms. Coming to the eye issue, given the fact that the symptoms surface when you read it could well be the cause. It can cause headache and dizziness due to the strain on the eyes and the muscle tension it leads to. So it must be consulted with the eye surgeon. I hope to have been of help." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For about a week or I cant open my mouth very wide without it hurting. Troublesome to eat. Simuntaneously, when I open my mouth,about half an inch or so in front of my ear, it bulges out, like bone or something. This doesnt occur in my right jaw. Im 68." }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern.... As her your complaint it seems that you have a DISLOCATED JAW JOINT [TEMPOROMANDIBULAR JOINT DISLOCATION] leading to painful movement and bulging of the articulating portion of mandibular bone in front of the ear, and it can occur due to trauma, opening the mouth too wide for multiple reasons. You should consult an Oral Physician and get evaluated and get an ORTHOPANTOMOGRAM [OPG] done so that the exact status of the jaw joint can be evaluated and treatment can be planned. You can be referred to an ORAL SURGEON who can manually re-locate your jaw into the anatomical position but in case if it is not successful you may need a surgery for re-locating your jaw. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a problem where there s is a hard lump on my buttocks. It is quite painful and recently there grew pimples that cause immense pain. Pain killers don t help and anti bacterial cream doesn t seem to help either. There has even been blood near the pimples. What might it be?" }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. You may have some perianal abscess. It is very painful condition. You should go for examination. If needed go for incision and Chat Doctor. It will help to evacuate pus. Then you should take complete course of antibiotics. Consult your doctor and take treatment accordingly. 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: i HAVE UGLY BLACK LEGS & ARMS. hOW DO i LIGHTEN UP? i AM FAIR SKINNED OTHERWISE" }, { "from": "gpt", "value": "Output: Hello! My dear, whatever may happen never refer to yourself as ugly. Beauty is a perception... and It's not always external.... ! Dark color of your arms and legs could be due to harmful effects of Sun. First and foremost always apply sunscreen. The right method of application is that apply liberally, 10 - 15 min before stepping out into the sun and re apply after 2-3 hours. A broad spectrum sunscreen such as Uncross aqua gel will be good and non-sticky for a tropical climate. For lightening, you can try creams such as Bolivia but considering it is a large body part it is usually not continent to apply creams. You can opt for Chemical peels such as Glycol or TCA peels, for which your cosmetologist can guide you. At home, you can try a mix of gram flour(began) with milk, apply like a paste keep for 5 min and wash it off, you can do this 2-3 times a week and follow it with a moisturizing lotion. Let me know the progress. Take Care Best Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 6 months ago Hurt my neck, a day later fainted with the pain. Out and no pulse for a while. Vomited. Hospital for a few hours then sent home. Since then have had momentary sensations of light headedness. Tiring more easily than usual. Some breathlessness with increased activity. Slight momentary sensation of pins & needles in fingers. Just not feeling as alert and active as usual." }, { "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 Complaints1. Hurt Neck2. Fainted with Pain3. Sensations of Light Headedness4. Tiring more easily than usual 5. Breathlessness 6. Momentary Sensation of Pins and Needles are suggestive of Cervical Myelopathy You need to Consult a neurosurgeon in person for further evaluation 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: My husband has 3 dark purple veins on his scrotem and what appears to be a spot by one of them. They have been there quite a while and sometimes are uncomfortable but not painful. The spot is on the left side and gets caught in his underwear and can occasionally feel achey. Should we be worried." }, { "from": "gpt", "value": "Output: HelloThanks for query. Based on your statement I would say that your husband has three prominent superficial veins on scrotal sac, These are dilated, prominent superficial veins over scrotal skin and nothing to be worried about it . He should use soft inner wares or soft pads over scrotal sac before putting on inner wares. These are harmless and there is nothing to be worried about it. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 2 1/2 year old fell yesterday and hit her head on concert. There was an instant bump popped up on her head. She acted completely normal after a few minutes. She went to sleep about 2 hours later me and my husband woke her up two times throughout the night. But today she is napping more and has diarrhea is this normal or what should I do?" }, { "from": "gpt", "value": "Output: Hi ! Good morning. I am Chat Doctor answering your query. Although the diarrhea is not related to the head injury, napping more in a child of this age is difficult to judge or rule out to be due to the injury. If I were your doctor, I would have advised you to keep a close watch on her level of consciousness to see if she is responding normally to your routine talks with her, and if she is moving her limbs normally, and has not got any vomiting. The bump on her head is due to collection of blood by the injury, and will subside gradually. In case of any change in the level of consciousness of hers to your commands, and any increase in the bump on the head, I would advise you to take her to the ER room of the nearest hospital, where they would examine her closely and if considered necessary might go for some investigations like a CT scan to rule out any concealed head injury. 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: My doctor gave me AcipHex for reflux. After about 4 days of taking it, my b/p has gotten down at times to 85/57. I know it s down because I start to feel cold, then check my b/p and confirm it s low. I bordered on high before. I m pretty sure I am having gall bladder problems due to the pain in my side, and it is better since I ve cut fat almost completely out of my diet. Is my gall bladder causing the low b/p, or the AcipHex?" }, { "from": "gpt", "value": "Output: Cipher (omeprazole) may cause hypotension. But it's usually associated with hypersensitivity reactions that includes symptoms like facial puffiness, difficulty in breathing and others. If these symptoms are absent, then It's highly unlikely that omeprazole could be causing hypotension. And regarding the gall bladder, not much information is mentioned so that we can comment on it. I would recommend a consultation with your gastroenterologist for that. Hope the above information helps. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 36 year old male. Hours after ejaculation I have brown particles in my urine. I have seen a urologist and had a CT scan and an x-ray and they found nothing, went back for a cystoctomy to scope the inside of my bladder and found nothing unusual. I did find out after the x-ray and CT scan that I only have one kidney; I never knew that. I have no abdominal or back pain, nor do I have pain during urination, I only know that something came out when I look into the toilet. I called my urologist after this happened again, I acquired a sample to bring in, they told me its probably a blood clot and not to worry about it and not to bring in the sample. I also have a hydrocele/vericocele on my right spermatic chord." }, { "from": "gpt", "value": "Output: HelloThanks for query. Based on your statement that you have posted the brown particle that you have passed in urine hours after ejaculating is likely to be a blood clot mixed with urine which gets turned up into brown color. In the majority of cases this blood clots originates from a small superficial surface of prostate and gets sealed off itself immediately that causes a tiny blood clot to appear either in semen or urine passes after ejaculation. Since this is single episode and all the tests like C. T scan, X-ray and Cystoscopy did not reveal any pathological lesion you should not worry about it. If you have pain or discomfort due to Varicocele that you have on Rt side use scrotal support. This will prevent sagging of testicles and give relief from pain or discomfort. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I want to share with you about the problem of my sister. She is 30, Neuro Patent. couple of years, she had a minor worm in her mind. take regulary Valprin Chromo 500 mg two times, Phenobarbitone 90 mg at night. She is almost ok. but the problem is she dont listen of family members. awake the whole night, sleeps at day 8 - 4 pm. Negative things about some family members, always keeps doubts, etc. Watch TV alot. Behaves Lazy. Where should i take consultation by Psychologist or Psychiatrist. Kindly reply,Aditya BhargavaMb. 0000" }, { "from": "gpt", "value": "Output: Hi, From the information you have provided, your sister was found to have a parasitic infection in her brain for which she was put on sodium valproate 1gm and phenobarbital 90\\u00a0mg. She maintained well till recently, and there has been a change in her behavior and her sleep pattern apart from having doubts regarding her family. Any sudden change in behavior, sleep pattern, symptoms of auspiciousness or changes in personal care etc. may be signs of a mental illness, and she may need medications for the current symptoms and hence it would be good to take her to a psychiatrist for an evaluation and treatment. Hope this helps, Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I got diagnoised with a UTI two weeks ago.. I have had a sore back for over a year and I think I have had a UTI all this time.. I am on Cipro 500mg.. I just ran out and they ordered more.. I have pain going into both of my legs and ouch moving pains on both sides of my back?? When should I go to ER? What are warning signs and what could be causing all this..." }, { "from": "gpt", "value": "Output: Dear patient Back pain with UTI may be due to pelvic inflammatory disease which is inflammation of pelvic organs. But since u out have pain going into both legs' possibility of disc prolapse or canal stenosis is more likely and seems a different condition from UTI. Are there any difficulties in walking or tingling and numbness in both the legs? If yes then it also points towards canal stenosis. You need to be investigated with MRI of lumbosacral spine with screening of whole spine as it gives detail information of discs, nerves and even bone. Visit radiology center nearby you and get it done. Visit spine surgeon with report. Meanwhile, start tab diclofenac plus thiocolchicoside combination twice a day for pain relief plus tab vita B12 plus pregabalin 75\\u00a0mg at bedtime for 10 days. Also get examined and search for the cause of recurrent UTI." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: While on a dialisys treatment I started to cramp in my toes and asked that the removal of fluid be stopped. After about 20 min. my calf muscle cramped up so quick and hard, I felt a sharp pop severe pain. I could not walk very far. Did I rupture or tear the upper part of the muscle.?" }, { "from": "gpt", "value": "Output: Hi, Leg cramps are a common and usually harmless condition where the muscles in your leg suddenly become tight and painful. It usually occurs in the calf muscles and in most cases there is no obvious cause of it If it happens sporadically then there is no need for any treatment or tests. But if this is common and affect your daily routine then some measures should be taken. In some cases, there may be predisposing conditions such can be seen in pregnancy, after exercise and certain types of medication, such as statins or in liver disease. The best way to manage this is to stretch your muscles regularly. In some cases, magnesium or calcium supplements may help Have enough fluids and avoid long sitting, regulate body mass. In cases of progression or if there is no improvement, you need to see doctor, to rule out some naturopathies or vascular disorders which are much less common but should be considered if there is no improvement on these measures that I have mentioned. 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: 1. symptoms now" }, { "from": "gpt", "value": "Output: The first problem sounds like a congestive cardiac failure. Now where the EKG is normal, the possibility is that the echocardiography may show some changes. So I will suggest an echocardiography.2. Pressure sores and redness are common, one need not worry too much about it. However, if you can upload an image of the lesion, we can help you better by looking at the lesion3. Spine pain and trauma may often cause similar symptoms. I will suggest the test of MRI of the affected part of the spine. Let us know the reports, so we can help you further Best of luck Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband continue to have real low blood pressure after dialysis and has a bad cough. He is a heart patient but he doesnt take his Coreg on the day he goes to Dialysis. He bottoms out and he is drinking 1.1/2 liters of water per day so there is no dehydration." }, { "from": "gpt", "value": "Output: HIT hank for asking to ChatDoctorI can understand this problem, the low blood pressure can not be itself, there certain obvious causes for this and that has to be treated accordingly, fist thing this should be confirmed, in your husbands' case hypokalemic status could because and chances of some oozing or leaking of blood is likely, in short underlying cause of hypotension need to be treated, hope this information helps you have good day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, I just noticed in my nose a pinkish lump on the right side. if i push from outside to inside about half way up nose, i feel difficulty in breathing, left same test easy to breath. Is it a blood vessel problem? My age is 58 years, non smoker, only social drinker. height about 5ft 10 inches." }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some skin adnexal tumor or tumor arising from nose like potato tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just got my tooth extracted 3 days ago. I am taking painkillers and antibiotics for it. But after a day I experienced diarrhea . I have observed that there is some weird liquid coming out from the portion where my teeth is extracted. Please help me Doc. I want to know what is the problem with me and what I will do to e well. Here is my email" }, { "from": "gpt", "value": "Output: Hi there, Most likely you could be having antibiotic associated diarrhea. Antibiotics sometimes mess with the normal good bacteria that exists in our intestines and cause diarrhea. You could take VINYL (lactic acid bacillus), one capsule 2 times a day. This might help bring down the diarrhea. Preferably take the medications after food unless your doctor has specified that it has to be taken before food. The liquid discharge should come down in another 2-3 days, once the course of antibiotics gets over. In case it is persisting after 3 days, please visit your dentist. Rely 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 name s Allie. I m 16 year old and recently went to the doctors to recieve birth control . The pills prescribed to me are called Generess Fe, and the doctor gave me those because since I m petite (only 95 pounds) she thought a higher dosage would cause me nausea & Bad side effects. Since I ve started the pill about 5 days ago, it s giving me bad nausea, even though I take it before bed. When I waleup I can t even move or I feel like I ll throw up. Will this side effect end? And if so, how long will it take to go away? I really hate being sick & there s no signs of my nausea going away" }, { "from": "gpt", "value": "Output: Hello Allie, I am Kathy - a nutritionist- and I may be able to help you with thisNausea is a common side effect with iron supplements. There are other iron supplements that are gentler on the stomach, and you may want to discuss this with your doctor. I am assuming you are on iron because your iron is low. You can increase your iron naturally by eating high iron foods such as raises, spinach, molasses and, if you eat meat, red meat is high in iron. Eating a source of high vitamin C along with your iron will increase the amount of iron you absorb, so fruit, vegetables are naturally high in C as is vitamin C enriched juices. Iron should always be taken with food. From what it sounds like, you are not eating with it. Try taking it in the am with food (but not dairy or high fiber foods) and include a source of vitamin C with your iron supplement. Food does decrease absorption, but if the iron is making you nauseous, eat and/or ask to be switched to a gentler form of iron. In summary, take iron in am with food low in fiber and a source of vitamin C. Check with your doctor about these problems and see if there is a gentler form of iron you can take. Increase your iron in your blood naturally by including high iron foods. High iron foods should be combined with a source of vitamin C. Have a Great Day!" } ]

[ { "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 abortion clinic and took a pill in the clinic yesterday. I was given 4 pills to insert vaginally....Im now having second thoughts! Can I just not take the vaginal pills and continue with my pregnancy or is it to late? The pill I took was Mifeprex 200 mg.." }, { "from": "gpt", "value": "Output: Hi dear, I have gone through your question and understand your concerns. Mifepristone is known to have adverse effects on the fetus, and one is not advised to continue the pregnancy after its consumption. However, if you want to continue the pregnancy, you should get a detailed anomaly ultrasound at18-20 weeks to rule out any congenital anomalies. Hope you found the answer 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: I had a hard lump above my navel, and severe stomach cramps the lump moved reminded me of a babies limbs movement inside as I could see it move I had bowel movement after this but was in a lot of pain, I had been eating a lo the previous couple of days!" }, { "from": "gpt", "value": "Output: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am a 35 yr old male and i was diagnosed with pericarditis resulting from a viral infection in aug 2009. I was then placed on an NSAID, naproxen 250mg twice daily which sorted out the problem. However, the pericarditis has re-ocurred about 7 times in the past one year and as a result, i am constantly on naproxen 500mg twice daily. I need to know if this medication is doing my body any harm and also, if i can continue exercising by playing squash. Also, i need to know if there is a permanent cure for the condition and if it can lead to more harmful situations like stroke?" }, { "from": "gpt", "value": "Output: Hello, You should stay at bed rest as long as you are ill. NSAID is the first choice for pericarditis treatment but when it happens more times (seven times), I would go with another treatment like corticosteroids. There is nothing to do with stroke. You should see your cardiologist for changes in treatment and echocardiography evaluation. You should take rest. 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 son 19 years old diagnosed with typhoid with s typhi \\\"O) +ve 1" }, { "from": "gpt", "value": "Output: Hi, Thanks for posting in Chat Doctor. I understand your concern. Diet needs a close attention while treating typhoid fever as it may relapse, if not taken care of. Generally during fever, a bland diet, which is smooth and soothing, is preferred. Care should be taken while cooking food and also choosing foods that are easy to digest. Fluids in the form of tender coconut water, barley water, electrolyte fortified water, fresh fruit juice, vegetable soup, buttermilk and water can be given. Begin with semi-solid diet for a few days and then gradually include fruits like bananas, watermelons, grapes and peaches. As the appetite gets better, semi-solid to solid foods can be given. Boiled rice, baked potato, baked apple, yogurt, vegetable soup can be given. Gradually, by 3 to 4 weeks, normal diet can be restored. The following foods to be avoided" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My friend was receiving chemo during stage 4 of breast cancer. Living with her son, they were instructed to not get pregnant. His wife found out that she was already pregnant. His mother died 6 wks before their baby was born. Living in denial, they had him tested 4 months ago & he is 3 yrs old with autism. Is this a direct result of living with a chemo patient during pregnancy?" }, { "from": "gpt", "value": "Output: The exact cause of autism is not known, but research has pointed to several factors" } ]

[ { "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...My wife is a 8 year cancer survivor. Her most recent PET Scan showed a suspicious area near her pectoral muscle region which lit up on the PET Scan. She has 1 small cluster 3.4cm. How can this be determined if this is cancer or not? What would the treatment options be if it was confirmed to be cancer? Can it be surgically removed?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. There are many signs and symptoms of cancer depending on the organ involved. In your wife there is a bright spot in the pectoral region therefore for it to be a cancer it should have grown aggressively over last 6 months with or without development of pain and. Most cancer appears like a lump in the chest and will be fixed to the chest wall. If it is bright on PET scan then it is not confirmed to be a cancer and biopsy is to be done to confirm it. There are other acute and chronic inflammatory conditions which might cause bright area on PET scan. PET scan is a technique by which the glucose metabolism is studied. Cancer cells and non cancer inflammatory cells might be seen on PET scan. It is suggested that in a 3.4 cm area the doctor does a CT guided biopsy and then the diagnosis is confirmed. If confirmed to be cancer then surgery is possible. 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, My 3 year old daughter has been having fever ranging from 101.2-103.7 since friday. I took her to the doctor and they founf nothing wrong with her. she has also been vomiting. The doctor said is a virus but i feel is gone on for roo long. What should I do?" }, { "from": "gpt", "value": "Output: Hi, welcome to Chat Doctor. Your child has fever and vomiting, this could be due acute gastroenteritis or food poisoning. In my opinion, you should give syrup of lox (5ml =50 mg) 5 ml three times a day for 3 days, paracetamol syrup for fever and syrup risperidone 4 ml for vomiting. If child develops loose stools, then you should also start ORS solution regularly. Review back after 2 days. I hope this will help you. Take care. 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 having an intermittent pain in my upper left chest about five inches above my nipple and approximately an inch or two to the left of it. Is this a sign of something? It has been off and on for about the last three days, occurring every 20-30 seconds" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain must be evaluated for cardiac cause first. So better to get done ECG and 2d echo. If both are normal then no need to worry about heart disease. Musculoskeletal pain can also be the reason. So avoid heavyweight lifting, strenuous exercise and movements causing pain. Start painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected site. Don't worry, you will be alright. First rule out cardiac pain in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my brother daughter passes stool in pale yellow when we done tests it has shown high levels of bilirubin doctors suggested to go for a hida scan baby is 5 months old hida scan says that it is suggesting biliary artesia noe they have suggested a liver biopsy we have done it we are waiting for the result.metabolicreports are normal plz suggest me" }, { "from": "gpt", "value": "Output: Thank you for consulting Chat Doctor I'm sorry to hear about the condition of your brothers baby. Biliary amnesia means the normal passage of bile from liver is impaired. The bile gives the normal color to the stool hence the stool is pale. The bile which cannot pass into the intestines get absorbed into blood and causes bilirubin level to rise. The liver biopsy study is done to rule out any pathological conditions affecting liver proper. The treatment of biliary amnesia is mainly surgical. Surgical correction method is decided by the level of amnesia. Please revert with further details like the complete HIDE scan report for commenting further on the mode of surgery required. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, im 22 female my weight is 45, height 54 my kidney is enlarge(big) on two side of the kidney the symptoms i have is feeling likevomitting, breast pain, itching in kidney and have some disturbance in urinating and my body is restless i did not met any doctor this problem was happen last week and i dont know how it happens i was feared and tensed of this problem im very scared to see the doctor please help me doctorsuggest me the solution" }, { "from": "gpt", "value": "Output: Hii have understood your concern. As the history given by you, you have1.HY Chat Doctor. Uremic symptoms probabilities of your problems are1.urinary tact infection with spread to both kidneys2.urethral stricture with back pressure on kidneys3.bilateral stones you needs to be evaluated definitely.I can suggest you to get1.urine routine and culture2.USG of abdomen and KUB3.serum creatinine and serum electolytestreatment suggestion1.tab. Lanol ER 650 mg twice daily tab.Balzac 0.5 mg once a day depending upon reports you need further treatment. Get beck to me with reports. Hope this helps you thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello .I was diagnosed with mrsa three weeks ago .was treated with Bactrim both pill and sream .I have had severe headaches that continure to this day .I also have felt like crap flu like symptoms .no fever .had catscan .my fear is that ist has not been defeated and that it could spread to spine and brain" }, { "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. MRSA is the staphylococcus bacteria. It can cause variety of infection and symptoms. Headache is one of the symptoms of the disease. I advise you should continue your current treatment. You can in addition do culture and sensitivity from the organisms. MRSA has wide resistant pattern. So once we have sensitivity we can take the antibiotics accordingly. Please do not discontinue half treatment. As MRSA than never responds to half treated antibiotics. Once cured you have to clear the MRSA from the system. You can use mupirocin ointment to clear MRSA from the system. Apply it to the groin, umbilicus, nasal septum etc. After applications for a week you can do swab testing for MRSA from this area. If you are free from MRSA its good otherwise it requires another round of treatment until you are cured. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter (9yrs old) was bit by a street dog on 5 may 2011 and the wound was not cleansed as we dont know .rabies vaccine and TT were given after half an hour of the bite. on 7 may 2011 immunoglobulin (400/-) was given at the site of the bite. she has taken 4 doses till now 8/511, 12/5/11 and 19/5/11. after the third vaccine she got fever and leg pains. she taken medicine (p-750 1/2)for fever and some antibiotics as suggested by the doctor. how far she is safe now ? and she got fever (99 0 F) after the 4 th dose taken on 19/5/2011. how long the fever will be if it is the side effect of the vaccine? and the dog (as per her) is well." }, { "from": "gpt", "value": "Output: Hi & Welcome to Chat Doctor. I appreciate your concern for your beloved daughter. Since she has already received FOUR doses of anti rabies vaccine on the days 0,3,7, & 14 following the dog bite and the street dog according to her found to be healthy even after 14 days, she is protected against rabies.Besides, she was also injected anti rabies immunoglobulin at the wound, so there is nothing to worry. The anti rabies vaccines are generally found to be safe, side effects like body ache, fever can occur which can be managed by giving medicine like paracetamol to reduce the body temperature. Another possibility is she might have developed wound infection resulting in fever and for which antibiotics were prescribed, let her complete the course of the antibiotics and paracetamol the fever will subside soon. Hope to have 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 am currently recovering from the flu. Today has been much better, however when I stand up, I get a sharp throbbing pain in the occipital region of my head. When I sit it gets better but not by much. Id say that its moderate sitting. What could it be and how can I treat it?" }, { "from": "gpt", "value": "Output: Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to the viral infection or occipital neuralgia. Although it is not typical of occipital neuralgia that the pain is triggered by standing up position. Intracranial Hypotension could cause such symptomatology. Anyway, I would recommend having some rest and taking plenty of fluids in the next days. A close monitoring of your blood pressure is also necessary to exclude low blood pressure. But if your situation does not improve, I would recommend consulting with your doctor for a physical check up, a brain CT scan and a complete blood count for anemia. Hope to have been helpful! Kind regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My adult daughter broke two of her toes, one was a complete break. This occurred 4 weeks ago and she is still experiencing significant pain (not constant but enough to make us wonder if she is healing properly). She has no insurance and had the bad toe set at hospital emergency room. Should we see about trying to get to an orthopedic doctor and see if she may need additional treatment (this will have to be paid out of our pockets and we do not have a lot of money). Thanks, YYYY@YYYY" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor After going through your query I concluded that your daughter got fracture of her toe nearly one month back. By now it is likely that her toes must have united. Now she needs exercises of toe and analgesic for pain relief. Vitamin B, vitamin C and calcium supplements will promote healing. You can take analgesic such as ibuprofen. You can take vitamin B-complex and C to promote healing. Furthermore, you can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother has a chest infection and has grown klebsiella. It is sensitive to cephalosporins, quinolones, and amino glycosides. She is on cefpodoxime plus clavulanic acid. Herbsputum has changed from green tomyellow iver the past four days while on antibiotics.Is this cephalosporin appropriate to treat klebsiella? Would doxycycline be more appropriate give the fact that klebsiella devolpes resistance to cephalosporin relatively quickly. How quickly I am not sure. She has not measured her temperature, but says she feels clammy.Thank you" }, { "from": "gpt", "value": "Output: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. See, the sensitivity depends on the culture. If the klebsiella is sensitive to cephalosporins then Cefuroxime would help good. There is no need of adding doxycycline to her. In fact, if her fever responds well to this antibiotic, let her complete course for at least 7 days. Some doctors also prefer to give treatment for 14 days. If her fever doesn't responds then adding a quinolone like Levofloxacin would be an appropriate decision. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have undergone a kidney stone surgery four days ago via urerthal ballon dilatition. One small stone was removed from the left kidney. There is a stent inserted for atleast 3 weeks. My question here is Will smoking Pot will affect my kidneys or stent inside me?" }, { "from": "gpt", "value": "Output: Hello In my view smoking is harmful to anyone and in your case its more dangerous. Post surgery your wound healing process take some time with right nutrition, rest&vitamin supplements to encourage college formation it will be more quick.Whereas, smoking,retard wound healing through impairing tissue oxygenation. If the oxygen supply is effected you will have slow wound healing and may even cause bacterial growth as Nicotine causes blood flow to slow down by constricting the vessels. To prevent all the possible complications my advice; if I were you treating doctor would be to avoid smoking at least till you recover. Hope your question is answered." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: No energy - fatigue Had severe diarehha for two days and ate very little. Have dark stools, but they are no longer watery. Have eliminated nuts, berries and raisins from diet thinking it might be from diverticulitis. Have blood pressure problems - which I am prescribed Lisinopril/hydrocloothiazide 20/25 and because of the illness with diareaha my blood pressure is running 110/81 . I feel slowed, am 66 years old and have had history of colon cancer, diabetes and high blood pressure and high heart rate. My last colonoscopy was October 2014." }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that dark stools are very concerning about a gastrointestinal hemorrhage (related to diverticulitis or any other disorders). Your past medical history for diverticulitis and colon cancer could be related to these symptoms. But a common viral gastroenteritis as the cause of this symptomatology can not be excluded. I recommend consulting with your gastroenterologist for a careful physical examination, an abdominal ultrasound, a stool analysis, some lab blood tests including" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my brother aged 55 years is suffering from suspected abdoman koch but same has not been clear from USG ans CTscan and thereafter leproscopy has been advised before starting treatment and no medicine has been advised so far so kindly advise us what should be next course of action in this?" }, { "from": "gpt", "value": "Output: Hi, Thanks for asking Chat Doctor. Wish you had details of other investigations as well, then it would have been easier to answer. There must be some findings indicative of abdominal Koch that is why doctors have advised laparoscopy to make sure before starting medication. It seems Until they are very sure they will not start any medication as it has a long course, and it is harsh on patients to put them through all this medication without confirming diagnosis.Also, they may be planning for biopsy at the same time to confirm the diagnosis. Be assured they are doing their best. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, my mother has breast cancer with bone metasis patient. while she taking chemo and radiation her legs were not properly working and her sugar level is 500. after taking insulin now she has 250 sugar level. what is the reason for leg swelling and not walking?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Your mother has an advanced stage of breast cancer and needs treatment targeted to the cancer spread. In this situation, the cancer cells might be controlled by chemotherapy and radiation. Her sugar levels are high and this can cause additional health problems during her treatment. Swelling of limbs might be an emergency like deep vein thrombosis. You should urgently consult her doctors and get a D dimer blood test and lower limb Doppler scan done to know if there are any clots in the deep veins of legs. This is an emergency and must be considered first. If she does not have DVT then the swelling of leg might happen when there is extra fluid collection in the limbs and this takes place in the tissues below the skin and is also called subcutaneous edema. Such a situation might arise during cancer treatment and due to diabetes or reduced kidney or heart function and needs to be treated. 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 . I went through my blood test few days back. in 2006 i was advised to have gilberts syndrome and my normal billiburin level was between 2-3. however my recent blood test showed my billiburin level 7mg/dl, billiburin level (direct) 2 mg/dl, SGPT 35 and SGOT 25. I am feeling excess fatigue this days. please advice me am i having jaundice? what should i eat and what sholdn t i?" }, { "from": "gpt", "value": "Output: Hi, Bilirubin get conjugated in liver by the help of Glucoronyl transferase enzyme and thus make it water-soluble. Due to deficiency of this hormone(UGT) level of conjugated bilirubin increase in blood without any serious problem. There are some tips to manage this syn Chat Doctor. Avoid alcohol, fatty and sugary food. Take protein, turmeric, milk, carrot. Do exercise and take at least eight-hour sleep. Enjoy tension free life." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had multiple staph infections on my hands after a bout with an upper respiratory infection. Now I have a phlebitis in my upper arm on my bicep it is now going farther down my arm. It would also be important to note that the staph infections were all on finger joints. I was able to keep them drained but there was one on a knuckle and the last time I drained it it felt like it went down deeper than the others. Now the index finger is swelled at the bottom were there was no cut. Does this sound like I need to get antibiotics to fix this issue. Thank you for your time! And any help is appreciated!" }, { "from": "gpt", "value": "Output: Hello, While an occasional infection is inevitable and not a cause for concern, recurrent bouts of various infections should definitely be investigated. In my opinion, you should undergo some tests like Blood sugar test, to make sure you are not diabetic and a complete blood count with your white cell counts and differential counts, to see if there is a problem with your immune system. Additionally, if you are on long term steroid therapy, you could also be prone to infections. 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 slammed my hand/wrist on counter in a argument today and now have bruis from pinkie down to mid forearm, the bruise is red stripes and white down middle. Close to pinkie is black/blue. Move fingers fully with pain, can t move wrist in circle without excruciating pain or up and down and side to side" }, { "from": "gpt", "value": "Output: It appears that you have sustained a soft tissue injury from the force of the trauma. I would recommend rest, ice and pain control. For pain, You can try Ibuprofen (400-800 mg three times a day with food)- it has an anti-inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux. You can also try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. You can take both Acetaminophen and Ibuprofen together. If your symptoms do not improve, or you have increasing pain, swelling or redness or numbness or tingling that's not improving, then please see your primary care doctor or go to the ER to have it evaluated. Please let me know if that was helpful. Thanks!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! I dont know if this is neccessarily a health question, but I am singing a solo for my high school choir performance this sunday, and at least 500 people will be there. Although I have done this many times before, I have never done it in front of this many people, and I get extremely shaky, my breathing becomes shallow and I get horrible stomach butterflies, which can really affect my singing in a negative way. Is there any beverage or food that I could take before my performance that would force me to not be shaky or have butterflies?" }, { "from": "gpt", "value": "Output: Hey dear not to worry about your performance it will be the best of your life. There is no such beverage or food that can increase your confidence unless and until you build it up in your own mind. Your own mind is the best solution for the problem. First you think as if you are singing in a lonely space with full of greenery everywhere & nobody other than birds & trees to hear you. Once you will pick up the grip & people front of you will start to respond you in positive manner you will automatically gain the confidence.Don't think that you are short of breath you are the best. Else you can have a proper psychological counselling session. One more thing you can do is you can just have fresh lime water just 30 minutes before your performance & you won't face any problem. (placebo effect)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a fall on Sunday in the bathroom and I still have pain in the back near the spine. There is no pain in the bones but seems to be a sharp pain in that area. I am taking Diclofenac tabs and applying gel. But the pain doesnot subside. I have difficulty sitting down and getting up." }, { "from": "gpt", "value": "Output: HiT hank you for asking ChatDoctorI have gone through your query. During fall on back you can possibly get a muscle strain or ligament sprain of back or a vertebral injury like disc bulge. An examination with orthopedic will give clue for that and an X-ray followed by MRI if needed of Lumbosacral spine should be done to confirm that. I usually prescribe NSAIDs like Diclofenac muscle relaxants like Thiocolchicoside and neurotrophic Chat Doctor. After a rest of short duration of 4-5 days I advise physiotherapy also. Hope this may help you. Let me know if you have any further query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: kinda long history but when i was thirty i had cc hyster and radiation then at 32 had lung surgery for masses they thought were cancer turned out good now at 33 started having chest pains again like before pnemonia? so went to er told i have bronchitis and bladder infection and white cells are low to follow up with onco. three days later got ring worm on leg and a few lymph nodes are swollen what is going on with me??" }, { "from": "gpt", "value": "Output: Respected user, hi I evaluated your query thoroughly.* Differential diagnosis include bacterial or viral infection of respiratory tract with low immunity leading to super added infections like bladder infection, ring worms on legs. Possibility of micro metastasis must be ruled out in form of relapse.* Thorough clinical evaluations along with necessary data in form of Laboratory, Imaging like bronchoscopy, CT / MRI, Pulmonary lavage for hist pathology according to the clinician judgement. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor .com & reviewing my answer thoroughly. Wishing you fine recovery from the same. Regards dear 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 skin feels so dehydrated, Im 32 and feel like i have aged suddenly. When i wake every morning, I have severe bags under my eyes which dont subside until well into the afternoon. It is effecting me doing my job as I always look wrecked,and make up cant cover it, in fact it makes it look worse. Any advise for me please. Many thanks" }, { "from": "gpt", "value": "Output: Hello and welcome, you are undergoing through a lot of stress. There is no proper sleep and no proper timetable for having your food. Have at least 5 to 6 liters of water every day with at least a big glass of juice and milk. Give some care to your eyes by having a good sleep of at least 6 hours at a go per day. Lie down with eyes closed and with cotton pack dipped in cold water or sometimes cucumber over both eyes for 15 to 20 minutes every day. Change your lifestyle to a healthier one with proper timing for all your activities and with yoga. I hope my suggestion are of help to you. Take good care of yourself." } ]

[ { "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 dentist 2 days ago and he looked at my teeth because I was in a lot of pain. He gave me 2 lidocaine injections and amoxicillin and hydrocodone. My face is swollen on the left side and my cheek is red and my jaw bones hurt and pain pills not working, should I go to ER?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint swelling over the face over the painful side can be due to either infection causing abscess formation or it can also be due to allergic reaction to any of the components of the anesthetic solution or the other medicine given to you like Amoxicillin or HY Chat Doctor. . I would suggest you to consult your treating dentist and get evaluated, and a thorough clinical evaluation can help in diagnosis and treatment can be planned accordingly. In case if it is due to infection treatment of offending teeth can help. In case of allergic reaction anti-allergics like Ben" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: have metallic taste in mouth for a few weeks now off and on...could it be my blood pressure medicine...read it is a side effect but i ve been taking it for a year now...also dont think it could be dental related as i go every 6 months...and how do i get rid of it" }, { "from": "gpt", "value": "Output: Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Metallic taste usually doesn't appear due to medications but sometimes a multivitamin specially an iron pill can be causing it. If you do not have dental issues then it might well be because of your stomach problem. Your problem seems to be caused by Stomach/gut upset, it needs lifestyle modification before any medication, here is what you need to do.1) Avoid coffee, caffeine, Fizzy" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I m a male and can t ejaculate when having sex. We want a family, and I heard that mastabation doesn t effect it. Since I was 16 I felt turned on wearing pantyhose during mastabation, which is a rough surface, but I reached climax all the time. How do I ejaculate in sex with my wife? Is there a cream I can get to make me cum? Or something? Very personal question, so hard to tell a doctor face to face if you can understand? Hope you can help Kind Regards Annonamous." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I can understand. But you must understand, there is nothing you cannot tell your doctor. You must tell everything to your doctor. Regarding your present problems, premature ejaculation is mainly due to psychological reasons. Performance anxiety is the base of these problems. You did not mention your age. Masturbation has very little effect directly on sexual performance if your masturbation practice is medium. You may consult a sexologist for further counseling and advise. If you still need my assistance in this regard, please use this link. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my wife has been diagnosed with a low grade glioma. its located in the cerebellum area of brain. near brain stem. she has received radiation treatment and is currently taking VIMPAT. she is experiencing a tremendous amount of vertigo and vomiting. the dizziness and vomiting is daily." }, { "from": "gpt", "value": "Output: Hi, Thank you for posting your query. It is unfortunate that your wife has been diagnosed with low grade glioma, a cancer of brain. Moreover, a vital part of brain, near the brain stem is affected. I am glad that she is receiving radiation and IMPACT. I hope that she shows good recovery. Dizziness and vomiting are related to the tumor, as well as radiation and medications. Dizziness can be relieved with betahistine tablets and vomiting can be prevented with ondansetron tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dr.gopi i have been experiencing heart palpitations for a while now they are on and off and yesterday i have one which was pretty bad and i started shivering and felt nauseous and kept on having to urinate. My iron levels and all are fine but what should I do about my condition , i went for an ecg and they said i was fine,..but should i check with a cardiologist just in case? its very annoying." }, { "from": "gpt", "value": "Output: Hello, I passed carefully through your questions and would explain that some skipped heart beats or palpitations are quite normal in every healthy individual during physical activity or emotional stress. Anyway, I would recommend performing some additional tests in order to exclude any possible cardiac arrhythmia or metabolic disorders" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,after taking antibiotics for my sinus infection(1 month ago) I have mucos in my stool,and it s some times very dark,also discomfort in my stomach ,burp,pressure in my solar plexus,but the symptoms I worry about most is that that pressure goes up thru my chest (feels like vibration) some time I have it in my throat.my blood pressure is always normal pulse may be normal or little bit high( like 95)I don t have any heart pain.Do you thik it may be related to my heart" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of heart disease is less but better to rule out cardiac diseases first for your symptoms. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Possibility of antibiotic induced gastritis is more. You're all symptoms like burping, discomfort in stomach, chest pain etc. are seen in gastritis. And antibiotics are known to cause gastritis. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor. But first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I got numbness on my chin from last one month. When I feel numbness I consult my doctor (Dentiest) because i was undergo to RCT on last tooth but she said that there is nothing due to RCT, then I go to Ortho. because I was suffering from cervical Pain also and numbness in my left hand also. I am taking medicine Mahagaba 75mg BD. Now, I am O.K. but numbness on chin is not subsidy, what can I do for this?" }, { "from": "gpt", "value": "Output: Hello,First it needs to be clarified whether the numbness in your chin and your left hand is related or not. After seeing you one needs to come to a conclusion about whether it is because of compression in the neck or surrounding area. You need to consult a neurologist, and he will guide you regarding further investigation which may be required. He will also give you other medications for numbness. If the numbness on chin immediately followed dental treatment, then it could be related to it also. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,my baby is 14 month old,last 9 days he is suffering from loose motion.when i consult the doctor,he presribed kaptin syrup,lactovita tablet and pediatric electrolyte.after taking this,his stool become green color and there is no change.but he is active and taking food normally.give me a solution please.." }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your baby have symptoms of loose motion and green colored stool which is due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not worry. Chat Doctor. You should take antibiotic such as oflox-oz along with rebuild empty stomach one hour before meal. I would suggest you to take zinc supplements along with oral rely" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: \\\"me and my boyfriend use to have phone sex...he wished to do sex with me....during that he told me that he want more sex..while masturbating it takes more than half hour to ejaculate the sperm...one day as we planned ready to have sex,i gave him oral sex,then within 5 minutes he ejaculated sperm,the other day same thing happened,when i asked about this to him he told that the hot inside my mouth is the reason.... pls tell me that is that my problem???i frequently have hot body temperature...is that normal???pls tell me...\\" }, { "from": "gpt", "value": "Output: HelloThanks for query. Based on the fact that you have posted your boyfriend ejaculates within 5 minutes when you give him fellatio (Oral sex) whereas takes long time when he masturbates. Ejaculation is a point of climax of sexual stimulation and is due to contraction of Bulbospongiosus and Pubococcygeus muscles of penis which get triggered by stimulation of glans penis. This stimulation of glans penis being more in oral sex is the reason for early ejaculation than in masturbation. It has no relation with the temperature inside your mouth. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 14 year old son started having severe pain in his teeth when we started descending on the airplane this afternoon. He spit out a small amount of mucus and felt a litter better. He had taken a Zyrtec prior to traveling. The pain calmed down for about an hour or 2 but is now hurting him again. Had teeth checked and X-rays a month or 2 back so I doubt it is a cavity." }, { "from": "gpt", "value": "Output: Hello thanks for consulting at Chat Doctor.it could Barodontalgia, commonly known as tooth squeeze (aerodontalgia), is a pain in tooth caused by a change in atmospheric pressure. The pain usually ceases at ground level. The most common victims are SCUBA divers because in deep dives pressures can increase by several atmospheres and military pilots because of rapid changes. Barodontalgia is a symptom of dental disease, Indeed, most of the common oral pathologies have been reported as possible sources" } ]