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PranavHarshan

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi , my son is 3 years 3 months old he has allergy and uses levolin puff . His spasm is not acute but often suffers with it during change of season. recently he has been prescribed Budecort 200 two puffs twice daily for three months. I am a little uncomfortable with the use of steroid at this age he weighs 20 kgs and is almost 3 feet tall. Want your advice regarding the side effects" }, { "from": "gpt", "value": "Output: Hi, I admire your positive outlook regarding the query. For asthma management, physicians need to advice various medications which depends on its severity and control.>Leveling acts by dilating air passages and relieves acute breathlessness.>On the other hand, Decor which is an steroid act by reducing inflammation which prevents as well as controls frequent asthma symptoms. It has some side effects like fungal infections of mouth and throat (Candidiasis). Systemic steroid effects on higher doses like mood changes, hyperglycemia, smell & taste disturbances, osteoporosis etc. Your son has been prescribed Decor two puffs of 200 micrograms twice daily that means a total of 800 micrograms which equals to 0.8 mg only. Moreover, very little amount of steroid is absorbed as it is used via inhalation.Therefore, its side effect is almost negligible except candidiasis. That is why your child is advised to gurgle his mouth with plain water after taking puffs which will prevent candidiasis. I presume that a diagnosis of probable asthma has been made and given proper medicine accordingly. Hope this answers your query. Wishing your son good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m desperate to find a specialist in the Pittsburgh, PA or surroundings, who specializes in treating black mold illnesses. My daughter is very ill due to spending 1 year in an apartment where the landlord refused to do anything about it. Some of her illnesses include" }, { "from": "gpt", "value": "Output: You should meet certain specialist and take their opinion on the same issue. A few I can mention. Meet a dermatologist, a pulmonologist, a cardiologist, a general physician, a physical medicine rehab specialist. Lastly after these people have a proper communication within their own parameters your child will be helped better. Do talk about the fatigue issue. As a physical therapist might help with simple exercise to balance the fatigue issue." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: So, today me and partner had sex. This is not the first time we had sex and every time we have had sexual intercourse we have been careful and used a condom while I have also been on birth control. This is the first month I have been off of the pill. Today while we were having sex, the condom ripped at the top. We believe that the head of his penis was only exposed for about 1-3 minutes before he pulled out and we realized what happened. 3 minutes being the most. We are absolutely positive that he did not cum inside of me but there is a pretty good chance that there was pre-cum. My period is due in two weeks. What do you think the chances of me being pregnant are?" }, { "from": "gpt", "value": "Output: Hello Welcome to Chat Doctor. Thanks for posting your query. If you are so pretty sure that the semen did not enter, then congratulations you need not worry. We have seen so many such cases and I can say more than 90% of the times, you are safe. And as you say, we shall wait for your dates and once you have periods this time, just forget it. If not, you can contact me. Will guide you on further details. Don't worry. Contact back If you have some more queries." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 54 yr old african american male. with diabetes. I have been keeping in check lately. For the past month I have had this pain sensation in my r. thigh. The pain is if I have a 1000 + needles stabbing into the front of my thigh. I have a numbness on the outside of the same thigh. I also get this sensation of water or liquid running across the front of the same thigh. What is going on ?" }, { "from": "gpt", "value": "Output: Hello, These sensations are neurogenic pain. There may be imbalance of blood glucose level which may because for this. High blood glucose may lead to naturopathies. I shall advise you to check blood glucose level frequently. If it is normal then you should consult to a neurophysician for help.Meanwhile, you may have acetaminophen preparation for relief. In our routine outdoor practice for relief of such pain I used to prescribe pregabalin preparations. 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 seasonal bronchitis whicChatDoctores yearly once or twice in the rainy or cold season. I use ampicillin based tablets ....can you suggest me the best medicine.Symptoms" }, { "from": "gpt", "value": "Output: Hi thanks for asking question. Mostly according to history you have allergic or seasonal rhinitis with respiratory involvement. Continue using antihistamine Chat Doctor. Meanwhile, take more fruits and more water. Green leafy vegetable are helpful. Avoid smoking strictly as it can aggravate condition. Take healthy nutritional diet. Steam inhalation will be helpful in relieving congestion. If condition still severe then leukotrien antagonist" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Sir, I have girl child 5 years old, last 5-6 days she was not feeling well. occasionally she had fever, cough & cold, . now all symptoms gone by using T-minac, Combiflam, & Ampi-Coxicillin. she looks OK other times now, but when given food for eating she coughs and omits the food. & now feeling weakness. please telll me, can I use Ondensetron & Azithromycin & apitizer ?" }, { "from": "gpt", "value": "Output: Hello. I have gone through your question. Yes you can use Ondansetron syrup 2\\u00a0mg/5ml, 5ml three times a day on empty stomach. Donor give azithromycin as of now. If the condition does not resolve, or she develops some fever, then start with an antibiotic like norfloxacin 100\\u00a0mg.5ml. 5ml three times a day. You can give an appetizer as well. I hope this helps. If you have any other queries/question please feel free to ask. Thanks and wish your daughter a healthy life." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, im a 22 year old male, i have had sudden testicular pain in my right testicle, first felt like i was kicked in the balls, now the pain changed, feels like the pain is in the veins, i had a blood test and ultrasound and both tested negative..what can this pain be ? thank you for your help" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have some infection like epididymis orchids, or you may have torsion of testis. You should go for examination. If needed to take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 19 After I donated blood i felt angry all of a sudden but i felt really light too not light headed like i could move faster and i noticed that i took notice of every thing around me like myy sense became a bit hightened from the experence should I be concerned?" }, { "from": "gpt", "value": "Output: Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that blood donation won't cause such a reaction. We had carried out many blood donation camps from many years but we haven't find even a single case of such whicChatDoctorplaints of short leopardess. Donating a blood is a very good and noble cause. Do as much you can give. Also inspire for your known for blood donation. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am from agartala, tripura. last one and half months, i am suffering from right back pain severely. whenever stand-up after sitting a long time in a chair or bed then i feel pain that my nerve is going to be hanged. after few minutes this is going to be normal. when i walking there is no pain in my right legs.i was suggested two-three doctors from orthopaedic specialist ground but no result found at all. please help me" }, { "from": "gpt", "value": "Output: Dear patient First of all what is your age? Have you met with accident or trauma? Any investigation done? Since back pain is for 2 months and not relieved with Chat Doctor. MRI gives details of disc, nerves and even bones. So visit a radiology center and request MRI asap. Till then start tab diclofenac plus thiocolchicoside combination twice a day for pain relief plus tab vita 12 plus pregabalin 75\\u00a0mg at bedtime for 10 days. Both" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have two infected teeth at the moment, swollen glands are present as well. They re abscessed, I m sure. So, my question is this" }, { "from": "gpt", "value": "Output: Hi, Thanks for posting the query, I would suggest you to take tab almost Cleveland BD and tab diclofenac BD for 3-5 days, instead of the given medications. Antibiotics and analgesics will give a temporary relief unless the tooth is treated with Root canal treatment you will face pain and infection, I would suggest you to consult a nearby Dentist get an x-ray done and start with the treatment. Hope you find this as helpful, 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 15 year old girl has been waking up sat, sun and today with swelling in her fingers, and ankles and complains of itching different parts of body, feet, hands, and tops of legs, back. I think she has been laying in bed too long, prolonged sitting, and drinking lots of chocolate/banana smoothies, not enough water. I have told her to move around, drink water, and back off on smoothies in diet, I also told he she could take benedryll liquid and apply cream. Any other suggestions?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint sudden swelling in fingers and ankles along with itching or Urticaria in different body parts seems to be most probably be due to allergic reaction to some unknown allergen. It can be due to a number of things certain insect/bug bites, poison ivy, skin cosmetics, detergents, foods, leather, latex, medicines etc. It can also be due to mite infestation causing Scabies. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and blood tests can help in confirming the diagnosis and treatment can be planned accordingly. You can be advised to take anti allergic like Allegra or Clarity, apply steroid ointment, do cool compresses over the body and apply calamine lotion. In case of Scabies you can be advised to apply Preterit lotion and take Ivermectin. You can also be advised anti allergic along to relieve itching. Hope this information helps. Thanks and regards. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had cervical cancer Stage 2B in 2008. I m now considered in remission even though last years PAP my doctor said came back abnormal. He said that as long as my cell count was below 32 I would still be considered in remission. I m confused. Do I have a new type of cancer? Does this mean I m only considered out of remission when the cell count is high enough for them to treat?" }, { "from": "gpt", "value": "Output: Hi and thank you so much for this query. It is difficult to tell what your doctors are referring to as remission. What treatment options were to offered after the diagnosis of this cancer? Also, what were the immediate controls after the treatment. Are the counts still same or are they increasing? If they are still same and not increasing, then there is no reason to get worried. However, if the counts are increasing, even below the mentioned 32, it is enough reason to get concerned. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my 2 year old is going for an op to remove a lump in his groin, dont know when as he seen the specolist last thursday but since then his hair has starting 2 fall out alot, went 2 the local doctors yesterday and said leave it for a month and if it gets worse bring him back! Me and my wife a so worrid as they dont know what the lump is or the reson why he is loesing alot of hair" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i am 45 yearss leady. i am a bp patient, i had my tmt two months back.my dr. told me that after two months again we will go for it. my doctor has told me that nothing is to worry. he has not prescribed any medicine also. now i am afraid ,sir does it mean that i am havin blockage in my heart.jarchana@" }, { "from": "gpt", "value": "Output: Hello, The general validity of a TMT is 12-18 months, so if you have done is just recently, and it was normal you may not repeat it, however your doctor would have planned a review if the last TMT was borderline, or your blood pressure may have shot up, or you were unable to walk to the desired level of activity. However, you need not worry about it as till now you haven't done a TMT, and the last was good according to the information provided . Even if your TMT comes positive there are still 30% change that the report is false positive. So don't take unnecessary stress of the future. Hoping I could help. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father (age 75) has mouth disease symptoms like purpule blue colour appreance in one side of toung and gingivitis and pain in chest , he cant able to eat any soild food. pls give me your valuble guidlines and treatment required for this ?" }, { "from": "gpt", "value": "Output: Hi Elumalai, How are your fathers general health? BP/diabetes/cardiac/renal problems? Visit an Oral medicine specialist ASAP to ascertain what the cause of his problems are. Once oral infection is cleared, he will be able to eat better. Meanwhile, use TATUM mouthwash/McCoppin ointment 20\\u00a0min before meals to prevent discomfort. Oral infection has been known to aggravate chest/heart problems so do not delay the Chat Doctor. Thanks & best wishes to your father" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: H I. i am 37 yo and i have had abdomanal pain in my right side for about three months now and the pain is really bad at night it wakes me up , it is like a bad stitch. i have my gallbladder removed about 10 mnths ago and i have a cycts on my left ovarie , my mother died from ovarian cancer and im a bit concerned" }, { "from": "gpt", "value": "Output: HI. When you are a diagnosed case of an ovarian cyst, this becomes the most probable reason in spite of the fact that you have pain on the right side of the abdomen and the ovarian cyst is on the left ovary. Other reasons of pain in right side like appendicitis, colitis, nephritis, lymph node mass, salpingitis and ovarian problem can be diagnosed on ultrasonography and be confirmed with CT scan. Once the probable diagnosis is made you can go for a diagnostic Laparoscopy and undergo definite surgery if need be, You can ask for the tumor marker tests since you have a history of cancer in the family." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: occasional blood spots in my urine, not on a daily basis. now I noted a back pain, it seems like to my left hip, I am feeling the pain when getting up from a sitting position and walking, I am not taking any pain meds, my only medication is Fosamax with Vit D once a week. Please help." }, { "from": "gpt", "value": "Output: Fullback pain and occasional blood in urine may be due to renal calculus, urinary tract infection etc. You need clinical correlation and investigations like routine hologram, renal function test, Urine RE/ME, Urine culture and sensitivity and Ultrasound of abdomen. Ultrasound is important, and it can exclude many possibilities. CT scan can be done if needed. Proper treatment depend upon findings. 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 have arthiristis in my hands which started about a year ago. My hands have gone from bad to worse as there and knots and pain. also in the last 6 months my hands swell to the point it feels like they separate from my arms and the way they feel as well it is like having balloms as hands instead of hands. it was and has been so bad in the mornings when i get up it is also very hard to use them. Now it is happening more though out the day as well. i also have Dystonia which has effected a lot of things as well as my hands for a while now. That was going on before the swelling which also caused a great deal of difficulty with my hands along the way. My speach is also effected to the point so many whom don t know me or have they meet me before believe i have been drinking and i am drunk. I don t drink. Thanks for any answers you can help me with. XXXX" }, { "from": "gpt", "value": "Output: Hello, Slurred speech is indicative of nervous system disorder (neuropathy). Other conditions can be brain injury, brain tumor, weakness of facial muscles or nerve damage, stoke, Multiple Sclerosis, etc. Since you have arthritis, follow your doctors prescription & treatment. Avoid sedentary life, stay active. Do exercise & take vitamin E supplements so that your joints stay lubricated. For slurring of speech you are suggested not to neglect but get clinically examined by a Neurologist & get Nerve conduction tests, blood tests, imaging tests & nerve biopsy if needed. Take vitamin B6, B12 rich food or supplements. Get treated at the earliest. 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: Hello, this is my question. I am a regular plasma donor at a facility here where I live. Every 4 months they take a blood sample to be sent off for a protein analysis, it usually takes 10 days to get the sample back. Normally I know when the sample will be taken so I take 10 days off from donating at all before and the sample always comes back fine (because I am older, 40, weight 153 and I guess donating lowers my protein levels). I have had 2 samples come back recently with a protein of 5.9 (needs to be 6.0 or higher) and I am wondering what it is I need to be doing/and or changing to ensure that my levels are in range. Also, how is this different from the screening test they do every time I go in to donate to test my microhemocrotit? I have been out of range a couple times recently on that and was told to eat iron-rich foods. I am now including an iron supplement with my daily vitamins. I would appreciate any help or advice you could give, I am frustrated. Thank you!" }, { "from": "gpt", "value": "Output: DEAR SIR/MADAME BLOOD PLASMA PROTEINS INCLUDE ALBUMIN AND GLOBULIN WHICH FUNCTIONS FOR MAINTAINING.1. MAINTAINING COLLOIDAL PRESSURE - BLOOD PRESSURE2. ANTIBODY PRODUCTION WHICH FIGHTS INFECTIONS - DETERMINE IMMUNITY3. ESSENTIAL FOR MAINTAINING RENAL PERFUSION WHICH HELPS IN CONCENTRATION OF URINE AND MAINTAINING URINE OUTPUT.THESE DEFICIENCIES ARE COMMON IN 1. ANEMIA WITH HYPOPROTIENEMIA2. INCREASED PROTEIN LOSS IN KIDNEYS DUE TO FUNCTIONAL KIDNEY DISEASESUPPLEMENTATION OF IRON WITH OTHER MICROBITCOINS MIGHT BE OF VERY LITTLE IMPORTANCE AS THE MAIN PROBLEM IS DEFICIENCY OF PROTIENYOUR VALUES ARE NOT TOO LOW AND ALSO WHEN YOU FREQUENTLY GIVE BLOOD DONATIONS THEN OBVIOUSLY IT VARIES.SO PROPER PROTEIN SUPPLEMENTATION WHICH IS OF ANIMAL ORIGIN LIKE EGG WHITE ARE RICH IN ALBUMIN WHICH RESTORES THE DEFICIENT LEVELS.EVEN VEGETABLE PROTEINS MIGHT BE OF SOME HELP. BUT I PREFER PROTEINS OF ANIMAL ORIGIN.THANKS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a skin rash that developed on my legs and now is on my arms and wrists, they can be very itchy, they look like red dots, my nuetrophilis is 9.9 my wbc is 12.4 hemoglobinn 115 and rdw is 15.1. could my blood work be a reason this is happening?" }, { "from": "gpt", "value": "Output: HIT hank for asking to ChatDoctorI appreciate your concern the rash that you are having is not because of the blood parameters, but this could be allergic rash that might have developed due to the hypersensitivity reaction, if I would be your doctor then I would treat this condition with the following medicine, 1) Tab Levocetrizine 10\\u00a0mg three times in day if the symptoms persistence or appears again then this is to be seen by the dermatologist, hope this information helps you, have a nice day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor,I had a small growth like in my thigh near anal part. It was first observed in year 2010 and was slightly increasing its size very slowly. But it was soft in nature. Now it is about 1.8 cms in diameter. Today suddenly I felt that it became slightly harder as if it is pressure filled. I have Piles. But no treatment has been taken till now. Is it dangerous that tonight itself should I visit the hospital. Advise please. I have high blood pressure also normally." }, { "from": "gpt", "value": "Output: Hi. This looks to be a prolapsed pile which has gone into thrombosis. No need to worry. Take some painkillers. Have site bath in warm water. It is a good idea to visit a hospital to see the blood pressure. If you have a history of high blood pressure you have to take a regular treatment under the care of a Physician so that if the surgery is required you can be for surgery. Also, you will be checked to see the lump and confirm a diagnosis." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is diffuse cerebral atrophy hair sir my child age 2 months and from last 1 week we consulted neurologist after ct scan told it was due to cerebral atrophy sequalae of perinatal ischemia can u explain what is cerebral atrophy can we cure it can my child normal again plz explain" }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorcerebral atrophy means decrease of brain size(fewer cells, neurons etc.). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have developed a dark rash in the creases of my genital area and it itches really bad. I thought it was dry skin, but even when I put coconut oil or Vaseline on it, it doesn t help. The skin also has dry white patches. I have not been sexually active in over 2 years and I noticed it happening when I shaved my genital area completely bald. Please help!!!" }, { "from": "gpt", "value": "Output: Hi, It seems that probably you may be having candida intertwine. Consult the dermatologist for the perfect diagnosis and proper treatment. It may be precipitated by perspiration, wetness and soap. Poor hygiene and poor immunity promote the diseases. Apply antifungal cream like Clotrimazole cream. Take the Ketoconazole tablet. Cleanse the area with diluted Detail liquid. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78." }, { "from": "gpt", "value": "Output: Hello, From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son has fallen in love with agirl whose brother suffers from choreia . Isn,t it dangerous for him to marry that lady? I mean the heridatery factor .IS IT POSSIBLE TO FIND OUT IT THROUH ANALYSES? DEAR doctor my son is 35 years old.he wants to mary agirl who has a slight problem in her right hand and also in speech. The thing is that the girl, brother suffers from vivid choreia on left side. What are we to expect if he really marries the girl?" }, { "from": "gpt", "value": "Output: DearWelcome to ChatDoctorWe understand your concerns went through your problem description. You have nothing to worry, I feel. Chorea is an abnormal involuntary movement disorder, and is a neurological disorder. It shows genetic affiliation only with Wilson's disease, a genetic disorder that leads to toxic levels of copper in the body. You can have the girl checked for that. But it is better to give them permission if they are already determined. You cannot foresee what is going to happen in the future and therefore, don't try to foresee their future. That can cause unnecessary anxiety. They know how to live their life. Please understand. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The night before last night I laid down on the floor and felt as if I had drank too much water. I then continued to go to bed, and once I laid down in bed, I noticed that my upper stomach (about and inch and a half above my bellybutton) was hurting. I then thought it might be indigestion, so I took tums. That didn t seem to help, and I couldn t fall asleep, so I took some advil, and that kind of helped. I was able to fall asleep. It did not wake me up at all in the night. I awoke to the same pain. This has lasted for almost two days now. This pain has also tended to move over to the right side of my stomach, just below my rib cage. I am wondering if this is appendicitis?" }, { "from": "gpt", "value": "Output: Here you have symptoms of pain in stomach from two days daily in night. The cause of this could be related to indigestion, acidity, or it can also be due to kidney stone as well appendicitis. I suggest visiting a doctor if it does not improve with anti acid and change with food habits and timing by keeping it proper as well healthy. Here doctor will ask you for ultrasound of abdomen after proper examination and I suggest going ahead for it for proper diagnosis and plan treatment as per that. Also keep your food habit regular and healthy. Have fruits also in diet. Keep doing daily morning and evening walking for 15-20 minutes. Do not have heavy dinner and keep dinner before 8" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir my son has got small pimple on right hand 5 days back now it has grown and become hard & red i checked with children specilist 2 days back he told it is a bite of some bee or ant but it has spread more i am worriying more YYYY@YYYY" }, { "from": "gpt", "value": "Output: Hello, Five days and it has gotten bigger, harder and red means the area has got some collection of blood with or without pus, and now it is getting infected. The swelling needs to be examined again which may require for the collection to be Chat Doctor. Ideally by now had it been a simple insect bite the size wouldn't be increasing or getting harder. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi sir, I m diagnosed with Pneumonitis right mid zone. I have cough and when I vomit a white liquid comes out. my chest also pains when I cough and trying to b breath in air. I have a past history of Bronchial Asthma. Is possible to be cure. I m under medication." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should first get done chest x-ray to rule out pneumonia. Because lung infection is very common in asthma patients. You are also having chest pain on coughing and breathing. This is known as pleurisy and pneumonia is the most common cause for pleurisy. So possibility of pneumonia is more. And pneumonia is infection, so it is definitely curable. You need broad spectrum antibiotics, antihistamines and anti-inflammatory Chat Doctor. Usual time for recovery is 1-2 weeks. So consult doctor and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter sears haven been pierced for 10+years. Today when she took one pair of earrings out her right ear hole for her earrings started to bleed but the other did not. What would cause it. She put another pair of earrings in her ears today and then tonight took them out and bleed again. We cleaned with wound cleaner and rubbing alcohol and then it stops. Very weird. Please advise any advice you may have." }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint bleeding from airhole can be due to infection in the area of ear-piercing while at times tightly packed earrings can lead to lack of air flow to the area of ear-piercing and can lead to inflammation and slight area of necrosis. I would suggest you to avoid wearing the earrings for a few days and clean the area with antiseptic solution and apply an antibiotic ointment over it. Cool compresses can also be relieving. You should wear earrings a bit loosely fastened so that air can flow easily. You should also wear gold or plastic earrings as they are inert materials and will not cause allergic reaction. Hope this information helps. Thanks and regards. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: All night last night I kept waking up to upper abdominal pain. I felt like I needed to burp or get sick. I vomited a few times but havent since. Nothing seems to make it better or worse. Ill be fine for a little bit then all of a sudden my stomach starts to hurt again. its causing my back to hurt right behind the abdominal pain. Any idea?" }, { "from": "gpt", "value": "Output: Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen and back along with a general physical examination, I would advise you for some routine blood tests like a CBC, blood sugar, serum amylase and lipase, an LFT, blood urea, serum creatinine, an ECG and some radiological investigation like an ultrasound of whole abdomen, X-ray chest and abdomen in upright posture, followed by a CT scan if need be. In the meanwhile, I would relieve your pain with some anti-spasmodic and a proton pump inhibitor Chat Doctor. Further management would depend on the result of clinical assessment and the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 4 year daughter stated she hit her head on the floor. I didnt see it but she has been complaining of a headache. Last night I gave her motrin and she went to bed. This morning she was ok but now she is complaining again and now she is sleeping (nap) which she NEVER does. Should I be worried?" }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. In case of trauma to head of child if their loss of consciousness, seizures, mouth or nose bleed or persistent vomiting, then there are chances of internal bleed or fracture. If these things are not present, then chances of internal bleeding are minimal. Pain at site of trauma may persist for few days. An examination by neurosurgeon is a must. I hope this will help you. Wishing your child 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 woke up last night with my heart racing. I was breathing slowly to calm my heart, but it kepts pumping extremely quickly. My depth perception is off and earlier my vision was blurry. I was shaking through all of this. Dad says its an anxiety attack." }, { "from": "gpt", "value": "Output: Hello, This can be anxiety attack but will not wake you up from the sleep, I am keeping it lower down. This can be arrhythmia like PSV or atrial fibrillation, where your heart rate suddenly goes up and BP falls. These are episodic tachycardia and your ECG may be normal if you are not having tachycardia during ECG. You will need evaluation like thyroid test and holder monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for this investigation. Also, to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr., my name is Amber I was wondering if i should go to the emergency room or not could you please help me? I was at work and I felt a little cold so I went to my car to grab a sweatshirt and i tripped while my car door was open and tried to catch my fall and hit the corner of my left eye between my brow bone and eye... it s swollen so i have just been keeping ice on it but should i be worried i can see fine no black outs just really swollen... please help me thank you, Amber" }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorI have gone through you your query regarding swelling in the corner of left eye due to hitting. Dear Amber, as far as you're hitting your eye and swelling is concerned it is a matter of concern. Swelling is natural when you get hurt and goes after sometime. You can apply little hot pad on the affected part ad apply a Chat Doctor. You can see well so you need not worry. If you wish you can take advice from your doctor. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a smallish red spot on the right top edge of my penis head, as well as a blotchy red area on the dorsal side of the shaft, in the top area where I was circumcised. The spots/blotches are painless, do not itchy, and might be very slightly raised, but not very noticeably so. I currently am in a committed relationship and we do not use condoms, but neither of us have ever experienced any problems or concerns regarding STDs. I assume it is some kind of friction irritation, but am concerned it is something more serious." }, { "from": "gpt", "value": "Output: HiT hank you for asking Chat Doctor. I have gone through your query. Pain less spots can be STD like syphilis also. In such case dark field microscopy of swab from lesion helps to identify. A visual examination by a dermatovenerologist also helps. If it is that then antibiotics like doxycycline for 7 days will be helpful. If that is clear then ointments witChatDoctorbination of antifungal like fluconazole, antibacterial like Aureomycin and corticosteroid like dexamethasone will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear sir my sister is suffered from fistula in ano from last 6 month..Two operations completed..And last operation was completed through radio surgury.. but sir pus is still discharging..dear sir we r in very tension please suggest whatever is posible.thanks-PANKAJ DUBEY" }, { "from": "gpt", "value": "Output: Hello, very pleased to hear from you about the fistula of your sister. Fistula is very notorious in recurrence. If it recurred it is very difficult to operate again. It is recurred even after doing with radio surgery. I am afraid that it will recur again and again. If I am your treating Doctor I advised You to take proper and hygienic care of your sister. That is the only way you can prevent the recurrence. THX" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my grandson 23 was in a car accident and suffered a concussion . He was in the hospital for an hour and sent home to be watched for 3 days. Two days later he set fire to his room and tried to kill himself. He is now in the hospital lock up room and hears voices. No alcohol or drugs in his system at either time. He has been depressed before all this happened and won t tell his parents why. Are the voices and attempted suicide from the accident alone?" }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor. Thanks for your question... Since you say that he had been depressed even before the accident, it is more likely that his current psychiatric symptoms are related to the depression. When depression becomes severe, psychotic symptoms can appear (like hearing voices, false beliefs, etc.) Moreover, since he was well enough to be sent home after the accident, it is unlikely that he would have suffered from any significant brain damage. Depression can be caused due to neurochemical imbalances in the brain and need not be stress related always. So, it is not surprising that he did not reveal anything to his parents. With appropriate medication and close follow up he should be able to come out of his depression. Best wishes,-" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosed with hsv type 1 Sept 6th had my first outbreak and it cleared up. Today I have a rash all over outside of my vaginal lip only in the hair area but its all over and itchy like crazy. This is nothing like my outbreak a few weeks ago. I dont have insurance but is this worth an er visit?" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, As you had an outbreak of HSV 1 infection previously which is known to affect the area around the mouth. As you are having itching around the genital region, there are many conditions which can lead to this problem and one of the cause may be HSV 2, but it should be confirmed by physical examination by your doctor. I would suggest you to undergo physical examinations before you take any medications. 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 recently had a blood tests and have been given a score of 110 for my Gamma GT, I do not drink alcohol and am not on any medications. What else could have caused this? I am now being told that I will have to have a liver scan which is worrying for me." }, { "from": "gpt", "value": "Output: Welcome at Chat Doctor... I have gone through your query and being your doctor I completely understand your health concerns... What is your age? Have you tested for gamma GT before? Are the level increasing? Raised level of this enzyme signifies that something wrong with the liver excretory function In my opinion you should Get your complete liver functions tests done. Also, you should be screened for viral liver infections along with metabolic liver diseases too. It would be better to get your liver ultrasound for the liver texture. So meet hepatologist for proper workup so that appropriate management can be started in time. Hope your query is adequately answered... Stay safe Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosed with bursitis, wore a temporary cast, advised to wear special boot. Took a painkiller for a few weeks. Pain has increased beyond toleration affecting my work and home life . I am pretty tolerant to pain but it has now become difficult to function as I endure 17 hour days. Please advise... I stretch before rising, administer ice packs, cortisone cocktails dull pain for only a few days. I lay in bed with pillow propped under foot, I tried Yoga meditation, I take aspirin daily against my beliefs to medicate myself . I experience soreness in my calf as well... Nancy M." }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor, Bursitis is inflammation of a bursa. It may be a Trochanteric bursitis frequently causes tenderness of the outer hip and Social bursitis which can cause dull pain in the upper buttock area. The noninfectious bursitis is treated by rest, ice, and medications for inflammation and pain. Infectious bursitis can be treated with antibiotics, aspiration, and surgery. Steroid injection of corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededOnce the pain is down do stretch of hamstrings muscle and performs muscle. The stretches to be done 5 times for the hold of 10 counts 2 times a day. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello sir, i don t know english well so forgive my grammer mistakes. well, actually the problem that the docter prefer some tablets to my mom for some venter problems , after taking the medicine my mom feeling, like something burning in her trachea.please sir if you describe the problem we be very thankfull to you." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. In my opinion your mother is having burning pain in middle of the chest due to HERD (Castro Esophageal Reflux Disease). Many antibiotics and painkiller Chat Doctor. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do?" }, { "from": "gpt", "value": "Output: Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography. If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my names Will, im 14 years old and ive found a white sort of spot attached to my scrotum, this morning it was rubbing and began to bleed to i put a small plaster on to stop the discomfort. I havent a clue what it is and havent taken the plaster off since. What is it?" }, { "from": "gpt", "value": "Output: Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots. These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. 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: Hello Doctor,My Father who was alcoholic and is of 49yrs old is in hospital, He is undergoing liver treatment with below conditions" }, { "from": "gpt", "value": "Output: Hi, Thanks for your question. After going through your question in your fathers' case there is likely possibility of Alcoholic Liver Disease, though other short term illnesses can lead to similar finding. For better opinion I want to know-1) Duration of taking alcohol.2) Pattern and amount of taking alcohol.3) Presence of any other diseases and treatment for it.4) Current symptom for which admitted to hospital. I would like to advise following tests-1) Complete blood count.2) Liver function test.3) Kidney function test.4) Urine examination.5) Ultrasonography of abdomen.6) In case of fever Tests for malaria, dengue or any other infections if clinically indicated. Depending upon his detailed clinical examination and test reports it is possible to comment whether liver damage is permanent or reversible, and also appropriate diagnosis can be made and treatment can be planned. In general for recovery from liver disorder or to prevent further damage to liver -1) He has to stop taking alcohol in any form permanently.2) Avoid taking oily, fatty food till recovery.3) Taking food containing high carboy 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 uncle is suffering from stomach cancer .right now his check-up going on tata memorial hospital mumbai.there doctor told me first he give the kemo therapy and after that he operate my uncle. so my father is think before operate we consult 2 more doctor.so kindly suggest me 2 best doctor name & where i meet him/her.one favor me also suggest me best kemo therapy doctor in mumbai. thanks" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Every cancer patient is different and accurate staging is to be done before giving treatment. Tata memorial hospital Mumbai is a research center, and they might have accurately done staging for your uncle. I guess the doctors want to shrink the tumor with chemotherapy and then proceed with surgery. The benefit in this situation is that the surgery is easy and there are better chances of survival. In many cancer hospitals the same protocol is used, and you might take another opinion at any well known cancer center. There is Kiddie memorial institute of oncology in Bangalore and cancer research center in Chennai and driven Chat Doctor. Your uncle might take opinions at these centers before going for surgery. There is no single best doctor when we consider cancer treatment. It is an evolving field of medicine and I refer my patients to Tata memorial hospital because their set-up is organized and regularly new treatment options are reviewed for research purposes. 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: Daughter age 12 diagnosed with slight bronchitis and sinus infection. Doc gave her antibiotic and cough syrup. She is suppose to play in a basketball tournament tomorrow at 10" }, { "from": "gpt", "value": "Output: Hello, It depends largely on how she is feeling. However, if her doctor, who saw her in person for an exam and listened to her lungs, recommended for her to not play basketball, then I would follow that, as he or she has first-hand knowledge of how her health is. If you feel she is much better now, you can call her doctor to clear it with him or her. 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 get very bad headaches with certain smells. Mostly red onions. I work with a culture of people who don t want to take me seriously when I ask them to omit bringing onions to the office. I can eat them ok if they are cooked well but the smell causes headache and tightened throat and chest. How can I make them understand that this is hurtful when they do it." }, { "from": "gpt", "value": "Output: HI, thanks for using Chat Doctor It may be difficult to change the diet of other persons. You may want to print out information on headache triggers to show that your issue is a real and documented one. If possible, you may need to evacuate the area when these foods are brought in. Your doctor would be able to give you medication to help relieve your discomfort, you can keep it with you. 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 42 years old and my BP was 112/177 and I visited the doctor 30 days back. He examined my ECG and found no fault in it. Then, he suggested me to talk Nebicard SM tablet one per day in the night and revisit after 15 days. I did the same, in my second visit Doctor said your bp is 84/140 and continue the same tablet. Is it right? Can I continue to take the same tablets? ANy side effects?" }, { "from": "gpt", "value": "Output: Hello, Your doctor has prescribed the right medication for you. You can compare the result of your BP before 2 weeks and after 2 weeks. Generally, it may take 2 weeks to know the benefits of BP medications in blood pressure readings. Therefore, I suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins). 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: Sir, can you tell me why I feel this tightness, discomfort and bulging at the front side of my upper stomach just below ribs in the centre? It is related to alcohol, but the feeling is after the intoxication is gone, while Im not drunk. It feels very hot when I touch that area and my breath is hot too. Before at rare occasions when too over-drunk I noticed bit of blood in my stool and today I threw up all that I drank and noticed it is mixed with blood, dark red. Could you please advice me." }, { "from": "gpt", "value": "Output: Hi. Thanks for your query. Read the history and understood the problems. You have a tightness, discomfort, bulging upper abdomen just below the ribs; increased feeling after the intoxication is gone, feels hot when touched and the breath too is hot. Have history of blood in the stool and vomit. The most probable causes are" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have an 8 yr old Am. Pitbull Terrier w/severe allergies. We give him Benedryl & occasionally Sudafed. He s never had any side effects. Today he has two large lumps, one on each side of his windpipe. His breathing sounds a bit labored as well but he s not outta breath or gasping. Thoughts? Thnx, Denise" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand child s situation and problem. Your child is having bilateral enlarged cervical lymphadenopathy. And most common cause for this is upper respiratory tract infection (URI). He is also having severe allergies. This can also lead to URI. So he needs antibiotics, antihistamines and anti-inflammatory Chat Doctor. Ask him to do warm water gargles 5-6 times a day. Ask him to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir, i get marry just 5 months ago. my wife took unwanted 72 for birth control . but she got lot of problems like weight loss , headache , body pain, tiredness, n feeling too weakness. and her periods are irregular for one n half months, i mean she did not get periods for 1and half month. last time when she got periods, there were blood cloud from her vagina during periods. m worry due to this. and her body skin is going down and becoming dark. so how her body and face get the previous freshness and glowing face? what should be the diets in her meal and daily routine. plz suggest sir....." }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. Usage of one emergency contraceptive pill may not lead to all these problems. She may be having some underlying hormonal problem. So once consult gynecologist, get examined. If she recommends go for ultrasound and hormonal profile once. By this the possible cause of her problem can be made out and treatment can be given. She can take nutritious diet including fruits, vegetables, cereals, eggs, milk, fish, meat etc. Taking small quantities of food at frequent intervals is beneficial. For more details you can ask me directly through the premium forum. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 44 years old female.I experienced this 2nd time in 2 weeks that when I do my grocery shopping and i lift some thing too heavy I started pain in my chest n I become short of breath.it gives me dizziness and bit like num feelings in head.I feel very weak.I have to lay down for at least 15/20 minutes.is it some thing serious?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having symptoms on strenuous work. And you're all symptoms like chest pain, breathlessness, giddiness, dizziness etc. on strenuous work are seen commonly in cardiac disease. So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out respiratory cause for your symptoms. If this is also normal than got done CBC (Complete Blood Count) to rule out anemia as anemia can also cause similar symptoms." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear doctor, i fell over the other day and landed on all 4s. I grazed my right knee quite badly and a bruise has now developed on my knee around the cut. Since the day after my fall, on standing i get a throbbing in my right knee and it is quite bad and has got worse over the last few days. Its also not too bad on walking, just when standing still. Just want to know if i should go to a doctor or wether it should resolve by itself" }, { "from": "gpt", "value": "Output: Hello welcome to ChatDoctorI am happy to help you outaccroding to your history and description of wound, I feel it's not very severe injury. If such patient comes to my clinic then I would examine knee joint for possible grave injury like ligament tear, fracture then according to finding would suggest further investigations like X-ray and prescribe some analgesic till investigation and educate him about wound Chat Doctor. Such pain may last for 7-15 days but if pain persist then I would suggest you to consult your nearby doctor for proper evaluation and treatment. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For several weeks I have had left hip pain that increases with sitting. I have abdominal pain in the pelvic region as well. Sometimes I have to use a cane to walk. The pain is in my left leg to my foot sometimes and the entire side becomes stiff sometimes. I can often walk it out but I have to be careful bending, lifting, sitting, or squatting. I have had a total hysterectomy over a year ago." }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this severe pain in the left hip joint, This includes. 1 Pinched nerve (sciatica) , diagnosis can be confirmed by C T scan and X-ray of lumbar sacrum region. As you mentioned that there is severe pain radiating to leg, foot, as all these symptoms are an indication of sciatica nerve involvement (pinched)2 Degeneration of head of femur. Diagnosis can be confirmed by C T scan & X-ray of head of femur.3 Osteoporosis, diagnosis can be confirmed by blood examination and bone density test.4 Osteoarthritis, diagnosis can be confirmed by C B C and E SR. Hysterectomy have not any role in this pain. In my opinion consult an orthopedic surgeon and get his opinion. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 46 years old and looking for a solution to a life long problem I have with purple mottled legs this condition gets worse when it is cold. I also have a problem with Reynauds disease. is there any herbal remadies I can take? is it an auto immune disorder? Is is connective tissue illness and if so what do i take. i suffered from recurrent miscarriages betweeen my two children." }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor, A history of purple mottled legs and worsening of condition when exposed to cold is suggestive of Reynolds disease. Raynauds disease is an autoimmune disease and is treated with steroids. The disease runs a chronic course with waxing and waning course. Steroids have to be taken as the disease flares up or relapses. Episodes have to be controlled with Chat Doctor. The effect of herbal medications is questionable. You need to stay in contact with your rheumatologist. The recurrent miscarriages appear to be unrelated to the Reynolds disease. Thanks and take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been married since 7yrs n no baby yet..m suffering from PCOD n weight is 95kg.I have went to so many many doctors all r saying reduce ur weight first, bcoz of which I be depressed most of the time .. I tried so many medicines,diets,excercises but no result..Now my new doc has said tht IUI will work for me..I require guidance please help." }, { "from": "gpt", "value": "Output: Hi, Thanks for the query. Weight reduction means, there is no need of Chat Doctor. Reduction of 1 to 2 kg scan also help in regularization of the cycles. Then you can gradually decrease the weight. To do GUI also, you have to ovulate. In GUI during the time of ovulation, your husbands' semen will be injected into your uterus. So for that also ovulation is needed. If your doctor suggests you can go for ovulation induction. Then plan for follicular study to track the ovulation. And you can plan GUI at that time with your doctors' advice. 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 Name is Stephanie. I was biten by a copperhead snake on 7-6-14 around 10pm. I was taken to the ER and givin 4 viles of antivenom. I stayed in the hospital until 7-10-14. So I ve been home 5 days and the swelling has not gone done, it itches and sore to the touch. Should i go have it looked at now or wait." }, { "from": "gpt", "value": "Output: Hello, Thanks for your query. I am happy to help you here. Today is 22nd of July. If you have swelling till today, then it's better to have a follow-up. Usually snakes are non poisonous. But if snakes are poisonous usually its either cardio toxic or neurotoxic & sometimes both. Swelling doe snot confirms that the snake was toxic, but it needs attention further. Although it's rare that toxin will show its action after 15 days but until the swelling subsides u need to be kept on watch. 4 views of antivenom may not be sufficient if knowledgeable symptoms appear, & if no symptoms appear, you may not need anti venom at all, but for that you should be kept in watch for at least three days. Even if just swelling appears its considered safe to administer antivenom, some patient body react to antivenom and can't be continued further. I don't think you are in trouble of having activation of toxin but still you should keep watch on yourself for following things until the swelling subsides.1) If either or both eyelids starts Chat Doctor. 2) or if you develop numbness (decrease/loss of sensation on touch.) 3)Any kind of unnatural bleeding from nose or in stool etc. If any of above complaints develop then It's must revisit ER. At the time being I recommend you to take antibiotics and anti-inflammatory medication to prevent infection, decrease itching and to decrease the swelling. For now, I suggest you to either have a follow-up or you can take some medications as bellow. Chymoral forte once died before food for 1 wk (it will help to decrease swelling)Tab Exocet 5\\u00a0mg 1 at night before sleep for 3 days (to decrease itching)Tab metronidazole 400\\u00a0mg thrice daily for 5 days. Tab definite 200\\u00a0mg twice daily for 3 days. I hope my talk would be helpful. Will be happy to help you father. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had a Cbc blood test last week and my white blood cells value is 3.49 which is low, platelet count was 139 , neutrophils 37.6 low, monocytes 14.0 high, eosinophils 5.7 high, basophils 2.6 high and absolute neutrophils 1.31 low... Also creating and bun elevate..... Worried this is something serious... Referred to a hematologist.. What tests will they order?" }, { "from": "gpt", "value": "Output: Your white blood cell count is slightly low (4.00-is lower limit of normal range for an adult). Your platelet counts are almost normal - so nothing to worry about your platelets. 14% monocytes are on higher side though. I would suggest a repeat Complete blood count (CBC) WITH PERIPHERAL SMEAR EXAMINATION. This test would highlight any problems in your blood profile. You have not mentioned your BUN and creatinine values ? Do you have any previous kidney disease ?" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a broken blood vessel in my arm i know this cause I looked up pictures to find out what was on my arm. It is about 1 inch by about 1/4 of an inch big and it is slightly raised and there is a kind of a cold/dull ache and almost numb sensation. should i be worried" }, { "from": "gpt", "value": "Output: Hello, I have studied your case and I do not think that you can have a broken blood vessel in your arm. You may be having hematoma due to collection of blood in skin or subcutaneous tissue. You need to apply hot water fomentation, compression bandage and take govern tablet twice daily. If there is no decrease in size of the swelling then you can get a physician opinion. But I can assure you that it is not a broken vessel." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a cheerleader so I am flexible and do many different stretches and flexibility training daily, so today during a tryout I went into my right splits and heard three very loud pops and then very bad pain! I continued with my tryout which had several different jumps and kicks and with each I felt even more pain and now I am feeling constant pain on minimal movements. What could be going on?" }, { "from": "gpt", "value": "Output: Hi... As per your narration you had injured your muscle...there could be snapping of muscle over the bone or could be a partial tear in the muscle. Nothing to worry. If I were you... I would wait for a while and.... Apply lot if ice in the injured area... frequently for every 2 hours once for 15mins... No stretching to the injured area for next 48 hours...Don't load for next couple of days. Support the injured area witChatDoctorpression bandage... Once movements becomes pain-free then do strengthening exercises for gluteus and then slowly and progressively load the injured area...like moving your leg from out to inside...etc Hope this is helpful for you... Kindly revert.in case you need any further help in this regard..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 6 year old daughters pediatrician is sending us to an endocrinologist for Clatorial Hypertrophy. When looking up research on this I am not finding to much to explain what it is or how serious it is. I would like to know what it means without all the medical terms getting in the way of understanding it." }, { "from": "gpt", "value": "Output: Hi, Welcome to Chat Doctor, Clitoris is a part of female genitals which is a regressed meaning shrunken form of male penis ( male sexual organ). Its normally seen as a small bud like thing in the upper part of female vagina. In some abnormal situation, it enlarges(hypertrophy) and looks very prominent then it's called clitoral hypertrophy. Your doctor did right by asking for endocrine consult because there can be a lot of reasons for it, and she needs a detail evaluation. Hope that clarifies your doubt as of now. Happy to help further. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my 4yr old was awake all night with a temp it has gone down since last night.but he seems very dosey + is complaning of a sore troat and stomach pains.2 nights ago he had a bit of a temp again went down with calpol but was complaning about his teeth what could be wrong with him in your opinion any help would be greatly appreciated." }, { "from": "gpt", "value": "Output: Hi, Look all these are symptoms suggesting of infection. He might be having Pharyngitis/Tonsillitis? You can do the following things" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have sinusitis I m taking steroids and anitbiotic. A week prior to me starting medication I have a rash purple not spotty but in and area not itchy on inside of my thigh by my knees and just noticed on my butt also it mirrors each other bith legs both sides of my butt . My blood pressure is also elevated 140/100 I am going to get checked tomorrow but I can t see a dermatologist until Monday . I tried anti fungal cream very slight difference . I would think the steroids would take it away ." }, { "from": "gpt", "value": "Output: According to your history might be you are suffering with frictional dermatitis. This type of dermatitis seen in atomic person or u have Tina infection. Confirm diagnosis can be done after seeing the lesion. Bilateral lesion on both legs n butt favor toward the dermatitis. But if u took steroid for long time Tina infection may be.You are not mentioning the duration of treatment. Soon start steroid self, first done skin scraping for KOH mount confirm the diagnosis the o ahead under supervision of dermatologist. Idont think it is related to your BLD pressure." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dr. im from nkmkab and I want to know abut PARATYPHI BH 1" }, { "from": "gpt", "value": "Output: Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that paratyphoid fever is caused by Salmonella paratyphoid B. It causes a fever same as that of typhoid fever but are readily treated as compared to typhoid fever. Your title is 1" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera" }, { "from": "gpt", "value": "Output: Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went into the hospital 3 weeks ago with gallstones and they had to put me on a potassium drip for 4 days to get my potassium levels back up. (6 bags total) My liver enzymes and heart enzymes were high but I tested negative for every test they gave me including all hepatitis. Now, it has dropped again, what could be causing it to drop?" }, { "from": "gpt", "value": "Output: Hi, welcome to Chat Doctor. Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to help." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise." }, { "from": "gpt", "value": "Output: Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement. Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor. You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling. Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Okay. I am 68, Type 2 diabetes, overweight. Have been having a lot of phlegm in my throat in the mornings for a couple of years. Over the last couple of months, I have also developed a productive caugh with upper left chest pain that is noticeable, but not severe and usually is relieved whenever I cough up sufficient phlegm. What gives?" }, { "from": "gpt", "value": "Output: Hi welcome to the Chat Doctor Your main problem is excess cough... I need to know following details... 1. Do you have fever? 2.are you having chest pain and dyspnea complaint?? 3.smoking history?? It might be allergic cough, chronic infection induce cough, bronchitis, bronchiectasis etc... As far as approach is considered work up done as follows... -Above history asked first -Auscultation -Chest x-ray -CBC -if needed spirometry and sputum cytology examination According to cause I can give further comment on treatment Take care Hope your concern solved Consult pulmonologist for examination and discuss all these with him" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am having sinusitis from last 2 months. i had antibiotics for a month... still not recovered . Now i have started taking septilin and nasollerin as per the doctors prescription. how long should i take to get actual results age" }, { "from": "gpt", "value": "Output: Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is wrong with me... Im tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, Im cranky and moody and I feel like I move in slow motion. People just say to get over it but I cant." }, { "from": "gpt", "value": "Output: His understand your concern. Sudden change in weight indicate metabolic changes. We have to rule out certain cause like diabetes, thyroid etc. Require certain basic investigation and proper chart of body mass index. Consult physician and do all reports. After reaching paper because we will be able to do treatment properly. Dietary control. Avoid fatty and junk foods. Follow proper diet plan from dieticians. Exercise and walking regularly. Thank you. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Thanks a lotFew weeks back i got a mild pain on my left lower abdomenton consulting the doctor, i was told that there may be a possibility of a small stonewhich could be treated with consumption of water to 3 lts per day (min)i did follow itand now i do not have a painbut out of curosity i did take an ultrasound on my abdomentthe doctor happened to find that on my lower abdomen, there are 2 small stonesand its not obstructing as suchdo i need to undergo treatement from a urologist?or consumption of water will help to resolve this problem?Please advise" }, { "from": "gpt", "value": "Output: HelloYour findings suggests two small non obstructing calculus in left kidney. Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. Small calculus may pass spontaneously with adequate HY Chat Doctor. Initially you may need syrup like sodium and potassium citrate. You are rightly taking plenty of water. You may also need routine hologram, random blood sugar, urine RE/ME. Since size of calculus are small in your case, it is likely to be flushed out with HY" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi!!! my age is 23(Unmarried) i m facing irregular periods from the day of my maturity. i have consulted doctor they adviced me to take CYCLOREG.. from past one year if i would not consume tablet also my periods were regular. but, again now from past two months it is the same. so can u please suggest me weather this leads to infertility?? consuming tablet is good or bad?" }, { "from": "gpt", "value": "Output: Irregular periods mean you are suffering from poly cystic ovarian disease or pod. Cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. The effect of the medicine can continue for some time even after discontinuation. In the longer run people with pod have problems conceiving and should plan an early pregnancy. Cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. Sadly, this is the only treatment for pod. Diet control and weight loss can help relieve the symptoms of pod." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my sister has been battling cancer. First she had cervical cancer. She had radiation and surgery and was in the clear. months later the cancer had metastisized into 3 masses in her lower body near the site of the original tumor. chemotherapy has proven ineffective. the doctors have basically said there is nothing they can do. they have stopped chemo and now have her on a drug to stop blood flow to the tumors to help prolong her life. I have read that thioredoxin protects the cancer cells from chemotherapy and radiation. I have also read some publications about thioredoxin reductase as a cancer treatment. do you have any information on this subject and can you suggest any clinics specializing in thioredoxin reductase. I have also read there is a link to the gene p53 as a tumor suppressor." }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. Research shows that redox-sensitive signaling factors such as thioredoxin reductase-1 (TR) and thioredoxin (TRX) may represent central pro-survival factors that would allow tumor cells to evade the damaging and potentially cytotoxic effects of endogenous and exogenous agents that induce oxidative stress. There have been clinical trials which have shown that thioredoxin reductase inhibitors like arsenic trioxide might have role in treatment of cancer. It is important to know your location so that we might suggest you a hospital where this treatment is provided. Please contact your national cancer network as they might have 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: Hi there, i have a lump on the back of my neck, i frequently get headaches, and often these headaches are accompanied by nose bleeds, the headaches can last whole days and im getting worried, im 20 years old, medium height, weigh 65 kg and im male, please help me cheers" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. It needs examination first. You may have some lymph node enlargement, cystic lesion or soft tissue tumor. After examination if necessary go for fine needle aspiration cytology and 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: hey my name is aya, i live in the states, i have more than a question, my mother had been having frequent heart pulpitations from time to time and she started to high blood sugar since my grandfather died, she had been under medication for 9 months now for her blood sugar but she stopped it because it became normal and 2 days ago she started to have high blood sugar like its level is 210 which is high for her, so what can she do ? and what does it mean to have frequent pulpitations?" }, { "from": "gpt", "value": "Output: Hello, I understand your concern and would explain that the palpitations could be related to possible cardiac arrhythmia. For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). Regarding her glucose levels, she may have diabetes. For this reason, I would recommend performing HbA1C levels to check for diabetes. In case it is elevated, consulting with an endocrinologist is necessary. 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: Just 2 days ago I found a lump under my 1 about to be 2 year old and it got me really worried. I was wondering if i should be concern and get it lloked at?...she has a couple small lumps on her head also (the side of her head)." }, { "from": "gpt", "value": "Output: Hello, Thanks for the query, Probably you are suffering from lipoma. Your description matches with it. It is a benign collection of fat.Don't worry it is not a serious thing. The only possible treatment is surgical removal, Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi iam 21years age now, not yet married.daily in sleeping my sperm is coming out,it is happening every day.is there any problem if it comes out daily ?and is there any problem in future with my partner in having a child ? will my sperm reduse by that time ? please give clear solution every day iam worrying abot it." }, { "from": "gpt", "value": "Output: HiT hank you for asking ChatDoctorI have gone through your query. It is normal to have ejaculation while sleeping if you don't masturbate. You don't need to worry about that. You can have regular exercise like swimming jogging etc. which may help you in decreasing those episodes. That doesn't cause any impact on your future fertility or libido. Hope this may help you. Let me know if you have any further query." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, i am a girl 14 years of age. 2 days ago i had my first panic attack. i went to my family doctor but she didnt help much. my mother often has panic attacks and she has recently been diognosed with bipoloar disorder. i went back to school today and it seemed like everything that got me upset or just generally got to me was gonna start another panic attack.. any help or advice???" }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. The symptom that you are experiencing now, that is, a fear or a feeling that you may get another panic attack is called anticipatory anxiety and this is common in persons who have had previous panic attacks. Since these symptoms seem to be distressing you, I would suggest that you seek professional help. Please talk to your parents or your school counselor, so that they can arrange for you to see a psychiatrist. Wish you all the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I keep having intermittent twinges in my chest the last few weeks. Under lots of stress. I have a referral to a cardiac specialist, but Im trying to decide whether to go urgent care today. the twinge was there when I woke up this afternoon (slept late) but is gone now." }, { "from": "gpt", "value": "Output: Hi and thank you for asking! I read your query very carefully. You are having chest discomfort (twinges on your chest) for a few weeks now, which may be a sign for new onset chest angina. New onset angina may be a warning sign for future cardiovascular events including heart attack. This is why its essential that you contact a cardiologist for further examinations. You shouldn't wait for the cardiologist appointment and go to ER if your symptoms increase in intensity or become more frequent (signs that the things are getting worse).Otherwise, you should wait for cardiologist appointment. Meantime, wish you health!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been feeling really tired the past 8 months. I was under a lot of stress and just assumed it to be that. As times gone on Ive noticed some other symptoms. my ankles get a little swollen at work (Im not extremely over wieght or anything). My lower back started hurting. Ive also noticed over the past three months that I go to the bathroom a lot more and my urins been really clear. More recently Ive been feeling light-headed and unable to focus. I keep trying to tell myself its just stress and for the most part Ive ingnored it, Im just a little concerned because none of the symptoms have gone away." }, { "from": "gpt", "value": "Output: Dear patient Considering your case possibility can be 1. Anxiety 2. Diabetes Mellitus. I would like to advise blood testing for fasting and postprandial blood sugar levels. Get it done from reputed laboratory. If reports are normal diagnosis is anxiety disorder. If reports are showing high sugar levels its diabetes Mellitus. For DM YOU NEED TO consult diabetiologist. If you are having excessive stress and anxiety in life try meditation and yoga which are very helpful. All the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m a 5 10 female, 25 years old, 122 pounds. I have been feeling a dull and often pinching pain on my right lower abdomen. It presents a small bulge, that I can t push in. Went to 4 surgeons and they don t think its a hernia, but from a bike fall that I had 6 months ago (I did 3 MRIs and 3 ultra sounds, and nothing showed). It really hurts when I am sitting for too long, and I feel discomfort like something is pressuring my abdominal wall. Please help." }, { "from": "gpt", "value": "Output: Hi, thanks for posting your concern in the Chat Doctor. As you have already been examined clinically and a thorough imaging was performed, my understanding is you may not have any visceral problem. Your doctors have also ruled out body wall defect like hernia.in some cases, fibromyalgia may produce similar symptoms in the absence of an organic disease. Therefore, you should also consult a psychiatrist to evaluate for fibromyalgia. You should also be clinically examined by a second doctor (should be a general surgeon) to rule out any abnormality. For any further information, please write back to me directly or tag me in your question." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 6 year old son has been ill for over a week now with headaches, and lumps on the back of his head. Been to A&E and was told it was swollen glands and was given calpol. A few days later he was still very poorly and lumps had got bigger. Went to my GP who said it is a scalp infection and gave antibiotics and antihistamine. Finished course of medicine and lumps are still present and sore! What do i do next!!?" }, { "from": "gpt", "value": "Output: HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from-Boil with lymphadenitis, with resolved nodes after antibiotics. Remaining lumps indicates Chronic Amenities with fibrotic changes in it. Reason of antibiotics not giving regression of these lumps is due to the accompanied Chronic fur uncle- lumps with its lymphadenitis.FNAC biopsy / or Excision Biopsy / or CT study -of the persistent lumps, would give the exact cause of these persistent/ non-regressive lumps. Other causes like infectious mono, or viral lymphadenitis/or TB lymphadenitis/ NHL/HL lymphoma-needs to be ruled out. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 30 yr old female that has been experiencing an irregular heart beat brought on by possible stress of starting a new position at work. Ever since I atarted it my heart has had random episodes of quick beats to where it feels like two at a time .. Its noticeable and im wondering whats wrong. No change if anything other than my job." }, { "from": "gpt", "value": "Output: Hi, two beats which you feel in succession may be because of extra beats, the change in job and early anxiety about fitting in new place may increase the stress hormones like a Chat Doctor. Both the situation is completely benign and just some relaxation techniques would help. If it's too troublesome a 24 hour holder would be the best test to evaluate the same or and EKG during the episode. Also, for your age rule out thyroid as the cause if associated symptoms are present. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Can hyperinflated lungs be normal? I got my x-ray result" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. If you are not having any symptoms (cough, breathlessness, chest pain) then no need to worry about hyperinflated lung field on chest x-ray. If chest x-ray is taken after deep inspiration then hyperinflated lung field can be seen on the chest x-ray. COPD diagnosis is not only on the basis of chest x-ray. PUT (Pulmonary Function Test) is needed for diagnosis of COPD. If you have any doubt then get done PFT.PFT is normal then no need to worry about COPD and you can also work in nursing home. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have a 7 year old who has had a fever at about 102 and feels dizzy. She vomited about 8 times yesterday, but that has subsided, and she has this fever now. She s been taking liquids, and she s urinating regularly. The fever is persistent though. What hsould I do?" }, { "from": "gpt", "value": "Output: Hello, I just read your query. The symptoms you have mentioned here persistent fever, vomiting and frequent urination are suggestive of urinary tract infection which is very common in child Chat Doctor. * So perform urine routine examination first and do visit a nearby pediatrician. Because according to urine report he will prescribe you appropriate treatment and if she further requires any investigation your doctor will let you know.* Till then for high grade fever you can give her spy. Paracetamol and can do sponging and give her only liquid and semi-solid diet.* I hope you find my answer helpful. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I believe I have recently developed a chest cold still early stages yet started having a hard time breathing just tonight. accompanying the pressure and congestion in my chest are chills, and a small fever 99.7 degrees. I was wondering if there were any home remedies to relieve the chest pain and congestion I do have vicks NyQuil and mucinex I am wondering if I should use either of those two over the counter meds or if there was a better remedy for chest pain/congestion/cold thanks in advance" }, { "from": "gpt", "value": "Output: Cellophane You for contacting Chat Doctor. I would suggest you following things" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear DoctorMy mum has congestive heart failure and has been taking as a diuretic Frusemide 40mg daily. Just recently the nurse at the heart failure clinic added in Spironolactone 12.5mg daily but the Frusemide dose is the same. Is it normal that 2 different diuretics are prescribed to be taken concurrently and also will this have any reaction with the Candesartan that she takes as well? How often must her urea & electrolyte levels be checked now?Thankyou for your help." }, { "from": "gpt", "value": "Output: Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor. It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor,My cousin,37 years has undergone buccal operation on 20th june 2014 followed by 33no of radiation and 5 no of chemo therapy start from 25th july and completed on 16 th sept,2014. Now he find one small tumor with pain on operated area inside the lip and biopsy found positive.He is financially not sound. Please suggest some idea about what to do now.Thanking You,Regards,D.M.Nath" }, { "from": "gpt", "value": "Output: Hi, dear I have gone through your question. I can understand your concern. He has history of buccal cancer. He took radiotherapy and chemotherapy. But there is recurrence of tumor. If it limited to that area then he should go for surgery. Then chemotherapy and radiotherapy depending on need. If some part of tumor is left then there is chance of recurrence. So complete removal is very important. Consult your doctor and 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 doctor, i am a 21 years old female, i fell 1 month ago while i was walking,, my left leg near the ankle hearts me till now, it is not a continueous pain, just when i move it to the right.. i didnt go to a doctor because my legs color didnt change and i didnt experience any swellig.. but this pain while rotating my leg to the right i bothering me.. a week ago, the pain also reached my left knee.. i would really appreciate your help in telling me what might have happened to my leg.. and how to treat this pain. I dont know if it would be helpful to tell you that i am diagnosed with vitamin D deficiency. thanks for your time." }, { "from": "gpt", "value": "Output: Hello, As you are able to do daily activities, so it is clear that you don't have a bony injury.-Hip joint-Knee joint-Ankle jointThese are the whole body weight-bearing joints, So minor injury or major injury to these joints shouldn't be neglected, and the patient needs absolute bed rest. In your case, it's not a fracture of bone but soft tissue injury (Mostly spring ligament or bursitis). So there should be absolute bed rest with cr\\u00eape bandage application. Please see an Orthopaedician for how to apply the bandage. Take good analgesics like tablet Stretford twice daily for five days. Take tablet Circa Once daily for three weeks. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter is 16...she is having what she describes as severe pain on her left side at her ribs, about 10 inches below her armpit....it hurts when she breathes and the pain is moving down her back, butt, leg. She says it hurts all over now and she has had a headache for a few hours. I have asked her if it is time for her cycle, she says no. she tends to panic at every ache or pain, so I have suggested she try stretching and taking deep breaths to see if helps if it is a muscular thing...this has not helped." }, { "from": "gpt", "value": "Output: Hi, Thank you for asking question on Chat Doctor. Your history indicates it may be a rib fracture. She might have sustained some injury which she overlooked. Better consult or tho specialist as she may require strapping of ribs on the injured side. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female" }, { "from": "gpt", "value": "Output: Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Can you help? I have a pain in my top front tooth , I went to a dentist two years ago and he said i need a small filling in this tooth and from then on I have had pain. I have been back five times to him also another two dentists and I am told there is nothing wrong. My mother passed away at the time I had the filling so one dentist said it was stress ." }, { "from": "gpt", "value": "Output: Hi, if the filling was done without a proper cavity preparation, which could be by two ways-one, if the carious structure was not cleaned up properly, it leads to caries spreading underneath. Secondly if there is pulp exposure while deep cavity preparation, it leads to persistent pain after the filling. Please take a ray and go for a root canal treatment to get rid of the pain. You may need a crown also if there is discoloration. Take care!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Chetna, I am Megha (age 28yrs). I had miscarriage thrice earlier within 1-1.5months of preg. This time, I have been lucky and I am 11weeks pregnant now. My Doc has asked me to use corion 5000 from past 1.5 months and for another 2 weeks(once in 4 days) Also Sugest 200mg, thrice a day, and Glycomet 500SR once a day. Now recently doc asked me to use Duvadilan Retard 40mg as well (twice a day) I had 2 Ultra Scans till now and it was normal. Now the next scan is on 1st feb, based on the results my Doc would provide the medication. My query is" }, { "from": "gpt", "value": "Output: Hello Ms. Mega, All these medications have been used during pregnancy with no reported untoward effects. In view of your past obstetric history, your doctor has prescribed chorionic gonadotropin injections to help sustain the pregnancy until the placenta takes over the function of hormone production. This is why progesterone supplementation also is being used. Metformin is prescribed when insulin resistance is seen as in POD to prevent abortions and gestational diabetes. Nevadian is a uterine muscle relaxant. Please do not worry, you are on the right track. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have recently noticed that when I am concentrating, I stick out my tongue about a half inch between my lips. This is very disturbing because my mom, now 84 yrs, has always done that, but in the last 10 years, its gotten worse and when she concentrates on anything, her tongue is often sticking out by its entire length and looks creepy. I dont want to get like that. I am a very healthy 58 year old runner and triathlete." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in that. Everyone has some mannerisms. When we overly indulge ourselves in some task, these mannerisms surface automatically. This happens just because we were never aware of it and never tried to overcome it. Here, you want to overcome it just because you do not want it to happen. Fine. The negative feeling about it itself is enough to stop it. Still as an enhancing step, Just put some chewing gum inside your mouth whenever you are doing something. Also, good for your mouth and teeth. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my wife has lupus and is in extreme pain. she stopped one med because it was causing eye damage and she cant take the other one the doctor recommended because it causes osteoperosis (she is borderline already). we are becoming desperate, so i remembered i had an old prescription of Naproxen. she took a 500 mg and it really helped her - for most of the day. is this something we should ask the doctor to prescribe? she has been to numerous doctors numerous time since being diagnosed one year ago, and none of them have mentioned Naproxen." }, { "from": "gpt", "value": "Output: Sir the pain in lupus may be due to involvement of joint in the form of arthritis and muscle causing myalgic.Also, there may be associated fibromyalgia as well. For treatment of the same Naproxen may be given for few days to decrease inflammation and hence relief in pain, but it would never cure the root cause of the disease which depends on some immunological markers. Some general measures like use of hot moist towel, sauna bath, hot shower, regular yoga exercises with mediation would be of great help in long term improvement of pain" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have been experiencing some lingering symptoms that i would want to attribute to Candida or acute parasitic infection(protozoa). The symptoms are as follows" }, { "from": "gpt", "value": "Output: Hi, For erectile dysfunction- get relaxed. Avoid stress and stop smoking and alcohol. Try keel exercise. Do NOT take any medicine without consulting the doctor. Get examined by doctor and do the tests as It's important to find out the cause. Take medicines only after having seen by the doctor. The problem can be related to stress, but can sometimes be because of diabetes, heart disease, hormonal problem etc. Hope I have answered your 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: past few months I ve been having problems with my lips swelling my tongue swelling on different occasions different things I ve eaten also I ve had situations where like half of my upper lip or half of my lower lip or even half of my tongue not even the whole thing what s well I ve been to an allergist they found nothing I went to a dentist they found nothing I just don t know what else to do thank you very much." }, { "from": "gpt", "value": "Output: Cellophane You for contacting Chat Doctor. Such symptoms appear because of allergy to some specific thing. You need to observe that what particular food causes swelling after you eat. Then you need to avoid that. Meanwhile, I would suggest you following things" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i have been taking iron tablets and i have found that it has made it harder to poo, causing me to strain. When i finished on the toilet, i noticed that my vagina was swollen (lips etc). I am also pregnant. Do you know why this happened? Please help!" }, { "from": "gpt", "value": "Output: Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir my doughter suffering from abdominal tuberculosis. daiagation done in Asra Hospital, Hyderabad. Daily my doughter suffering from fever every day alleast three times. wamtings also done by her without pain. please sugust me to treet in best hospital in Hyderabad. My doughter age is 17 years." }, { "from": "gpt", "value": "Output: Hi. Thanks for your query. Understood your concern for your daughter. The treatment of tuberculosis anywhere in the body is straight and simple. The standard protocol of 2 months of intensive phase and the next months of continuous phase have to be completed. Since this is abdominal tuberculosis called as extra-pulmonary, you have to give her 3 months of treatment. In addition to the standard treatment, you have to give her the best of proteins, correct anemia, give multivitamins. Whenever she has intestinal obstruction, she may need a surgical correction. Hyderabad - Consult any General Surgeon or Surgical Gastroenterologist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, they put me on cephalexin for infection that I have above my lip, got put on it yesterday 3 times a day and its 500 mg. When will i see results? And its still swollen and red in one area.And is ok to swollow the pill I hope cause they did not say like one of the pages that you should not so I hope thats ok. They said they are not sure what happen and I think maybe I got bitten or something cause there was a mark there and know like I said still a mark but red around it and I was running a temp also of 100" }, { "from": "gpt", "value": "Output: Hi. Thanks for the query. As per your symptoms of having a red and swollen area above the upper lip and having raised body temperature can be either due to allergic reaction to any bee sting or can be due to infection like Hair follicle infection. As you are being treated with Cephalexin that is an antibiotic, and you have taken 3 doses without any side effects you can continue taking the antibiotic for the prescribed time period by your physician. You can also take Acetaminophen or Tylenol for reducing body temperature. Topical application of steroid ointment can help in reducing inflammation and discomfort. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I taught dyslexic and hyperactive children for 30 years. Late in my career I suffered multiple head tramas, seiszures, and falls. After menopause began, my memory and attention to details went to severe level. What might be a solution. This is causing marriage problems, loss of friends, total isolation. I have tried psy. and counseling. I just keep getting worse. Help" }, { "from": "gpt", "value": "Output: Thank you for asking Chat Doctor. My name is Chat Doctor. I would like to repeat CT scan again.if it is unremarkable then continue with sodium valproate 500 mg thrice a day for 2 months and then twice a day for another 4 months.Also, calcium along with Vito and regular exercise will help a lot. I hope u will be fits free and your daily activities which are disturbed will be Hope this may help you. Let me know if anything is not clear. Thanks." } ]