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PranavHarshan

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have type 2 diabetes, scoliosis, stage four liver damage and a leg that I broke in october of 2016 that has still not healed. I take a variety of pills. Oh and I also have degenerative disc disease and arthritis. I get dizzy sometimes and fall. Or I will fall asleep standing up with my walker and fall. HELP!!!" }, { "from": "gpt", "value": "Output: Hello, All the condition needs careful medical attention particularly for diabetic, and it has to be controlled with tight rule basis, if it is not being controlled well, then hyperglycemia may intense the symptoms of other pathologies that you have particularly, liver damaged, and degenerative disc disease. Now for other condition like liver damaged, it has to be cured according to means the underlying cause of damage is a matter of concern, even it is the same for disc degenerative disease, once this two disease if taken proper care other symptoms that you are having will come around soon. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I currently have itchy palms, gums basically itch all over to include my lungs. I do not have any types of hives. I also have been feeling run down and body aches for the last several weeks. I had blood work done and they said my encinophils were elevated at 500." }, { "from": "gpt", "value": "Output: Hi, The possible causes of eosinophilic could be due to allergy, parasitic infection or autoimmune, it can be rarely due to malignancy, but your case is look like parasitic infection. You first go for routine blood, urine and stool examination, then consult physician or dermatologist for further co relation with clinical symptoms. See, the main thing is to diagnose first rather than taking symptomatic treatment.Maybe you will require antihelminthic Chat Doctor. Thanks and don't worry you will be alright." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my gf and i were fooling around and i ejeculated, there was some sperm on my hand, around 5 minutes after that we started fooling around again and without thinking i i introduced my hand in her vagina, I think she was in a really fertile moment since it happened 13 days after her menstruation, how possible is it that she may be pregnant?" }, { "from": "gpt", "value": "Output: HelloThanks for writing to us with your health concern. Generally, fingering cannot result in a pregnancy. Also, pre ejaculatory fluid can lead to pregnancy at times, however you have not mentioned if any penetrative vaginal sex occurred. Sperm cannot survive outside in the hostile environment for 5 minutes, according to me, the chances of a pregnancy resulting from the encounter described are next to nil. If there was no vaginal penetration, then pregnancy cannot occur. However, if you are very concerned, you can still ask her to take ECP (emergency contraceptive pill) as a precautionary measure. When taken within 120 hours of unprotected sex, it is more than 80 % effective in guarding against a pregnancy. The expected period can be advanced or postponed for almost a week, after taking the Echo there is no way to predict the next date of her period. To be on the safer side, if you think there was some chance of a pregnancy please take a pregnancy test 4 weeks after the episode occurred. All the betake care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father is 74. He has been having episodes where he doesnt know what day it is or if he has eaten or showered that day. He was recently diagnosed with Parkinson s disease with a chance of dementia. They did an MRI on Monday. It says Minimal Involutional Changes Appear Chronic. He is also very moody and saying hateful and hurtful things. He has always been difficult to deal with but he is getting really bad. My first thought was Alzheimer s. Any suggestions?" }, { "from": "gpt", "value": "Output: Hi, Regarding your concern, I would explain that his symptoms seem to be related to depression. From the other hand cognitive changes are common complications during Parkinson disease. They are related to the degradation of the brain cells, related to the disease itself. Besides, mood changes can also be related to Parkinson therapy. Anyway, I would recommend consulting with his neurologist and performing some cognitive tests in order to determine properly his cognitive problems. A psychiatric evaluation is also necessary to exclude possible depression, which can interfere with his memory and attention. There are different treatment options which can help improve his mood changes and his memory. Hope to have been helpful. Let me know if I can assist you further. Kind regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hey my daughter is seven and has been running a fever for2 days. I have been rotating tylenol and motrin every 4 to 6 hours but her temps are really high.105.8 was her last temp taking on her forehead and 107.0 under her arm. I use a digital temporal thermometer would that be accurate and should I take her to the ER?" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Why does my lower abdomen and anus hurt when I sit, walk, cough, or sneeze? I m not constipated I eat a very good diet. I m not overweight and I don t have any medical issues besides asthma. even though I do go to the bathroom on the regular it hurts to push at all, its not like I have to push but you know just the regular going to take a bowl movement hurts. Also, I don t have hemroids." }, { "from": "gpt", "value": "Output: Here you might have problems with kidney(kidney stone) or hemorrhoid since you yourself are comfortable for passing urine and little problem while passing stools I suggest do not diagnosed on your own and take specialist opinion. If there is no problem as per doctor then you can use hot pack at your painful area to have relaxing effect on soft tissues. Here some more details are missing from your end1. Since when you have this problem?2. How many times a day you need to go for bowel and bladder movement.? That is for urinate or for passing stool.3. Do you have any burning sensation while passing urine?4. Does your pain go down after passing urine or passing stool? Based on this as well with physical examination only a doctor can evaluate your problem So I suggest get it evaluated properly and go for treatment as per that. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 35 year old woman and recently gone through menstural blood pcr test and mycobacterial have been detected. My doctor said, I will not get pregnant because of this situation and suggested some medication for 3 months. and also said if I wont conceive in these 3 months, she needs to do some tube test. I am really scared that I will never get pregnant. I desperately want a baby. Can you share your thoughts on the above? Thanks" }, { "from": "gpt", "value": "Output: Hello premenstrual blood PCR positive for mycobacterium suggests endometrial tuberculosis. In the woman, it causes tuberculous enteritis (infection of the uterus) and salpingitis (infection of the tubes). This infection can often be silent, and may not cause any symptoms or signs. Once the histologic diagnosis of TB endometriosis has been made(like in your case), then treatment with antitubercular medicine must be started to prevent further progression of the disease. However, usually with TB endometriosis, infection of the fallopian tubes also occurs, and the damage caused to the tubes (TB salpingitis) is irreversible. Infection of tubes might result in irreversible tubal infertility, and the only treatment option available then to conceive would be IVF. In the past some doctors would try to do surgery to repair the tubes, but this is futile surgery, because the tubes never work properly once they have been infected. Tubes which have been severely damaged may form a HY Chat Doctor. Although antitubercular chemotherapy is the mainstay of treatment, surgery may be indicated where medical therapy has failed to resolve symptoms and in presence of a persistent pelvic mass. So I suggest for now you continue with your antitubercular" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, I have had several minor accidents over the last few years and usually have hit my head or hurt my neck/back during them. I have terrible headaches almost daily, I am having a lot of difficulty completing sentences and remembering what I was going to say and it seems to be getting worse. My Doctor put me on an anti-depressant and that helped a little but not for long. Is there a test that I should be looking at doing?" }, { "from": "gpt", "value": "Output: Hello, Your symptoms could be related to repeated head trauma. Coming to this point, I would recommend performing some cognitive tests and a brain MRI. Other tests to consider would be" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mom is 59 and had a hysterectomy after determining that she had cancerous cells. She had begun a liquid diet and partly solid diet and was doing well (all while in patient). She started solid food in the morning and appeared to tolerate it well. that afternoon she was given potassium supplements and since then she s vomited, unable to tolerate any food, has limited intestinal sounds and we ve been told that her intestine is not awake. What can our next step be to help her recuperate?" }, { "from": "gpt", "value": "Output: Hi, It is not clear from your question what sort of cancer she is suffering from. Hysterectomy may be done for both uterine cancer and cervix cancer (total hysterectomy with bilateral ovary and tube removal). The problem you have mentioned probably is a post-operative complication. During operation gut handling may be the cause. As you have not mentioned on what post-operative day the problem started detail explanation is a bit difficult but regular electrolyte monitoring preferably at 24 hr interval and conservative management is the best option. It will be definitely corrected. After the surgical management is over you may need adjuvant treatment depending on disease pathology so keep in touch with your gynecologist and oncologist. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The right side of my face is swollen, Went to the doctor office yesterday and he said something about salivary glands The antibiotics are not working, and the pain is unbearable. What can I do, and where do I go to see about this problem? What can I take for this pain." }, { "from": "gpt", "value": "Output: Hello thanks for consulting at Chat Doctor.it could be sialadenitis, if salivary gland is involved,it could be also be due to infected teeth, kindly check for those with a dentist,u have to get a sensitivity test, if not go higher antibiotics and analgesics with the prescription of your treating physician.get an Iowa radiograph done for the involved area with a dentist, do salt water gargle thrice daily,hope it helps,TC" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband is having heavy brick like feeling in his chest. we have been to er a lot and they say he is not having a heart attack. he has had two open heart surgery in the past and he has a paste maker and defr also. he can not walk very far with have this problem. I was told there is nothing they can do for him. he is only 6 years old." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart related diseases because her ER visit was normal. Sometimes, stress and anxiety related HERD (gastroesophageal reflux disease) can cause heaviness in chest. So better to take him to psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Also give him pantoprazole tablet on empty stomach. Ask him to avoid stress and tension. Also avoid hot and spicy food. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I already have AS and 4 degenerated disk in my back. I had a cluster of bumps show up on my arm about a month ago and the doctor said it was a Fungal infection. Here lately the last 3 weeks or so I have been very tired like falling a sleep during the day and feeling give out. My throat was hurting a couple of days now my neck is hurting so bad I can t move it. Are any of these symptoms worth going to my doctor? Had a low grade fever a couple of days." }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes you should visit to the nearby doctors. Fungal infections and feeling dizziness can be a symptom of the nervous system involvement of fungal infections. Fungal infections should be treated with the fluconazole. Completed treatment is necessary. Fungal infections are common in diabetics and in HIV positive persons. So in my advice you should also test this to condition in nearby laboratory. Please maintain good local hygiene where fungal infection occurred. This will help cure the infections at earliest. As you are feeling dizzy avoid the work which requires concentration. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I recently was prescribed some medications for high BP. After a while, a few weeks, my cardiologist changed my meds due to continued high BP. After starting these drugs, I developed a rash indicative of a possible allergic reaction. I also experienced a rapid weight gain of almost 20 lbs, and swelling in my knees ,thighs and scotum. I reported this to my Doc and we set up an office visit. He took me off the drugs with the exception of Lasix and low dose aspirin. I ve since lost 10 lbs and the rash is improving but I still feel some swelling. I felt much better prior to starting the meds. I plan to see my Internist as soon as I can get in. I m 64 work out daily." }, { "from": "gpt", "value": "Output: Hello, There are some medicine which may cause edema and weight gain. This will resolve in some days with lasix. Also, have fluid restriction like water, and water containing foods for some days. Avoid this medicine next time. Also, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 2 weeks now I ve in pain with my tight shoulder, my dr did X-ray and gave shot of cortizone he mentioned a small tear, I went the following day and the joint specialist gave me my 2 shot, he said I had bone spurs but needed to get pain and swelling down from bursistis, 4 days later I can move my arm very little but more than the last two weeks, my question is how long does bursistis last? He mentioned in the back of his mind he hopes it s not (very long name) of something bring a very painful nerve disease, thanks for you help" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. Bursitis heals in nearly 3 weeks. But as you were having very fewer movements, so you are likely to be having frozen shoulder. In this mobilization exercises of shoulder and analgesic helps. Cortisone shots are also helpful. 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 had a abnormal pap about a month ago ,I have pain in lower back and lower stomach and I also have HA MRS and Barnet esophagus my chest and upper back feels like some one standing on it all the time. Saw a OB GYN he just told me it s I was going though the change of life . Have a partial hysterectomy about 20 years ago in 2011 had to have ovaries removed due to them being infected . I am 51 and having a lot of pain in my vaginal area and lower stomach and back. Upper chest and left breast and my throat feels as if it s on fire all the time, can t talk very well do to the esophagus trouble. Thank you for answering my questions if you can" }, { "from": "gpt", "value": "Output: Hi. Thanks for your query. I have read and understood your concerns" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m 15 years old and in the past couple of years I ve noticed that my legs get red blotches when i stand for more than 5 minutes. It s a lot faster in heat, but it even happens in the cold. I also feel a lot of uncomfortable pressure in my legs, and have fainted multiple times. After researching, I ve just discovered POTS, and I show most of the symptoms. I was wondering if i should be concerned or if it s no big deal." }, { "from": "gpt", "value": "Output: Hi, there is nothing much to worry with this. Sometimes what you read on internet is all about the symptoms, but the clinical correlation is always a very different. Why don't you try doing some regular aerobic exercises and then see. You can even look for specific lower limb strengthening as well. Workout for your core stability as well. All together this should take away your most of the symptoms, and you will find it ease soon wish you an early recovery. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor, Age 29. I was worried about get mad. These thoughts made me panic and couldn t concentrate on any where even tv program. I have consulted doctor he given me medicine called sertraline tablet. I was taking it past two years. I am not taking the medicine from past 4 months. Now the feeling started again slowly. Can you help me" }, { "from": "gpt", "value": "Output: As per details given by you, these uncontrollable and irrational thoughts which seem to bother you could be manifestation of Obsessive compulsive disorder. It is recommended to restart sertraline for an early control of these symptoms. It is also recommended that you should stop these medications gradually after consulting your psychiatrist. If you have any additional queries please feel free to raise them." } ]

[ { "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 ? hy im a boy and my problem is that i really like girls stuff but im afraid to wear a thong mybe in school or whatever even i want to or read cosmo in the breaks i dont know what to do i feel a bit confused" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. You have not given your age here. Also, you should have mentioned your siblings and family set up. Around the age of 10 to 12 boy child Chat Doctor. Especially if they have girl siblings. There is nothing to worry. When you develop, such thoughts subside. Regarding cosmos, I think you are yet to know what are all those. Takes some time to understand, you know. Concentrate on your studies. If you require more of my help in this aspect, Please post a direct question to me in this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I was recently diagnosed with a old compound fracture of my L1 vi a x ray I am wondering what the usual procedures are to resolve this problem .. i had a bone density done this past Sept. and no on mentioned it before.. just looking for some proactive answers ...dr.appt. set for this mo...my am 5.6 nd weigh 135 so, I am not overweight name is Cathy, I am a Truck driver I" }, { "from": "gpt", "value": "Output: Hello, It may be due to fracture. For further assessment you may require complete hologram, x-ray or MRI after orthopedic surgeon consultation. You may require surgical intervention after surgeon consultation. Till then for pain you can take tablet acetaminophen. Restrict your movements. Use support while walking. Hope I have answered your query... Let me know if I can assist you further. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 10 year old daughter wasnt feeling well today, headache. Wanted to take a bath and she used some of my bath scrub from bath and body works. She is now compalining of shortness of breath and chest pain. She is not pale, her pulse is 88. She is speaking fine and not laboring for breath. Could this be an allergic reaction to the smelly body scub?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, The symptoms of your daughter are suggestive of some allergic reactions. As the symptoms developed after the bath following exposure to different scrubs. You need to test her blood sample foe absolute eosinophil count, it will help to know the presence of allergic reactions in the body. To avoid the symptoms of asthma, your daughter should be exposed to the triggering factors which may be a chemical, dust, pollen or food. The allergen causing these symptoms should be avoided as for as possible. IF it is not possible to avoid the allergen you can give her an immunotherapy by consulting your doctor. For the present symptoms she can be given tab least for 5 days. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a very sore behind. Blood on toilet paper after bowel movements a foul and sticky discharge and a rash around anus and up crease. The rash lookes like inflamed pimples that itch im not sure if the discharge come from them. I have tried talc, nappy rash cream etc with only itching having relief Any assistace is apprieciated" }, { "from": "gpt", "value": "Output: Hi, From history it seems that there might be having some local skin infection like dermatitis or ingrown hair infection. Clean the area with antiseptic lotion and apply antibiotic cream. Go for one antibiotic medicine course for 5 days. There might be having chance of fistula in ANO. So if problem persisted, consult surgeon and get examined. Keep local hygiene clean, Chat Doctor. 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: Hi my father had angioplasty around 1 year back. he had some problems yesterday upon echo test it was found that the strength of the heart which increased from 25% at the time of angioplasty to 40% over a period of time is reduced to 32% as per the echo test today. What my be the possible reason ??" }, { "from": "gpt", "value": "Output: Hello, I passed carefully through your question and would explain that these fluctuations in EF could be related to interobserver variability (by the method of measuring used by the technician). So, in my opinion, if you do not have any worsening of your situation, shortness of breath, etc. There is nothing to worry about. 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: i have had chest pain on my left side and top part if my back 2 and also shortness of breath sometimes when i breath i get a sharp pain in the middle left of my chest this has happen quite a few time but today when it happen i had blood in my spit and it come from my either" }, { "from": "gpt", "value": "Output: Hi welcome to the Chat Doctor Here as chest pain, dyspnea and blood tinged sputum present as per your history it is better to rule out cardiac causes first (because no respiratory complaint like cough, fever present)... -Auscultation -EKG -echocardiography if needed -x-ray chest According to cause specific treatment given If no cardiac and respiratory cause found than it might be predicted as muscular pain... Take care Consult physician or pulmonologist for examination and further work up accordingly" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include" }, { "from": "gpt", "value": "Output: Hi, Thanks for your question. After going through your question, there is a need for evaluation in your mothers case. There may be following cases for her symptoms-1) Hyperglycemia" } ]

[ { "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 having 2 days for my period but i am suffering from. Severe stomach pain,low back pain, breast pain,my breasts tastes sour,leg pain, i an very thirsty, and i feel tiered why these are caused due to pregnancy or period. I want to get pregnant.i am Trying for past. 8 months i had ccontact on. All my ovolution days, i am having regular periods 30 to 32 days what is the solution please help me!" }, { "from": "gpt", "value": "Output: Hi, In the current scenario, you can wait for your cycle as it is almost due and then go for a urine pregnancy test 3-7 days later if you miss it. If you wish for an earlier and better confirmation, you can go for the serum beta-ChatDoctor title. Please see your health care provider for a physical exam and get a trans-vaginal sonogram if you miss a period. Your symptoms are not specific to early pregnancy; they can be pre-menstrual as well. Hope your query is clarified. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I just noticed that the bottom of my tongue has these big dark purple veins under it. I have had a couple of gum abscesses. 1 the tooth broke off and the abscess only comes once in a while. The second the abcess has been draining continually past couple of yrs and the tooth recently started to break. ( cant afford dental care)Yesterday a piece chipped off and is causing trauma under my tongue. Could that have something to do with the abscesses or trauma pls help" }, { "from": "gpt", "value": "Output: Hi, The dark purple veins running under the tongue are normal as they are present in everybody, and maybe you have just noticed them. If they are not swollen or painful then there is absolutely nothing to worry about. Gum access is a completely different thing which needs to be treated by a dentist along with your other oral problems such as fractured teeth. The broken tooth maybe sharp and may cause ulcer, but there is no correlation with the veins running under your tongue. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I got bit by a horsefly yesterday. The area immediately swelled and turned red. After a few hours it looked like it was getting better but last night it got swollen and was swollen down to the middle of my calf. Today no swelling on the calf but still about a baseball sized redmond got area around the bite." }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Horsefly bite is going to be healed soon as indicated by decrease in its size. I advise you to take care for wound in means of hygiene, please do Chat Doctor. You can take Betadine and prednisolone under your doctors' guidance. It will help your wound to get clear earlier. Because it contains some antigenic material which will be cleaned by antihistamines" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: As my wife is scary abt ivf after repeated failure , is there any ways medically withou taking harmone , or taking scan , we can do with medically . My motility is also constraint of 20 % , count is reduced form 35 to 15 millions . Can u pl guide me . ALso i want to freeze my blood relatative sample for min 05 IUI ." }, { "from": "gpt", "value": "Output: HI, Thanks for asking. I have read & understood your concern. a) Provided your wife is ovulating regular monthly period/ her tubes are patent (which must have been tested before posting her for IVF.) and your sperm count shows normal liquefaction time & normal intercourse with good erection & ejaculation, (because 15- 35 millions sperms with 20% grade 4 motility is able to impregnate) you can try to have a natural pregnancy for 3 months. Both of you start taking folic acid pills & cap. Vitamin E till conceived. Know her ovulation time by LH surge test done at home. Have unprotected sex for 5 days from the +ve test. Confirm pregnancy by Home pregnancy test of urine after 8 days delay in periods. B() if no success with natural way. Both of you can go for GUI (intrauterine insemination . At the ovulation time (by LH surge test/ by USG scan) . Using selective healthy sperms of yourself or donor. c) IVF is a tedious process. But can give + ve results with donor sperms. In case of problem with your wives ovum/ uterus. Surrogacy is the answer using couples own & donors gametes (sperm / ovum). Wishing you luck. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Mr. Jackson, age 65, comes to the doctor s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. According to his symptoms, possibility of bronchitis or lung infection is more likely. He is having pleuritic pain (pain on deep breathing). Pleuritic pain is characteristically seen in pneumonia and bronchitis. So doctor will auscultate his lungs. If it sounds like wheezing then bronchitis is more likely and hence PFT (Pulmonary Function Test) is needed. If it sounds like crests then pneumonia is more likely and hence chest x-ray is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Its been 5 days that I have experiencing diarrhea, fever, stomach cramps, abdominal terderness and there are days that its difficult to move bowel. Is this amoebiasis? What will be its treatment and proper medication?Hope to find light on this matter. Thank you so much!" }, { "from": "gpt", "value": "Output: Many things can be causing your symptoms, including meiosis and other parasitic infections. You could also be having a viral or bacterial gastroenteritis. Your symptoms are consistent with a variety of gastrointestinal infections. The only way to find out exactly what the cause is, is to see a doctor and have the diarrhea tested for amoebas and other types of infections. The treatments for these different conditions vary, so it is important to find the correct diagnosis before you treat it. There are specific antibiotics for bacterial infection, and different medications for the different parasites that may be present. Viral infections are managed symptomatically. So if this is persisting, get it checked and find out what the best treatment is for your condition. 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 have muscle aches, bone pain, fatigue and I sleep a lot. I cancel appointments, family and friends functions. I can no longer do house hold chores. This started years ago only a couple times in 2 months, now it has progressed to almost on a daily basis. What specialist should I consult with to help determine what is my problem. I am a 75 year old female. I really need help. Thank you." }, { "from": "gpt", "value": "Output: Hi, as you mentioned your age as 75, it seems to me more of an aging factor. Why don't you try out some exercises which will help you built up some strength. Make a note here that the exercise will help to improve the metabolism and the immune system as well. You should even focus on your proper and healthy diet as well. Chat Doctor. Your problem will be solved for 100% sure. I have dealt with many aged people and all does well with exercise and good diet." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, my name is Davie. I have severe back and neck problems, have for close to a decade. My entire spine and neck is very sore, nerve problems and no doubt my spine would be out in lots of places. A few weeks ago i started getting pains in my throat, like pain coming from the top of my chest just below my collar bones and traveling up my two neck two arteries. It isnt constant, but is there daily and comes and goes. Its in direct line with where the worst part of my back is, just below my collarbone line. That level is where my back is just beyond sore, words cant describe how bad it gets and i know my spine is out of place badly there. Now at the front at the exact same level is where im getting the pains from that are shooting into my throat. I know that pains like that can be heart related, but i feel fine apart from my back pain, my heart feels okay. Im just wondering can severe back pain and having a spine out of place cause such problems like this at the front. It just feels very tight and i get shooting pains going into my throat, but theres no real trouble breathing, just the usual tightness i feel with my spine being out and being very painful. If i honestly thought it was my heart and i had no trouble at all with back or neck pain, id be at the hospital right now. I just honestly dont feel its my heart and i know how ridiculous my back feels right now with the pain im in. Im only 35, so i dont think its a heart attack or stroke or anything and i have no tingling or numbness or anything in my arms/hands. Just want to know if severe back pain and spine out of place can transfer pain to your front and affect other things to give you the neck pain and chest tightness ive just described. Thank you for you help." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor. Thank you for asking the query. In my opinion this is not heart attack or stroke. The pain at the back and in the spine does not come to the front just below the collar bone. The pain you are having in front and at the back are two separate pains. If I was your treating physician I will do 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 a small burning spot on my back lung or rib at present i have brochortis and allergies taken medicine for both when i breahe very that is when the burning spot starts doent seem larger than a dime to quaeter size it just started this evening did not know if it heart related or my condition to the brochortis abd allergies" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis and allergy related symptom is more rather than heart related. Bronchitis and allergies when uncontrolled can cause worsening inflammation in lungs. And this can cause burning type of sensation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of inflammation. On the basis of PFT values, treatment is advised. Inhaled bronchodilators and inhaled corticosteroid (ICS) are treatment of choice. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i am pregnant for the second time. Unfortunately i miscarried around 20 weeks in June. I should be about 8 weeks pregnant on November 10 but i have had light bleeding. The first occurance was two days ago it was just a light flow that ended basically as soon as it started. I rested until today when i had a lot of walking i needed to do and then i bleed again. My worry is compounded by the fact that i have had a lot of acid problems and constipation so i am not sure if my stomache pain has other more sinister causes. I am only due to see my OB in a week. Thank you in advance for your answer." }, { "from": "gpt", "value": "Output: Hello dear, I understand your concern. In my opinion there are various causes for bleeding or spotting in pregnancy like hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy,low-lying placenta, bleeding from cervix etc. I suggest you to rule out the above causes by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Avoid physical strain and intercourse. Take strict bed rest. But if the bleeding has not stopped consult doctor. Hope this helps. Best regards..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mum(89) has just had a CT scan and MRI scan on her liver.An physical examination found her liver was enlarged --she has sometimes got an enlarged abdomen that is occasionally hard to touch I presume they are checking for liver cancer --any other possibilities Thanks Ian" }, { "from": "gpt", "value": "Output: Hi thanks for asking question. Enlarge liver could be by infection, cancer or hemolytic anemia... Your doctor has done your physical examination. So he might have suspected cancer and let's see report of CT scan... Another possibility if cancer not present could be hepatitis ...If you need viral marker may be needed. It could be by chronic hemolysis also ex.thalassemia, autoimmune hemolysis, Chat Doctor. For hemolysis primary work up us with peripheral smear examination and relic count... If still exact cause not clear USG guided biopsy done for final approach... 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: Hi, I am 22 years old and I have been suffering with abdominal pain for months now, I have been back and forth to the Doctors but don t seem to be getting any answers, the pain was in the upper middle abdomen but now it seems to be under my left rib and in my back, I feel sick almost every day and sometimes the pain is so bad I struggle to find a position to relieve it. I have an 18 month old Daughter and this pain is making life hard work. I had a natural vaginal birth however I had to be put under anesthetic to have my placenta removed. I am very good with pain but this is so aggravating..I have had an abdominal ultra sound and it came back normal so please please help me or give me some idea what this could be. Amy." }, { "from": "gpt", "value": "Output: Hi Amy, Thanks for writing your query. After reading your post, it seems that your pain in abdomen is due to increased acidity in the stomach. You should follow some precautions like" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi I was given advantan in turkey after being bitten by a mosquito i had swelling around the ankle and redness in same area.Was this ok to use i used it for just over a week the swelling stayed and is still is swollen 10 days after but the redness has gone" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, thank you for posting your query. I understand your query. Advantage has active ingredient of Methylprednisolone acetate commonly used to treat redness, swelling, crusting. It can be safely used over affected area for up to 12 weeks in adults unless they develop side effects like thinning of skin, purple patches or dilated veins over affected area. Swelling will gradually subside. Hope this information was 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 lower left back pain that is below waistline and when I walk is very painful and radiates up the left of my spine. Been to chiropractor 4 times and says its my lower lumbar but treatments haven t helped. not sure what more I can do. Tylenol, ibuprofen/ naproxen is not helping. thinking it may be more seiours. I know what sciatica pain is and its not that. I don t have credit card with me, didn t know I had to pay" }, { "from": "gpt", "value": "Output: Thank you for sharing your complaint, dear friend your low back pain seems muscular pain. You should consult orthopedic/neurophysician nearer to you when you are in your city. Presently if you have severe pain then take muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon. Exercise and physiotherapy will help you a lot. If possible consult physiotherapist nearer to you.-exercise for low back pain-raise your one lower extremity straight from hip joint without bending from knee after sleeping on back and then put down slowly. Same exercise for another lower extremity. And then for both leg simultaneously. Sleep on abdomen and raise your head and chest backward. Increase this exercise every day. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, a month ago i had started coughing everytime i puff a cigarette so i decided to quit.A week after i quit the dr. said i had fluid by my lungs and gave me antibotics. I dont have anymore mucus its just feel like i have a lump in my throat which causes me to have short of breath. Is this normal?" }, { "from": "gpt", "value": "Output: HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you seem to have Pleurisy with HERD. Breathlessness is due to reduced lung volume from the lung fluid causing atelectasis lung.Thus, this is not Normal. If it is disturbing you would need ER treatment urgently. If not get pulmonologist to Chat Doctor. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband was diagnosed with AML (Acute Myeloid Lukemea) that has mutaion or moleclar change in a gene called Flt 3. He is under going treatment and completed the fourth Chemo cycle. Also he is on a study drug calledI Midosaturin . I recently read that Imitinef Mercilet is a cure for Blood Cancer and it is available at Adayar Cancer Institute, Chennai, India. Is it correct? The name of the medicine is" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Since your husband is diagnosed with AML which is a type of blood cancer, chemotherapy is one of the best solutions for him. Midostaurin is a promising medicine and is under multiple research and treatment trials. If your husband is getting this medicine then let him continue taking it under the recommendation of his doctor. It is considered effective for a type of cancer called systemic mastocytosis. The promotion of limiting merciless in some sections of media is misrepresented. Just like midostaurin, limiting merciless is the name of another medicine which was in trials some time back. This medicine was not totally curative for all blood cancers but under research for certain blood cancer types. Unfortunately due to public ignorance, this was made in to a news report and mail and circulated among unintended sections of society. It is important not to get misled by such details. Please do not worry." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m a male @ 80 years and I have neuropathy in my feet. My right foot is especially painful in that the ball burns and there is an occasional sharp pain radiating from the right side of my ball into the little toe. Throughout the day. I m on Lyrica." }, { "from": "gpt", "value": "Output: Hello, Thanks for writing to us, I have read your query and I would advise the following Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetables Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg alternate day. [6 doses]You need to consult your treating doctor to check your parameters like BP, ECG changes and detailed heart auscultation. Some useful suggestionApply a warm or cold compress to reduce burning or tinglingRemedies such as breathing exercises and meditation may also help reduce stress-related symptoms such as numbness and tingling. I hope that I have answered your query. Let me know if I can help 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: liver is normal in size and shows hyperechoic echotexture . No focal SOL or IHBD dilatation, but gall bladder is distended with few calculi seen within the lumen. No pericholecytic fluid collection. IMPRESSION" }, { "from": "gpt", "value": "Output: Hi welcome to the Chat Doctor You are having fatty liver with gall stone For these conditions ursodeoxycholic acid 300 mg dose tablet can be prescribed (it will help in cholesterol dissolution in bile and reduce cholesterol absorption) Take low fat diet. Use less oil in cooking Regular exercise done like jogging, swimming etc. Lose weight if obese. Green leafy vegetables, fruits consumed more Refined food avoided Alcohol intake limited Some doctor also prescribes vitamin E for fatty liver as having antioxidants property Hope your concern solved Take care Regularly check liver profile... If having further query feel free to ask" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, My name is Rahul, am from Hyderabad, INDIA. My sister (29 years) is suffering from kidney problem. Her serem creatinine level is 9.9mg/dl for now and doctors here say that kidney transplant operation has to be done as soon as possible. But getting the source for kidney is never easy. My entire family is worried about this. I request you to suggest some thing that can help us to save her. I hope you will definitely come up with some positive way to get out of this problem. Please Help! Regards, Rahul" }, { "from": "gpt", "value": "Output: Hi, as i don't know what kidney problem is your sister suffering from it is difficult to say whether a kidney transplant is going to solve her problem. Kidney or renal transplant has its own problems and it's not easy to say that is the best of solutions as it itself involves a large amount of expense plus its own known side effects which are very common like a person has to stay on immunosuppressive Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor good morning I had periods last 6 th august.due to oveebleeding and stomach tablets I taken some stomach pain tablets and doctor gave me birth pill.I taken only for 5 days and stopped.2 days I got my period and stopped.again 19 20 I got brown vainal discharge.25 26 27 we had intercourse the upcoming days I felt dizziness,headache,loss of appetite,frequent urination and vommiting sensation and I first got milky vaginal dicharge next day egg watery elastic discharge and yesterday watery discharge.today is my period date and I having no stomach pain.my vagina is dry.did am having delay in periods" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. This irregular intake of birth control pills has probably disturbed your cycle. This may be a delay in your periods or a new period date will set now. Nothing can be said for sure. Better to wait & see. Meanwhile, you may try home pregnancy tests after every few days until you start your period. Avoid irregular intake of hormonal pills in future to avoid period irregularities. Wish you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello! Doctor, I ve been undergoing Psychiatric treatment since 2007 for the diagnosed Acute Depreciation & Anxiety. I m being treated with Ventab DXT 25, Macorate CR200, Wacalert 50 & Zapiz 1.00 whenever I feel more anxiety or seem not able to control my thoughts. Actually, this started in 1998 from Exam Phobia & was treated for same. Since then I ve been in & out on medication from time to time till 2007 from where there s consistency in medication & follow ups. Sutre, the treatment has helped me to stabilize over the period. I ve got married, have a small daughter, completed post graduation, MBA & also did certification in SAP FI. The doctor has been of great help to me. He was of opinion that I ve lesser coping capacity. And, that s not entirely wrong. His major concern has been my changing the job & settling in it. He s slowly started reducing power of drugs with powers mentioned above. But, it seems I ve developed dependency on these medicines. And, I want to stand on my own with my thought controlling me rather than medicines. In this blog, I read in answer to one patient, reference to Meditation, Self Motivation. Meditation or Yoga is okay for me since I ve learned it scientifically. I want to know about self motivation. Is there any specific resource available? How can I access it? Will I ever be able to overcome these feelings? or they ve become a part of my personality? I wish to live a life free of medication & complete self reliance. Able to communicate with myself, Be social, & grow in my career as well as financially. Cause, then only I ll not just be able to prove to myself but others as well. Humbly request you to reply as early as possible." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Self motivation can be achieved through self hypnosis or Cognitive Behavior Therapy. You are doing well with your progress in life and treatment of your mental disorder. If you are trained in meditation and yoga, you are well off. You can do meditation to have positive metabolism effect and also teach your subconscious mind to control and divert your thoughts in accordance with what you want. Please understand you are doing well and that is the first step of self motivation. I will help you in the requested matters. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just received my latest lipid panel results" }, { "from": "gpt", "value": "Output: Hi, I have gone through your question. I can understand your concern regarding cholesterol levels. You have high LDL. LDL is bad cholesterol. It increases the risk of coronary heart disease. Same way HDL is good cholesterol its level 51 is optimal. But overall high LDL also increase the ratio of LDL to HDL. So it increases the risk. You should concern about your LDL cholesterol level. And you should start treatment accordingly. You can take Chat Doctor. Hope I have answered your question. If you have any further questions then you can ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have had a bladder infection was given cipro 250 mg for 7 days i was on the last pill and proceeded to experience severe pain and camping I was taken to hospital by friends and was give toreador and abuscapan as well as something for vomiting and saline solution. Finally went home after if could finally pee sent toreador and buscapan home with me that was on Sunday have been since until this morning woke up with sever back pain and leg pain i thought is was my vertebrae problem to i took a diclofenac and did go back to sleep now i have sever pain again although not in the same place as Sunday and chills and a headache The one doctor gave me 3 more days of cipro when ii went in to get the IV out another doctor gave me 5 days of macro bid it is not doing anything for me" }, { "from": "gpt", "value": "Output: Hi.noted history of gallbladder pathology. If it is secondary to gallstones and your symptoms are occurring frequently and increasing in severity, it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. What you have is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). The most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. Diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. 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: My daughter is 33 years old has 1 child and a bruise keeps coming back on the curve of her back in the same spot. Very painful. It appears about every two weeks and then she gets a kidney infection. This has been going on for about 8 years. She has seen just about every specialist...No one knows." }, { "from": "gpt", "value": "Output: Dear User, Im not surprised of these symptoms. In fact, bacteremia is often preceded by lumbar pain. Then, fever comes. On the other hand, maybe there is some kind of primary or secondary vesicalureteral reflux, that can be studied by either contrast voiding cystourethrogram (CUG) or radionuclide histogram (RNC). Then, depending on the abnormality (if any) demonstrated by CUG, there are several solutions, both medical or surgical. Let me know," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, i have a very sore pimple on my nipple, it looks like a pimple only because it has become a small hole. the area where the pimple is has become sore, red and a little warm when i touch it. the side of my armpit hurts and also sharp pains through to my arm. is this an infection? also i have breast implants under muscle." }, { "from": "gpt", "value": "Output: Hello. Thank you for sharing your concern with us. It does sound like it might be an infection-the armpit hurting suggests that you might have some inflamed lymph nodes. The pimple that you are noticing now might have been there for a while and the small hole that you are talking about might be what is left of the pimple, which might have Chat Doctor. I would suggest that you visit a doctor for a check-up and to have this problem looked into, especially since you have a breast implant. You might need some antibiotics to clear the infection, although the decision for antibiotics will be left at the discretion of your primary care physician. All in all, I think that it is better for you not to ignore the situation and to seek medical help with your primary care doctor. In most likelihood, it is just an infection and hopefully your symptoms will resolve with the appropriate treatment. I hope that my advice was helpful. Best regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m 39 and have been taking diovan for high blood pressure for 4 years. This past year I have gained about 30 pounds and I have had 2 or 3 episodes of high blood pressure. One example, I started having a headache after lunch and by 5pm I was at ER with 200/101. Doctors did several EKG s, blood work, stayed over night for stress test next morning, echocardio gram, xrays...etc. I followed up with cardiologist who suggested diet changes and recording BP. So now for about 3 months all has been good, but the last 2 days I am experiencing another episode . Headaches with 135/99 and 141/96. Could this be related to my menstrual cycle? I just ended this month s cycle. Just looking for answers that maybe could be related to something else." }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that the headaches do not seem to be related to high blood pressure, as your actual blood pressure values are within the normal ranges or slightly elevated. In my opinion the headaches could be related to the menstrual cycle or tension type headache. For this reason, I would recommend trying acetaminophen or ibuprofen for the headaches. Regarding high blood pressure values, I would recommend trying to lose some pounds and perform a lot of physical activity in order to have lower blood pressure values naturally. Reducing salt and caffeine intake would also help. Hope you will find this answer helpful! Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: two years ago i was diagnosed with deranged liver caused by drnkingi had a bloodtest last week after not drinking beer for two weeks which gave the following results.SGOT/AST H 47...........SGPT/ALT.H 78do these figures suggest significant liver damage?" }, { "from": "gpt", "value": "Output: Thank you for posting query at Chat Doctor. Further evaluation needed.what's your age? Height? Weight?are you take any sort of medication?viral serology>?ultrasound abdomen. Anyhow, increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as \\\"Hepatitis\\\". Its maybe due to viral infection, excess fat, gall stones, excess alcohol, excess iron, and so on. Virus and alcohol are most common. Slightly elevated should NOT be concerning but a level more than 2 times the upper limit should be evaluated. Did you get Herb and C viral serology?and get a \\\"Lipid Profile\\\" test. Liver enzymes take one to two months to return to normal.- abstinence from \\\"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 weeks.- reduce weight if overweight wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a broken tooth they had to do a root canal on. Now the oral surgeon said the tooth on either side is dying. They did a root canal on one and will probably do the other on Monday. My concern is now a fourth tooth is feeling pain, the next one in line. I wonder if I need to see an MD about nerve damage or bone issues." }, { "from": "gpt", "value": "Output: Hello, I completely understand your concern about the toothache. Dental pain surely annoys you. Reading your question, I guess you have a high carries index which is why the dentist has suggested you for a root canal treatment. There would be a deep cavity in your tooth which is why you feel the pain. I do not suspect any bone or neurological damage. Get your dental x-ray done and depending upon the depth of the cavity, the doctor would suggest you to go in for a simple filling or a root canal treatment. The earlier you visit a dentist, the better it is ! Hope this helps. Take good care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I believe that I have a sinus infection. I have a few pills from January last year when I had similar symptoms. They are amox-clav 875-125. I have five of these. Is it ok to take them? I originally was given 14 of these. I did take nine of them at that time." }, { "from": "gpt", "value": "Output: Hello, Sinus infection is usually treated with a course of antibiotics and decongestant medications. Along with it, you need to take some supportive measures as well to get a quicker relief from the symptoms. Kindly take antibiotic course of Amox-Clav twice a day for 5 days. Along with it, you need to take decongestant medication containing Chlorpheniramine Male ate with Phenylephrine. You also need to take supportive measures like steam inhalation twice daily and doing salt water gargling with warm water twice daily. Kindly do not consume any cold items like cool Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I always feel light headed like Im going to pass out feel like there is pressure in ears and the doctor says there is no ear infection or fluid the vein right behind my ear lubes feel as if it is swelled... One doctor says it could be tmj another says vertigo.... It just started 3 months ago ... I dont feel the room as a spinning affect but more like Im just light headed and going to pass out" }, { "from": "gpt", "value": "Output: Hi!welcome to Chat Doctor! Lightheadedness however is a common complaint in people having low blood pressure. When the blood pressure is too low, not enough oxygen-rich blood is being delivered to the brain, and its function can be affected. Low blood pressure may be the result of an underlying illness or disease, or it may be a normal physiologic condition. Some common reasons for low blood pressure include Anemia and deny Chat Doctor. Laryngitis can also cause fullness in ears and lightheadedness, but your doctor has already examined you and said there is no ear infection. Get your blood pressure and hemoglobin checked. Hope this helps you! Take care!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: more than 6 months ago i attempted to donate plasma. when the blood was being put back, i was in such pain. the lady told me some pain may occur but after screaming in pain another woman came over and took the needle out. my vein had been ruptured and all the blood had just been distributed into my arm. the blood bank told me i would be fine and to not lift anything heavy. for months my arm was every shade possible. they kept on saying it was typical and that i was fine but now im having difficulty moving my arm after a long day of movement. i dont know what to do" }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such incidents never happens in blood or plasma transfusion. It is unusual incident that has happened to you. There is no treatment available for the blood being on the hand. It will be Chat Doctor. But please do not stress the hand by weight lifting and other such condition. Please maintain good hygiene as it can prevent the infection. I will be happy to answer your further concern on bit.ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! Im 27. We are married last 2011. We tried to get me pregnant about 2 months but no success till my husband left to work abroad. He came back and we tried but still no success. Iam a 33 days cycle and i mestruate every month. We consulted an obgyne she putted me on ovamit for 5days. Hubbys sperm count is normal. Do i have the abilty to conceive? And if theres a possibility to menstruate but no ovulation at all? Help! Thanks" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor. Not getting pregnant within two months of regular contact is not a big thing to be worried. If you are not able to conceive even after 6 months of regular contact then you need to go for investigations. It is possible to have occasional ovulatory cycles in spite of you having regular periods. The frequency of sex during these two months also matters. Ultrasound examination for follicular study during the expected ovulatory period will reveal the presence of ovulation. Other factors like tubal block, cervical factors, Congenital anomalies, hormonal factors and immunological factors are to be investigated to find out the causes for infertility if you have not conceived even after 6 months. Wish you best of luck. Chat Doctor. Morgan" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Today early morning my wife take more sleeping tablet. its for my moms tab. The tablet name is risperidone tab 2mg & imiz -2 . she take each 8 tab. i m given some salted water. then she take vomit. but she getting sleepy and very tired. what i do next treatment." }, { "from": "gpt", "value": "Output: Hello, She needs to be sent to the hospital for at least two reasons. One is that she will need good monitoring to rule out poisoning and serious problems related to this. She may have ingested even a higher number of tablets. The second reason is related to possible suicidal ideas, plans and actions. She may be having severe depression which may be causing her suicidal attempts. This is an emergent situation and needs prompt and fast intervention. I hope this answers your query. I remain at your disposal in case further medical assistance is needed." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 3 days ago I had a severe allergic reaction. I was eating grapes, apples etc from a Starbucks protein pack. All foods that I eat regularly. Following the allergic reaction I have felt fluish, with a headache, heartburn fatigue and nausea caused by strong sense of smell. Urine is also darker than usual Am not pregnant. 45 yr old female." }, { "from": "gpt", "value": "Output: HI, thanks for using Chat Doctor Allergic reactions can manifest in different ways, most commonly as skin rashes though abdominal symptoms can occur in some persons. Heartburn does not normally occur with allergies but in reflux which can also be associated with nausea. To determine if you are allergic to the fruits that you were using, you should consider an allergy test. This can be in the form of blood tests or skin prick testing. If the tests show that you are allergic to one or more of these then you would need to eliminate them from your diet. 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 23 years old and i had transvaginal ultrasound for follicle maturation(dated 8 march 2011). my report is" }, { "from": "gpt", "value": "Output: So far the report seems to be normal as far as the development and maturation of the follicles is concerned. Now you have to keep a watch on when the follicle ruptures and the ovum is released. On that day, plan your intercourse to increase the chances of fertilization. If the follicle does not rupture, then probably your Gynecologist will give you an injection for the ovulation. Have intercourse the very next or same day of the injection. What about the rest of investigations like patency of the tubes, thickness of uterine lining, husbands sperm count, etc. Please keep me informed so that I can guide you further. You can contact me directly also, or through elite question." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor,My daughter is 1 year 3 months old.She is having cold and cough.She is prescribed with mucolite,allegra and azithral.Azithral has been prescribed for 3 days-5ml once in a day,allegra and mucolite 2ml both thrice a day for 5 days.Please advice" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I feel like I have air bubbles in my chest... I find relief when I switch positions, but it comes back. Ive also felt discomfort in my left arm and Im feeling very sluggish... Im 36 years and im a little worried it could be my heart. could it? ive checked my pulse and its been normal..." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac diseases for your symptoms. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes gaseous distention can also give air bubbles sensations in chest. So take pantoprazole and levosulperide combination twice daily on empty stomach.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am very worried as I had my first icsi 14 days ago, 3 day embryo. Was good quality the embryologist said. I just realised that I have dark brown green ish discharge , I had white discharge since embryo transfer all day every day till now?? I don t know is that a bad sign? My test is on Friday, I had mild cramps since the transfer and for last 3 days head aches. I don t have any period ache, normally I am in agony every month. Is there a chance that still everything could be ok? I am 31, had 11 eggs , one week injections , Regards Maggie" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query. Your symptoms of spotting per vagina with pain abdomen is something to be concerned about. Get an Ultrasound abdomen done to rule out early chances of miscarriage/ sub chorionic hemorrhage. Don't worry you still have chances of continuation of pregnancy. Studies have shown that 50% women with first trimester spotting continue their pregnancy and deliver a healthy child. 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: I just came from the Oral Surgeon and he examined me for a small (no pain) smooth white spot in the vascular ducts on the underside of my tongue. He advised me to just continue to watch it and return in 3 months for reevaluation. I am trying to recall the name that he used to identify this spot. (something like Phibolist) He said it was a calcium deposit similar to a kidney stone. Do you possibly know the name of this stone?" }, { "from": "gpt", "value": "Output: Sialoliths may be the name mentioned to you. Have you been told that your salivary gland duct is blocked? Calcium deposits under the tongue are not uncommon. Your salivary flow is important to the health of your mouth. Salivary flow reduction can cause Chat Doctor. Wharton's Duct is located under the tongue. You can try to stimulate the flow of saliva by sucking on something sour such as a lemon. Increased flow can push out calcium deposits and prevent the need for surgical removal. A Phlebolith, by definition, is a calcification in a vein or blood vessel. Vascular malformations may present with these. Sometimes, although present at birth, these may become prominent or increase later in life. Swelling may become evident. The phlebitis may be seen on an x-ray. Additional studies including ultrasound and MRI may be required to determine vessel involvement. Hematomas are common with swelling, but less common with a phlebolith association in the mouth." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is 6 years old and she has been wetting herself in school everyday. I ve talked to her, restrict her beverage intake to nothing after 8 pm, and sometimes she is dry in the morning and sometimes she is wet. What else should I do to keep this from happening?" }, { "from": "gpt", "value": "Output: HI your child may be having a problem referred as Incontinence because she had daytime wetting also according to your history. Having intermittent bed-wetting can be there in 2-5% of the child Chat Doctor. But, please consult a pediatric nephrologist /urologist as it needs more history and examination to pinpoint the cause. Happy to help you further if you can elucidate the complaint further as I will be treating these complaints in my clinic. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was told I have kidney stones. this was a shock to me due to the fact I have no symptoms. I went to get an ultra sound because under my ribs was hurting bad and I had a lot of weight loss. They are having me strain my urine and all I see are little black things that look like splinters. what is going on" }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor. As a Urologist, I can understand your anxiety. An ultrasound scan can detect stones in the kidney. A CT scan can accurately detect the stones on a plain film. An urine routine may give an indication of possibility of a stone. You need to get following blood tests done, in view of weight loss" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, What does hb level 5 indicates in blood . I ve been taking Ferro-f-tab (which contains elemental iron 100 mg & folic acid 350 mg) twice a day for the last two months. Does not seem to be helping me much. are there any MD doctors in Australia who can help? Could increase in dose of these tabs help or some injections or tonic. Thanks." }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor, Thank you for your query. A Hemoglobin level of 5, indicates anemia. The Ferro-f-tab has been prescribed to correct this. But in clinical practice a hemoglobin level of 5 would require blood transfusion for proper correction. Iron tablets do help, but usually take a long period of time and are mostly prescribed when there is border-line anemia. I suggest you discuss the possibility of a blood transfusion with your medical care provider. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, Im 31 years old, i did 3 times SGPT test, the first time it was 88 , second 99 and 3rd time 126.In my test only the SGPT is high and all the other result are very gd, i drink slchool once or twice per month, but always before 15 days i dont drink alchool, i drink a lot of water, but i was so stresses at work for a while. I dont take any type of medicines, i dont smoke . most of my food are healthy, Can u plz advise what to do to reduce the SGPT level to the normal? And what i need to eat, what type of vegetables is advisable to eat and now im doing sports exercises each day, i have hg 1.71 mtr , wt 77, thank you" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. SGPT or alpine aminotranferase (A L T) is primarily found in liver. The normal value of A L T is 5-50 I U. In your case as this level is progressively increasing. Your food is healthy, and you are doing regular exercise that's a good thing. In my opinion get in ultrasound of liver with M R I so that exact reason of elevation of A L T (SGPT) can be found out. Consult a gastroenterologist and get his opinion as diet alone will not be able to cure this level. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello sir, My granpa is sufferring from Cancer, there is a lump in his throat & he has a lot of difficulty in eating food. in fact now adays he is just taking semi solid khichdi and milk. doctors in govt hospital told us that his cancer is at advance stage and now well have to take him to SUFDURJUNG HOSPITAL in delhi. but i saw that there is no facility for cancer treatment in that hospital however there is one in the AIIMS just opposite to that.. please advise what shuld I do?" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. He may have esophagus cancer. If it is advanced stage then surgery is not possible. Treatment of choice remains chemotherapy and radiotherapy. For that you should go to fully equipped hospital with all facilities. You can go to AIMS hospital or other and start treatment as early as possible. 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 im 16 and my girlfriend is 14 and we had sex for the first time about a month ago few days after her period ended and we had sex 2 more times after that and we used condoms in all of the time and yesterday she told me that she didnt got her period yet and that she is late 5 or 6 days can you give a answer for that please we are freaking out!" }, { "from": "gpt", "value": "Output: Hello, First, having sex within 5 days after ending period is very much safe but using condom has near about 14% failure rate. Though, it depends on fertile period or ovulation time. On the other hand, 1-7 days period date alteration is normal thing and mostly occurs due to hormonal imbalance and stress/ mental upset. Therefore, I suggest her to wait at least 7 days to get normal period and if she does not get it, then she must undergo one home pregnancy test initially and later one blood test for beta-ChatDoctor to confirm or exclude pregnancy. Following test reports, consult with your doctor for next line of management. In the meantime, she must take balanced diet, avoid stress, Chat Doctor. Be well & always practice safe sex." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had MGUS for two years, with mildly high calcium levels, also two painless lumps for two years in lymtph nodes in my groin, I have had a lytic lesion on my humerus in my left arm and recently, three weeks ago developed a golf sized lump on my forearm bone which is mildly painful. My doctor put the arm lump off as a bone spur but she did not have my medical records yet and didnt know I have had MGUS for years, Do you think this is anything I should have biopsied?" }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. If you have mugs from many years and recently develop lytic lesion and some lump then you have very high chance of developing multiple myeloma. You should go for protein electrophoresis and biopsy of lump. If needed also go for bone marrow examination. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have went to the doctor because Im trying to conceive and Ive got sad news that my eggs are not releasing. I would like to know if I should give up the hope of becoming a mom or is there hope that there is something that I can do that will guarantee me that I will get pregnant. And also is my condition a very bad one?" }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. I have read & understood your query. POD is a menstrual problem where ovulation is disturbed & so the menstrual cycle remains nonambulatory & irregular, thus posing a problem in conception. This problem is seen more frequently these days being mainly a problem due to lifestyle changes. * Still you need not worry, its methodical management can reduce its bad effects like infertility/ diabetes etc. To start with detailed physical examination / investigations (CBC, Thyroid function tests, USG with ovulation study, hormonal estimation, insulin resistance test)The treatment plan is then decided - - Weight reduction (regular exercises/ low calorie diet, are advised. A small amount of weight loss can correct the hormonal imbalance. Leaving smoking helps. - Hormonal imbalance can be controlled with Cyclical oral contraceptives. - Medicines like Metformin, Camphene are tried to stimulate ovulation - If nothing helps, surgical Chat Doctor. * For this you should approach a gynecologist & after pathological tests. Follow her instructions. You will get positive results. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a mitral valve repair in July of 2009. Last Wednesday at my annual physical my PCP said I had an abnormal EKG ( he said it showed a possible problem with the right side of my heart ). I have felt pressure in my chest especially when I exercise & just a little bit when at rest for about the last 6 weeks which I ignored until my EKG result. I have an appointment with my cardiologist in 9 days. What do you think are the possibilities? Thank you in advance for your thoughts. Howard Watt" }, { "from": "gpt", "value": "Output: Hello, More and exact information about the status of mitral repair and the right heart will be available as we get a 2 D echocardiography done. The cause of the same depends on the reason why mitral valve repair was done. Generally the possibilities are 1) Higher lung pressure causing right valve leak, dilatation or decreased pumping 2) The repair has lived its time as its 7 years, and the disease might have progressed 3) Any new mitral disease 4) In previous era, tricuspid valve was not repaired even if it had moderate to severe disease considering its self healed after mitral repair. So the same may have progressed 5) Fall in function of left beret post mitral repair. There can be Hun Chat Doctor. The treatment for the same is based on etiology. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI I have a 9month old son he s had a bad cough for 2weeks plus I took him to the doctors 2 weeks ago they said his chest was clear however I went back on friday due to him starting to throw back food and they issued him with amoxycillin due to having a noisy chest on one side. I have fed him toast today but isn t interested really in eating but its hard trying to get fluids into him so tried him with soup tonight, he ate it then immediately afterwards threw up he has done this the past 3 nights. Is there anything I can give him which will help him get over this??? Or what foods are good for him to try keep his strength up?? He also has a small hard lump on his chest bone which looks like a bruise could this be due to his coughing or could it be he s been trying to crawl continously??" }, { "from": "gpt", "value": "Output: Dear parent, It seems your child is suffering from respiratory infection. He is unable to eat because of mucus he is ingesting. He cannot spit. This mucus is sticky so it doesn't pass ahead in intestine, because of small human. And then child vomits out. Try feeding him after he is relieved. Give him soup, milk, fruit, rice or whit ever he is interested in eating right now. Keep nebulizing him with plain water. He may pass frequent sticky motions as well. Keep in touch with the prescribing doctor for infection part." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Im 15 weeks pregnant and iv been having green poop I did have some cranberry juice and I eat still oatmeal with black berries and cranberries in it can this make my poop green I also have had my gall bladder removed and only take a folic acid pill" }, { "from": "gpt", "value": "Output: Hello dear, welcome to Ask a doctor service. I reviewed your query and here is advised. No cranberry juice nor oatmeal or black berries cause green stools. Green stools are caused when your food passes rapidly through your system with some undigested fibers. Also, a diet rich of fibers as yours may cause green stools. Nothing to worry about. Hope I have answered the question. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello my name is Tom, and at 5" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having acute gastritis because appendicitis is much more severe. So take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Chat Doctor. Your symptoms will definitely improve. If not improving in 2-3 days then get done ultrasound abdomen to rule out appendicitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Doctor, I am a healthy male of 50 yrs of age leading an active life as well as active sex life. About 5 yrs ago i remained without sex for about 20 days as i was abroad and on return one night after intercourse my wife discovered blood particles in my semen. Next day i visited my doctor and he had got all the clinical as well as pathological examination done, i also visited a urologist and after discussing my reports jointly they came to the conslusion that there in notinh serious and i was adviced to increase my sexual activities for some days and have to observe regularly about the presence of blood. Surprisingly the quantity of blood got reduced with each intercourse and after about one week it was clear. I was advised to remain sexually active or you can say not to put a big gap i.e. 10-15 days, if it happens i have been advised masturbation. After 5 years it happened again under the same circumstances. Is it a signal of a serious problem or is it a normal thing. Pl advise.RA" }, { "from": "gpt", "value": "Output: HelloThanks for query. You had blood in semen (Hematospermia) during sexual intercourse following abstinence for 3 weeks and was investigated thoroughly to detect the cause for same which turned out to be inconclusive, Normally during long period of abstinence there is stagnation of semen and sperms in reproductive organs (Epididymis, seminal vesicle, ejaculatory ducts etc.) resulting into congestion of these organs. Sudden release of pressure and congestion of these organs during first intercourse after incontinence causes what is called as rebound bleeding giving rise to Hematospermia.There's nothing to be worried about it. It is a normal phenomenon. Practice regular sex at least thrice a week to avoid such situation to recur again. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I got my wisdom tooth extracted about 2 weeks ago the extraction has healed but I can feel tiny hard lump with my toungue on the side of the extraction on the inner side of my mouth. its white and when I touch it with my finger it feels hard like a tooth or bone. Is this normal and if it is a piss of tooth will it come out on its own or will I need to get it surgical removed?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor. I read your query. Since you had an extraction of tooth, that tiny lump can be some bones edge or protrusion. In order to rule out remaining tooth fragment, I suggest you visit your dentist once and get a radiograph done. If it's a bony protrusion, it can be smoothened with a bone file. A tooth fragment (chances of which are minimum) can be judged according to position, if it requires intervention or will resort. Hope the answer helps. Thank you!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a serious history of ankle sprains and have undergone two ankle ligament reattachment surgeries and have still been experiencing weakness and pain and last night had a pretty severe sprain again. It swelled pretty large, especially around the back and front of the ankle and now has gone down a little in swelling although still somewhat swollen and is fairly constant pain. I ve been icing today but do I need to see a doctor for x-rays, exam etc. ?" }, { "from": "gpt", "value": "Output: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a X-ray of the ankle to exclude a fracture. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. I also suggest using cold compresses for local application. If the pain continues, I suggest seeing an orthopedist for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having major pain in shoulders, neck and the back of my head. To the point where any movement almost brings me to tears. I am working and coping. But when I just bend down to pick something up or look in a direction where my neck doesn t want to turn it is very painful and I just can not continue doing the task. I have been going to PT getting massage, strength trainig and such. But I really feel it s coming from the back of my cranial traveling down my neck to my shoulders and downward. Any thoughts? Should I get a MRI?" }, { "from": "gpt", "value": "Output: Hi, thank you for providing the brief history of you. As after your history, I will advise to undergo an MRI of the cervical spine as the status of the soft tissue is must. Massage is strongly not recommended as you are doing all mixed up stuffs. Doing strengthening also and massage also will only make the muscle weaker. Also, just by mere working behind the blindfold treatment, I will advise to first take the MRI, and based on that, the combination of medication and physical therapy will work better. The physical therapist you choose, should know there is a difference between the patient to patient and symptoms to symptoms. A specialized plan for you should make a difference. Applying a conventional way of therapy will surely not function to the optimum. As, in my clinical practice I have seen cases with 100% recovery, but prior to that, the MRI, and the or tho prescription is understood for the pharmacokinetics of the Chat Doctor. As this allows me to design a better physical therapy prescription and get 100% recovery. Slow and steady wins the race - this is our clinic principle. I wish to see you soon, with pain free lifeRegardsJay In" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 30 years old, had my gall bladder removed 2 years ago prior to that lost 26kg eating right and exercising. (My weight was 100kg)Since removal I cant lose a thing, have gained 4kg in 3 months still eating right and exercising. I was prescribed duromine by my doctor twice which took off 2-3 kgs but it always came right back on. I am wondering if my liver could be the cause of my problem, I gain weight around the stomach. I am really depressed over the gain and nothing I do works" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor forum. It appears that there is change in the lipid metabolism, after the surgery. Now you may have to give some more activity in burning the fats. Minimize the sleeping time, and avoid sleeping day time. Avoid taking fats, calories,and oily foods. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods. Wishing for a quick and complete recovery. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: can a kidney stone in my right kidney be irritated by my golf swing and cause me to experience gross hematuria? Every time I play, hit balls at the range or just take a few swings for the monitor I pass blood in 24 hours. Then it goes away in a day or so. The stone is only 2mm. My urologist and internist don t seem to be concerned. Just let the stone pass. It s been 2 months and I m not aware of it passing. I have no pain. Just a sore lower back due to what I believe are my 3 herniated discs. Yet, sometimes my side/back aches during this bleeding." }, { "from": "gpt", "value": "Output: Hello2 mm calculus is unlikely to cause hematuria(blood in urine). It is important to investigate other reasons like urinary tract infection(UTI), tumour etc. It is important to know your age. You need proper clinical examination and further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, renal function test. CT scan and endoscopic examination can be done if needed. Proper treatment depend upon findings.2 mm calculus is expected to pass spontaneously. Most probably, low backache is related to herniated disc. 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: Hi, I was diagnosed with jaundice last week. The blood test revealed my bilirubin level to be 4.6. The doctor advised me a 3-week bed rest. Apart from yellowish urine, light coloured stool and a slight yellowish coloration of the eye, I have experience no symptoms. So, will a 3-week bed rest be enough?" }, { "from": "gpt", "value": "Output: Hi thanks for asking question in Chat Doctor. Yes approx.3 to 4 week rest is quit enough. During your rest take care not to eat fatty food. Use minimum oil in cooking. Eat more fruits like apple, orange etc. Green leafy vegetables eaten more. Strictly avoid smoking and alcohol. One teaspoon of carrot and cumin crushed seed taken with milk daily. Papaiya with lemon juice also good herbal remedy. If needed Ad\\u00edlio tablet can be taken. I hope my suggestion will help you most. Take care. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, My daughter is 10 and I had her in the ER this past thursday with abdominal pain, the ER doctor did an exam and was concerned that the pain was her appendix, however the cat scan was negative, my daughter has been running a low grade fever since then, the doctor admitted her over night for observation saying she did have a swollen gland on the right side of her abdomen and that since she was running a fever and the pain combined, they were concerned that this could turn infectious which in turn affect her appendix. When her normal pediatrician did rounds the following morning she felt that the stomach pain was due to her lactose intollerace and to modify her diet, however I am concerned because she still has the fever and some abdominal pain and her diet has drastically declined over the last few days, I am not sure how to procede from here to handle this, or am I just being overcausious." }, { "from": "gpt", "value": "Output: Hi. You are not overcautious, you are right. Thanks for elucidate history and is definitely suggestive that the pain in a 10-year-old child unless proved otherwise in this case is due to the Inflamed lymph nodes on the right side of abdomen. I would advise going for blood tests - CBC for infection (WBC), Typhoid, a course of an antibiotic and anti-inflammatory medicines for 7 days, Review with ultrasonography for size of the lymph nodes. IF same size-for for lymph node biopsy. IF responding to the treatment, continue medicines for three weeks. Also see for ENT - to see if whether has ENT infection, which on swallowing goes to the terminal intestines and affect the payer\\u2019s patches, which in turn enlarge the nodes - also called as Tummy Tonsils. No lactose intolerance can give lymph nodes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell on a set of marble stairs three weeks ago and hit my left knee directly on the corner of the step. I immediately saw stars and became very light headed. I also felt nauseous. I went home and iced/elevated my knee. I was unable to bend it nor walk up/down stairs for one week. It was very swollen, bruised, and had a large cut. After a week I gained mobility back in the knee but it still hurts. This past week I noticed that a large lump formed and is very predominate when I bend my knee. What is this? Should I see a professional?" }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. You have history of trauma. You may have some injury to your ligaments or meniscus. So that hematoma formation occurs and it causes lump. You should take symptomatic anti-inflammatory plus analgesic Chat Doctor. You should go for MRI knee to know exactly where you have injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i AM 80 AND WHEN I TAKE A BRISK WALK.. I GET SHORT OF BREATH AND EXPERIENCE TIGHTNESS IN MY CHEST.... I HAVE HAD A LIFETIME HISTORY OF ASTHMA.. BUT I DONT HAVE ATTACKS NOW LIKE I USED TO WHEN I WAS YOUNGER.. AND I DONT TAKE ANY MEDS FOR ASTHMA... SHOULD I STOP WALKING... WALK SLOWER.. BUILD UP MY BEING IN SHAPE....." }, { "from": "gpt", "value": "Output: Hello Chest tightness in your age need proper clinical evaluation, and it is important to exclude cardio-pulmonary causes. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, Chest X-ray (PA view), ultrasound of abdomen, ECG in all leads, TMT,ECHO. It may also be due to chronic asthma. You may need PFT(pulmonary function test). Proper treatment depend upon findings. You can continue slow walking and don't undergo more exertions till proper evaluation. 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: I am having pain around my waist in the back area only. Not front. I am a diabetic and have had a kidney infection before that I did not know about and it spread to my L5-S1 and I had to take 6 weeks of IV antibiotics. That was 7 months ago though. I just started with this pain. Never had it before. Pain 7 on a scale of 1 to 10. Sed rate is 52. CRP 1.4. Could this be related to my previous kidney infection? Have never had this pain before." }, { "from": "gpt", "value": "Output: Hello, I have studied your case. Yes this can be due to kidney infection. Usually nerve compression can't be seen on x-ray you may need MRI for this. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. 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 was wondering how I can get prescribed Valium by my doctor. I am a 19 year old Male and was prescribed 30mg Adderall XR in May of 2012 for my, just then diagnosed, ADD. I have always dealt with high anxiety, but recently it has gotten to a point that is distracting in my life. I am afraid to ask him and have him think I am some druggie, when I m not and I m afraid he d say something like the adderall is supposed to help with that. Please help! I am extremely stressed about this situation. Also, I think I may have generalized anxiety disorder but have never been diagnosed. Anything you can say about that would be GREATLY appreciated! Thank you!" }, { "from": "gpt", "value": "Output: Dear Dollie, Hi! Your concerns about your health are very natural. You have got all rights to discuss your health with your doctor including the need to take Valium. Actually for anxiety symptoms, though diazepam (Valium) will help you symptomatically, there are better options than taking Valium. Discuss with your psychiatrist about taking some SSRIs along with your routine Chat Doctor. Also benefits of CBT and psychotherapy cannot be overemphasized for you. Trying seeing your psychiatrist soon and do discuss your concerns in detail with him/her. Hope I could solve your concerns." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a laparoscopic scar from like 10 years ago, that has suddenly started bleeding a week ago. It scabbed over, & the scab fell off, but appears to have been just dried up liquid? And, its more red than the other sites, and hard around all the edges...The opening is perfectly round in the center, like a bullseye. Is this ok?" }, { "from": "gpt", "value": "Output: Cellophane You for contacting Chat Doctor. It could be injury to superficial vessel. I would suggest you not to worry and do following things" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I got my sperm count tested twice, i got two different reports, one shows sperm count 1.5 million and other 15 million, can there be such diff in two reports, the time gap in tests was 25 days. My detailed report of sperm analysis, plz tell me can i be a father, and if it is treatable? I M worried plz suggest me asap.Physical examinationvolume 3.7ml, color grayish white, qualification within 30 minutes, viscosity normalchemical examinationReaction alkaline, fructose normal.Sperm count & vitalitySperm count 1.50, per ejacuate- 5.55ml, Vitality 80%Motility" }, { "from": "gpt", "value": "Output: Yes, some men have evacuation in the count and quality of the sperm in different samples. The problem in this case is that you never know the state of you semen sample at the time of ovulation of your wife. It could be either the good one that is sufficient for normal conceiving or the bad one which is not. You should consider freezing a good semen sample and using it to inseminate your wife during her ovulation time. Or the following step will be an IVF cycle. But don't go for these procedures unless it's been one year of unprotected regular intercourse." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am very concerned. I just was in the ED and had a CT scan and it read that I have a new cystic area on the right pelvic sidewall measuring 8.5cm in AP by 6.3cm in transverse dimension. This measures 4.7cm in craniocaudad dimension. Single septation.I have had a TSH and left oopherectomy and only the right ovary remains. I am 45 years old and everything I am reading online is scaring me about the size of this cyst.I just had a laparoscopy in April to remove adhesions and this wasnt there. How could a cyst grow that quickly?Is it a high percentage that large (>7cm) cysts are cancerous? How can it be diagnosed as beneign or not? is that only through laparoscopy?Thank you for any thoughts. I am very nervous!" }, { "from": "gpt", "value": "Output: Hi thanks for using Chat Doctor. Be relaxed. Only with the ct report we can't tell whether it is benign or malignant. We want more information. Best way to diagnose is to observe under microscopy about the cells characteristics. To diagnose whether it is benign or cancerous you can opt1. FNAC. Under USG guidance. One of the good way to diagnose solid tumors.2. Laparoscopy. Can be both diagnostic and therapeutic. The best way.3. Doppler scanning to see the blood supply. Non-invasive and can tell whether benign or cancerous. But not reliable. Hope this answered your question. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had the flu two weeks ago. I just caught what feels like a mini version. No fever, but I cough and have nasal drip and Im pretty weak feeling. Im on the third day of it. I am 34 years old, male. No health issues. I do feel my heart flutter once and while and just feel tired.. Is this a normal reaction to being sick?" }, { "from": "gpt", "value": "Output: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that this feeling looks like a paroxysmal cardiac arrhythmia (an episode of atrial fibrillation or flutter, frequent ectopic beats or even ventricular arrhythmia, etc.). There is only one way to confirm any possible arrhythmic events, by means of ECG registering during such unpleasant feelings. The most appropriate option would be to undergo an ambulatory 24 to 48 hours ECG monitoring (Holder test). In addition, I would recommend you to perform a medical check up by your internist or cardiologist, for a comprehensive physical exam, a resting ECG, chest X-ray study, some additional lab tests like complete blood count, PCR, Thyroid, liver, renal function tests, blood electrolytes, etc., to rule in/out any possible flu complications, like thyroiditis, pericarditis, myocarditis, etc. that may lead to generation of cardiac arrhythmias and altered overall health status. A cardiac ultrasound would be necessary, if suspicions of myo-pericarditis, etc. are raised. Hope to have been helpful! Greetings!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a low grade fever 100-101, which I have had since Friday, along with congestion and sore throat(I have had my tonsils removed). Now my lymph nodes bilaterally are so swollen and painful it hurts to turn my head. My son had similar symptoms a week ago and tested negative for flu and strep. Should I continue to just ride this out as supposed virus?" }, { "from": "gpt", "value": "Output: Hello, the commonest cause for the symptoms you describe is viral infections. Lymph node enlargement cane seen in both viral and bacterial infections. Low grade fever with more nasal congestion and other symptoms are suggestive of a viral infection. something like infectious mononucleosis. You have a contact history also.(your son) Strep infection would have high fever with other symptoms but less nasal congestion. Also, your throat will have white plaques or pustules. You can have adequate bed rest, loratadine or fexofenadine, paracetamol, warm beverages, After 4 days if symptoms are not subsiding, get your blood tested. Because if it turned out to be bacterial, strep needs antibiotics. Hope this helps. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My kid is 3.5 year old. she is having cold, running nose since 3 days. Day 1 - night she had high temperature, i gave Crocin syrup twice (night and morning). day 2- there were no temparature but running nose was there. I gave T-Minic syrup in evening. In night again, she had little temparature. Day 3 - morning i gave T-minic syrup. Shall I give both (T-Minic and Crycin) syrup to get out of running nose and temperature. What should be dosage and course for the same ??" }, { "from": "gpt", "value": "Output: I am glad that you put up your query at Chat Doctor. I am sorry that your child is suffering from a respiratory tract infection which is a more technical way of saying common cold. The infection is indicated by the presence of fever which needs to be controlled by methods like cold sponging or medicines like paracetamol which are sold in brand names like Cronin, Cal pol, Pyrites etc. which is given at 15 mg/kg/dose. Such an infection generally has an allergic component associated along with, for which anti-allergics and cough syrups are given. Dominic contains Phenylephrine which is given at 0.2 mg/kg/dose 3 or 4 times a day. The amount in ml would depend upon the formulation of the syrup (medicine content in mg/ml). For giving medicines to a child, appropriate dosage is important as is the understanding of the actual condition. I strongly insist that you consult your pediatrician before using it. Your doctor would also be able to decide which medicines are to be given and whether antibiotics are to be prescribed along with." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, My son who is 6 years of age is having problem of having allergic dry cough frequently. Very recently he suffered from pneumonia. Dr has advised to give montek LC Kid tablet for atleast 20 days. Is the drug safe and what is the purpose of the same. Please guide what should I give my son to boost his immune system naturally other than allopathic drugs." }, { "from": "gpt", "value": "Output: Hello, Monte is a safer Chat Doctor. It is given once daily dose in the evening or night. It will reduce the inflammation of air passages thereby it will reduce cough. You can give to 40- 60 days. No problem. Naturally, you can improve immunity by giving vaccination at an appropriate time. Give citrus fruits, eggs, and green leafy vegetables. Hope I have answered your query. Let me know if I can assist you further. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a painful lump above my collarbone near my neck, it hurts when i touch it or move my neck and inside there is a little hard knot. The swelling has been reducing day by day, but I am concerned about what this is? There are no signs of redness or bruising I did get a flu shot and the TDAP shot" }, { "from": "gpt", "value": "Output: Hi, The lump you are talking appears to be enlarged lymph nodes. They are usually when there is infection in the surrounding area. It will be painful and slowly as the infection subsides with or without treatment, it would disappear. If you want you can get a test called as fine needle aspiration cytology done. It will confirm or rule out anything else if you are worried about. If you have any further queries, happy to help you again." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am an asthmatic. i am taking foracot 200 inhaler daily 2 times as suggested by doctors. can i slowly reduce the intake of this. as i dont want to take steriods, for it side effects. i am doiing ayurvedic medication alonside and doing pranayam aswell. can i slowly stop this foracot inhaler as my condtion improves?" }, { "from": "gpt", "value": "Output: Hiin my opinion you can taper the doses very slowly wit following lifestyle modification you can go for breathing exercises and herbal preparation you can do allergy testing and allergy can be avoided with aggressive environmental control measures like1. Removal of carpet in to be Chat Doctor. 2. If you are sensitive to pet allergens, permanent removal of the pet is recommended. 3. Keeping the household humidity level at less than 50 percent to control dust mite and fungus growth.4. Using insecticides will help control cockroach populations. 5. Patients who are sensitive to mold, and outdoor air pollution should consider limiting outdoor activities when these levels are high. 6. Patients with asthma should avoid exposure to tobacco smoke.7.probiotic-supplemented yogurt resulted in reduced inflammation and reduced allergic symptoms8. Antioxidants vitamins C and E, selenium, and zinc. Omega-3 fatty acids from fish, and other supplements such as the herb Parasites hybrids are also used to decrease inflammation. Hope I have answered your querythankstake care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been experiencing a clavicular fullness, neck fullness and jaw pain for the past few years ..been tested for everything (nothing lfe threatening).. all they found was an abnormality in my submandibular gland (cystic) and a ranula. In past few months under my tongue is swollen and VERY painful (pain radiates to jaw) the swelling (mouth floor and clavicular)and pain come and go and I cannot tolerate the pain and numbness /Tingling anymore, nasty taste after swelling goes down... after reading a lot ... how do the drs distinguish if it is a ranula or a plunging ranula? Should I be worried?" }, { "from": "gpt", "value": "Output: Thanks for your query, I have gone through your query. The swelling below the tongue can be a cystic lesion arising from the sub lingual salivary gland which is called manual. If this manual permeates through the mylohyoid muscle and spreads down to neck region and produces swelling in the neck region below the mandible, it is called a plunging manual. Consult an oral physician and get it ruled out, because infection arising from the teeth can also result in pain and swelling of similar kind. Get an ultrasound done to rule out the pathology. If it is diagnosed as manual or plunging manual, then it has to treated surgical to prevent complications like difficulty in swallowing, respiratory problems. The nasty taste can be because of the contents of the cyst which gets burst following any trauma to the cyst. I hope my answer will help you, take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: why after 5 years of marriage never having pregnant... never event once,also never abort... theres any something that i should know about my self... me & my husband has been told by doctors that we are normal couple after been checked by them 2 years ago, already done IUI twice but nothing happens... what should i know regarding this problem?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing to Chat Doctor. You and your husband are diagnosed as normal couples. There are still many problems which can cause infertility. Like problem in fertilization of egg or problem in implantation. Since you are trying from 5 years I would suggest you to go for IVF I.e. in vitro fertilisation. Here the problem of fertilization is solved as in this procedure they fertilize egg outside, and then they place them into uterus. They place 3 to 4 fertilized egg into uterus. So chances of conceiving increase. This will help you. You can discuss with your doctor. Hope I have been helpful. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doc my age is 20 i am 70 kgs and my ht is 56 ....few months ago may be 2 0r 3 months.. i was on antibiotics (cephalosporins-cefuroxime) nd i think dats the reason i got yeast infection on my genital area.. m very not comfortable to talk abt dis to my parents and doc.. i searched online and got to know abt home remedies.. I came to know about sugarless yogurt.. would it really help me?Antifungals have so many side effects.. so why not any natural remedy?Thanks for your advice" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. First you need to control the fungal infection by using antifungal medication or creams. If it is itching severely, please take antihistamine tablets. Keep your genital area Chat Doctor. Do not wear moist clothes. Try not to itch your genital region as this may spread the infection further. Sugarless yogurt will help treat yeast infections, but it may become messy for you. The antifungal cream is best option. Hope this helps" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i am on the Contreceptive pill but forgot to take one, carried on as normal and then had an upset stomach a week later, and carried on taking my pill for another 3 days until my pill free week. i didnt have another pack to carry on with and didnt expect having sex any time soon. i ended up having sex but used a condom which later had spilt. after 28 hours i went for the morning after pill. now i am due on my period and i am 2 days late. im reallly worried that i am pregnant." }, { "from": "gpt", "value": "Output: Hello, and I hope I can help you today. The morning after pill is 90 percent effective if taken within 72 hours of unprotected intercourse. So, regardless of what happened with your pill taking before your pill-free week, the morning-after pill should still be effective. Many women have a delayed period after taking the morning-after pill as a side effect, but the possibility of pregnancy still exists if you are late, so you should perform a urine pregnancy test just in case. If it has not been 2 weeks yet since your unprotected encounter, it may be too early to have a positive pregnancy test, so I would repeat it in a week if that is the case. In addition, many women have an irregular period or skip entirely after they stop the pill. If you are not pregnant, you can start a new pack of pills as soon as you get them, but just use a condom as a backup for the first two weeks. You should get a period in the pill-free week as you did previously. I hope I was able to answer your question today and that my advice was helpful. Best wishes," } ]