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PranavHarshan

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 27 year lod and married before three years. 2 Months before i had an tourch test and the result of it IGG +ve and IGM -ve. I Have taken vaccine injection for this infection and i have concieved in same month in which i have taken vaccine. So Is there any risk in my pragnancy. i am 2 months pregnant at this time" }, { "from": "gpt", "value": "Output: HiT hanks for posting on ChatDoctorThe vaccine may not harm the baby. That is a good preventive move to protecting your baby. Positive Egg however does not show an active infection. IgM does and when positive, depending on which of the elements of TORCH is positive, serious decisions are to be taken concerning the pregnancy. Your baby will find. Just get closer to your ORGAN. Hope my answer will help you Best wish to you and your unborn baby." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I hurt in my lower left pelvic area for four years before finally being diagnosed with a 2 cm kidney stone. (had exploratory surgery as well as partial and final hysterectomy , colonoscopy , etc before finally the kidney stone was found. ) Dr. Initially thought pain was not matching up with kidney stones because i hurt in my lower left pelvic area and not in the upper area where kidney stone was at. Dr blasted then removed via basket. Left a ureter stint with string for a week which was removed today. Now I am having extreme pain in that same lower pelvic area. could this be renal colic or my ureter or???????" }, { "from": "gpt", "value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you had Kidney stone and has undergone Extra Corporeal Shock wave Lithography.(ESL) followed by removal of stone fragments and D. J stent was putting renal unit. You have pain in abdomen at the same site. This is either due to urethritis that develops after ESL and stenting the ureter. Please take broad spectrum antibiotics like Cefuroxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. And later on switch on to appropriate antibiotics as per culture report. Ensure to Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,4 years back incidently doctors found one pulmonary nodule on my right lung on chest X-rays. They asked for CT and the result shown 1.5 cm size. I undergo Bronchoscopy also, but didnt show any problem then. But after these long years I am having on and off fever. Agin asked for Contrast CT. and the result shows that the nodule grew to size of 2.6 cm. and am asked for bronchoscopy again. The first result of bronchoscopy showed on reading like 18HU. is there any possibilty of malignancy. Or is there any risk with that nodule." }, { "from": "gpt", "value": "Output: This is likely a growth of some sort, whether it is benign or malignant (cancer) can only be definitively determined on a biopsy. The fact that it has not grown much over 4 years makes it more likely to be benign, and would only require follow-up imaging. When there is enough concern for malignant tumors (for example if there is fast growth, or you have an extensive smoking history), the nodule would need to be surgically resected. If you are having other symptoms such as fevers and chills, then your doctor can evaluate you for an infectious granuloma being the cause of this nodule. TB (tuberculosis) or fungal infections of the lungs can do this. I hope this gives you some of the answers you were looking for." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My creatine level in February 2013 was o.53 with eEGFR Rate of 99. All other baseline tests were normal except for microscopic hematuria. I am 68 now with pseudomonas bacterial UTI that hasn t gone away even with ciprofloxasin. June 2014 creatine level was 0.9. Using same formula as used in 2013, the eEGFR rate is now 66!!! Same lab says Less than 60 indicates chronic renal disease. I know of NO risk factors (drugs, lifestyle, toxins, hospital care) that would make this happen. I look and feel very good.But the UTI isn t going away. Just saw my doctor, cystoscopy scheduled. He was not concerned.Any reason eEFGR could go down so fast??? (I am doing heavy contructioin work in my house.)" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You should not worry about that. You may have urinary tract infection. Repeated urinary tract infection may be due to diabetes. You should check your blood sugar level. Heavy exercise can also cause this. So don't worry about that. Repeat your creatinine level and EFR level after a month. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I wanted to know if I have infection. I had a foot injury about two weeks ago and I have swelling. Since yesterday I started having an itch and I wanted to know if this is infection. I have blisters on the top of my foot and I still have a lot of swelling and bruises." }, { "from": "gpt", "value": "Output: Hello, An x-ray is advised for the safer side to understand the pathology of the bone if it may have got any damage. Because if there is no cut or wounds then the chances of infection are maximum less. This must be a bony hurt which may have damaged the soft tissues around it. Also, the mechanism of the injury may have helped us to understand the injury better. I will advise to hot water fermentation, do feet, toe and finger strengthening exercises which can be performed under the water and lastly to keep the limb elevated so the swelling reduces, and the venous return is improved which will help the healing process to occur faster. But please make a note to take an x-ray of the foot in the AP and lateral views. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have had a blood test because i have red eyes and a bloated stomach,and my test came back with my c reactive protein at 6.5.I suffer from pain in my abdomen and have had scans wich show i have kidney cysts in my right kidney,which they will not touch as im only 31.i am fed up of this after two years and have been told they are all seperate please help" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. Your other symptoms have no relation with your kidney cyst. Treatment of cyst depends on size and location of cyst. Small cyst can be treated by conservative way. Large cyst need to be treated. Many options are available. Aspiration, decorticating or surgical removal are the treatment available. Consult your doctor and take treatment accordingly. Decrease the salt intake in your food. It will reduce the blood pressure and reduce the burden on kidney. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am currently taking celexa 40mg daily for over 5 months...I have noticed I am losing time usually its only a few minutes here and there but today was different..... It was a signification amount of time from 12" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. I'm not sure for what psychological problem you have been prescribed Elena. As regards to your memory lapses, they could be indicative of a neurological problem or a psychiatric problem (called dissociative disorder) You need a detailed evaluation in order to establish the cause. So, I would advise you to consult a psychiatrist for further evaluation and management. 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 have a kid who is 13 months old. He does not eat well it is hard for me to make him eat. So i informed that to my Pediatrician and he gave me fortiron syrup. I just wanted know whether it is good to give my son the syrup. Whether it will cause any side effect. Do my son really suffer from Iron defecency so he is not eating ???" }, { "from": "gpt", "value": "Output: Hi, the syrup name that you have mentioned contains iron and is an iron syrup which is given in child Chat Doctor. Iron syrup should not be given without proper evidence of iron deficiency anemia. You should do blood test like complete blood count with peripheral smear, iron studies and hemoglobin electrophoresis if your child is anemic. Based on the reports, proper treatment needs to be started. I hope this 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: I received a birth control shot about a month ago because I am sexually active and dont want to become pregnant. The doctor had told me that there would hardly be any blood with periods and the cramps would almost be nonexistent. All of yesterday I had horrible cramps, the blood was a bit darker than usual, and there was what looked like a piece of skin with the blood. This has never happened to me before, and I was wondering what it could be." }, { "from": "gpt", "value": "Output: Hi. Thanks for asking in Chat Doctor. The main mechanism by which a hormonal injection acts is through suppression of ovulation. An ovulatory cycle are painless and that's why your Chat Doctor. Generally it takes some time for the hormones to act as they are administered externally, and the body takes some time to get adjusted to this hormonal imbalance. So, they may not be effective in preventing the ovulation in the very first month. If the ovulation has occurred already, then hormone injection will not prevent the fertilization but will certainly prevent the implantation. The tissue you saw could have been the expelled fertilized ovum. Also, heavy bleeding and delayed periods are common in the initial few months. If your period had been a little delayed following the hormone shot, then the tissue could be endometrium which is thickened when there is delayed period. If the bleeding persists and if you pass a lot of clots, then you should seek your treating" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I believe I have pericarditis due to cat scan and primary said so but cardiologist did noyt say for sure what it was but did no firther tests to determine. Fam doc put me on steroyds,,, twive and came back each time. Cardiologist wanted me to take motrin or alege but I have colitis and it disrupts my system. Do you have any further insite you could share with me. Maybe I should get another oinion? I felt horrible last night and the room was spinning while my heart has twitching and hurting....did not know what to do, esp when I broke out into a bad sweat? I am tired of this." }, { "from": "gpt", "value": "Output: Pericarditis is inflammation of the pericardium with occasional pericardial effusion. About 90% of the causes are unknown. Most people will have viral type symptoms such as fever, myalgic, and malaise. Pericarditis can also cause cute, sharp, stabbing chest pain that can last hours to days. Some people will also get shortness of breath and pain with breathing. I am assuming you had a pretty extensive work up before being diagnosed with pericarditis. The work up should've included blood work with inflammatory markers and cardiac markers, as well as EKG changes. The first line treatment is usually ibuprofen several times daily for about two weeks. There are other anti-inflammatories that work just as good if you cannot tolerate ibuprofen. Steroids are actually a second line treatment but work just as good as ibuprofen. Generally, about 7 to 10 days of ibuprofen can significantly decrease your symptoms and pericarditis. You should also get plenty of rest. Some people have will have recurrent pericarditis. You should also have an ultrasound of your heart to make sure there is no fluid around the heart. If you do not get better with ibuprofen in 10 days, I would recommend having a further work up to make sure you do not have my own pericarditis which involves the heart muscle." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: a skin rash that began as a line of blackheads or eruptions with black spores under the breast developed into red inflammed patches over trunk of body that came and went very itchy after months became hives that did not resond to regular antihistamines what was the original condition" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor, Most common cause of itchy eruption or patch under the breast is Tina corporal. It starts as pa pule and soon turns into a patchy lesion with scales and pa pule + vesicles at the periphery. Tab terminating 250 mg daily at night for 15 days will help. Sertaconazole cream to be applied twice daily. Tab Cetirizine 10 mg daily at night. Keep the area clean and Chat Doctor. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my friends husband mood will all of a sudden change. Then he gets really mean and says things to my friend anything to hurt her feelings. It doesnt matter what it is whether she didnt cook dinner right or put her down about her son, anything to hurt her and get her going. When he is in a good mood they get a long great and have a lot more good times than bad. But when its bad its really bad. He has not hit her but he is so mad she does keep her distance. It almost sounds like a stress of something with set him off. He seems to have this mood change once every two months or so. She is very confused and loves him but cant be abused like this." }, { "from": "gpt", "value": "Output: HI, Thanks for using Chat Doctor. I have gone through your available history. It seems that he is suffering from Depression with poor impulse control, but other illnesses like bipolar mood disorder or substance use should be ruled out. It is advisable to consult psychiatrist for detailed evaluation and management. Doctor after confirming the diagnosis, Doctor may advise treatment options like Chat Doctor. I hope He 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: Dear Doctor,I have been suffering from OLIGOSPERMIA for a long time now and no medicines could cure me. This has led to taking penegra or other related pills before lovemaking as my confidence has grown low and often i find my erection, not that hard and/or the duration is not long enough. I do masturbate often as this is the only way to keep my sex drive happy.Please suggest a cure" }, { "from": "gpt", "value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you have problem of Erectile Dysfunction. In absence of any major health issue the cause of erectile dysfunction is mind related and due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. If problem persists even after trial for 3-4 months consult qualified Urologist for evaluation and further investigations to find out the cause of Erectile Dysfunction. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: infertility problem" }, { "from": "gpt", "value": "Output: A scrotal support with snug underwear may provide some relief of the pain or discomfort. If pain continues or other symptoms occur, further treatment may be needed. Surgery is the answer to correct a varicocele (varicocelectomy). The surgery is usually done on an outpatient basis. Sometimes sperm count improves after surgery in few patients. For erectile dysfunction regular perineal exercise helps a lot in good number of patients Disclaimer" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have this lump inside my neck on the lower right side and its been there for about a year. A few years ago I had something similer but on the other side and it went away. It causes me no pain but it feels like its getting bigger. I had it looked at during my last physical and was told it was just a cyst. I also have a bump on the back of my head close to my hairline at the bottom. Its about the size of a penny and very hard. Ever since I discovered it a few weeks ago it has only gotten bigger and now it is very sensitive.I am a very healthy and fit teenage girl who is 5 7. Please any information would be helpful!" }, { "from": "gpt", "value": "Output: Hi, Good afternoon from India. T-Thanks for your query to My-ChatDoctor Clinic.-I studied your query in depth. I understood your concerns.-My opinion -You have 2 lumps-a-neck lump-which is mostly-Sebaceous Cyst.b-hard penny sized, which increased in last few weeks and now bigger and sensitive-mostly-this lump is -a boil with cellulitis-in hairline on the back of head. Treatment-Consult a Surgeon who would treat it with-a-Neck lump-being sebaceous cyst-is Excision and Biopsy. Cure -is by-Surgical Excision Biopsy by ER Surgeon.b-Lump on back of Head-being -an Early unripe boil-which would regress after Antibiotics and Tb NSAIDs.-Hope this would help you to recover from worry-some query. Wish you a Fast Recover. Wellcome to Chat Doctor again." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I tried for a child last 1 year bur could not succeed. All the reports are normal. My doctor advised me to take an injection Fertigyn 10000 mg. on my ovulation date for conceiving child. Is that injection helping me for conceiving? I heard that by taking this injection, chance of conceiving twins or more is increased .Is that true? Pls help me or advice should I take this injection or not." }, { "from": "gpt", "value": "Output: Hi, How are you doing ? Just by taking In. Foreign you cannot get twins or get pregnant. Foreign is hormone LH, which is released from brain. This hormone will only confirm ovulation, only if the follicle of right size is available. Twins can occur if stimulated by Tablets like Camphene (Closed or CCQ or Sphere) & follow-up stimulation with HMG hormone injectionsThese hormones have no abnormal side effects, so it is safe to take it. Just go through the checklist of investigations, if you have missed any do get it househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor. So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your query, do write back if anymore queries 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 noticed a lump bigger in my right breast than in my left, but I do not know what kind of lump is bad. I am 18 and I know it is very rare for it to mean anything but I have been feeling very sick lately. Sick to my stomach and my neck, back, and all of my joints have been hurting very very bad for the past few days. I have been getting headaches through out the day, and I do not know what is causing this. There is no way I could be pregnant." }, { "from": "gpt", "value": "Output: Hi.it is best if you consult with a physician, preferably a general or a breast surgeon, for clinical evaluation. Benign breast lesions (such as cysts and fibrotic changes) usually occur when there are hormonal changes (i.e. before during menses, pregnancy, etc.). Breast ultrasound may be initially recommended. If lesions are found, diagnostics and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Erythroplakia, I am trying to decide after two years of trying steroid treatment if I need to have the lesion removed. The surgeon made it sound like it was pretty common. I am confused as to if it is really necessary to have it removed or just to live with it." }, { "from": "gpt", "value": "Output: Thanks for using Chat Doctor. Read your query. Erythroplakia lesions are of more concern since they are considered precancerous. In your case the surgeon is probably doing the best way for you, as removal of the lesion will be the first step in it. Taking the whole growth is more advantageous, because if it turns out to be malignant, the doctor has already taken the first step in treatment by removing it. A pathological study of the specimen with determine whether it is precancerous or cancerous, such that it can be monitored better. Relax and go ahead with the procedure, though you can always take a second opinion from good surgeons. Hope this was helpful. Thanks and regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter has a low-grade fever of 99.0. Is she contagious with a fever this low? She is supposed to have a playdate tomorrow with friends. She feels great, and the low-grade fever is her only symptom. She had a fever of 102 two days ago. Yesterday and today her fever has been 99." }, { "from": "gpt", "value": "Output: Thanks for contacting Chat Doctor with you medical concerns. You are concerned about your daughter having low grade fever of 99.0 She has no other symptoms then I would be reassured that she is not ill and does not have an infection. I think she can participate in play time without any concerns. If she does develop a fever higher than perhaps it would be good to keep her home for an additional day. Hope I answered your question. Please contact us again with your medical concerns" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i am samar, i am 22, married since two years..i have sharp abdominal cramp (like painful pinches last for only five seconds) in lower right abdomen, uterus area and intestinal area, severe cramping a week before periods, infertility since two years," }, { "from": "gpt", "value": "Output: Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, would examine you clinically to exclude any tenderness (pain on pressure) on the right side of your abdomen, and look for any other signs to rule out appendicitis. If I could rule it out, I would like you to be examined by a gynecologist colleague. At the same time, I would get your routine blood check up done like a CBC, Blood sugar, urine routine and microscopic test, and an ultrasound of the abdomen if need be. Further management would depend on the results of both clinical examination and investigation reports. Till that you might go for an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 5 years old son had temperature of 39.2c last night gave him liquid paracetamol and hour half later his temp had gone down to 36.5c so he went to bed but this morning he is complaining of bad pain in back of neck in the middle he is unable to move it to side without crying in pain, i have checked his temp its 37.8c" }, { "from": "gpt", "value": "Output: Hi, If he don't have any other symptoms like severe headache/vomiting/cough/throat pain/neck swelling, we can take this as a viral fever with lymph node enlargement in neck (although it is uncommon in the middle back of neck) causing local inflammation and pain. Try giving him ibuprofen syrup(100\\u00a0mg/5ml) 7ml three times a day after food. If he is not getting better by then, kindly take him to doctor for further evaluation. 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: Hi, my grandmother recently had gall stones removed. She had the surgery a week ago tomorrow and is still experiencing extreme amounts of pain. Additionally, she seems to be having symptoms similar to a urinary tract infection - burning and constant feeling to urinate. Is that a symptom involved with gall stones or the removal thereof? And to add more to all of it, she has been having diaherra for over 2 months. Her doctor precribed her medications for this which help when she remembers to take them, but it seems to be an ongoing issue for her - even more so after the surgery. I m worried that my grandmother may have some other issues going on that the doctors haven t found yet. Can you help shed some light on any of this? Thank you!" }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor. This is rarely caused by gallbladder surgery unless there was bladder or ureter injury. But it would be reported. It is more possible reinfection which is common in people that underwent any surgical procedure since their immune system is weakened few weeks after surgery. She should treat it by taking the lot of fluids and antibiotic if necessary. Diarrheas may be experienced after gallbladder surgery but it shouldn't last for more than 2-3 months. If there is no improvement she may need gastroenterologist work up to rule out some bowel disorders. Thanks for the query. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am aged 54 yrs. I am diagonised as prostatomegaly with size 4.6x4.2x3.5cm; volume 36cc. I used to urinate normally without any pain & as often as I feel. I am having weight of 70 kg, 165 cm height, BMI 26, BP 100/70. I am also having fatty liver grade I with a simple Cyst measuring 1.0 cm in the right lobe whereas I never used to have drinks but used to smoke 2-3 nos a day. Sir whether this can be cured with medicines else need surgery. If it can be cured by medicines, pls advise the medicines that I need to take. Thanks for the help." }, { "from": "gpt", "value": "Output: Hello Your findings suggests mild fat deposition in liver(fatty liver) with enlarged prostate. Fatty liver is a reversible condition. Fatty liver can be managed by diet control and exercise in the majority of the cases. Fatty liver may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines etc. You may need few blood tests like random blood sugar, routine hologram, lipid profile. You should avoid saturated fat and take plenty of fibers in diet. You should increase your physical activity and go for exercise regularly. Simple cyst in liver is age related developmental finding. It only need to follow up if it is asymptomatic. Mildly enlarged prostate need clinical correlation and further investigations.PSA(prostate specific antigen)should also be assessed in enlarged prostate. After clinical evaluation, you may need medicines to take like alpha-blockers and 5-alpha-reductase inhibitors. Get well soon. Take Care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is 15. He has had fever for 6 days. The fever has ranged from none to 104.5, with most days around 102. My doctor says its a virus and to wait it out. He is extremely weak. No symptoms other than weakness and loss of appetite. The doctor has done a flu test, strep test, and blood test which revealed a high blood cell count, but thats all. Advice?" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. Appetite loss and weakness or malaise is very common in the recovery or convalescence period of 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 when there is no fever, it is probably viral illness only. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you. 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 25 years old and my husband and I have been trying to conceive for 7 mths now. We have had his sperm checked, I have had a HSG done, and everything was clear for the both of us. My Prolactin level was at a 36 and my doctor wants to get it down to a 15. He prescribed me Cabergoline which I have been taking for 2 weeks now and I will go back in another 2 weeks to have my levels checked again. I have always had a regular cycle with mild cramps, nothing out of the ordinary and have never missed a cycle since I first started at age 11. How worried should I be about conceiving and how long does it take for this medication to work? Any advice?????" }, { "from": "gpt", "value": "Output: Sorry about your difficulty getting pregnant. The high prolactin for me is not an issue, since you have a regular menstrual cycle. Yours might just be a case of unexplained infertility and so your attending physician is trying to optimize your hormones to increase your chance of conception. You might need to take the Chat Doctor. * I am blowing baby dust to you... Hope this satisfies you, if not I am willing to give more help. Cheers." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. I was on Beyaz for a around 3 weeks and had un protected sex. I was also on azithromycin for 5 days. I did get my period on the time I was supposed too. I started my new pack of pills on time and everything was fine. Well on the 3rd week I messed up and skipped two pills. I had to restart a pack and now have been spotting for over a week. Help!" }, { "from": "gpt", "value": "Output: Hello, and I hope I can help you today.First, I want to tell you that the antibiotics you took in the first pack should not interfere with the birth control you took, and the fact that you got a normal period on time means you do not have to worry about pregnancy. Missing two or more pills in a row usually causes some breakthrough bleeding a few days after the missed pills, even if you make them up. This is the bleeding you are experiencing now. It most likely will stop eventually, but may continue until you finish this pack. You maximize the possibility of stopping the spotting by trying to take your pills at the same time every day. A way you can help remember your daily pill is to take it at the same time as some routine activity you do every day, for example brushing your teeth, or having a morning coffee. Carrying your pills in your purse all the time can also help if you do not consistently stay in the same place every night. I hope I was able to answer your question today and that this information was helpful. Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor, I am 10weeks pregnant my doctor did the scanning and said that baby is good but there is some blood clots for that they gave ChatDoctor inj and said that next week also will give . I had an history of miscarriage in the last pregnancy hence they gave ecosprin, duphaston medicines so far. Now they told me to stop ecosprin and they gave duphaston twice a day and folic acid tab with first dose of ChatDoctor inj. Doctor m waorried a lot about clot will it be clear by taking of ChatDoctor injection plz clarify me ." }, { "from": "gpt", "value": "Output: In Chat Doctor will not clear the clot but in Chat Doctor will prevent uterus from contracting and prevent abortion. Ecosprin helps in preventing spontaneous clot formation in blood vessel. Ecosprin is stopped now because as younalready have developed clot that means that you had some minor bleeding so by stopping esprit further bleeding is prevented. Duphaston will also keep the uterus in relaxed state and prevent abortion. Folic acid prevents brain abnormalities in baby (neural tube defects).hence folic acid is given" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr, I have a 5yr old daughter and soon i will be giving birth to my second baby (boy) i never in my life taken prevention tablets or injection and i am scared to start now. my hubby and I have decide that this is our last baby and i want to insert a loop. Is it possible that they can insert it immediately after giving birth? Is it safer? should i wait a month or two after giving birth? Please advise. My e-mail add is" }, { "from": "gpt", "value": "Output: Hi, inserting an intrauterine device after childbirth is usually done around 6-8 weeks after birth. Because the uterus is back down to it's normal size then. The doctors won't insert it directly after birth - as the uterus still has to shrink back down to the normal size and any intrauterine device wouldn't be\\\" held\\\" by the uterus. Most women won't have sex during those 6-8 weeks - as you are still postpartum - having postpartum discharge which is first red and slowly turns a different color until it stops after about 6-8 weeks. You can usually talk to the doctor at your postnatal check-up - or just after the birth so that the insertion can be organized for you ahead of time. Hope this has helped. Kind regards, JR" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My grandsone was dionosed with cancer when he was 16, he went to Johnson city childrens hospital..we need his records so he can be checked again he will be 21 in May,,,no one seems to know where they are, He also went to Pittsburg, Pa childrens hospital...How can I get his records so he can see if he is still in remission?" }, { "from": "gpt", "value": "Output: Dear bumblebee, You can see your primary physician who referred you to Johnson Hospital. If you don't find the record with him, you could give the tentative date of your visit to Johnson hospital Medical records section who could find your grandsons record. If this does not help you the health authority who maintain the National cancer register, visit them and telling them the tentative date of of completion of your grandsons' treatment they might be able to give you the records. As regards whether your grandson is in remission you can visit your primary physician and apprise him the history of your grandson, he will perform necessary investigations on your grandson and let you know his present status. Hope the steps advised might help you in achieving your mission. Truly," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive had an upper respiratory infection and I was taking antibiotics and steroid, Finished steroids yesterday and today I feel like im tingling all over my body. Almost like nervous in a way. Could this be from the medicine or should I go back to the doctor for revaluation. Im still having respiratory issues, from allergies." }, { "from": "gpt", "value": "Output: Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Steroid is an immune suppressor and reduces inflammation.* Once you stop the consumption of steroid, body takes certain time period to produce adequate levels of natural cortisol, due to which there is tingling sensation in the body.* So there is no need to consult doctor for tingling issue, but for respiratory issues have to consult doctor if annoying. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards ." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have been coughing for a month now with phlegm and im worried now cos sometimes my phlegm is green and yellow with a bit of blood i have observe this for 2 days now.I have rheumatic heart disease and taking up my pills.i have been telling to my doctor that im coughing and she never give me medicines to take to stop my cough.im taking up some cough medicines now like solmux and flumucil.can you advice me on what i need to do. THANK YOU!!!!" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Rheumatic heart disease can cause pulmonary edema, pulmonary hypertension, pneumonia and pulmonary embolism. All these conditions can cause cough with expectoration and hemoptysis (blood in sputum). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. 2d echo 4. CT pulmonary angiography if needed. You may require antibiotic, diuretics or other supportive Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am having jaundice since 25 days. my bilrubin level was 6.5 then 12.5 thereafter decresed to 5.3 then 2.1 and now SGPT and Alkaline Phospate is normal. HBSag test was negative. How long I hav to avoid oily foods. plz suggest me a diet an plz tell am i affected by any virus that caused jaundice? how long i would be suffering from jaundice?" }, { "from": "gpt", "value": "Output: Hello, According to history, you have jaundice, but you have not mentioned which is a causative factor for it. Rule out hepatitis A, hepatitis B, hepatitis C and hepatitis E by the biological marker. If it is hepatitis A or hepatitis E, then no need for further testing, and it will recover in two to three months. If hepatitis B or C then repeat the test again after three months and six months to check for carrier stage. Until two to three months, avoid high fatty foods, trans fat foods, and pizza etcetera. Fruit juice, sugar cane juice, Apple juice, Indian gooseberry, grapes, coconut water etcetera beneficial. Ad\\u00edlio should prescribe. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husbands Semen analysis report is like Volume=2.5mlReaction" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor. You wrote about the values of the seminal analysis of your husband. Whether your husband abstain from sex at least 3 days prior to seminal collection. It should not be more than 7 days. Then only the results will be more reliable. As per the present result, the motility of the sperms are not adequate to make you pregnant, and regarding the morphology, more than 70-80% normal sperms constitutes a good quality of semen. It may be due either infection in the reproductive tract or may be due to varicocele etc. Physical examination and presence of pus cells will confirm the cause. You have to ascertain whether your ovulation is regular following the treatment for POD. If all problem attended with due care then there will not be any problem for you becoming conceived. Wish you a happy family way ahead. Chat Doctor. Morgan" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im an 18 year old girl and I have constant lower abdomen pain. First it started mostly on the left side,now all of the lower abdomen hurts. It hurts even more when Im walking or when Im in bed laying on the side or sitting with my knees up and pressed together. It hurts the least when Im laying in a straight position. This pain has been going on for about 8 days now. Now I did have unprotected sex 2 weeks ago but it was the day after my period ended and I took the morning after pill straight after so it is not pregnancy. Thank You for your help" }, { "from": "gpt", "value": "Output: Hi, Having a constant lower abdominal pain might be related to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there I m 27 and in great health otherwise, but for the last few days I ve been having a pain in the right side of my head (feels deep..like in my brain or something). It happens when I laugh, cough , bend over etc. I m wondering if this is a cause for concern or what it could possible be from. Thanks! YYYY@YYYY" }, { "from": "gpt", "value": "Output: Hi, thanks for writing to Chat Doctor. Based on the description, I suspect that you could be having COUGH HEADACHE which usually results from increases intracranial pressure during coughing causing headache. The other possibility is a SINUS INFECTION, for which a X-ray of the PNS or a CT scan will establish the diagnosis. Based on the severity of involvement a course of an Antibiotic along with anti-inflammatory agent or a surgical Chat Doctor. So, a detailed clinical examination and appropriate investigations are needed for further management. Hope this information is helpful. Good day" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I think my boyfriend ins passive aggressive. He came after me the first day of school. after our first date he never called back, then he stopped comig to school, then he d show up. sometimes he d say hi, other times he wouldn t look me in the eyer when he spoke. Then I invited him back to my apartment. He didn t make love to me he didn t kiss me, I saw his face, he made as effort not to get into it. I m really attractive so I knew something wasn t right. He admitted to me that he wanted to tear me to pieces when he first saw me because he wanted me so badly. It s been up and down. He wants me but he plays these strange sulky games. I m confused. Also he has had 2 dui s and a felony for breaking in to beat up his sister s boryfriend. He is highly intelligent, a student as the Uof I. But unable to connect emotionaly. He has grandious ideas about becoming a politician and says that is why our relationship must be a secret. I m 14 years older than him. I know something is wrong with him but I ve never come across this type of behavior." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. To know more about him is the only way to find what is troubling him. I rather say that as he is intelligent (in your opinion) he is playing safe. You have the capacity to understand him. As he is an aspiring politician, as he says, he wants to keep himself away from affairs, which might trouble his future. That is a good opinion. At least he is focused towards his future. Things like flirting and having sex is not his concerns. He is much more matured than that. Understand him and adore him. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been getting serious chest congestion that last up to 7 days too two weeks every now and then. About a year ago I got bad chest congestion that lasted up to two weeks. It got better and I went on with my daily tasks, about 4 months later I got terrible chest congestion again, I got better within two weeks again. So a year later I got chest congestion again, it lasted one week. About a month later (A few days ago) I got bad chest congestion again, it gets to the point where I cant walk Im so out of breath and Im worried that it might be more then just chest congestion, I do have severe allergies. And it gets bad sometimes when the mold is high. Im wondering do you think I might have COPD or any other serious condition?. Im young and I dont smoke. My family doesnt have a history of diseases so Im at a loss." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since you are having severe allergies, possibility of asthma or allergic bronchitis is more likely for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). N acetyl cysteine (NAC) is also beneficial to relieve congestion. 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: Hello Doctor, Im Rani 30 yrs female living in kuwait. Past 4 days i have sever bodayache and fever . Went to clinic, they gave Brufen,Amoxcyllin and Actified tablets. they also gave me a injection to redu ce the temperature. it was fine for a night and next morning the same problem started again. So today i have fever, headache, body pain and sore throat as well. Please advice any medication and food intakes during fever." }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever with headache and body ache along with sore throat this seems to be viral fever or flu. Need not worry. I would suggest you to 1) Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache.2) Chat Doctor. 3) Do warm saline gargles.4) Take analgesic such as Flexion and take light diet. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests an s well. Hope your concern has been resolved. Get Well Soon. Best Wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am pregnant, 33 weeks now, i fell towards my back, and since then am facing severe pain while i sit and try to get up.I am really scared what happened, I consulted my gynecologist doctor who inturn asked my to consult Ortho.Ortho has given only analgesic-Dolo 650 and an ointment. its been 3 days now, but nothing is helpin out, I am really scared why I am not able sit and get up , its paining heavily when i try to get up.Pls suggest me something.Thanks" }, { "from": "gpt", "value": "Output: Hello, Welcome at Chat Doctor. I have read your query completely. I can understand your problem. Different phases of pregnancy test your inner strength. During pregnancy there is already ligament laxity to accommodate the newborn in womb. Your fall may most probably lead to stretching of ligaments. Chances of bone injury looks to be very less. I will advise you to do rest. This will help you in your recovery. Wish you a happy & healthy life." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 58 year old Black Woman and Im having a hard time breathing, I ve never had asthma or any other pulmonary disorder. I am currently off my diabetic medication because I don t like the side effects, however, I have not experienced any trouble breathing until recently. I can stand to lose 75 pounds or so and I am 5 7 inches tall. Can you give me a clue?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. Since you are diabetic and not taking treatment, your diabetes must be out of control and very high. And uncontrolled diabetes is a risk factor for heart disease like hypertension, angina, heart failure, coronary artery disease etc. Other risk factors along with diabetes are1. Old age (age more than 55)2. Post menopausal status. So get done ECG and 2D Echo to rule out cardiac cause. Uncontrolled diabetes can also affect lungs. So get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out pulmonary causes. So consult doctor and discuss all these and get control over diabetes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had server craps in my stomach early this morning was sweating as i was going to pass out i layed down on bathroomfloor my bowls opened n i had loose creamy stools for ten mins. for last few days ive been very hot and sweaty i thought mybe my hormonies are changeing my kids called ambulance they took me to hospital did blood test and said everything was fine they sent me home with bioscope tablets which helped cramp.around 11 this morn i had a slice of toast and my bowl opened in my trousers i had bloody stools with a few lumps in it everytime i go to the toilets its loose and as i wipe myself i have fresh red blood on tissue. im still have pains in stomach . i have been fasting for a week this all started this morning at 3 when iwas making breakfast for family usually im fit. but for last few weeks ive been having pains in ankle area and calfs." }, { "from": "gpt", "value": "Output: Hi. Thanks for your query and an elucidated history...your symptoms of sweating, severe weakness followed by uncontrollable loose stools indicate that you are suffering severe form of gastroenteritis. Although you have visited the ER, I think you need to be given intravenous fluids, intravenous antibiotics and supportive therapy. I would advise you to take a course of antibiotics, metronidazole, probiotics and supportive therapy. You also need the following investigations" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...i have a girl that is 18 years old. she must go an change her blod many times. she lives inn thailand. they cant find her type. the body rejects it. i am not sure wich type her blod is. But maby the give her wrong. they say that it dont look good. what is it inn her body thats wrong. they wont give me anwer i understand. Please help. I am crying my tears. the condision is called talasimia" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. She has thalassemia and already taken multiple blood transfusion. She may have some unknown antibodies in her blood that react with donors blood. Furthermore, she should be given compatible blood. Furthermore, she should go for antibodies panel test once to search the exact type. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi - i have been for a HSG xray today. only my left tube filled and spilled ? i am a little confused as to what this means in terms of getting pregnant ? i am 39 years old, and have been trying to concieve for 18 months unsucessfully. i have 1 child, with the same partner. thank you in advance. emma YYYY@YYYY" }, { "from": "gpt", "value": "Output: Hi, your HSG reports suggesting that your left tube is patent and probably right tube is blocked, as ovum releases from one of the ovary each time patency of the tubes are necessary, anyhow as one of your tube is patent still there is possibility for pregnancy, you better to verify for once for the possibility of any hormonal disorders which may also be contributing for secondary infertility and take treatment accordingly. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...I am 50 y old man from syria , have elephentiases in my left leg since 1 year ( cause infection not parasit) most of the doctors have no experiance with the treatment , is there any cecters in USA can deal with the syndrome , i can come any time thank youAyman" }, { "from": "gpt", "value": "Output: HiT hanks for posting you query on ChatDoctorElephantiasis is a disease caused by a microfibril Wuchereria Bancroft. But not all swollen legs mean elephantiasis. A possible leg tumor should be eliminated as well. The diagnosis of elephantiasis is usually confirmed by identifying the microfilariae is a blood sample collected at night or through an immunodiagnostic test. Treatment nowadays is with median. In the US, microfibril is not an endemic problem like in most African countries. But when the test comes positive, the Chat Doctor. Hope my answer will help you Best regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is 16 with back pain, hip pain and some numbness in feet and hands. MRI shows excess spinal fluid on her spinal cord. She also has a vertebra that that did not separate. We are being referred children s hospital. Just want to know what could be wrong and what to ask dr. Only lower back MRI was done and X-ray" }, { "from": "gpt", "value": "Output: Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query will suggest an MRI Brain with spine screening as well. Here is why-The fluid is produced in the brain. Ideally it is meant for the cushioning effect. In certain conditions called HY Chat Doctor. The fluid produced is too much2. The fluid is not sufficiently absorbed backstair is a possibility that the same high levels of fluids may be present in the brain. Now you have said she has upper limb issues as Wells there may be a problem in her cervical bones too. So an MRI brain with screening of spine would be my choice of investigation hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi My mother who is 80 does sit lot,when sitting her legs turn red from the feet up and are swell up also..With the redness she has pain..What I would like to know if this is caused by the heart..She does have heart problems..Just about to forget she also has heat with the redness and shinny legs. Sorry to take up your time I thought this was free..Can t afford 15.00..Thanks anyway" }, { "from": "gpt", "value": "Output: Hi your mothers condition is caused most probably by weak heart pumping action which leads to accumulation of fluid in the legs and feet. This part is below the heart and gravity contributes to this also. In addition, she may be having a partial block of the veins which take the blood away from the legs. She sits a lot which is not good and should walk around and use elastic stockings which help this to some extent. Another important thing is a check-up by your doctor to see if the veins affected are the deep ones or those near the skin. Medication will be needed for this. Keep the legs elevated while sitting, and she may do ankle foot exercises to aid in pumping of the blood. You are most welcome and hope this is useful for your mother. Please take this advice free" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 40 yr old male had heart cath 2 weeks ago. heart cath ruptured 2 times within 24 hrs post cath.am still having pain in groin and left side of penis. have not had an erection since having the heart cath done. is there any correlation between the two." }, { "from": "gpt", "value": "Output: Hi pain in the groin is very common after catheterization, you can ask your cardiologist to prescribe you with non-steroidal anti-inflammatory medicines like diclofenac and seratiopeptidase for a few days. If erection does not happen after 5 days of treatment also then pudenda nerve injury can be suspected, in that case test have to be done for investigating damage to pudenda nerve supplying the penis. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 10 year old daughter. Bad seasonal allergies (pollen). Our doctor suspicious of asthma. Has been using an inhaler for a little over a week. Also taking prescription Singulair and otc Claritin. Flonase, as well. Breathing and allergy symptoms have improved, but tonight has developed small to large patches of hives all over her body. Warm to touch and very itchy. To my knowledge, no exposure to poison ivy" }, { "from": "gpt", "value": "Output: Hello dear, Hives is like fire you should disguise quickly. I suggest" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im 40, 52, 129. It start with chill body ache on Fri, then Sat fever 102, cough with yellow greenish phlem, headache, body ache and chill, broke into a sweat, thought it was over, but then chill and sweat by Sun. Monday, today, in the morning still have chill and sweat, but by now midnight mucus is less. Do I still need to see a doctor for antibotic?" }, { "from": "gpt", "value": "Output: Hellowelcome to ChatDoctori really appreciate your concern I understood your query, this is lower respiratory tract infection along with might be malaria infection so u go to your physician for test of malaria parasite and course of antibiotic for lower respiratory tract infection and if u have sore throat then start saline gargling and take proper rest for 3 days. Please kindly rate it and write a short review about your experience with me! Thank you and best regards!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Gud evening Doctors, I am already married for 15 yrs. but sad to say til now I cant bare a child due to my hormonal imbalance. My ob gave me duphaston for my menstruation to be maintained monthly since I have an irregular mestruation and polycystic ovaries. I really wanted to become pregnant please help me. What should I do?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing to Chat Doctor. Get your thyroid profile, FSH and LH and prolactin levels checked. Correct them accordingly. Since It's so long for your marriage. I suggest you to discuss with your doctor regarding use of ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. You need to monitor your follicle growth. Get your tubal patency done and go for GUI. Here healthy sperms are selected and placed in uterus. This increases chances of pregnancy. You can try 4 to 5 cycles of GUI before proceeding further. You should get your husband semen analysis before starting your procedure. Hope I have been helpful. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had 4 screws, 2 pins, and a new vertabre put in my lower back 6 years ago in July. I did some yoga classes, and the last one was on Tuesday, and my back started to hurt on Sturday. I started a new job and it intails some lifting. after 4 days of this, while lying on my back, on the floor, I put my hands under my lower back and hurd and felt grinding. Can I have loosend or broken the screw? I m a 67 year old female in very good health." }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorYes due to yoga by the twisting any or uneven pressure effect could be the cause of displacement of disc. Yes there might be loosened and when it gives pressure to spinal nerve you feel pain. As the unset is sudden and just after a few days of yoga postural movement, so those chances are maximum. But if it had been a long day gradual origin then we should think for others factors like osteoporosis or any spinal growth etc. The exact cause can be found out by CT Scan of whole spine. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am feeling this pressure on my left side, and its there almost all the time. I did have a CT done a year ago and the doctor said then my liver was enlarge. Now Im feeling something there aall the time. Thanks Jonathan" }, { "from": "gpt", "value": "Output: Hi welcome to the Chat Doctor Liver was enlarged before one year in CT scan. Hence, evaluation needed this time again, and you can simply get investigated with USG abdomen According to cause further specific treatment given If liver still enlarged then investigation needed with bag detection, anti HCV detection like further investigation Alcohol history also should be ruled out If USG normal and Liver not enlarged then constipation or any functional dyspepsia can lead pressure in left side Hope your concern solved Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my boyfriend has been c/o pain in his neck for about a week and then while working out he had a slight pain in his chest with a pulse of 134 and a blood pressure of 143/92 then after two days he has now woke up with slight kidney pain and voiding yellow urine with stringy blood in it what in the world could this be and what should be done?" }, { "from": "gpt", "value": "Output: HelloThanks for query. Your boyfriend seems to have pain in chest, loin and blood in urine (Hematuria). This is most likely to be due to presence of stone either in kidney or Ureter. He needs to consult qualified Urologist for evaluation and get following basic tests done to confirm the diagnosis .1) Routine urine test and urine culture 2) Ultrasound Scanning of the abdomen and pelvis. Ask him to take antibiotics and painkillers. Further treatment will be decided by concerned Urologist and will depend upon the results of these test and final diagnosis, Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir , m a 24 yr old girl and m suffering from hair loss since last 2 years, i went to doc and he suggested me minoxidil topical solution usp 5% along with kevon stay on lotion . i use th solution twice daily 1ml every time , since one week i have been using but no results found , even m lossing more hairs ..... and i have irregular menstruation problem too. so plz help me out frm tis problem." }, { "from": "gpt", "value": "Output: Hello dear, Since you are giving history of hair fall with irregular menses, you will need a hormonal workup to rule out any hormonal imbalance. If it is found then you will need treatment for the same. Minoxidil increases hair fall initially as it causes the non growing hair to fall out and new hair to grow from the same hair root. You will have to continue with it and should see new hair growth in 3-4 months time." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I injected my self with Clexane a return from holiday 12 days ago. I had a P.E 6 years ago.I am having to have oral surgery shortly, would the effects,(blood thinning) have worn off by now? So would it be OK to go ahead with the surgery at this time? An early response would be greatly appreciated." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor. I am Chat Doctor. Dear friend, Clean has half-life of approximately 4.4 hours for a dose of 40 mg. Clean activity may persist in the plasma for 24 hours. After 12 days its level in blood is negligible. You have to do one blood test PT INR. This blood test will be very helpful for further management and plan for oral surgery. I suggest you to take Clean in proper doctor guidance with regular PT INR test. Thanx for query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 57 year old White Male who has been in excellent health for most of my life, in spite of being a pipe-smoker for a lot of years. Ht is 58 and wiegh 190 lbs. Married x 32 years. Statins for cholesterol seems to have taken a great deal of the fun out of exercise for me. Also, my fasting blood sugar seemed to climb along with pronounced leg and hip pain upon walking. Why are there no public broadcasts about statin effects with all of the complaints? Paul Richard Strange, Sr. YYYY@YYYY Waxahachie Texas" }, { "from": "gpt", "value": "Output: Haismoking, diabetic for all these, statins are very important for your lifestyle to decrease the cholesterol levels with statins for longer time more concern is with the derangement of the liver function tests, other with generalized muscle weakness & myalgic.sugar levels are high due to your stress & pain, but then statins are more protective on the heart & the blood vessels. All the best take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr,i have to take fertab 50 for the first time soon,before doing an insemination,i already have one kid ,6 years old.Is there possibilities of twins with fertab 50 from the first treatment?i am 33 years old,168cms and 59 kgs,first pregnancy was so easy but this time it is not.all medical exams were good,but no pregnancy yet so my doc suggested fertab 50 coz maybe the ovulation is weak and simple insemination coz the spermes may are not living too much in the matural way,thank you for your kind answer." }, { "from": "gpt", "value": "Output: Hi, I think you can have twins, but it is rare. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosed with prostate cancer in 2006 (Gleason s 10/10). I had a radical prostatectomy and have subsequently been treated at MD Anderson with intermittant lupron and casodex. My present condition is extremely good and has been so since surgery. On my most recent restaging and evaluation (Sept 2012) the term malignant neoplasm of prostate was included as an alert notice. I did not read this note until just recently. I am wondering if this indicates a change in my diagnosis, or has this terminology been relevant from day one?" }, { "from": "gpt", "value": "Output: Hi, Your prostate cancer risk stratification should be mentioned. You should mention your baseline PSA value before treatment and staging based on pathology report. As your Gleason score was 10 most probably your disease was high risk prostate cancer. In this case adjuvant radiation may have some role (pelvic radiation). Anyway it is not clear whether radiotherapy was given or not. Now you have to check your PSA value at regular interval. As radical prostatectomy has been done then PSA value more than 0.2 NG/ml may indicate biochemical failure. Then your treatment can be changed. Another issue you have to know whether at any time your PSA value came below 0.03 NG/ml or not. This has got prognostic implication. Prostate cancer and malignant neoplasm of prostate are synonymous. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can pain in the lower right abdomen towards the back be my appendix even though I have no other symptoms? This pain in on the 3rd day. It was getting better until I picked up something heavy and it was like my insides ripped apart. What in the world?" }, { "from": "gpt", "value": "Output: Hi, I have read your complaints - pain in the right lower abdomen and back. The most common causes are - Appendicitis, Ureteric stone, ovarian cyst rupture in ladies. I suggest you get an Ultrasonography of the abdomen, Blood counts and Urine examination. A thorough clinical examination by a Physician is of utmost importance. Hence, I suggest you go to a Physician and later get ultrasonography(Advisable to not void/urinate for 2 hours prior to the scan as a full bladder helps the radiologist in doing the scan). Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...My baby just had her first round of vaccinations about 48 hrs ago. She was sleepy yesterday but ate very well. Today she was fine in the am but hasnt really eaten in 6-7 hours and has excessive gas. She is crying more too. ???" }, { "from": "gpt", "value": "Output: Hello, This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor.. i am 29yrs old. i have had my AKT finished in july 12 ... ( july11-july12).are there any post treatment side effects which can be faced? i m facing some knee ache and putting on some weight too. worried about this problem. can u pls help me out?" }, { "from": "gpt", "value": "Output: Hello AKT treatment is not expected to cause knee pain. Some medicines in antitubercular therapy may cause liver damage. So, it is important to monitor liver enzymes during AKT therapy. Knee pain may be due to some reasons. You need proper clinical examination and X-ray of knee in AP/Lateral view can be taken. Further investigations can be done if needed. Proper treatment depend upon findings. Empirically you may take short course of analgesics. You may recover. 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: Here are my symptoms over the past four days. Sore throat when swallowing, nasal congestion and sinus pain, eye muscle aches, headache, bad breathe with phlem in back of throat, bumps on back of tongue, stiff neck, all over body aches with concentrated backache and stiffness. Is this a sinus infection or something else. There has been no fever at all. Thank you" }, { "from": "gpt", "value": "Output: Hi, Thank you for your query. I can understand your concerns. It seems that you have upper respiratory tract infection(URI) due to virus. Over 200 different viruses have been isolated in patients with URIs. The most common virus is called the rhinovirus. Other viruses include the coronavirus, para influenza virus, adenovirus, retrovirus, and respiratory synovial virus. Sinusitis occurs as complications. One can have low grade fever which often gets unnoticed. Sinusitis alone will not cause backache and stiffness and other symptoms as mentioned by you. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi since Friday I have had terrible cramps in the very lower part of my abdomin to the point it actually hurt to sit. My bowl movement is normal and Im weeing normally it feels like cramps but I have been in the menopause for nearly three years it has made me feel feverish but there has been no real temperature and I have taken nurofen every 4 hours which does take the pain away. Today I feel in myself a bit better but the pain us still coming and going. Anything you can recommend??" }, { "from": "gpt", "value": "Output: Hi thanks for your query and proper history. The commonest causes for pain in lower abdomen in a post menopausal woman are" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I sprained my ankle a couple of weeks ago and my original doctor told me to stay off of it and I tried but I m just a independent person and decoded to start doing things on my own by day 3 now its 4 weeks later and my ankle is still swollen...what do I do ?" }, { "from": "gpt", "value": "Output: Hi Welcome to ChatDoctorI have gone through your query regarding your sprained swollen ankle, and I can understand your concern. In case of any injury, if swelling and pain persists An X-ray is advised to ascertain the position if there is need of plastering so that further damage should not happen. You should go to a specialist for proper treatment Asap Turmeric powder a spoon in a cup of hot milk in BF and at bedtime helps alleviate pain and swelling faster . Rest and intake of proper nourishing diet is also helpful in early recovery. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i went crowd surfing last night and i was droped about 6 or 7 feet about the ground and landed on my back with my legs flying over my head. I hit so hard it knocked me out of breathe and made me throw up. Now today my back hurts so bad..everytime i move i have sharp pains going up my back and at certain points when im walking i just want to collapse. Should i go see a doctor?" }, { "from": "gpt", "value": "Output: Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in lower back due to injury these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am just recovering from a 3 week viral infection that caused throat pain, voice hoarseness, sinus congestion, and chest congestion with cough. Just when I think I am finally feeling better, I have developed sharp pain in my right parietal lobe region that only lasts a few seconds but is severe with a lingering soreness. The pain increases with movement. I don t palpate any tenderness over the region other than a small raised bump. I do have a cold blister in my right nares. I am concerned that the cold sore in my nares is related to the parietal lobe pain. Should I have this evaluated?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of connection between nose problem and parietal lobe pain is very less. But in rare cases, uncontrolled, severe sinusitis can cause meningeal infection and brain damage. But since you are improving in sinusitis, possibility of this is also very low. So no need to worry much. Avoid stress and tension. Take simple painkiller like ibuprofen. Your parietal lobe pain will mostly improve. But if you are still having pain than better to get done CT thorax and CT PNS (paranasal sinuses) to rule out internal brain pathology. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son aged 1 yr 1 mth had high fever last thursday and was admitted to the hospital on the friday, reaching almost 40 temperature. His fever fully recovered on sunday, in which he was then allowed to be discharged from the hospital. today - monday, at home, his body begins to rash with tiny red spot on his cheeks and chest, and some at his stomach. it does not itch because my son does not scratch the red spots at all. and he has no fever. any idea what this might be? or this is normal for toddlers after high fever?" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as red spots after fever - the possibility is any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. 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: Hi,my husband had bad breath since childhood.after marriage,even i got it along with a slight change in voice.my dental hygiene was good.but started getting white spots on my tonsils which was diagnosed as tonsillar keratosis by an ENT specialist.Doctor suggested me surgery in worst case.But i dont want to go for a surgery n i remove those white keratosis with a sterile tweezer whenever it apppear. so no bad breath problem now. but my husbands breath smells very bad now a days. when i tried to see his tonsils,i couldnt see any keratosis or anything. Does he have any other problem? He never smoked or drinked alcohol.Which speciality should i take him for professional help? please suggest me. He is a bit reluctant to visit doc regarding this. Is there a chance that he had the same problem all these time what i am having after marriage?" }, { "from": "gpt", "value": "Output: reclothe reason for chronic bad breath could be either oral related or systemic (gastric problems) (kidney related) (liver problems)For oral related home carry doing these 4 things regularly twice daily morning and at night 1 proper brushing2 use interdental aids (proxy brush & dental floss) to clean in between teeth areas 3. Tongue cleaning is very important (use tongue cleaner)4. Start using mouth wash (for 3 weeks use chlorohexidine, and then you can use the milder one like list rein regularly)follow this strict regime of oral hygiene along with this u need professional cleaning every 6 months do visit dentist regularly and if it still persists than u might be having systemic problems. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doctor my wife had recent laparoscopic surgery,i tested my sperm countvolume 2ml,viscocite" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. I analyze your report as, Volume 2ml (normal 2-5 ml) at borderline level normal. Viscocity normal pH 7.1 (normal 6-8)SPERM COUNT (query) normally it is 60-120 millions total. In your semen it is 20 million / ml and your semen is 2 ml, so in aggregate it is 40 millions means below normal. Normally if semen is taken after 3-4 days abstinence than its volume increases, so in that case it may be 3 ml than count will be normal. Motility is usually 90-100 % but in your semen it is 70% so they (sperms) are less motile than normal. Immobile 10 % and this is also normal (normal 10% immobile)20% are straight, and they are dead. Rest of analysis is non-specific so no discussion. In my opinion consult a physician and get his opinion and treatment. Nowadays good and effective medicines are available in market, so you will GE alright in short time. If further any question I will help. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father aged 79 who is visiting my sister in the US has had a heart attack and needs a valve replacement and triple by pass done. He has been in ICU from 2nd Nov till 19th Nov =, then was shifted to Rehab dept. till date. By the end of next week he will be fit to travel. Is it possible to do the surgery in your hosp." }, { "from": "gpt", "value": "Output: Hello, He may be suffering from triple vessel disease along with that he may be having age-related aortic valve sclerosis. So maybe undergone valve replacement along with that bypass surgery. So he may be travelled by doctors advice only. Please consult your doctor he will examine and treat you accordingly. 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: Hi around 6 weeks ago I went and had a mammogram for a lump around an inch long the results came back that it was glandular tissue, but I ve noticed the past few days that it has either moved across my breast or has grown and I ve also found a small lump under my nipple and what looks like red veins on the surface of my breast where the glandular has either grown or moved what should I do." }, { "from": "gpt", "value": "Output: Hi.based from your description, it could possibly be an inflammatory reaction or any of those breast lesions. It could be a cyst, a fibrous (fibrous tissue formation) or fibrotic changes of the breast, which are all benign breast lesions. Malignancy must also be ruled-out. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Diagnostics such as breast ultrasound and mammography may be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my name is kenny guzman an ive bin battling with deppression for over 5years now im 28 years old with one child an I just feel like I have a lack of enerygy a lack of intrist an its to the pount ere its affecting my life an house hold as well as me working last time I went for a check up was about 4years ago on a deppression scale I was a 6 its 2014 an I feel like I have alot of pressur on me an I just wanto to know if u could try to apply for disability benefits..." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Depression will not go away if you sit idle and always think about it and always scold your fate. You have to decide, get up and GO. Work i the only thing which can take you out of this juncture. For which you have to be a bit persuasive. Self persuasive. Make sure you work, whatever may your physical condition. What ever may your mental condition. Ignore tiredness, laziness. Let me tell you, that is the only way out. Do you want to be out of your current situation? Then follow me strictly. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: female aged 16 getting stabbing pain in chest that lasts only 10 secs and cant breathe when pain is present. this then disappears and alls well . started these episodes about 3 months ago but they are increasing. At hospital emergency -did ECG said that it was nothing. She still gets these attacks- please could you advise on what it could be?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since her ECG is normal, and she is young, no need to worry about heart diseases. In my opinion, she is having panic disorder. This is very common in teenage. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life. She may need anxiolytic Chat Doctor. Don't worry, she will be alright with counseling and" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I received routine blood work back showing an AST of 53 and an ALT of 74. I am hypothyroid, taking 1.0 of Synthroid per day. My TSChatDoctore back 6.3. What would cause the elevated AST and ALT? How likely is it that I have hepatitis or cancer? Can the elevated TSH affect the AST and ALT? I am a non-drinker and take no medications except Synthroid (not even Tylenol). I do take calcium cabonate and vitamin D (several hours after the Synthroid dose. I also use Metameucil wafers twice a day (again several hours away from medication). I am a 57 year old, white female. Other tests came back normal. I had a colonoscopy about 4 years ago, and was diagnosed with IBS." }, { "from": "gpt", "value": "Output: AST and ALT are nonspecific tests, which means they could be elevated for many reasons. That includes both hepatitis or cancer. I don't believe the elevations are related to the high TSH. You are in an age group where chronic hepatitis C is commonly diagnosed. Hepatitis C can cause such elevations without a lot of symptoms. If you were my patient, that is one of the first things I would check. At the same time, you could also be checked for other types of hepatitis. Other problems with your liver or problems with your gallbladder might also cause the elevations. Hope this answers your query. If you have more questions, I would be happy to answer them." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been on Microgestin 1/20 Fe BC for around a year now. This is the second month in a row I haven t had a period. I have this problem in the past and my doctor said its pretty normal but has changed my BC anyways. Both this month and last I ve had very, very slight spotting for less than a day and then nothing. Is it normal for my BC to pretty much rid me of my period like this?" }, { "from": "gpt", "value": "Output: The longer that you're on birth control pills the more likely it is that you will cease to have a period. It does not mean that the birth control pill is not effective. On the contrary it is working very well. The lining of the womb has become so thin that there is nothing to shed. In other words the progestin has won out over the estrogen. Many women actually like this as a side effect of taking oral contraceptives. You will have to take a stronger estrogen containing pill to avoid the side effect but I don't think there's any medical reason that you need to." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 35 yrs old and 43kg, i have pigmentation and acne problem doctor suggest me kojivit and flucort i used this for long time more than 6 months now i stoped my skin become thin and veins are very prominant and more pigmaentation and acne problem also same. please suggest something" }, { "from": "gpt", "value": "Output: Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. For pigmentation, Bolivia you may use but floor is a steroidal cream which is not advisable for acne, that too on face and for such a prolonged time. In such cases, i usually advice my patients to apply aider 20% cream over the lesions in nighttime and clindamycin gel in the morning. In moderate to sever acne, oral antibiotics like doxycycline, minocycline are advice. I hope it helps. If you have further queried, you may ask me." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 66 year old male. I work full time a a lawyer. I am able to walk on flat ground without difficulty although I have a lot of pain in my left foot. I become breathless when climbing stairs or walking uphill specially if I am carrying something. This has been the case for a year or so but worse lately.. I recently ha d a chest infection." }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of mild to moderate pneumonia. I advise you to get a clinical examination and ECG,2D Echo of your heart, chest x-ray, ABG analysis immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Pantop once daily for 14\\u00a0days and tab. Deriphylline thrice daily, syp. Grillinctus. Avoid stress and anxiety. Avoid smoking and alcohol. Consult your pulmonologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 28 yrs old my semen counting is 64% I want a child so what can I do??" }, { "from": "gpt", "value": "Output: Hello Bacchus;welcome to Chat Doctor If the motility of your semen is 64% then you are fine and if the normal form of sperms are more than 60% then you will become a father. So only semen count is not important you should write the detailed report to understand it better and guide you. I guess all the other reports of you as well as your wife are normal. The main criteria for having a baby are" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dear doctors, my 1 year old girl is sufferign from constipation. and now i m using cremaffin plus 7.5ml once in a day. and she is doing fine now. my question is there any side effect if i will cremaffin plus for one year daily? my email id is \\\" YYYY@YYYY \\" }, { "from": "gpt", "value": "Output: You can give to child remain during 2weeks-1 month, but she can not Chat Doctor. This is just symptomatic therapy. If you were give for a long time a fat -soluble vitamins, like as A, D, E, K would not absorb properly. It also gives anal irritation. You should give to her laxative food like as Dali, boiled rubber beetroots with 1 teaspoon of olive or sunflower oil. You can also give tomato soup with beetroots. Give to your baby -girl fresh juice 100ml from carrots, beetroots, orange, apple or rubber apple. Pumpkin soup or sheer from pumpkin is very helpful. ADU, salad from cucumber and tomato and onions with sunflower or olive oil. Corn oatmeal. You can give green tea with ginger and turmeric powder1/2 teaspoon for 2 glasses. She should eat more liquid. Thanks, best regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my name is Sue while in the store shopping today a man beside me fell over and had a seizure, ive had some training but not alot with this........just wondering if i did the right thing in helping him i had help come and we tried to keep him calm and relaxed but he started turning blue.....is this normal we kept cold cloths on him and kept talking to him and he finally came around, i was wondering if this was a granmal seizure" }, { "from": "gpt", "value": "Output: Hi, Thanks for using the Chat Doctor.First I like to congratulate you for giving first aid and taking him away from risks. Grand mal involves whole body. Associated with aura before seizure and then little depression after seizure. Keeping him calm, relaxed, Loosening his tight Chat Doctor. Cold water won't help him much. Turning bluish is due to vascular phenomenon due to reduced blood supply to body (periphery) during seizure. Usually he'll recover from it. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon...." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, recently i had a blood vomit . in consultation with a doctor i under went a abdominal ultra sonoraphy. the following are the results. -fatty liver -enlarged spleen" }, { "from": "gpt", "value": "Output: Hi, Vomiting blood is not normal. It could be due to ulcer disease or due to varices secondary to liver disease. Since the ultrasound scan shows enlarged spleen, bleeding due to varices is more likely. An upper GI endoscopy should be done to confirm the source of bleeding. If it is varietal bleeding, it can be controlled endoscopically. You may have to be on long term medications. If it is due to ulcer disease, then you have to be tested for H.pylori infection and treat it if found to be positive. I hope that answers your question. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here.my daughter regularly uses asthalin respules bcoz of cold and cough and 2 years before heart surgery was done so i wanna know that there is any side effect of regularly using respules" }, { "from": "gpt", "value": "Output: Hello. Thank you for asking at Chat Doctor. Common side effects of Stalin (Albuterol) are increased heart rate, sometimes irregular heart rate, feeling of heart beats (palpitation), tremors especially in hands, \\\"shaky feeling\\\" in the body, reduced blood potassium levels (leading to fatigue and muscle cramps), irritation or Chat Doctor. As she has had a heart surgery, personally I would prefer levosalbutamol over albuterol for her. Levosalbutamol has almost similar actions as albuterol (Stalin) but less heart-related side effects such as rapid/irregular heart beats. Please discuss this matter with her treating doctor. Hope above answer will be helpful to your daughter. Wish her the best of the health. 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 my 17yr old son has a lump that is very hot on his left side and is pale and feeling weak with constant pain and has also had trouble breathing and has had to use his ventolin inhaler a few times in the past 2 days (hes an asthmatic) and approx 6 wks ago he was taken to emergency by ambulance and diagnosed with appendicitis but discharged himself when the pain reduced do u think it is the same condtion/?" }, { "from": "gpt", "value": "Output: Hi. Thank you for your query. Read and understood you sons problems. Appendicitis is usually on the right side of the abdomen not on the left. The hot thing on the left side can be a subcutaneous abscess developed secondary to the appendicular lump or abscess. Pale can be due to septicemia. As he is known asthmatic, you have to take more care and may be give him additional medicines and inhalers to get a proper control over the asthma. The appendicular lump is usually treated conservatively for 6 weeks so that it has to be operated when this becomes resolved. Remember that getting operated on the given date is very important." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been taking Gleevec 400 mg daily for control of GIST . My last ct scan showed no evidence of disease. In the last few weeks my fluid load has become more problematic. I have puffy edema everywhere I had a 10 pound weight gain in 3 days and was directed by my primary doctor to double my 40 mg Lasix to 80 mg whenever this occurs. My tissues are like sponges that depress and stay that way. I am concerned about the effects this much fluid may have on my heart." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor! I appreciate your concern for the generalized puffy edema. Accumulation of fluid due to salt and water retention is an important adverse effect of Sleeve chemotherapeutic Chat Doctor. This side effect is commonly seen during the long treatment with Sleeve, it may be associated with high BP and sometimes the fluid gets collected in the lungs causing difficulty in breathing, etc. Now since the scan is not showing the evidence of the GIST you may please consult your doctor whether to continue with Sleeve for how many weeks or months. Lasix definitely helps in clearing the edema fluid, but it also has some side effects on its long run. Take care of your health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife is suffering from lower abdomen with back pain last 4 months. She has been seizure 18 months ago. I have consulted his Gynecological doctor. He advise for USG and some Blood test. The result of USG and blood test is ok. After seeing the report he advise Gynazole 200 (at night 1 cap), i-flag( daily 1 cap), Normaton. But there is no improvement and again consult him after 2 months and he advise Gynazole 200(at night) and Tryptomer 25(at noon and at night) and normatone(2 tea spoon at noon and at night). Is these medicine right for my wife? what is the cause of pain ?" }, { "from": "gpt", "value": "Output: HI. Thanks for your query. Read the history and understood your wives problem. The reason of lower abdominal pain with back pain for 4 months can be the following" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have severe pain in my lower back, right side, and right buttock that radiates down my leg all the way to my foot. I am often unable to walk without limping. Also both hips hurt and are tender to the touch on the outside of my buttock (bursitis?). I have severe all over pain and stiffness every morning and after sitting for any length of time (ex. eating lunch) and struggle with painful knees, ankles, wrists, hands and feet. All of my blood work, every test you can imagine, has been normal. I have normal e-rays of hips and a normal MRI of my lumbar spine. I take Lyrica and Cymbalta, but still experience extreme pain. NSAIDS do not help. Suggestions?" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. You are suffering from chronic backache. This may be related to muscles and bone weakness. There may be deficiency of vitamins and trace elements. You can take supplements of vitamins and trace elements. Back exercises are helpful in muscle strengthening. Analgesic such as ibuprofen is helpful in pain relief. If not relieved by it, you can take strong analgesic such as tramadol. You can get vitamin D and vitaminB12 levels and if found low you can take its supplements (vitaminD3 and mecobalamin). You can continue with Lyrics and Cymbal ta, You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hai iam 40yrs old lady having thyroid and bp and for the past 20 days my bp was shooting and i had med yesterday only and today though it has reduced i have more palpatation and my pulse rate is very high as 110 and i also have lungs problem for which i take medicines in need help me out for how to continue medication and what is the normal pulse rate" }, { "from": "gpt", "value": "Output: Hello, You need to see a doctor to take medications. , Monitor sometimes a day your blood pressure and heart rate, some blood test and thyroid hormones (TSH, Ft4) and let the doctor see them. Since you have pulmonary problems too and thyroid problems, for which I don't know what medications are you taking for, a doctor should recommend the right treatment. 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: Good evening. My dad is 67 years old and had a full knee replacement 7 weeks ago. Hw saw the surgeon after 6 weeks and was told he was doing better than most after 6 weeks, however he forgot to ask about the major night sweats he is having. Is this normal?" }, { "from": "gpt", "value": "Output: Hello, As your father is doing well after the TKR I will advise for the knee replacement rehabilitation program for best outcome score. Regarding the sweating in the nights, this will be due to other factors like the healing process, past medical history of diabetes or Hypertension. Please see that the sugar levels are fair, and blood pressure is not too rise or Chat Doctor. This is some of the possibilities which happen in aging. It can be controlled by medication post examination. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What are symptoms for kidney stones/colic? My husband is having pain + severe cramps and in his urine is blood. It lasts now for 4 hours. I thought it is urinary infection but I dont know what symptoms for kidney problems are? We are camping and I dont know if I should take him to the hospital?my e-mail address" }, { "from": "gpt", "value": "Output: Hi, thanks for using Chat Doctor Stones can occur in any aspect of the urinary tract-the urethra, bladder, ureter and kidney. In general, they are associated with severe pain, which is usually cramping or intermittent in nature, in some cases the pain may radiate from the loin (the lower back) to the groin. Urinary infections would be associated with burning on urination, frequency, possible change in the color and odor of the urine, abdominal pain. If the pain is severe, it would be best to take him to be assessed. An ultrasound may be suggested. If it is a stone, the treatment may depend on the size and the presence of any complications. Small stones may pass on their own. I hope this helps" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am writing concerning my 6 year old daughter. She has battled an infection around the vaginal area and what looks like ulcers. She has been checked for every type of STD and bacterial infection and has seen 3 Doctors and 1 Dermatologist. Their diagnosis was Erysipelas and the treatment was a strong antibiotic. Today, she was seen by a 4th Pediatrician and he tested her for bacteria that may be the cause of a fissure. He also said she has a yeast infection around the vaginal and anal area. He prescribed Diflucan 100 MG (2 tablets). She will see him again next week when the test results come back. Is this common for a 6 year old and should I start her on a stool softener in the mean time?" }, { "from": "gpt", "value": "Output: Hi, It seems that she might be having yeast infection with super added bacterial infection producing all these symptoms. Continue with all these medicines till full course. Important is to keep her local hygiene clean, Chat Doctor. After proper cleaning apply antibiotic or triple action cream. Wear cotton short and avoid more perspiration on local part. Give her proper instruction and training about keeping personal hygiene clean and healthy. Rule out worm infestation which again cause infection and irritation. Ok and take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have recently had a pain in my left side, about the same height as my belly button. i ve had it about 2 weeks ago, and something like it a year ago which was extremely painful. I am 16, the pain is not extremely bad but is a moderate pain. I have rested and had a poo but the pain hasn t completely gone, i am worried about what it is." }, { "from": "gpt", "value": "Output: Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. You have got pain on the left side of the stomach at the level of belly button. It is not very bad but continuous. You had same pained 2 weeks ago and one year ago. It appears to be due to renal colic possibly due to urinary tract infection or kidney stones, which repeats periodically. I advise you to consult a urologist for diagnosis and treatment. You may have to take U.S. scaling besides other routine tests for confirmation. Wishing for a quick recovery. Best regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I AM 74 YEARS OLD. I TESTED POSITIVE ON MMY TINE TEST WHEN I WAS 12 YEARSOL, PRE-BASKETBALL, AND AGE 22 YEARS OLD AT MILITARY PRE-ENLISTMENT PHYSICAL. I REACTED POORLY TO INH THERAPY (MY LIVER PANEL WENT FROM 23 TO 211. I AM NOW ON RIFAMPIN. WHAT SHOULD BE MY TO FIVE CONCERNS?" }, { "from": "gpt", "value": "Output: For treatment of tuberculosis start anti-tuberculous medicines which are sensitive as early as possible after expert advice. You have to take some multivitamins like metilda-forte or meganeuron-plus once daily preferably in afternoon along with some protein supplement like protein powder with milk to improve your immune power. Don't worry much just take your medicines regularly and properly as suggested by your doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i,m a pcod patient. for last 20 years im having medicines such as ---duoluton(L) & gluformin 500mg daily at night after dinner. now a benigntumour has grown as big as 57mmx57mm in liver section v & it is half on the liver and half hanging outside the liver towards the gallbladder. what should i eat and what am i to do? should it be operated or regular usg to be done, in the hope that tumour may regress in time?" }, { "from": "gpt", "value": "Output: Hi, How are you? I am so sorry to hear about your diagnosis. Benign tumors of the liver are uncommon in general population but are fairly common in patients who take any form of pills with a high estrogen content (oral contraceptive pills, hormonal therapy, anabolic steroids, etc.). Hepatic Adenoid is one such tumor which occurs very often in these set of patients. Going by your history, I would strongly suspect that you have developed an Adenoid in your liver. Although these things remain asymptomatic for a long time, they can cause pain due to increase in size. A more Chat Doctor. In addition to this, there is also a risk of the tumor becoming cancerous. Follicular nodular hyperplasia of the liver is another possibility, but the current imaging techniques should be able to differentiate the two. The first thing to do after a Hepatic adenoid is diagnosed, is to stop all forms of hormonal therapy. This usually causes a" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,i am suffering for last four months from urticaria{i have allergic rashes all over my body especially over my face and head}first there is icthing then the part swells like a mosquito bite,i have done my allergic skin test which revealed that i am allergic to lot of things including food as wellas dust, i have taken 1 month course of allegra and levorid,and after that 2mnths of only levorid,can u please help me with further plan of action cos i still have symptoms if i eat those prohibited things like chicken,coriender" }, { "from": "gpt", "value": "Output: Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to know your age, sex, any other diseases you have, any other medications you are taking, any other allergic disorders you have, etc. Furthermore, I would also like to know detailed description of your urticaria symptoms. However, from your history, I would like to suggest you as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I was wondering I am on Accutane and I wanted to Know if I would be able to take Oxylite Pro? Does this affect your liver?" }, { "from": "gpt", "value": "Output: Dear jessicawelcome to Chat Doctor Please Consult with your health care provider before using this product, and especially if you are taking any prescription, over the counter medication, dietary supplement product or if you have any pre-existing medical condition including but not limited to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a cortisone injection in my shoulder on Thursday, I am experiencing severe pains on my lower back , from back of neck & lower, I break out of sweat every now and then. Have seen my GP on Sunday, GP has given antibiotics as I have got the flu too. I also have massive head aches." }, { "from": "gpt", "value": "Output: Hello, Thanks for your query. The problem you are experiencing is called Cortisone flare, which is a brief increase of pain for 1 to 3 days. It occurs when the cortisone crystallizes after injection. Rest, ice, and over-the-counter pain medicines, such as ibuprofen and acetaminophen, can provide relief. Look for signs of infection Luke redness at injection site, fever, chills etc. if you have any consult your disc otherwise the pain will soon alleviate. 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: About 2 weeks ago, I got hit by a softball in the ankle. I noticed a swelling on the inside of my ankle a couple of days ago and my medical trainer said he was going to break it up by rubbing upwards on my leg. I was doing this tonight and I felt some of it sort of poo and a weird watery sound. Suggestions?" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely having sprain ankle. You are likely to get benefitted by rest and analgesic such as ibuprofen for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell down the steps about a month ago. I noticed pain off and on but never got it checked. Here lately, the pain is back but more frequent. Today there is now a burning sensation and pain running from what feels like my neck to wrist. I also feel pain when trying to lay on my side. What could possibly be wrong?" }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation and pain in the neck and wrist. Well there can be many reasons for symptoms you mention in query like radiculopathy, cervical spondylosis, herniated disk, mononeuropathy, peripheral neuropathy , neuralgia, multiple sclerosis or hyperparathyroidism. I would suggest you to apply warm compresses to neck and wrist, take ibuprofen or acetaminophen for pain and take proper rest. If condition doesn't get better than consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with nerve conduction. Doctor may order anti-inflammatory along with muscle relaxant and nerve supplement. Doctor may recommend surgery in severe damage. Hope your concern has been resolved. Get Well Soon. Best Wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor,My FNAC report of Left superaclavicular lymph node done, findings areSmears are moderately cellular & show multiple well formed epithelioid cell granulomes,multinucleate giant cells & scattered histiocytes against a reactive background. No evidence of casesous necrosis seen. ZN stain for AFB is negative.Impression" }, { "from": "gpt", "value": "Output: Dear Sir/ Ma'am, Sorry to hear about your problem. From your report it looks like you are suffering from tuberculosis. Sometimes gaseous necrosis can be missing (characteristic of TB) and ZN staining can also be negative. You can get a PCR done for TB and this would give us more information. The report is certainly not suggestive of cancer. It is turns out to be TB, it can be treated with medicines and would not require surgery. Hoping for the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had maxofacial surgery 24 years ago that left me with a numb chin and lower lip. the surgeon said this happens and there is nothing they can do back then. Now in the past year I am having chin twitches and it is very annoying and embarrassing. what can I do and could something else be wrong?" }, { "from": "gpt", "value": "Output: Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a pinched nerve (nerve compression), probably from the adherence during surgery in this region. I recommend consulting with a neurologist for a careful physical exam. A nerve conduction study is necessary to confirm the diagnosis. Surgery may be needed. In the meantime, I recommend taking clonazepam for symptomatic relief. Hope you will find this answer helpful! Kind regards," } ]