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PranavHarshan

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have a broken tooth that had cut my tongue maybe two days ago. Now my tongue is swollen, my throat is severely irritated, the right side if my face has swelled considerably and my sinuses are a complete mess. I mean constant nasal drip while still feeling totally stuffed up (and when I use a tissue the only thing that comes out is like a clear gelatin-like substance), my eyes are partially swollen, red and somewhat leaking. So did all of this spark from a cut on my tongue or is the real issue the broken tooth? (by broken I mean that a small chunk of my tooth has chipped away) Furthermore, the tooth has been this way for sometime but I do not always have these same problems. In others words I will be totally fine for a period of time and then every once and a while this happens." }, { "from": "gpt", "value": "Output: Hi, Thanks for asking the query, Pain and swelling in the tongue is due to trauma caused by the chipped tooth. Sore throat can be due to bacterial or viral infection, swelling on right side due to sinusitis. I would advise you to visit to an ENT Specialist and get complete checkup done and take treatment for sinusitis. Apply colonel ointment topically over the affected area on tongue. Take saline water gargles 3-4 times a day. For broken tooth go crown placement , restoration depending upon the condition of tooth. Hope this helps out. Regards...." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 45 yrs old,54 Kg having Haemoglobin 7.4. Doctor prescribed me C Pink tablet. After taking the tablet there was tremendous uneasyiness,vomitting,gastritis problem.Gastritis and antivomitting tablet could not work.Now the doctor has prescribed tablet Haemgrow one tablet daily. one of my relative took this medicine thrice daily.Should I also take haemgrow thrice daily? Howmany days I have to take this Irin tablet?Thanking YouBina Nandi,Midnapore, W.B" }, { "from": "gpt", "value": "Output: Dear friend, GREETINGS from Chat Doctor... I appreciate your concern ... your hemoglobin levels are very, very low ... you please get evaluated completely ... you have anemia please check for the reasons for it ... it could be due to piles/hook worm infestations / bleeding peptic ulcer ... if all these causes are ruled out then it could be nutritional deficiency ....please take iron tablets daily 2-3 times before food . Iron tablets cause irritation and vomiting sensations ... please go for iron injections if you are not tolerating ... iron tablets are best taken with vitamin C tablets ... iron is better absorbed in empty stomach before food .you take more of meat, fish, egg, green leafy vegetables, fruits etc. To increase your iron levels ...please do contact us for more queries ... thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello! So I have had throat stones appear in my tonsils but they have been appearing more so recently. Also, just since yesterday, I don t see any of the throat stones in the back of my throat but I am still having the bad breath smell symptom from them. And in the back of my tonsils, if I press my finger against the crypts, a whitish/yellowish colored substance oozes out of the crypt. Also, I have had these bumps on the very back of my throat for a few days and just passed it off as an irritation due to an allergy. I am beginning to worry that something is wrong with my tonsils. Do you have any advice or suggestions as to what may be going on? Or what I should do?" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The yellow discharge could be a pus from the infected tonsil. It can be secondary to the tonsillitis or peritonsillar abscess. Consult a ENT surgeon and get it treated. Meanwhile you can take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. The halitosis is because of this problem only. Once you get the tonsils treated everything will return to normal. I hope my answer will help you, take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor my age 28 yearsheight 6 fitweight 58 kg i have TB in my past Presently iam healthy seminal report is quantity 20mlcolour milky whiteconsistency thick liquidreaction alkalnePH 70 total cout of sperms 10 million Dear Doctor my age 28 years,height-6 fit,weight 58 kg, i have TB in my past Presently iam healthy seminal report is quantity 2.0ml,colour-milky white,consistency-thick liquid,reaction-alkalne,P.H-7.0, total cout of sperms 10 million/ml of semen Motality after 1/2 hours total motile-10% active motile-10%,moderatelymotile-10%,sluggeshly motile-20% ,non motile-60% after 1hour total motile-8% active motile-5%,moderatelymotile-10%,sluggeshly motile-25% ,non motile-60% after 4hour total motile-2% active motile-00%,moderatelymotile-5%,sluggeshly motile-15% ,non motile-80% micro scopic morphology-10 to15% immature forms 08 to 10% tail less-02 to 04 %,pin head 01 to02%,W.B.C-4-6/hpf,R.B.C-no found, epithelial cell-not found,trichmonous-not found so pls tell sir i can be a fatheror not if not treatments are avilable for me. and duration as per abnomality which shows in my report." }, { "from": "gpt", "value": "Output: Dear Her, Welcome to Chat Doctor. Your count is low and motility is also less, so you will need to get a Color Doppler study of Scrotum done, to rule out or confirm varicocele which could be the cause for this. For this you will have to consult a Urologist who will advise you. You can certainly become a father after proper treatment. Do not lose hope, have a positive attitude. Wish you all the Best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi , i am 33 year old male and have been diagnosed with OSMF , although I didnt abstain from chewing pan masala immediately after the diagnose , and kept eating until 3 months back .I have now completely quit chewing the Panmasala.My mouth opening is about two fingers I.e 25 mm with very moderate tounge coming out of the mouth10 mm the serious issues revolves around my third molar which is coming out and the doctor is unable to get to the impact area of extraction due to mouth opening issues , I have been going through this for the past 2 years , and the pain is there occasionally , but now I have finally decided to get it extracted , but the doctors are unable to do so , the pain when happens is unbearable and I am unable to eat during the peak pain period , it happens usually once in a couple of months ( the pain wasnt that bad when I used to eat pan masala).I have consulted a lot of oral maxilofacial surgeons , and they arent sure of how to go about it , some suggest general anesthesia , until I saw a laser treatment for the same , where in they will do the laser treatment for OSMF and once th mouth opening is achieved the third moral can be extracted easily ( they say 10 days total and post treatment pysiotherapy)My doctor in the interim has not given any injection but a medicine SM FIBRO 2 tab daily ( multi vitamin).Is this the correct course , and will it help achieve the desired mouth opening to get the third molar extracted any time soon .Please advice .ThanksAtul" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The OSF can be treated with Erbium Chromium Yttrium Scandium Gallium Garnet (Err" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 4 year old has had a fever for 3 days, ranging between 99 and 102.9. She complains of a tummy ache and she is coughing. Is lethargic but is more talkative and playful in day 3. She has ate little in the past 3 days, withe the third day the most shes eaten. Takes in some fluid. Complains she doesnt feel well." }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. It is quite common for it to pain after severe cough. Do not worry. It seems to be a viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (Maximum ceiling dose 500\\u00a0mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a cyst on the base of my penis shaft... the doctor said it was not threatening and to just leave it alone... i cant very well leave it alone when trying to have intercourse... there was no pain originally but now has started being sore to movement and to the touch cant tell if its getting bigger or about to rupture. should i get it removed?" }, { "from": "gpt", "value": "Output: HelloThanks for query. You have what is called as Sebaceous Cyst over base of the penis. The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed it may need to get excised in Toto (Completely along with the sac) Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. My sister is 23 years old and is suffering from very low HB that is 3.5. Two years back she had severe bleeding due to fibroids and after that she s on medication. Her bleeding has become better but her HB has fallen down a lot. I am really worried what to do. Should we go for a blood transfusion." }, { "from": "gpt", "value": "Output: Dear patient. Greetings from Chat Doctor !!! I am Chat Doctor and shall be answering your question. I can understand your reservations about blood transfusion and when it should be done. Furthermore, I will try my best to answer your question and guide you through the problem. Your sister has an HE of 3.5gm/DL. The normal HE for her is 12gm/DL. Her anemia can be multifactorial, blood loss due to fibroid, nutritional, menstrual loss. HE of 3.5gm/DL is a very low hemoglobin. The body goes into a state of high output cardiac failure and blood is not able to deliver enough oxygen to the tissues. Oxygen is a basic requirement of the cells. Hypoxia leads to accumulation of acids in the blood and the patient feels tired and breathless. Hence, I would recommend your sister be transfused with a total of 3 to 4 packed cells to get the HE till 7gm/DL. She can then be treated for the cause. She can then be given hepatitis, intravenous iron and treated for fibroid if any. Current day transfusions are safe and the risk of acquiring diseases is minimal. Hence, you shouldn't worry about that, I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, ChatDoctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Why does my breathing feel limited now? Ive only had one panic attack . But I mean that was weeks ago, and now my breathing feels really limited, also when standing up for a while I start to breathe a lil harder. My heart rate is fine now that I have learned to sort of keep calm but now my breathing feels limited & in the middle of my chest and inder my left breast feels a little sore, should I be worried?? Btw im 18." }, { "from": "gpt", "value": "Output: Hi and thank you for asking. Usually it is normal that during or after a panic attack the person might feel breathlessness. You explain that after you now have learned to sort of keep calm your breathing feels really limited. To rule out lungs problem you can do a blood count test, a chest X-ray and a Spirometry test. If they come normal I do not think you need other tests to do further. Thank you Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hey my aunt fell last week no one knows how. took her to the er and they just gave her pain meds. she do not have use of her rightside of her body. It looks like she has had a stroke. took her back to the er yesterday and her bp was 218/151. they got it down to 181/105 and let her go home. What should I do?" }, { "from": "gpt", "value": "Output: Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son was hit in the head three years ago with a tree limb causing his first seizure. Now at age 38 he doesn t use but can his right hand. He just recently went to the doctor an they diagnosed him with having MS. However then sent him to a neurologist an he diagnosed him with Corticobasal ganglion degeneration I feel like he had a stroke an it went undiagnosed." }, { "from": "gpt", "value": "Output: I read your question and I understand your concern. To be honest I am very puzzled by your story, especially the corticobasal ganglion degeneration (CBG) part. CBG typically presents around the age of 60. The youngest ever documented case has manifested at the age of 34 (I rechecked before answering just to be sure). So if your son had that disease at 38 with manifestations starting at 35, he would be an almost unique case in the history of the disease, I would be really careful in taking that diagnosis. As for the distinction between MS and stroke related to the head trauma it should generally be easy with an MRI if history and examination do not already make that distinction. Without knowing more about the signs and MRI report it's hard for me to say something more because these diseases can have many presentations. The seizure would direct more towards the head trauma rather than MS, as would the fact that the deficit has remained constant in time since the hit, without new signs, as you seem to suggest, but as I said MRI and more details are needed. I hope things work out for the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i had an open myomectomy 8 months after delivery and i was advice to wait for a year before trying. it looks like i am preg five months after . will my stomach explode or burst open?. i am so worried but really want the baby because i am 39 and a half . please help i had 3 subserus fib remove that weigh 600gs. this was done in germany.but i am fine no pains or scars except that i had a nerve punctured and my lap was not responsive for almost 4 months but is ok now but for few itching." }, { "from": "gpt", "value": "Output: Hi, there is increased chance of uterine rupture After mastectomy if you become pregnant soon. So, to heal the scar, 6 months to one year gap is recommended. But as you have got pregnant, be a little aware that after 8 months starting, you should be cautious of any pain in abdomen. Visit a doctor immediately if pain is there. Baby will require delivery by cesarean in most of the cases. Hope I have answered your question. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello i got poison ivy exactly a week ago and the rash seems to be at its ugliest stage now. Unfortunately I have it all over and around my buttocks due to peeing in the woods instead of the porter potties at a concert. But now the rash feels like a bruise and there are purple blotches within the hives that have leaked out pus for the last three days. Please help! Ive used zanfel and my doctor prescribed me a strong steroid cortisone but now my groin area lymph nodes are also swollen and hurt so I think it might be infected." }, { "from": "gpt", "value": "Output: Hello, Thanks for the query. Zanfel is some herbal product. I cannot exactly say how effective it will be. You need treatment with, oral steroidsAnti histamines are also must. Please meet a dermatologist and discuss regarding this. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My girlfriend is running a 111 heart rate. She is a diabetic and has a doctor appointment for the 17th and an appointment with cardio on the 19th. Should we be concerned about her waiting for the appointments with her heart rate running so high? Also has had a few chest pains on occasion but they go away." }, { "from": "gpt", "value": "Output: Hello, I have gone through your question. Thanks for using Chat Doctor. As such I need more information on symptoms of your girlfriend. But if she has chest pain and heart rate of 111,you should get her ECG as early as possible, because in diabetics, heart disease may be deceptive and may have milder symptoms with high heart rate. So I suggest you to go for early check up, however it may turn out to be minor condition, but first we must rule out heart disease. My best wishes. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I HAVE NARCOLEPSY AND MAJOR DEPRESSIVE DISORDER.PROVIGIL DOESNT WORK FOR ME BUT NUVIGIL HAS HELPED A GREAT DEAL. I CAN DRIVE WITHOUT DROWSINESS WHICH IS HUGE BUT I DO TAKE EFFEDRINE AND B12 DRINK SHOTS [1] A DAY TO KEEP GOING,MY DR. DOESNT LIKE ME TO TAKE EFFEDRINE BUT WOULDNT IT BE WORTH A TRY TO ADD ADDERAL XL AND DROP THE EFFEDRINE.OR AT LEAST TRY THAT COMBO SO I CAN REACH MY ENERGY POTENTIAL SO I CAN FEEL LIKE MOST 53 YEAR OLD FEEL NORMALLY SO I CAN GET MY HOUSE IN ORDER?" }, { "from": "gpt", "value": "Output: HIT hanks for using Chat Doctor Adderall is a psycho-stimulant and its therapeutic doses improve performance on working memory tests in normal functioning individuals, and it is effective in both narcolepsy and major depressive disorder. At doses much higher than those medically prescribed, stimulants can interfere with working memory and cognitive control. Try to control its dose to avoid abuse potential. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, my uncles age is 80 years. sufferring with prostite problem and doctor kept separate pipe for urinating. from that day he is not taking any food and taking only juices and surviving on glucosebottles only.at present he is sufferring with loose motions.please suggest any medicine for fast relief please." }, { "from": "gpt", "value": "Output: Hello, As I see the history it looks like the aging factor and also some infection in the body. Since he is having loose motions this is due to the heat in the body. Which is good to allow it to pass on. Of course, there will be a fluid loss but too much heat in the body may not be good for the physiology to function. As prostate cancer does not lead to multiple troubles unless and until the grades are higher. This can be helped with medication and if required surgery. Also, you need to monitor the heart rate, blood pressure, oxygen saturation levels. Giving external oxygen supply through the oxygen saturation machine will be of benefit to help further. Control of blood pressure and blood glucose levels is also advised. Make sure he doesn't develop any respiratory issues as that may make him weaker. Giving a good diet which is kind of Grace will be easy for absorption and also giving electrolytes will be good to have some strength. In bed, do some passive physiotherapy to help the muscular system to be active. As this plays a good role in be Chat Doctor. Also, see to that the catheter is removed after 2-3 weeks of time as this may not be good for the physiology to continue for a longer duration. Chances are heavy on the side of infection. Take the medication as prescribed by the doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: MY HUSBAND AGE IS 31.HE IS HAVING SEISURE DISORDER IT WAS STARTED AT 27 YRS.6MONTH INTERVAL PERIOD ONLY FITS CAME . HE IS TAKING TAB.FRIZUM 10 MG AND TAB. EPILEX CHRONO MY QESTION. LIFE LONG CONTINU FOR THIS TAB! .WHAT CAN I DO FOR STOP THE FITS PROBLEM!" }, { "from": "gpt", "value": "Output: Hello, I cannot answer your question because I don't have sufficient information about his specific epileptic disorder. You must speak to the doctor about the REASON he is having such problems. Sometimes it is possible to retire the medications if he has been seizure-free for a period of at least 2-3 years. It doesn't sound like this is happening. Stopping the fits means your doctor should be able to tell you EITHER the underlying cause to his episodes OR the doctor needs to find another combination or another DOSING regimen of medications that can control his episodes. Also, you can help your husband by making sure he is well HY Chat Doctor. You should also make sure with the pharmacist that your husband is not taking any other medications or EATING certain foods or beverages that can NEGATE the effects of his medications to control the seizures. Hope I have answered your query. Let me know if I can assist you further. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been suffering from an abssess tooth going on 2 1/2 weeks. I am scheduled to see a specialist on Thursday for a root canal; however I have developed a blister the size of a penny on the roof of my mouth. Is it okay if I burst this blister? Its is causing a lot of pain." }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the blister that has caused to you is due to pus formation below the root tips of the infected tooth which at times perforates the bone and appears as a blister below the soft tissues. It is a painful condition, but you should not prick or burst the blister as it will be further painful. You should take antibiotics like Augmenting 625\\u00a0mg three times a day and Tramadol 5Omg thrice a day and Pantoprazole 4Omg empty stomach once in morning.... You can apply numbing gel over the blister for local relief. You should continue with the medicine for 5 days and by then get the root canal started so that the pus finds a way to discharge, and the condition will relieve. Hope this information helps. Thanks and regards. Chat Doctor. ." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a problem in my stomach,veins of stomach are stereching so the result is pain in lower stomach.if i put some heavy thing then pain increases.weins are stimbring automaticaly and eyes are also stimbring ,i felt lots of fatigue and mentaly stress as wel.so i am not able to concentrate on things.after that acidity also started in my stomach i am sufring from this problem for last six months.pls tel me the solution to this problem. Regards Davender Arora" }, { "from": "gpt", "value": "Output: Hi Defender, For the discomfort that you are having in the abdomen, you must consult a doctor and get a detailed examination done, including ultrasound scan and if indicated gastro-duodenoscopy to diagnose the cause of your abdominal discomfort. Once the cause is established correct treatment can be instituted. Twitching in the abdominal muscle and eyes may be due to calcium deficiency. If that is the case you will require calcium supplement. Wishing you all the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I woke up about yesterday feeling dizzy but the night before i felt fine . I puked like 4 /75 times & it gasnt gotten better. everytimr i move the room start spinning but only with the light a bit on .. like tinted a bit or even if its comppetelty on. i havs Alot if pressure in my head & i cant even walk without throwing up or feeling really dizzy .. what do i do??" }, { "from": "gpt", "value": "Output: Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to an inner ear disorder. What is your age? Do you have any cardio-vascular risk factors (diabetes, hypertension, etc.)? I would recommend consulting with an ENT specialist for a careful physical check up and performing labyrinthine tests. A brain MRI may be needed, especially if you have known cardio-vascular risk factors. Meanwhile, I would recommend having some rest and take plenty of fluids to remain well HY Chat Doctor. Linearizing or betahistine may be helpful. Hope you will find this answer helpful! Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i hav a very thin hair bt density was fine earlier .bt since last 3 years its density is decreasing ...i m applyin coconut oil with methi and neem once a week and dove shampoo..bt aftr applyin oil n when i comb my hair i get a lot of hair loss..please suggest me some remedies n how to control my hair loss and maintain my hair density gud enough" }, { "from": "gpt", "value": "Output: Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. Since you have not mentioned relevant history and description like sex, pattern of hair loss(patchy/diffuse), family history etc., It's difficult to put a definitive diagnosis. Still, it seems you are suffering from either An" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I havent had a period on 6 mths. Prior to the 6mths my dr gav me medroxyprogesterone after day 10 of that pill i got my pd. Since then nothing yet. Im ttc and its hard i dnt get my pd. Im 26 i have a 3 yrvold n i had no trouble getting pregnant with her. I recently started taking vitex. What can i do to make my pds normal again. I want another baby so bad but i need my pd 1st.plz help me" }, { "from": "gpt", "value": "Output: Hiiii, Welcome to Chat Doctor. You are suffering from Secondary Amenorrhea for last 6 months.Also, you are trying to conceive, and you got last period 6\\u00a0m ago after taking MPA. There are several causes. First exclude possible pregnancy by doing blood test for Chat Doctor. Other causes are POD (more common), thyroid dysfunction, over wt or under wt, psychological problems, eating disorder, certain Chat Doctor. So do some primary investigations to evaluate underlying pathology. Those are USG lower abdomen, LH/FSH, blood estrogen & Progesterone level, PPBS, blood prolactin, thyroid & lipid profile. After all investigations, consult with your doctor, and you will be treated accordingly. One thing you should be concerned that MPA can cause irregular/delayed menstrual cycle or long time infertility after discontinuation. Besides, you control your body wt by regular exercise, take healthy diet with avoidance of fatty food, avoid stress, take proper sleep along with vitae & nutrient supplements. Be well." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have herniated discs in my neck as a result im used to my arms and hands going numb no feeling and dropping things at times. But the other day which this has happened a few times my left fore arm locked up while washing my hair it hurt and also was numb my concern is could this be a sign of a heart attack or stroke?" }, { "from": "gpt", "value": "Output: Hi dear, When a herniated disc occurs, it can release pressure on nearby spinal nerves and the spinal cord, causing unpleasant painful symptoms, very common ones are neck pain, radiating arm pain, shoulder pain, and numbness or tingling in the arm or hand. Pain by patients are general explained as dull, aching, and difficult to localize to sharp, burning, and easy to pinpoint. Pain in your arms as well as in your neck is usually the first sign that your nerve roots are irritated by a problem in your neck. Symptoms such as numbness, tingling, and especially weakness in the muscles of your arms, are warning signs that your problem may be more serious. Weakness in your arms is a definite sign that you should see a doctor about your neck pain. So i don't think it's a heart attack sign neither a stroke. Not all patients with herniated disc require surgery. Patient can find symptomatic relief through non-surgical therapies such as exercise, medication, physiotherapy. I will really advise you to meet your consulting doctor for further management and proper treatment.I may also feel from your questing that this problem has limited your life/daily work to some degree, I can give you my honest opinion that in my clinical practice I have seen attest 95 % patient getting relief from physiotherapy and conservative management.I hope you will carry on with the treatment .TAKE CARE." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I know of a 14 year old girl who is frequebtly urinating in school and bed wetting. It is causing social problems for her. She has been evaluated by a urologist, but no cause was found. I suspect abuse or neglect by the parents. Is this a likely explanation?" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. I have few questions for you -1. Has this kid stopped bed-wetting at certain age and again started having it2. If so at what age she stopped and when did it started she had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am facing from quite wierd problems, i am blank all the time , i tend to forget things just like 30 - 40- secs after it , while studying , i just keep copying thin gs from blackboard , and camnt even ermeber what was the nlast line i wrote , even if i study constantly for 6 hrs or do a heavy workout , i neither feelk fresh or tired , its the same black and dizzy mind , i have lost my identity , i dont know how to respond to phone calls, i mean what to speak , when i go to shops , i am always confused what to buy , i am feeling sleepy whole day and cant think of anything , this has effected my personal as well as social life very negitively , is this fatique or nanxiety disorder or what ?" }, { "from": "gpt", "value": "Output: Hi dear, what ever you described is suggestive of depression or negative schizophrenia, but actual diagnosis is not possible without detail history and mental status examination. Hows your mood and your interest regarding your work?sleep and appetite habit?is there any fear or auspiciousness in your behavior ? Consult psychiatrist for detail history and treatment. There are many medications which is helpful and so not to worry about it. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: MY BP is averaging 183 / 130 since the beginning of the new year. I have resumed taking meds as there seemed to be no gain or lowering over several months. Have read about the dire consequences of such high BP and am at odds to find a way of bringing it down. The only area of which I am guilty is in the area of worry and stress. which I feel is made worse as we are no longer intimate ...for more than 3 years; and even before sex averaged 6 times a year. Any advice?" }, { "from": "gpt", "value": "Output: Hello thanks for posting here. You seem to have got resistant hypertension because your BP is not under control despite being on medications. So we must look out if there are any treatable causes of this resistant high blood pressure. A block in both the arteries supplying the kidneys is on the causes of resistant hypertension. So please do a renal artery Doppler to see whether you have kidney artery disease. Another reason is a condition Called pheochromocytoma. It is a being tumor of the Chat Doctor. To detect that a CT abdomen can be done. So my advice is first to do a renal artery Doppler and if it is normal then a CT abdomen. Meanwhile, your BP medications should be added and changed. Wishing you good health regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hiii.....I want to ask abt my grand mum....she is 73 years old and is suffering from CKD....her creatinine is 3.2 mg/DL urea 85 uric acid 7.04 bun 38 mg/DL .her weight is 65 KGS.I want to known her stage of CKD......she is anaemic too......taking erythopotein injection once a week." }, { "from": "gpt", "value": "Output: Hello, I have gone through your query and understand your concerns. Based upon the values you have mentioned your grandma is in stage 5 kidney disease and her GFR IS 14. If she is having symptoms then she needs dialysis at this stage but if she has no symptoms then management with medicines is needed. Please check calcium, phosphorus, PTH and renal function test monthly and take treatment accordingly. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor now a days one of my friends mom is a patcient of Septicemia with multi orgen failiure. hence i am also in touch with the relative.. since yesterday i am also suffered cold,fever and coufgh. i have already taken paracitamol+nimosulite and anti alargic. may i take some antibiotic like seftum 250mg twice per day??" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor. I understand your concern. You might be suffering from viral infection.I would adv you to do a blood test mammogram to see the total leukocyte count. If it is raised >10000/CMM then it is a bacterial infection and would need antibiotic like septum.Otherwise, viral cold infection resolves on its own. Adv-1. Steam inhalation2. Adequate rest.3. Plenty of oral fluids4. Salt water gargles.5. Medications like minaret and Monte LC can help. In case of worsening of symptoms refer to a general physician immediately, as swine flu has to be ruled out. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a 21 month old who is constantly teething and congested. Ped says hes normal. Tonight I heard a slight wheeze when he woke up. Hes been waking overnight at least 4-5 times crying. I have a humidifier in his room on now. Does this seem to be allergy symptoms or pneumonia/bronchiolitis?" }, { "from": "gpt", "value": "Output: Hi, If you got him checked by the PED recently, and if he did not mention pneumonia/bronchiolitis, then, this is excluded. However, I highly suggest getting him physically examined by the PED for further evaluation. Usually, when having common cold/viral infection, the upper airways are congested and become narrowing. This is associated with difficulty in breathing. I advise to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has a very bad cough,last year had pneumonia.He is81 years old.went to an urgent care clinic,they prescribed the following AZITHROMYCIN TABLETS OF 250mg to be taken for 7days They gave him 2 daYs in a row an injection of ROCEPHIN They want him to go back to the clinic tomorrow for another injection of ROCEPHIN Could you please tell me if this is correct,and if he shoul continue takin more injection" }, { "from": "gpt", "value": "Output: Hello dear thanks for your question on Chat Doctor. No, this is not the correct way to treat. Old age patient, with bad cough with history of previous pneumonia should be investigated to rule out pneumonia. As pneumonia in old age patient, if not treated early can lead to poor outcome. So I advise you to consult pulmonologist and get done1. Chest x-ray.2. Sputum culture and sensitivity to guide antibiotics.3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis if sputum is not available It is better to start antibiotics according to sensitivity report to achieve the greatest effect and fasten recovery. So avoid Rocephin injection further and consult pulmonologist and start treatment according to guidelines." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am being treated for lichen scelorsis at the moment. I was told to take a bath everyday. Since starting this my psoriasis has flaired up worse than ever. Its terrible. Im using dobovate cream on it at the moment. do you think the baths might be the cause problem. Is there anything else you would recommend?" }, { "from": "gpt", "value": "Output: Hi, As you said you suffer from psoriasis and that is worsened after treatment of lichen sclerosis. You also have doubt that daily bathing is responsible. I would like to say about few lines for psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. There may be scaly plaques on various parts of the body, scaly lesions on the scalp and sometimes joint pain may be there due to politic arthritis. Exact cause is not known. Genetic tendency, autoimmunitity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You did not say what treatment you took for lichen sclerosis. If your doctor has given oral steroids or steroid injections for lichen sclerosis.that would have worsened the psoriasis. I do not believe that daily bath is responsible. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcitriol point on the lesions. For scalp psoriasis, tar shampoo may be done. You may apply moisturizer to improve the skin texture. Avoid soap bath for few weeks. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer. 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 sharp pain in the middle of the spine. I had a c section 2 years ago and have gained 25 kgs during my pregnancy at it was high risk and I was n bed rest. Though I have lost 20 kgs after that but the back pain lower and recently in the middle of the spine is unbearable. I also haVe neck ans shoulder pain for quite sometime now. I am a working women and most of my work involve working on the computer.i have the pain the middle of the spine at around the spot where I was give an injection for my c section. Pls advise" }, { "from": "gpt", "value": "Output: Hi, I believe that a good physical workup should be performed to discover the most likely cause of the localized back pain. It seems that you've lost nearly all the weight you gained during the pregnancy, so mechanical causes of back pain are probably less likely. Still a good examination to distinguish different types of back pain including the possibility of chronic pain following the c-section is worthwhile and can help identify even other causes of chronic low back. Psychological stressors causing back, shoulder, and neck pain are very common and even physical stressors such as working on computers without proper back/neck support or not taking frequent enough breaks, or being tensed in the shoulders and arms while typing constantly can play into the picture. In short, a number of potential causes can be in play. A good physical examination by a good physician with proper imaging studies and other workup will do a lot of elucidate the root of your problem. 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 lower back pain on my right side. It is very hard to stand in one place for more than a few minutes and bend and pick things up. Last week I had an episode where I couldnt move it at all without screaming in pain. That was an extreme but this has happened now about three times in the last two years. The pain standing and bending happens all of the time. I have RA and I am not interested in steroids or pain meds I just want this to stop. I am only 42 and I can no longer excersize like I used to. I have Florida Blue do I need a referral to see a back doctor?" }, { "from": "gpt", "value": "Output: Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello! my daughter is 3+ yrs old. she is good on all activities but she is thin. she can not eat all at one go, she eats on regular interval. She is thin and her wweight is also less, currently her weight is 11kgs.. So I like to know how can I increase her weight and immune system well.Thank you,Bhavesh Vora" }, { "from": "gpt", "value": "Output: Hi Read your questioner daughter is under weight According to u your daughter eat at regular interval For weight gain u have to give her all types of food And also pulses and cereals U have to give her chelcerol sachet (one sachet on every week for 10 weeks)Also give her protein powder if not taking pulses in food Give food regular intervals but healthy food not biscuits or refers and other junk food Give daily morning Paley(spinach) soup which contains iron Also give her weather fruits and vegetable. If not gaining at properly then consult pediatrician and ask him/her for diary chart for your daughter" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am in pain with h&h and its so painful. i am on that on medication that starts with an A. i have always been depressed but its gotten to the point where i dont care about the depression and i just want this gone!!!! it its the wrost pain ever. if we are being honest i will tell you i truely want to die. its sad but true life isnt worth living when you are in pain every day. people can say they accomplish everything when you are disablied but truely its not true. i hate this sh and i am sick of being in pain. my doctor has no clue what to do" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. The pain you are mentioning here is due to your obsession with the pain. You should engage yourself in creative activities and agile games. Rest will be taken care by the medicines. Don't be obsessive and panic. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, Nice you have given us a chance to clarify doubts via online! Ah im Ahamed from Sri Lanka, so hope you know what our skin colour is. Actually I wanted to become fairer because I wanted to attract my girlfriend as well as to have a change in life... So the only person can help me is YOU!!! My skin type" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. Skin color I genetically determined. Asian skin is type IV skin which contains fair amount of melanin and is prone to tan quickly as compared to Caucasians/ people in the west who have very less melanin. Skin type cannot be changed but regular use of a broad spectrum sunscreen gel, which offers protection against both UVB and UVA, can be used to prevent sun induced tanning. A cream containing one or more of the following ingredients e.g. comic acid, glycolic acid, abuts, magnesium absorbed phosphate etc. can be use once daily at night to lighten up the tan and impart even tone to the complexion. Hope this helps you regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have pain on the right side of my back upper right hand quadrant like dull and stuff but certain movements make it more sore. After having cream put on it this evening there seems to be likely swelling just below the shoulder blade to the right hand side just below and back from the armpit" }, { "from": "gpt", "value": "Output: Hi, as you mentioned your symptoms it looks more of the pain towards the shoulder blade, and it is due to inflammation. You can under therapeutic ultrasound therapy and TENS therapy for reducing the inflammation and pain. Also performing Myofascial release will help the muscle fibers relaxed. Seems like, it is trapezius muscle spasm pain which can be latter helped by performing Strengthening exercises. A physical therapist will help you further is needed any deep understanding. Usually patients recover within a week of time under the physical therapist guidance. With the grace of God I wish you a speedy recovery. 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 30 and have no erection provlems but about 10 years ago i tried to masturbate over a pillow and while making to and fro motion over pillow i felt that i hurt someting in my penis but feeling was not so strong.since then i have provlems of less stiffened penis though no erection provlems.during musterbation i am not able toget full pleasure.please advice me what i should do sir" }, { "from": "gpt", "value": "Output: Dear user, Thanks for writing to Chat Doctor. I have gone through your question and understand your concerns. According to your description, there is almost nil possibility to have traumatic injury causing erectile dysfunction in your case. Let me know whether you achieve and maintain an erection in sleep, in the early morning or during masturbation then there is no need to be worried about. It is likely due to performance anxiety. For continuous erection, there must be constant erotic/romantic thoughts, feelings, and sensations in your mind. If your mind is diverted to concern about erection, you will lose erection or have delayed or no erection. This failure causes you worried more during next time and again makes you focusing on your erection rather than enjoying erotic feelings. You may read Senate focus on internet. I suggest psychological counseling with psychiatrist. Wish you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello... I have been feeling very depressed for ages, I forgot how long, all I know is that my depression is always somewhere, sometimes, I feel no emotion, empty, hopeless, angry, lonely, depressed, sad, isolated, grief, and very guilty for no reasons. Almost every single symtom for depression and major/severe despression fits me, except maybe one or two. I think this was caused from 8 months or more of loneliness and isolation at school, having no friends. I also have social phobia, an eating disorder, sleeping disorder, crossed-eyes, and more weird and strange diseases. D" }, { "from": "gpt", "value": "Output: Hi, Thanks for using Chat Doctor. I have gone through your available history. It is very common to have depression as a comorbid condition with phobia and eating disorder. You must consult psychiatrist for detailed evaluation and management. There are very good Chat Doctor. Doctor may prescribe antidepressants like paroxetine or fluoxetine. Meanwhile, you can also do stress management and relaxation therapy like breathing exercise and yoga. I hope you will be fine soon. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I fell at work, hit my face and fell on my left side and left knee, which bruised my nose which has now healed and my knee was black and blue, but it s starting to really hurt when I walk, I strapped it up and it seemed to help, however today I got home and my leg has doubled in size my leg aches, and my ankles have disappeared! Very swollen! Do I go to the doctors? Keep putting ice on it? In need of advice-leanne" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, the left side of my lower abdomen just above my pubic area feels bruised when I press it. I am not pregnant, and I just started feeling this yesterday evening. My period is 14 days away and I do not remember bumping into something but it might be a possibility that I did. I have no trouble using the toilet, and no pain unless I press against my lower abdomen. I hope you can help! Thanks" }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. Pain in the abdomen can be due to various reasons. During the menstrual cycle, ovulation (release of eggs from ovary) takes place around 14 days prior to the start of menstrual periods. Occasionally some people feel pain in the abdomen during that time. Other than that, if you have any other symptoms relating to your bowel movements or urination, those also could be a cause. You can wait for 2-3 days to see if the pain is subsiding by itself. If it does not subside, then it is better to get examined by your family physician. You can also get an ultrasonography of the abdomen done to see if any abnormalities is happening there. Hope I have cleared your concern. Please let me know if I can be of any further assistance to you. Thank you. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor,Im 22 year old and I have been having minor depression for the past 6 months.About 4 months ago I passed out at work due to the pain in period, my doctor suggested me taking birth control pills. Im getting worse with my depression and Im worrying the birth control pills not helping with my depression although they helped my period problem. Im feeling hopeless, please help!Hopeless" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I can understand. Birth control pills do have these problems. Have you got diagnosed your mild depression from a psychiatrist / psychologist? You cannot diagnose depression yourself. There are certain criteria and need to diagnosed deferentially. You could just be disappointed and irritated. In such a condition also symptoms that resemble depression manifest, but are short-lived. 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: I have two dry patches on the palm of both hands and have had it for over a year now. It itches from time to time but not always. I continually keep moisterizers on it. I am a nurse and wash my hands alot but have not changed soaps or skin moiturizer since it started. I have never had any allergies to anything and am 61yo. what could it be?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor, You could be having a type of eczema which is known as pompholyx where one gets multiple tiny Chat Doctor. These are usually seasonal and occurs over palm and also on soles and side of fingers. You can apply a steroidal cream like mometasone and a good moisturizing cream. However, the correct diagnosis can only be made after careful inspection of your skin of palm by skin specialist. Hope this answer will help you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can this be throat cancer?i have been suffering with pain in and around my ear fire about two mos now I saw an ent who said no ear infection I even saw a neurologist who said no nerve damage, sometimes I feel tiredness in my face as well my dentist said I should be checked for tmj I m twenty four and a smoker please help" }, { "from": "gpt", "value": "Output: Hi, Why do you smoke when you are so worried about getting a cancer? You have visited an ENT specialist, a Neurologist and a Dentist; none of them have detected any cancer; hence cancer should be highly unlikely. Moreover, your Dentist seems to be suggesting that your ear pain could be due to TMJ arthritis; which could be true. In that case eat soft foods and do not chew on that side for couple of weeks. Nevertheless, you need to quit smoking; otherwise the cancer can catch up soon in any smoker, and you may not be an exception. Sreenivasan" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my dad is 74, his kidneys are functioning at 6%. He has enlarged prostrate glands but the doctors are not concerned of this at the moment. He is not on dialysis and is doing quite well for a person whos kidney function is at 6%. Can prostrate glands affect the kidney function and bring it down to this level of function?" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. Benign prostates' enlargement is most common among male around 60 years. This prostate will not make any impact over kidney, so need not worry. When retention of urine, if occurs than get treatment of prostate enlargement. Usually it is 18-20 gm, is mote than 30 gm get a treatment from a surgeon. Conservative treatment is sufficient, surgery not necessary. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had started masturbation at the age of 20 and now i am 24..i used to masturbate daily..i have been facing problems of soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning. I have stopped masturbTing from 10 to 15 days but with no improvements..I am very worried and dont know what to do Please help" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. The problems you are mentioning here like soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning etc. are due to psychological problems rather than physiological problems. You should consult a psychologist or sexologist for counseling. If you still need my assistance in this regard, please use this link. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a pricking and pushing, spasmodic pain in my lower abdomen since 2-3 weeks. An ultrasound of the abdomen and pelvis shows a normal study . I have acidity and gastric problem specially early in the morning and subsides after having breakfast. My pain worsens the moment I get stressed." }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor, This can be treated with anti-spasmodic and gastric medicines along with antibiotics. Hope your doctor prescribed the same. Continue the same medicines as prescribed by your doctor. Chat Doctor. Do you have pain in left lower abdomen? In my opinion you can do barium meal 24 hour picture to rule out diverticulitis. Do you have fever, constipation or diarrhea? May be scope study will give clear picture. Also stool ova and cyst lab study will be useful to rule out meiosis. Wish you speedy recoveryThanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 12 year old daughter suffered from tachycardia a couple of months ago. She is perfectly healthy, active. By the time she was brought into the ER by ambulance from school her heart rate was 205 bpm. She had an ultrasound and heart monitor all results were normal.We found a large amount of mold in her room behind her dresser and under it, could this episode be due to mold exposure?" }, { "from": "gpt", "value": "Output: Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Mould never causes tachycardia. Mould can cause respiratory infection, superficial or subcutaneous infection. Mould has nothing to do with the heart, so it never causes tachycardia. But having large mold at home is serious issue and can cause other health issues. I suggest you to do some engineering method to remove those molds, or you can spray some fungicidal chemicals that can cause destruction of the mold. In long period it can cause allergic reaction to you and your child Chat Doctor. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am on Depo I got my shot a week late. Me and my Fiance had sex a week ago.That next morning I was spotting pink only when wiped.While I was at work 2 days after it was a little pink in my underwear once again I wiped and it was a small amount on the toilet paper. We have a 5 month old son and I am breastfeeding" }, { "from": "gpt", "value": "Output: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my boyfriend is experiencing some tummy problems with it rumbling and feeling generally uncomfortable. He also has quite a high fever and his skin is pretty sensitive. He had breakfast and lunch but is feeling too weak to eat anything now. He tried to vomit, but to no avail. Is this just because his system is run down due to stress and exhaustion or is it something more serious? He rrecently started taking vitamin b supplements, but im not sure whether or not he is still taking them. Any suggestions?" }, { "from": "gpt", "value": "Output: Hello, You are talking about a weakness, upset stomach, discomfort, high fever and sensitive skin. Vitamin B supplements may not have anything to do with his present conditions. Because he has high fever, it should not be taken lightly. Therefore, my advice would be to consult a doctor earlier. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am RAJE,Female,24 yrs..I had a polycystic ovaries and I have done follicular study for 2 times as well as HSG also and for my husband age -30-he has count -110 & motility as 25-28...so Doctor referred him for Scrotalscan with Doppler-In that report Left side Varcicole is mentioned......What to do for next step Thanking You Warm RegardsRAJE" }, { "from": "gpt", "value": "Output: Hello First about Varicocele" } ]

[ { "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 cousin was injured in a car accident. Trauma to the head and other injuries. My aunt emailed this morning and said" }, { "from": "gpt", "value": "Output: Hi, I had gone through your question and understand your concerns. If your cousin is diagnosed with brain death (there are examinations that determine it, EEG, cerebral and brain stem reflexes absent, etc.) then his heart can beat for an indefinite time if there is medical support, if no heart will stop soon. The time that human brain resists without oxygen is 3 to 5 minutes, beyond this time (without blood and oxygen) happens brain death and if the diagnosis is correct there is nothing to do to help him. Sorry I have to say this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,All I do for the past 6 months is go to work, come home, drink scotch while watching tv. Over the weekends, I am on the couch drinking and watching tv. I dont answer calls and I dot call. I love the quiet and being alone. What is wrong with me? I used to be active in church, had many friends and used to go to the gym and to dance. I have since added 60 pounds." }, { "from": "gpt", "value": "Output: Hi, The short history that you had given suggests\\\" decreased social interaction\\\".probable Cause of decreased social interaction- Dysthymia, Depression, stress(physical/psychological/financial .....) or it might be personality problem. I suggest you go for psychological evaluation to a psychologist/psychiatrist. You will definitely get help. Hope this helps and clarifies your concern. Wishing you good health. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am coughing a lot feel very weak when I eat, food doesn t go down easy. I do have asthma but this doesn t seem to be in my lungs, more in my chest, also out of breath alot. Can t seem to walk more than 5 feet with out losing all air. I m almost 67 and am 5ft.4in.tall and weigh 115 lbs." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having acute exacerbation (worsening) of asthma. This is the cause for your constant cough, weakness and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You will need inhaled bronchodilators (formoterol, albuterol) and inhaled corticosteroid (budesonide or fluticasone). Combination of antihistamine and anti-allergic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I recently started having a rash. Red, slight burn, not really a lot of itching. It comes and goes. On my chest, arms, legs, top of feet. Not eating or doing anything new. However, I have been suffering with sinus issues. Rash appeared before I took any medication." }, { "from": "gpt", "value": "Output: Hi, I feel that you suffer from allergic urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some allergens responsible for the disease. Sinusitis is also due to allergy. Trial and error method may be done to find out allergen. Those may be some dietary factors like dairy products, seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like perfume, grass, pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. Apply soothing lotion like calamine lotion. If needed, the oral steroid in a tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: This is general question. what is laparoscopy? Why it is done? Any risks?" }, { "from": "gpt", "value": "Output: Laparoscopy is a surgery that uses a thin, lighted tube put through a cut in the belly to look at the abdominal organs or the female pelvic organ. Laparoscopy is used to find problems such as cysts, adhesions, fibroid and infection. Tissue samples can be taken for biopsy through the tube. In many cases laparoscopy can be done instead of laparotomy surgery that uses a larger incision in the belly. Laparoscopy can be less stressful and may have fewer problems and lower costs than laparotomy for minor surgeries. It can often be done without needing to stay overnight in the hospital. Laparoscopy is done to check for and possibly take out abnormal growths such as tumors in the belly or pelvis, check for and treat conditions such as endometriosis, ectopic pregnancy or pelvic inflammatory disease, find conditions that can make it hard for a woman to become pregnant, do a biopsy, to look whether cancer in another area of the body has spread to the belly, check for damage to internal organs, such as the spleen, after an injury or accident, do a tubal ligation, fix a hiatus hernia or an inguinal hernia, removal of organs, such as the uterus, spleen, gallbladder, ovaries and appendix. Partial removal of the colon can also can be done and also to find the cause of sudden or ongoing pelvic pain. Risks include bleeding from the incisions, infection and damage to an organ or blood vessel. This may cause more bleeding that needs another surgery to repair." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello . I have a family member that recently had a pelvic exenteration which removed the cancer but recently came back. It is now in the place where her bladder would have been. She has lost a tremendous amount of weight & is too weak for chemo. What other options does she have ?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Cancer is a challenging condition but must be treated till the end. If your family member had a cancer near bladder mouth then she must have had locally infiltrate disease requiring exoneration. This is a surgical procedure by which most of the tumor and its adjacent structures are removed. Even after surgery, seeding of cancer cells might take place and has happened in her case. If there is recurrent growth of cancer then she must take combination treatment with chemotherapy and radiation. As you have mentioned that she is too weak for chemotherapy therefore focused radiation remains the most tolerable treatment at the moment, but this depends on the general condition and local recurrence of the disease. Please have a discussion with the cancer surgeon and radiation oncologist and proceed with treatment as per the outcome of discussion. 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: I have occasional feelings like an electric shock that run from my fingertips and up my arm towards my heart. It always happens at night while I am sleeping and I wake screaming and shaking, hitting my arm to make it stop, afraid that I am about to die (if it gets to my heart). This has been happening for about four years (every few months).Could this be related to B-12 deficiency? I am a Raw foodist and I have low B-12 and low iron and vitamin D. I did read something recently that said B-12 deficiency can cause nervous system problems (which this would appear to be), so I ate meat for the first time in many years, but I have stopped as i am not comfortable eating meat, and it seems b12 supplements have more b12 than meat anyway, but now this has happened again and very badly, so I am again uncertain..." }, { "from": "gpt", "value": "Output: Hello, Sharp shooting pain which travel fast and on and off, comes and goes are usually related to multivitamin deficiency. You should go for proper treatment- it D supplement" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About a year ago, I had a root canal on a tooth. Yesterday I went to my dentist because I thought the filling had fallen out. Turns out that the tooth was cracked and split in two. The dentist pulled the loose half out. He suggested a crown but said I had to wait until the area heals. Today, the material from the root canal fell out. I called my dental office and was told that as long as it doesn t hurt, I m okay. I don t know what to do." }, { "from": "gpt", "value": "Output: Hello, thank you for consulting with Chat Doctor. Actually when a tooth is split in 2 halves then the treatment depends on two things, if the split is extended till the gums then you have to go for extraction of tooth, as there can be further infection. And if the doctor is asking you to wait this means that the split is superficial, but still if material has come out then you should go for re-restoration. Hope it will help you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: is mazetol and tegretol same for a boy of 11yrs and taking medicine for 8 yrs.earlier it was 200 mg twice daily and now tegretol 200mg morning and 300 mg in the evening.He is anemic now and affecting his studies.Whom should we show and what should we do?Please help." }, { "from": "gpt", "value": "Output: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear sir; I am a 45 y/o female RN with above average intelligence. In the last 6 months i was recently prescribed 30 mg adderall bid and effexor 325mg QD for depression, motivation and attention. While I don t have a real substantial hx of any physical nor mental dx s, my gene pool has several. ADHD , Tourette s, Asperger s, ODD, OCD, Depression, Bi-polar, Anxiety, Anger, IVDA, Polysub, ETOH. There is no schizophrenia , no suicide nor homocidal behavior. I am seeking answers to my behaviors that don t seem to be quite in-step with the general population, because I have always (mostly) brought out the worst in people, make them angry, resentful, assaultive (both physically and mentally), without meaning to at all. I am straight-forward, and am surprised when it s not appreciated and am perceived as mean." }, { "from": "gpt", "value": "Output: Hello...... Thanks for your query. You have a family history of multiple psychiatric disorders while the medication prescribed appear to be for ADHD (attention deficit hyperactivity disorder)/depressive disorder. However, the symptoms you report fit into cluster \\\"B\\\" personality disorder. The facts do not fit in together. I suggest you undergo evaluation of your personality profile and get back to us with the complete symptom profile and treatment records for a better understanding. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: according to my Radiographic Findings, there is small ovoid calcific density noted in the peripheral portion of the right midlung. Heart is normal in size. Both hemidiaphragms, costopheric sulci and visualized bones are intact. Doc can u explain to me the meaning of that in a very well explanation for my better understanding about that. thank you very much doc." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having calcified opacity in peripheral portion of right middle lobe. Calcification in lung tissue almost always suggest benign lesion. This might be due to previous lung infection like tuberculosis or pneumonia or lung injury. Lung diseases heal by fibrosis or calcification. And this calcification remains as it is throughout the life. No treatment is required because this is benign, scarred lesions. Don't worry about this calcified opacity. 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, for about 4 days to a week I have had a tight chest and a cold feeling in the back of my throat. The chest tightness moves around or even goes away sometimes but for the most part it in the base of my lungs or sometimes a bit lower than my rib cage. Right now its directly in the centre of my chest, It also feels like something needs to be cleared from deep in the back of my throat every so often when I breathe in. I do or did smoke. Ive made a conscious effort to stop but its only been a couple of days. Im worried its something very serious. I have suffered from anxiety for over a decade but Im well attuned to that to identify that it isnt the issue here. At least I dont think it is. This has kind of sprung out of nowhere as I was fine a week ago. Im not under any stress. I thought it might be reflux but I dont know. I do suffer from that also but have never experienced anything remotely close to this. Any help would be greatly appreciated." }, { "from": "gpt", "value": "Output: Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with underlying bronchitis.* Suggestions for better recovery - X-ray chest with primary laboratory work up of complete blood counts with ESR.- Proper antibiotics with decongestants to clear the respiratory tract from mucus plugs - Strict dietary regimen - Avoidance to excess cold - Inhalation of vapors of boiled water with added tincture Benson with blanket over the head - Use of corticosteroids, bronchodilators in selected cases - Lifestyle modifications as Walking in fresh air, avoidance of smoking, alcohol Deep breathing exercises, YOGA Hope to clarify your query Welcome for further assistance Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery 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: A few months ago I was skateboarding and fell off and grazed my knee. This has left me with a darker discoloration where the scab was, which seemed normal so I didnt worry about it, but about 2 weeks ago two little lumps appeared on it and were quite itchy. Now there are 6+. Do you have any idea what these are? They look slightly like mosquitto bites but theyre not going away and multiplying.. Thankyou" }, { "from": "gpt", "value": "Output: Hi, thanks for the query to my Chat Doctor virtual-CLINIC.-In my opinion-You are suffering -mostly from-knee abrasion with scab in the beginning,- which developed later on in 2-6 lumps-with underneath wound infection, presenting with itching.-Multiplication of these itchy lumps may be due to associated Ringworm which developed underneath the scab-this could also be thought of as one of the possibility while treating it.-Consult your family doctor / and skin doctor and investigate to fix the cause of it.-Remedy-Would be with --Tb-NSAID-for 5 days time-Antibiotic with advise from your family doctor for 5 days time.-ketoconazole point locally with good wound care would resolve your knee lump.-If no reduction then review the diagnosis with Surgeons consultation who-would do debridement of the wound and change the antibiotic and would take the care of the knee wound with scab properly.-Hope this would help to resolve your knee-itchy- lump by discussing with your doctor. Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. I have pain and pressure in the lower part on the back of my head and when I put pressure on it when I lay down on it I get dizzy. And now I noticed even if I m standing up and I look up I get dizzy can you give me an idea of what that is? Thank you" }, { "from": "gpt", "value": "Output: Hello dear friend, I can understand that you are anxious about this, but the way you described your complaints, is just not enough to tell you a pinpoint diagnosis. In fact, the feeling of pressure on the back of the head, associated with dizziness(both on standing and lying down)just not fit into the mechanism of the clinical conditions which may cause these symptoms. Possibly, its just anxiety or aromatization. Still, I would like you to get your blood pressure checked in both standing and lying position for a postural Chat Doctor. One step further, i suggest you to visit a neurologist and if he says all is well, then a psychiatrist will help you out. I hope it helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The last few days I have random quick but intense chest pain under my right breast. I am a 50 year old male in good shape. It lasts for just a few seconds and then goes away. More frequent when exercising but does not seem to hurt any more or less when breathing heavily. Any clues?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. You will mostly improve with all these in 2-3 days. If not improving then consult doctor. 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 i had my left kidney removed from my pelvis due 2 loss of function only 8 weeks ago iv been told there is no follow ups appo no scans no test i thought they would keep an eye on my right kidney for a while i just got told if i have any problems go see my gp can u let me know if this sounds right thank you diane robinson" }, { "from": "gpt", "value": "Output: HelloThanks for query. You have undergone surgery for removal of one kidney. Normally there is no need to monitor the other kidney unless patient has urinary problems.However, one has to follow regime in order to prevent the other kidney from getting diseased 1) Chat Doctor. 2) Avoid getting UTI 3) Frequent routine urine test to be done to rule out UTI 4) Blood test to assess renal function to be done every year .5) Consult Nephrologist or Urologist for check up every year." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can you get thrombocytopenia from a Shingles vaccine? My husband had a normal platelet level in November and then recently had a severely low platelet level. Medications have all been the same. Only difference is the Shingles vaccine. YYYY@YYYY" }, { "from": "gpt", "value": "Output: Hello, Thank you for your question here at Chat Doctor. I understand your concern and I want to inform you that the Shingles' vaccine can lead to some adverse effects and thrombocytopenia is not listed among one of them. There are some reports of Poltava vaccine leading to thrombocytopenia, but currently we need more proof and clinical studies to affirm that for sure. In other words your husbands' thrombocytopenia may be linked to the Shingles' vaccine, but we do not know for sure at the moment.Meanwhile, please do not worry as this is a transitory effect and the platelet count will rise to its normal value in around 2-4 weeks if we were talking about minor thrombocytopenia from the start. I recommend another platelet count after 1 month just for your psychological comfort. I hope my answer helped you. Do not hesitate to reply if you have further questions, Best" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im looking a orthopedic dortor for my mom . shes 83 yrs old and have a problem for her hips . she have a surgery in the hips long time ago may be 20 year now she s hurting too much . the problem is she have medical or medicare only. how i can fine a doctor for her." }, { "from": "gpt", "value": "Output: Hi sir I think your mom is elderly lady & she had been undergone surgery for some fracture in hip very long back, so my advice is to get done fresh x-ray to know the present status of fracture & implant, to know any arthritic changes, osteoporosis condition. She needs people physiotherapy under supervision with supplementation with calcium, protein to increase bone strength. Give mild painkiller like Attract. Kindly let me know how she feels after doing this. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have known my whole life that something was different about me. I am almost 20 years old and two years ago i went to a doctor to try and get some answers. i found that i was noticeably more hyper than any of my friends, i couldn t stop talking, i would get in these weird moods where all i would do is think about random things, i would tap my foot or leg, feel rushed when there wasn t a need to be rushed, and i would always snap on my parents, sometimes for no reason. i went through perscriptions of concerta , adderall , and vyvanse , just recently upping my dosage of vyvanse to 60 mg. my question is, is it common to feel extremely irritable and angry towards people i care about when i accidentally forget to take my vyvanse? this has always been a question i have. i always feel much more calm and relax and not easily angered or upset when i take my vyvanse consistently." }, { "from": "gpt", "value": "Output: Hi There, thanks for asking. That is true, you should take Vyvanse regularly in order to avoid being jittery or irritable. Attention deficit hyperactivity disorder has another component which is \\\"impulsivity\\\". Many boys who have attention deficit hyperactivity also have impulsive behavior. For example, they may become aggressive toward their friend, and they feel remorse soon after it. Vyvanse is not only useful for your hyperactivity, but also helps you to manage your behavior. On the other hand, Chat Doctor. I wish you the best performance at school and in life." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter had a nervous breakdown recently,. she was under a lot of stress, has had depression in the past, and added to this was a lot of anxiety. she is on several potent drugs. I feel she is over medicated. she has gained 50 lbs, since being on the drugs. Is it necessary for her to be on prozac, seroquel, ativan, neurontin (which she is weaning herself from) and a couple of others? why would she need to be on so many of these mind altering meds? this episode took place in Aug. with 2 additional episodes after August. she s also in group tx. and one on one tx." }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor forum. She needs to have council ling, and she should have love and affection, as others get. She should be included in your family issues as far as possible. Furthermore, she must have an occupation, like cooking, and household works with some guidance. With these guidelines, she can vein off the Chat Doctor. No psychological patient can improve health without the surrounding peoples help. Let her practice yoga, meditation, reading books, and hearing music, to have weight reduction and diversion from her imaginary surroundings. Give her more of green leafy vegetables, pulses, sprouts, and protein rich foods to improve her general health. Wishing for a quick and complete recovery. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a ct scan of abdomen pelvis w/contrast as pain in stomach. Report says I have fatty infiltration of the liver, Pneumobilia is identified in the left lobe. Extrahepatic bile ducts are dilated, likely reflecting the prior cholecystectomy. What does this all mean? Could this cause a lot of bloating?" }, { "from": "gpt", "value": "Output: Hello, welcome to ChatDoctorpneumobilia means air in the billiard tree.it occurs when there is entry of air from enteric system to billiard system. Causes are-recent instrumentation (ERCP), gall stone, billiary enteric anastomosis, pancreatitis,BE fistula, etc.extrahepatic billiard duct dilated means the hepatic duct and CBD are dilated. Cause is distal obstruction. Many of this causes are associated with bloating discomfort.I shall advise you to consult a GI surgeon with your reports. Hope this will help you.regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im mrs.holley,i have been experincing, fatigue ,lightheadness,nausua, dizziness ,doctor has been treating me for h.pyloria,been thru with meds,still sick,nausa,dizziness,faint,headaches and as along as i am sitting down or lying down ,i dont feel bad,yesterday after been up house cleaning,i felt real faint and fell on ground,cold sweats and my body felt like there was a magnet holding to floor,especially head and neck ,took alittle bit but manage to get up,episode passed,today legs still feel wobbley and feel just kinda weird( MALAISE FEELING)tingling also in body when i went down on floor,doctors already check,liver, pancreas ,gallbadder,all ok,but now i have these new symtoms,husband wanted to take to er,but tiold him i go back to doctor,if this continues" }, { "from": "gpt", "value": "Output: Hi Mrs Holley am Chat Doctor. You are on treatment for H Pylori. This is a bacterium that causes severe gastritis. The gastritis may sometimes burn the wall if the stomach enough to cause loss of blood, sometimes slowly. This loss of blood may cause you to have the symptoms you fettle test can help us diagnose the problem. The other possibility is a dissociative disorder, but I won't consider that till other possibilities are ruled outdo let us know the report soon we can help you further. Best of luck" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been getting knee pain for a while in the same leg that i had a tibial nail in some 7 years ago. My quad on that leg has never really come fully back to the size of the other leg. I have an office job, so I m relatively inactive during the day usually, but have had the last 2 weeks off as holiday and have been more active moving some furniture, fixing things around the house, some home improvement and a bit of gardening. This morning I woke IP with a round, painless bruise on my kneecap, near the top inner edge. My knee does grind a little at full extension, but that happens quite a lot anyway. Over the past week, the quad muscle on the affected side has grown and become more responsible, but is still smaller than the other side. The knee is reasonably painful during stress and occasionally hits a big bit of pain when extending under load." }, { "from": "gpt", "value": "Output: Hello, You had mentioned the previous history of trauma at knee and nailing had been done before 7 yeras, so might be that may cause compression and irritation to joint tissue. To rule out we must go for X-ray. Another cause may be due to continuously repeated heavy work, your qua Chat Doctor. You should walk regularly do cycling swimming running jogging, if the pain is subsiding it means your thigh muscles were weak, or else you need to take an x-ray for the knee joint. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, i m 22 years of age and having neuro symtopes as 1. feeling of dizzyness and fear , anxiety . 2. sometimes vomitting and nausea 3.hands getting week i had done eeg and it says normal have done mri which says venous angiomia in the left frintal area of brain im little worried if its serious bcoz im a student. plz refer me some medicine.. if ayurvedic den it will b good" }, { "from": "gpt", "value": "Output: Dear Normal, welcome to Chat Doctor. Good that you sought timely help. Hand weakness, omitting are cerebral signs and are important if MRI shows a venous Angola. Medicines are not of use.pl. consult a neurosurgeon urgently to see if any surgery is needed soon. If not you could take symptomatic treatment. It all depends on many factors of the Angola. It could bleed and get serious. So take neurosurgical opinion and act on it. Pl. keep me posted on progress. Good luck" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,sir i feel sever pain in my occipital region,n also heaviness in this region while studying.whats d problem ?" }, { "from": "gpt", "value": "Output: The headache and heaviness aggravated by studying can be due many reasons. Assuming that you are a student, it is unlikely that you have a refractory error (near vision problems are usually seen in middle age). Association with studies almost rules out other causes like sinusitis and migraine. When mind is forced to do what it does not like, it will react in such a way that you have difficulty doing it. Headache, decreased concentration and forgetfulness are some problems commonly seen in students. High expectation from self and others only add to the burden. Following points may help you overcome this problem" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a question about infertility . the report says that their is a small spillage of contrast seen on the right side. Left tube is blocked at the fimbrial end and shows Hydrosalpinx . the patient report also SPECIMEN SOURCE" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I. Have a small hole below my front bottom tooth. It doesnt hurt at all..dentist wants to cut a piece of gum and sow it. Over the tiny hole.he said my teeth are very healthy and hes not sure why this happened! Should I get this procedure done or what to see if it closes by itself ? He took X-ray and tooth is heathy" }, { "from": "gpt", "value": "Output: Hello, As you are mentioning that dentist has taken an x-ray, and it is normal this means that the tooth and bone is healthy. This problem can be gums problem. Actually sometimes it happens that when there are two lower labial French (attachment of gums with lower mucosa). They are closely placed and space between them look like hole, it is not painful. In this case do not take tension, just wait for some time and observe if there is no pus discharge then it is normal, and there is no need to go for any treatment. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I developed a cough in December followed a few days later by cold symptoms. Chest pain and coughing up mucus so went to the doctor who said i had pharyngitis. 2 weeks after and still coughing i developed really sore ribs especially when laughing, coughing, sneezing deep breathing and lying down in bed. Went to the doctor who said it was the intercostal muscles and gave me pain relief and an inhaler due to shortness of breath. 2 weeks later due to not breathing properly i developed a chest infection given anti biotics. After a month of pain relief and still not much relief she wondered whether the pain relief (diclofenac) was causing reflux making the cough worse so prescribed some tablets to go along with it. The night time cough did disappear. Rib pain is still present when deep breathing especially when exercising. A week ago i really overdone it strenously walking and then 3 days ago developed a cough, that is progressivley getting worse. Last night it caused throat pain whilst coughing and a feeling of a lump in my throat and struggling to breathe took my inhaler and it actually relieved it all. Rib pain is now alot worse again and this is 14 weeks since the illness started. I dont understand why the rib pain hasnt gone and why this cough keeps reoccurring." }, { "from": "gpt", "value": "Output: Hello After reading your query, these symptoms may be due to these possibilities, these include" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 16 year old daughter started getting her menstrual cycle when she was 12. However they are still very infrequent, about 3 menstrual cycles a year. She has not had one since early February. I have had blood work done and it has come back normal. We don t want to start her on birth control because she is a carrier of Factor V Leiden. Should I take her to a specialist? If so, what type of specialist?" }, { "from": "gpt", "value": "Output: Hi, dearI have gone through your question. I can understand your concern. Irregular menstruation is common in early menstrual age. Factors V Leiden mutation is not responsible for it. But still you should consult your gynecologist once and plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband had a tooth pulled monday its now friday morning and he is still in pain swollen vomiting and has a fever. i took him back to the dentist yesterday and they perscribed penacillin and vicadin for pain but said not to take it cause he had thrown up more than 15 times in 24 hrs. btw he also has hiv. its 1 in the morning and still vomiting and hurting...what should i do for him" }, { "from": "gpt", "value": "Output: Hello first please do not panic... stop giving him any medicines he is having all this problem due some allergy towards the medicines prescribed to him... take him to a general practitioner as soon as possible. He needs a check-up. To stop vomiting. Give him half a cup of cold milk without sugar. Also give him some cookie that does not contain fat. Ask him to do warm saline gargles... also give him lime water...follow up is invited" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: good day sir,my father s age is 79 has got esr level of 120.there are no other symptoms of any otrher kind only slight fever of about 98-100 for the last 10-15 days,slight swelling on the face.all other tests for kidney, liver are ok and no symptoms of RA.he has prostrate cancer for which he is undergoing regular treatment.pls advise the incresaed level of ESR is due to what? capt.alok r. gupta" }, { "from": "gpt", "value": "Output: Hi, dear He has high ESR. It may be due to many of the cause. Tuberculosis, inflammation, anemia, autoimmune disorder, paraproteinemia or malignancy can cause high ESR. He may have high ESR due to his prostate cancer. Or he may have some other reasons. So consult your local doctor and search for the cause. Then you should 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: Hi sir. I am in terrble .one mnth before i found a small lymph node in under my right neckAnd i consult the ent surgeon he told me my face have lot of pimplesSo pimple infection cause to this..sir can u adavce me pimble any chance to cause lymph node and how long time to Gone .plz give me answer" }, { "from": "gpt", "value": "Output: Thanks for your query at Chat Doctor! Lymphadenopathy is sometimes found among people with Acne. I would like to know if you have some dental problem? Had you suffered from viral infection in recent past? Are you having fever, night sweats, loss of appetite? If you have any of above visit a doctor to get investigated. Get checked by a ENT for your throat, your tonsil, and your ear. Wash faces with a HY Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my aunt had cardiac arrest last wednesday and based on an mri it shows she has some brain damage. doctors have told the family there is nothing else they can do..there is some leg, arm and mouth movement. are there any procedures that i can suggest to doctors. my aunt is breathing on her own w/47% oxygen." }, { "from": "gpt", "value": "Output: Hello Thank you for trusting Chat Doctor Majority of cardiac arrest survivors have some degree of brain injury with impaired consciousness, some may present with persistent vegetative state, but there is no many studies. Only 3-5%of people may regain previous physical activity among 18%of survivors of cardiac arrest patients. Remaining may present lifelong support with increased morbidity and mortality. Please consult your doctor he will examine and treat you accordingly." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, i have a 5 year baby boy, in his motion routine examination find occult blood and urine analysis find urobilinogen1" }, { "from": "gpt", "value": "Output: Thank you for consulting in Chat Doctor. Mucus and digestive particles in stool can indicate disorder of flora in intestine- disbacteriosis. You should do analysis for stool culture and sensitivity to antibiotics. Without analysis for disbacteriosis I can advise eco norm (saccharomyces)1 Sasha 2 times 5 days, then similar 1 cap 1 time 1 month. In addition, take enzyme syrup 14 days with meal for better absorption, because he has digestive particles. Improve feeding of child, he should eat 4 times every 4 hours and between-fruits. If he has lots of mucus you should add him nights 1 tab 3 times with antibacterial target during 5-7 days. Grow quicker 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 30 years old lady. trying for baby for three years. i have pcod and diabetic. i had lap done. I did follicular study.. on day 23 my follicles got ruptured with ChatDoctor shot. we had contact on those fertile days. on July 6 egg ruptured and on july 20 th i got spots - brown discharge and continued slightly for four days. after that i dint get any period. today august 6 th till now i did two hpt and beta ChatDoctor came negative. still can i become pregnant?" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. I have read your query & I understand your concerns. Unfortunately you have not got pregnant. If you were pregnant you would have seen in beta Chat Doctor test by now. More over the July 20th episode of spotting appears to be your periods. Now you must be in the middle of your next period. Please get a follicular growth scan to confirm the ovulation this cycle. All the best. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a male 79 years old, have brief chills the may sweat have had for about 2 months also white blood cell count to high had bone marrow test and ok so far dr has no idea what is wrong when I chill have no fever as I check that and blood pressure. thanks" }, { "from": "gpt", "value": "Output: Hi, From history it seems that you require evaluation of your case. As you get chills often and WBC is high it indicates there might be having some infection in your body giving this problem. Consult your doctor and go for,1, X-ray chest,2, ultrasound abdomen,3, complete urine check up.4, Blood checking for RFT, LFT and other tests. After all reports, one can have clue about your problem, and then they will go for treatment accordingly. Ok and take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir well iam a 16 year old girl and ihave been having sex but its only been two days so idoubt iam pregnant yet ihave very strong abdominal pains when iuse the bathroom and ihave been going to the bathroom really frequently yet urinating very little" }, { "from": "gpt", "value": "Output: Hello, your symptoms suggest a lower urinary tract infection (cystitis). Sometimes this infection follows sexual intercourse. If you'd like to confirm or exclude this diagnosis then an urinalysis may show increased number of white blood cells and bacteria in the urine and a urine culture may reveal the offending organism. I could not suggest any treatment because I don't know if you have a history of allergic reactions to certain antibiotics or you history in general and also whether you've taken any antibiotic during the last 3-4 months or not. This information is very important for treatment decisions. I hope I've helped! If you'd like more information, please ask and I'll be glad to answer. Kind Regards!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi madam , I am taking thyronorm 25 mcg from yesterday , because my Tsh is 5.47. Also taking blood pressure medicine tazlog 40 H. In the morning & in the evening met xl. 50. Mg but my pressure is fluctuating , I feel burning sensation In the body and also back of my head during day some time pls. Advise what is wrong going on ." }, { "from": "gpt", "value": "Output: Hi, Thanks for using Chat Doctor, You are having High blood pressure and treated for it with antihypertensive medicines if your blood pressure reading are fluctuating take medicines at regular interval and regularly. If your dose is recently increased it may take some time to have smooth control of blood pressure. Recently you also started Thyroxine supplementation please continue to take it regularly. Your burning sensation possibility of some allergy to any of the agent or some kind of neuropathy. It would be great if you see treating physician as he will be able to examine and tell exactly what is happening. If allergy is there it can be treated with anti allergy Chat Doctor. If you have neuropathy we need to know the cause like Nutritional, alcohol. Hope this information helps you. 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: my boyfriend woke up last night and he couldnt breathe and was freezing cold. He tried to take a breath and felt like he wasnt getting any air. He also tried to use his inhaler because he does have asthma and he couldnt even hold it in for 2 seconds. Why would he not be able to breathe and be freezing cold?" }, { "from": "gpt", "value": "Output: Hi, It's simple to understand that how asthmatic patients can't or becomes difficult to breath. Our tracheobronchial tree consists of smooth muscle fibers, and any muscle get contracts or spasm with effect on cold and just opposite to warm or hot, it relaxes, if anyone who is already have their tracheobronchial muscles allergic to spasm(like in asthma)and in addition when they get cold air, this smooth muscles begin to contract leading to constriction of tracheobronchial tree turned into unable to get air exchange and difficulty in breathing. Inhalers makes this muscles relaxed or dilatation in medical terms within seconds. That's the beauty of allopathic Chat Doctor. Hope u understand.Goodbye" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what disease can be the cause of low back pain that comes with noisy rumbling stomach, constipation alternating with diarrhea, rash under tip of penis, itchy anus, internal heat, stubborn rashes on the shoulder and on the buttocks . My age is 32 years, weight 77 kg." }, { "from": "gpt", "value": "Output: It is a clear case of pitta vitiation which manifests all these symptoms of irritation - internal or external. If I had been your physician, I had asked you to straightway take Ayurveda's Avipattikar Khorana mixed with Kam\\u0101ncha NASA in indicated ratio and take. Externally by bathing with fullers earth and apply Marichyadi oil (it stains fabrics) once may take you out of trouble very safely and without bad effects. Need capsules from Himalaya co. will have enhanced action. Any Ayurveda doctor will guide you for this. If you are not satisfied in four weeks, you have the option to resort to toxic multiple Chat Doctor. Hope it enlightens you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 52yr old female i havean under active thyroid , fatty live , overactive bladder, cervical arthritis with a trapped nerve , b12 deficiency, restless leg syndrome and some years ago i had an aneurysm in the right side of my head .recently i have been in great pain with the bone in my left arm blood test last week revealed the my esr was very high could this have to do with any of the above .THANK YOU" }, { "from": "gpt", "value": "Output: Hi.understood your concern. First, thyroid hormone is a very important hormone involved in various functions in the body. Decreased levels of thyroid hormone may lead to obesity which may intern result in the development of many diseases such as fatty liver disease and arthritis. Secondly, B12 deficient may lead to neuropathy. High ESR indicates that you're suffering from a chronic disease. you're advised to visit treating physician at earliest and take advise. Thyroid hormone and B12 supplements maybe ingested immediately, though dosage should be advised by the treating physician hope to answer your concern. 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 root canal on my tooth (between molar and canine) 2-3 years ago. It was never suggested to me to get a crown after the root canal. Last Saturday, my tooth cracked in half. The front half doesnt move, but the back half moves easily. There wasn t much pain initially. I went to the dentist Thur for a cleaning/exam. There weren t any appointments available until Sept 26 - which is when I was going to have an extraction and prepare for bridge. Last night and today there has been a lot of pain...mainly on the gumline on the side that is very loose. Is there anything I can do now, being that it is the weekend and no dentist is open until Mon? Can I pull the loose half?" }, { "from": "gpt", "value": "Output: Hello, Thanks for query, After root canal one should go for crown to safe the tooth and for its long life. But it is not your fault as dentist had not suggested you for the same. The decision of your tooth depends on the X-ray that we could save it or u need to go for extraction. I suggest you to please do not try to remove any part of the tooth and take appointment as soon as possible. In case of pain take analgesic medicine. Vishal JainVitaldent" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doc I just found out that I have Hep C and I don t have an idea how did I get this....my parents don t have this (RIP).....I m 51yrs. old...I m trying to get a life insurance and they turn me down because of my blood result....every year I do physical such as including urine and blood test ....." }, { "from": "gpt", "value": "Output: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Hepatitis C can be spread through" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, for the past several days now I have had constant lower back pain that comes around just by my ribs. Ive also been having pretty frequent bms that are very loose and a light green/brown color. Im worried because the back pain is getting worse. Any ideas on what it may be?" }, { "from": "gpt", "value": "Output: Hi Thanks for posting your query to Chat Doctor There are many causes for your problem. If you were my patient I would suspect Acute muscular spasm as cause of your backache. I would have started a painkiller and muscle relaxant combination like Zerodol-MR. Ask your doctor for prescription. Your frequent bowel motions are either due to indigestion or bowel infection. First we will start medication for indigestion. Ask your doctor to start medication for indigestion. I would recommend syrup Aristotle. If frequent bowel movements persists get stool routine test and revert with reports." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my father in law has had his thyroid removed, has diabetes, has a stint in his heart a bad back and weighs about 300lbs. He had to be taken to the er with shortness of breath, hallucinations, he has had a lot of confusion for awhile but it was much worse. he already took 40 a day lasix. Hehad fluid around lungs and heart low o2 levels. They upped his lasix to 80 put o2 on him. They had to keep the o2 at 15 otherwise his levels wouldnt stay up. Lung infection also discoved. Heart only working at 40% then co2 up to 90and unresponsive. Now on a ventilator co2 down to normal. what is likelyhood of brain damage? Any other input apprectiated. Family is trying to make some hard decisions." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, chances of survival are very less. Rising carbon dioxide level is suggestive of respiratory failure. Accumulation of fluid in the body is suggestive of heart failure. Confusion, unconsciousness, hallucinations etc. will cause brain damage. And this kind of brain damage is permanent. So his all major organs are failing. This is not good sign. If you remove ventilator, I don't think he will survive. So family has to take decision about taking off ventilator. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father-in-law. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good day Doctor,I am married since 7 years and facing problems in pregnancy. I was diagnosed with PCOD few years back. Now periods happen on time with medication. My endometrium is in proliferative phase. after AMH test result is 1.92 i.e. low fertility. My right fallopian tube is well outlined upto its fimbrial end and shows good peritoneal spillage. the left fallopian tube is not visualised beyond cornua. no obvious spill is noted on left side. i take the following medicines - Clomipure (50) - for ovulation, M2 tone 2tablets twice a day, Myotol F 1 tablet daily and ovigin D 1 tablet twice a day." }, { "from": "gpt", "value": "Output: Hello. Thanks for writing to us. Since the AMH values are low, the chances of a spontaneous ovulation are low. In addition to the current treatment you need to go for ovulation studies to confirm if there is a successful ovulation after taking these medicines. 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: 26 year old male with no STDs or any other health issues. Masturbated and tightly gripped the base of my penis while doing so. I gripped really hard. Before ejaculation I let go and ejaculated like normal, but felt an odd somewhat dull pressure/pain on the dorsal surface of my penile shaft about 1 inch above the base (traveling in the direction of my penis, i.e. not horizontal/diagonal). At the area of the pain was now a hardened cord with a bit of a bump at the middle of the cord. It is not visible but can be palpated. It seemed like my penis took longer to become flaccid after that. I stopped any masturbation and let it rest for a week. It seemed nearly better but masturbating very gently caused it to return somewhat. I have gone a bit more than a week without masturbation now but want to check that something like this will go away and not be any long term damage. I still feel a dull pain at the area at times when the penis is flaccid. No issues with erections or ejaculation. Is this a lymph or vein issue? Will NSAIDS help or is there anything to help with lymphatic drainage/healing? Have I done long term damage?" }, { "from": "gpt", "value": "Output: Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during masturbation or an allergic reaction. I would like further information help you better relevant medical history like metabolic disease or hormonal disorderly recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Blood for CBC and liver function test or urine test are advisable if it is a chronic issueNSAIDS like ibuprofen or acetaminophen will definitely help you Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex if you are sexually active Hope this answers your question please feel free to ask for more clarificationThanks and regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello- I have been suffering from heavy bleeding, severe cramping, irregular periods, and galactorhea(spell?) I had an ultrasound which reveals a heterogeneous foci in the midline uterus consistent with fibroids 2.2 X 1.7 X 1.9 cm, a Nabothian cyst in the cervical canal measuring 1.5 X 1.6 X 1.1 cm, and a left ovarian cyst with septations and echogenic nonvascular material 3.4 X 1.7 X 1.7cm. My husband and I want to conceive as we have established our careers and are ready for our first child. I am 40 years old. What is your recommended treatment for this?" }, { "from": "gpt", "value": "Output: Hi, Thanks for your query. I read your query and I understand your concerns. The chances of you conceiving naturally with all these problems are very less. You must list an infertility specialist to get evaluated for galactorrhea and get treated. Though fibroid is small, ovarian cyst needs to be evaluated further and diagnosed as to type of cyst & necessity for removal. You may try with donor egg option. Either ways you need to consult an infertility specialist. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My LFT reports" }, { "from": "gpt", "value": "Output: HelloWelcome to Chat Doctor. Thanks for posting your query in Chat Doctor. I have gone through your LFT report. All your values are under normal range. Normal Bilirubin levels are less than 2 mg/DL. Yours is 1.6,which is within normal range. Alkaline phosphatase enzyme is present in various tissues like liver and bone The normal range is 44 to 147 IU/L (international units per liter). Yours is within normal range. Normal values may vary slightly from laboratory to laboratoryHigher-than-normal ALP levels are seen in Biliary obstruction, Bone conditions, Osteoblastic bone tumors, osteomalacia. So, no need to worry. Your report is normal. Hope you are happy with the answer. Thank you" } ]