Datasets:

PranavHarshan

/

sharegpt_formatted_chatdoctor

like 0

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What are the first steps to getting help with my mum who has dementia and I am not coping and her GP was completely unhelpful and offering no help at all. I am 60 and have a business to run and I cant sleep. First port of call for practical help please." }, { "from": "gpt", "value": "Output: Hi, I can understand what you might be going through. You haven't mentioned whether your mother is on any treatment as of now and what are the exact symptoms she is suffering from as of now. I would advise you to consult a neurologist first. Thorough evaluation with blood investigations, cardiac evaluation and brain scanning would be needed to determine any primary cause of dementia. She would need treatment with medicines like donepezil which will slow down her progressive cognitive decline. In addition, if she is having any behavioral symptoms, medications might be required for that too. She could also be helped by certain behavioral measures for her memory symptoms. You can discuss this with the neurologist. Hope this information was useful. Best wishes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a paranoia that i may be pregnant, I have a small lump on the lower left side of my abdomen, weight gain and im tired. I am also a college student who only gets about 7 hours of aleep a night. could I be pregnant or could it be something else?" }, { "from": "gpt", "value": "Output: Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. By no means the lump in the lower left side of your abdomen and weight gain suggests pregnancy. I would advise you to consult ER Surgeon for opinion on left lower abdomen lump and ER Gone/Oust Doctor and ER Psychiatrist if your doctors advise you so.Don't worry and things will be right after this check up. Your doctors would rule out pregnancy and would take all due care to investigate and treat it accordingly. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am patint of Hole in heart approxmately 32mm and my age is 32 year .I have made an echo in G.B.Panth and found 32 mm hole in my heart .I want to know if I would not treat this heart .Can he effected in future .I did not feel any problems of heart from childhood.What should now I should make the surger or not ." }, { "from": "gpt", "value": "Output: Hello, Certainly it needs treatment. It can damage heart and lungs permanently and there wouldn't be any treatment for that. So you should get it treated. Treatment depends upon the location and other characters of the hole, whether surgery is needed or device closure can be done. So you discuss with cardiologist regarding the option of device closure which is minor procedure. 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 is 15 years and he is suffering from liddle s syndrome since his birth. Now he is taking medicines regularly and he is ok. I wolud like to stop his medicine and give him a more comfortable life. Can you suggest me some good treatment in any part of the world. If you can give the contact number of doctors who are specialized in liddle s syndrome. Is there any special doctor for the syndrome (like pediatrcian for children.....). Thanks" }, { "from": "gpt", "value": "Output: Hi, Middle syn Chat Doctor. It is happening due to the maturation of the gene, a condition called autosomal dominant disease. The main goal of treatment is to control the high blood pressure and manage the hypokalemia. A kidney transplant may sometimes give a permanent result, such case could be managed anywhere in metro city or world. 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, i recently had a deep dental cleaning and cannot open my mouth more than an inch. painful and it s like it s locked and i cannot eat food either. only liquids. doctor had to give me high doses of shots b/c novacain doesn t take effect. Dentist perscribed me an anti biotic and predisone and said I got acid in my muscle tissues in my mouth which apparently isn t uncommon. he said it could takes weeks before i can open my mouth. i ve never heard of anything like this before. any suggestions? YYYY@YYYY Thank you!" }, { "from": "gpt", "value": "Output: Thanks for your query. I have gone through your query. The limited or difficulty in mouth opening can be because of the trauma to the muscles while injecting local anesthesia or repeated injections, or it can be a disc displacement in the jaw joint that occurs if you had kept your mouth opened for long time during cleaning. Nothing to be panic, you can take analgesics like ibuprofen and muscle relaxants like chlorzoxazone. Give hot fomentation over the joint and muscles. I hope my answer will help you. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 31 year old female. I am over all very healthy. For the past week, I have had a very bad cough, but no other symptom. No runny nose, sore throat...nothing. The cough is a very deep and dry cough. I have also been feeling heaviness in my chest. Yesterday, I noticed that my body began aching. Today, my body has been aching all day. I went to urgent care, they didnt do an xray, and diognosed me with bronchitis. They gave me an anitibiotic, but im concerned because, I just dont feel like myself, and I think its something more. I should also mention that I am a smoker, and I smoke about 4-6 cigarettes a day!" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, possibility of bronchitis is more for your symptoms. And you are not improving because you are not taking appropriate treatment for bronchitis. Bronchitis needs inhaled treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m a 30 year old female and on January 9 th I had emergency surgery for perforated diverticulitis of the cecum . They removed my cecum, ileocecal valve , and appendix, luckily I do not have a colostomy they were able to reconnect everything without any problems. I did have a general surgeon who actually specializes in vascular surgery do the procedure because he was on call. I have been experiencing some difficulty sleeping since surgery. I will doze off and wake up feeling nauseated and lightheaded with a weird vibratory sensation throughout my chest. Also when I stand up my vision goes dark for a few seconds. I am eating 4-5 small meals a day and drinking one Gatorade and about 2 bottled water a day. My urine is light yellow and I am going about 5-6 times a day. BM s daily to every other day, no diarrhea. I haven t been taking any pain meds since I left the hospital on the 12 th. I take Zantac and Prevacid once daily. It may just be anxiety from the whole experience but I m just a little concerned. Thanks for any advice." }, { "from": "gpt", "value": "Output: Hi. I don't think it is related to surgery complication. It is procedure which can be well done by every general surgeon. It is always expected to feel some nonspecific gastrointestinal problems such as diarrhea or stomach cramps but symptoms you're saying don't seem to be serious. If you have fever associated with abdominal pain OE extensive vomiting then you should go to hospital. For other, I suggest just to wait few more weeks. It is not so much time from surgical procedure so just be wait a bit more to see are these symptoms gonna persist. Wish you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im in the hospital. 2nd case of ischemic colitis in 7 months. Ive had 2 previous heart attacks and a moderate aortic leak. I understand the ischemic colitis is caused by lack of blood flow to the colon. What causes the lack of blood flow? No doctor can answer that yet." }, { "from": "gpt", "value": "Output: Hello Welcome to Chat Doctor Ischemic colitis is caused due to obstruction to blood flow of the colon. Cholesterol deposition in the arteries of the body lead to narrowing of the arteries. This is called atherosclerosis. Some subjects have increased tendency to atherosclerosis which depends on genetics and environmental factors. This causes narrowing of the arteries leading to stagnation of blood at these sites and subsequent formation of clots. This causes you the attacks of ischemic colitis. In you case since you have suffered from two heart attacks, I suppose you have got high propensity to atherosclerosis, may be due to genetic factors and strong family history. Treatment is blood thinners like aspirin which I suppose you are already on. Usually two blood thinners are used on recurrent attacks of ischemic colitis and even in case of previous heart attacks. So ideally you must be on two blood thinners. If despite this you have episodes of ischemic colitis you must be on higher blood thinners like warfarin. However, higher blood thinners have a potential of causing bleeding elsewhere in the body. I hope I have answered your query satisfactorily. Wishing you good healthRegards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I went to the dentist a few months ago to get a retainer (the clear plastic one) and it creates big ulcers so bad that i cant put it back in. So after a few month i went back and hes letting me try again, but the ulcer has come back in the exact same spot. Is this because of the retainer?" }, { "from": "gpt", "value": "Output: Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you are wearing retainer and ulcer develops on same point again, yes ulcer can be due to retainer may be due to sharp edges or any sharp point on retainer causing ulcer. Don't worry you go to dentist and get trimming of that sharp point or edge are there. You can apply ointment McCoppin or Pans oral on ulcer twice daily for healing. Take one capsule vitamin B complex once daily for 7 days. Hope this will help you. Wishing you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For the past 3 weeks Ive been suffering with ongoing severe derealization and I cant shake it. I wanted to know if their are any medicines that can help with this and how long does it take for them to work? I had a severe attack like this 2 1/2 years ago and was put on wellbutrin for it and the derealization went away after about 5 to 6 weeks. I went to the doctor this past tuesday and she put me on citalopram and metoporol and she said it should work much faster than wellbutrin but it hasnt worked so far and its been 4 days." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Derealization disorder is not a stand-alone disorder but dissociative symptoms of many conditions, in psychiatry and neurotic spectrum. It is also called Depersonalization-derealization disorder. Psychological counseling helps you understand why depersonalization and derealization occur, and helps you gain control over the symptoms so that they go away. Two such techniques include cognitive behavioral therapy and psychodynamic therapy. Depersonalization-derealization disorder may also improve when counseling helps with other mental health conditions, such as depression. If you require more of my help in this aspect, Please post a direct question to me in this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I was contacted by a condo building I am staying at for vacation. They told me there had been two cases of legionnares disease in the last thirteen months I am taking my six year old grandson is there a risk? They said the werent sure if the disease was from the condos. Thank you, Tammy" }, { "from": "gpt", "value": "Output: There is a small risk, otherwise they wouldn't have mentioned it at all. Since its only been 2 cases over 13 months, and they're not even sure it's the condos, the risk is probably very, very small but not zero. You will need to decide if even a tiny risk is too great for your comfort. You and your grandson will probably be okay, but since a source has not been identified and eliminated, it might still be possible to contract the disease. Hope this answers your question." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dr. i have been married 4 months before and having sex regularly. we both of us same blood group is A+ does the same blood group affect the pregnancy. or whats a good time of sex for pregnancy. Please suggest Dr. We are not doing sex in a monthly period time of MINE for 4 days. please guide us." }, { "from": "gpt", "value": "Output: Hi, Thanks for using Chat Doctor. Fertile period in a cycle of 28 day duration is from 10th day to 18th day. Usually ovulation happens 14 days prior to your next cycle. So difficult to predict exact day of ovulation. If you have regular cycle plan to have intercourse around day of ovulation. Your cervical mucous changes during your fertile period becoming more slippery, wet and clear - its often described as having the look and feel of uncooked egg whites - indicating ovulation. Few tips to increase conception rates" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am Diabitic. Last 2 weeks, I am suffering from Yeast infection on penis. There is white thin layer below foreskin and skin has become redish. I am getting burning sensation while having sex and while passing urine. I spoke to my doctor yesterday. He has recommended Fungiderm or Cansten ointment and Syscan 150 mg tablets (2 per day for first 5 days and 1 for next 5 days). I would like to get second opinion." }, { "from": "gpt", "value": "Output: Hi. Yeast infections can be expected and are common in individuals who have been diagnosed with diabetes, and especially in those who have uncontrolled blood sugar levels. The medications prescribed should do the job, so make sure you take them religiously and also try and keep the region Chat Doctor. Make sure you avoid sexual contact and masturbation for at least the next 3-4 weeks. Best wishes." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor,I have 5 month old boy baby from last 3 days he is suffering with little wet cough and running nose.for this he is on cefixime 8mg/kg/day oral suspension and now from last 2 days he pass the watery stool and today he is passing loose watery stool with green color" }, { "from": "gpt", "value": "Output: HIIT seems your child has VIRAL diarrhea following a respiratory illness. It's common at this age. Green poops are due to reduced transit time of gut in diarrhea. I would recommend an ORS properly constituted, probiotic (Eco norm or sporadic) and a zinc supplement for treatment. There is no need for antibiotics.they may sometimes aggravate the problem. Antibiotics needed only if blood or mucous on stool examination present." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i was wondering what does this result mean? the heart is in hyperdynamic state the left ventricle has moderate concentric hypertrophy. The LVEF is around 80%. The inferior wall looks hypokinetic. There is evidence of early reversal of E/A ratio. The cusps of the aortic valves are slightly bulky. The AV V max is 1.70 m/sec. There is trivial turbulence in the aortic valves. There is trivial pulmonic and trivial tricuspid insufficiency. The TRP is not raised. Both IAS and IVS look intact. There is no thrombus or vegetation. There is o.75cm pericardial effusion behind RV and at the apex of the heart." }, { "from": "gpt", "value": "Output: Hi, This is an echo report & not an ECG report. This report broadly means that you might be having hypertension which is causing pressure on heart & causing thickening of a chamber of heart (LVH). It is also telling that one side of heart is working less than other parts(hypokinetic inferior wall), which may be because of blockage of one of the arteries of heart. Rest everything is fine. Heart pumping capacity is good(LVEF-80%). So you need further evaluation for that inferior wall hypokinesis. Thanks Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 3.5 year old son had his first bite of shrimp. Some swelling and pimple like blotches have appeared on the corner of his cheek/mouth. Can this wait to see a doctor in the morning. He is not complaining or saying it bothers him at all. What should I watch for?" }, { "from": "gpt", "value": "Output: I would be concerned of an allergic reaction to shrimp, given the swelling around the mouth and blotchy skin. I would not wait to see a doctor in the morning, because allergic reactions can proceed quickly and become life-threatening. You should watch for if he should begin to have any signs of difficulty breathing, swelling of the tongue or lips, and spreading of the rash. If any of these occur, seek emergent medical attention right away." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dr Sahib. I am 60 yrs & on 27th Dec 2010, i Had a heart attack & same day DES was put in one major artery, for 3 months I was feeling very fit,But now i feek weak in walking also & from last 1 month i am feeling sore throat & thick cough .though I am taking antibiotics but no improvement." }, { "from": "gpt", "value": "Output: Hello are 60 years old with DES after heart attack. Now you are also having cough, with thick mucus for one month, these symptoms may be due to these possibilities, these include" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My period has been acting very abnormal lately.A week prior to bleeding I was getting severe lower abdominal cramps and I never cramp unless it is on my first day of my period but they are very bearable. My vagina was also just aching. I didn t start when I was supposed to and now my period is light but the blood coming out is clotty and jelly like and dark black. My tampon wont even absorb it. I was scared I was pregnant when I was late, but now I m not sure if I should be worried about that or not. What is going on?" }, { "from": "gpt", "value": "Output: Hi, In the current scenario, you would need a pelvic examination and a trans-vaginal sonogram to know the exact cause. Pelvic causes like pelvic inflammation and endometriosis should be considered. An urinalysis also should be performed to exclude any associated infection. Endometriosis can also give such a picture of sticky bleeding. Pregnancy is not likely with such symptoms. A pelvic antibiotic and hormonal treatment should alleviate the symptoms. Metonymic acid and dicyclomine can be taken to relieve the pain. Hope this helps." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi I m in my early 50 s female and I m having outbreaks of swelling and itching on my body. I went to an allergist who told me these things just happen for no apparent reason and put me on prednisone 10mg 4 days and I m still having outbreaks of swelling and itching to my face, back of neck, arms, and stomach..... Help" }, { "from": "gpt", "value": "Output: After going through your query I suggest you to please refer to good physician. Becuse prednisolone itself cause puffiness in face and body. It also harmful to body if unnecessary taking it. As you are in your 50 you should also check your thyroid level which causes of sweeping in whole body. But this chance is less. In sever allergic condition steroid may be useful witChatDoctorbination of antiallergic. You should take an antiallergic for your problem and stop prednisolone. For other help you can refer to good physician. Hope this help you let me know. Hope for best health of yours..." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 24 year old male working for a software company in Bangalore. I am working for the past one year. I had a severe back pain and also severe pain in the neck which made me to see an orthopedician. I was given some painkillers and some exercise tips to continue. I followed it for some time and could not find much improvement after stopping the painkillers. I went back to the doctor again for a better advice. He suspected something peculiar now and referred me to a pain and rehabilitation clinic. I got the diagnosis there. Do you know what it is a Computer related Injury (CRI)? This is the exact diagnosis made. After I came out of his office and walked through the road thinking what peculiar diseases are coined depending on the occupation we say and googled it next day, I was astonished to hundreds of pages opened up with this condition called Computer related Injuries.The CRI research was on for the more than 25years though the IT revolution has come up in late nineties in India." }, { "from": "gpt", "value": "Output: HI friends, Yes. CSI is also known as Repetitive strain injuries. It is caused by recitative stress in your joints. Specially to your fine tips, wrist, elbow,shoulder, neck, eyes, and at last to your back. It occurs to those who sits constantly on computers for long hours. I am a specialized Ergonomic specialist from California. Here the companies hire us in order to safe guard their employees from RSI s and avoidance of long absence. We go to each employee and evaluate their work area, posture and give them advices and suggestions with job analysis and of course provide them exercises and notes. The employees doesn't need to run or search for a Physician or or tho. We are physiotherapist who are specialized in these areas." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ihave been having these symptoms for almost a year. I get tightness in my upper chest and sometimes my neck. Every two or threes months I will have a near syncopal epsiode. Sometimes associated with a short quick walk or slow stride up a filght of stairs. I get very dizzy, sometimes tunnel vision. I usually have to set down or put my head between my legs. This is accompianied by a feeling of SOB. Although I feel like I am exchanging air at the time. The new symptom is the feeling of my heart skipping a beat. This has happen the last couple of days. I have a high family history of heart and stroke disease. I have been taking Vitoran for almost three years for high colestoral, It is now under 175 with a ratio of 3 to 5. When the symptoms started I had an EKG, stress test and stress echo. These have all been normal. I even had a heart cath, which showed a 30% narrowing of my anterior desending coronary artery and a couple of lesser narrowings in two other vessels. I take paxil (20mg) a day for depression. I have taken this for over 10 years. My job is often stressfull, but I am an even keeled non flustered individual. Everytime I go to the doctor things check out normal. I am beginning to fill like I m going crazy and am becomming increasings concerned." }, { "from": "gpt", "value": "Output: I understand your symptoms have been troubling you now and then, but we need to know the age, what brings the relief and what your habits are. Usually your pattern symptoms arise due to heart or/and lungs being diseased, but you have reports of normalcy in EKG and Stress tests with good perfusion of heart at the beginning. If you have been taking the cholesterol lowering agents only recently and a smoker and alcoholic and not had any blood pressure monitoring in the past and BMI is around 28, it will be good to reassess heart function along with ruling cholesterol rise noted due to metabolic reasons as well. This time hence see an experienced Endocrinology as well. Hope you will have complete answer for your problem" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I will occassionally get a lump and dark spot on the right side of my tongue . Always in the same spot it seems to last for a day or two and then go away. I can catch it by running my tongue through my teeth but it is embedded in my tongue and gives like a purple cast to that area. normally it is more of an annoyance than anything but this time it kind of hurts. I am wondering if it is a cyst or a blood clot? Do i make an appointment to go to my doctor, dentist , or just wait for it to go away?" }, { "from": "gpt", "value": "Output: Hello, Thanks for posting your query, various 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 a lump in armpit since last ten years and i am not sure what it is not sure which doctor to go to? From internet i got to know that it can be cancerous or due to infection or extension of breast tissue. Not sure what is it but want to get rid of it safely" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You have lump in maxilla. It can be lipoma, benign cyst or some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should consult general surgeon for that. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doc..I m a 20 year old male and I ve been circumcised this morning. I just wanna ask is it safe to sleep on your stomach or should I just sleep on my back?.. After reading and understanding the procedure to do after circumcision, is it okay to treat and clean your penis at home or should I just go everytime for check-ups at my nearest clinic or doctor?" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. Circumcision is a minor surgery. Still you need to adhere to the hygienic healthy procedure associated after surgery. For at least week you should take precaution so that there should not be any infection. For cleaning and Chat Doctor. If you still need my assistance in this regard, please use this link. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was wondering, I have just noticed a lump on my temple starting. It s a not big maybe the size of a finger tip. It hurts to touch but doesn t give me a headache. When I bite down it hurts aswell. I do a lot of strenuous work but I m not sure if that would have anything to do with it or if I should see a doctor?" }, { "from": "gpt", "value": "Output: Hello! Thank you for the query. This lump is most likely a local skin infection. It may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. It has nothing to do with your work. As it is painful, pus is most likely inside. That is why I suggest you to consult general surgeon with this issue. The lump should be incised, Chat Doctor. Please do not ignore the infection in this area as from temple to the brain is very close, and such infection can spread to the brain. Hope this will help. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my 1yr old daugher has been having fever and cough for sometime now, her wgt is 12kgs and the blood test came up with 19000 WBC. THe doctor has prescribed Cepodem 5ml once a day. BUt has been vomiting after that and her coughing has increased. Is it safe to give her that." }, { "from": "gpt", "value": "Output: Hi...by what you quote I feel that she is having a viral illness, and it is common for cough to get aggravated while recovering form viral illness. I do not think Code - an antibiotic-is indicated for a count of 19000. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 32year lady sir and from 3-4years I am suffring from alergy only in summer from april to nov. sir my tlc rate is also hight . my nose is blocked every time and blowing badly , eyes also red and itching in eyes,nose,throgth and eyers. sir now I am also pregnent and last month is going on." }, { "from": "gpt", "value": "Output: During your pregnancy you should take safe medicines. Since you might have used many allopatChatDoctoredicines as per doctors advice, now I would suggest to such of my patients to take safe Ayurveda medicines, pure herbals and non-toxic to get some relief in this recurring and chronic condition. Any Ayurveda doctor can guide you in this simple management by Ayurveda. Generally I would give to my patients Shading Oil to be instilled in both nostrils each morning. It's pungent. Initial 2 Chat Doctor. Atari Avalon (if this syrup or thin consistency Avalon available, it is better. If not then normal azalea with thick consistency is available everywhere) to be licked. Gargles with saline and little turmeric in warm water frequently. Hard" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have noticed this lump right at the entrance of my anus for over 4months now. I crossed examined today again and i found a slight open wound an inch inside my anus. It hurts me everytime and at time i feel light touch movement around this pain zone. Help...its killing me" }, { "from": "gpt", "value": "Output: Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. Remedy for lump at anus with wound-High roughage/fiber Bland diet for 2 was, Seitz baths for 15 minutes daily 2 times. Anti-inflammatory Chat Doctor. Invite point x 10 days time. You should check with Surgeon and rule out-Fissure in ANO with Sentinel pile, from which you mostly suffer for last 4 months timeThings will resolve in 10-15 days time. If not, ER Surgeon would do needful.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to Chat Doctor and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi I had baby 4 months ago I was very tired I went to the doctor to cheam myy vitamin d and iron level she then took blood test she said low vitamin d and low iron I am also bf she also said my liver blood count is hgh I am woried is it some thing serious I am 28 yrs old" }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. If you have low iron and it D3 then you should take their supplements. No need to worry. It is very common. And you should go for complete liver function test. 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: i am 19 years old i have a habit of masturbation which is about 3 times in two weeks but when there is a gap of more than 3 weeks when i dont do masturbation there is this craving whicChatDoctores resulting in masturbation about 5 times daily and i just dont have any control on it i fail to concentrate on studies and watch continous pornography could u please suggest me some medications so that i can get rid of this problem permanently" }, { "from": "gpt", "value": "Output: Hello, welcome to Chat Doctor. Masturbation is not harmful for health and more than 80% man and woman masturbate in some point of the time. In present situation if you are not masturbating more than 4-5 times per week than there is no problem. If you are masturbating more even than it is not harmful, but it is better to decrease the frequency of it. There is no need for medical treatment for it in your case. Wish you all the best. Chat Doctor. 99doctor.com" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have a stabbing pain the comes and goes between my shoulder blades and moves to the front of my chest causing shortness of breath and extreme tightening. It s so painful it makes me cry out in pain and I have a very high pain tolerance. It does not come at any specific time and can last from 1 or 2 minutes to 30 minutes of more. What could be the cause of this. It happens nearly on a daily basis." }, { "from": "gpt", "value": "Output: Hi Welcome to Chat Doctor After going through your query I concluded that you are having pain in interscapular region which radiates towards anterior chest. It can be muscular pain, but heart related pain should be excluded by doing heart function test. Treatment of it considering it as muscular pain is analgesic such as ibuprofen for pain relief. Vitamin B and C is help in recovery. Sometimes I apply local injection triamcinolone with good results. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: r/s sir ji my friend s father who got multiple miloma, which dignosed by a senior doc of sms jaipur then after he was given a kimotheraphy but after 24 hr of kimo he got a serious effect on his kidney . according doc s it will take normaly 2 or 3 week to get recover but there is no more improvement in his condition after completion of one week. so pl pl pl suggest me the better way regards" }, { "from": "gpt", "value": "Output: Hi there, Multiple myeloma patients are at risk of Kidney failure from multiple causes. After chemotherapy, you can have tumor lysis syn Chat Doctor. The doctor treating is the best judge based on the clinical profile and a lot of other lab tests. As your doctor has told you wait for 2 to 3 weeks. In cases where kidney does not recover over this time kidney biopsy can be done to find out what has gone wrong." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im 31 about 4 years ago i had a asthma attack and then on came these irregular beats had stress test and all they said they cnt find no reason but latly they seem to get worse with short breaths, light headed, chest pain..just over all feelin yukie. they still tell me its no problem they can find but why is it gettin worse then?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung diseases like bronchitis or asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Went to Dr on Friday with pain in lower back flank area and throwing up anything I ate. They did a urine and it did show infection. Was told if got worse to go to ER. Saturday the flank pain became very severe. Went to ER where they hydrated me, gave me couple rounds of antibiotics and pain meds. Sent home that night with script for antibiotics, 2 pain meds and nausea. So now, since Sunday, flank pain hasnt been as bad as before but still hurts. But now my arms hurt and my legs hurt so bad I cant stand in one place for over a minute." }, { "from": "gpt", "value": "Output: Hi I had gone through your query and understand your concerns. I would come up with two possibilities to fit your condition.these include1.the first one include, RENAL STONES;ultrasound scanning for PUB may confirm the diagnosis2.second possibility is, FLATULENT DYSPEPSIA;possible causes include;-eating spicy, junk food-emotional upset-unable to handle stress are some possible causes hope this is helpful for you, thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have had constant neck pain and stiffness in my neck muscle tremors all over my body back pain headaches and now bad dizziness for 18 months + now I ve seen so many doctors they have not listened till recently they x-rayed my neck and said I have a loss of lordosis in my cervical spine I see a physio she acts like she doesn t know what it is I have been now referred to a neroligest at the end of October my dizziness is getting really bad I went to doctors yesterday about my dizziness they wouldn t give me anything have I been left to long to sort it out" }, { "from": "gpt", "value": "Output: Hello! I understand your concern. In my opinion your troubles are probably due to a cervical disc problem. It may be dislocated, or it may be just degenerative changes to your cervical vertebral column. These changes explain the back pain, headaches, dizziness. Also, the changes in your cervical x-ray can be explained by this diagnosis. I would recommend you have a cervical CT scan to visualize the discs and find out where the problem is. In the meantime you can use acetaminophen, ibuprofen or fetoprotein for the pain and avoid abrupt cervical movements. A cervical collar can help. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes. Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr. Stephen, i just took my daughter to see the dentist and she wasn t sure if my daughter has gum infection or fungus. Then we took her to her doctor. She said my daughter has gum infection an prescribed her antibiotic . Now she doesnt have fever , but it seems like the infection is spreading out and getting worse. Im thinking taking her to the emergency room. So can you give me an advise? tks a lot." }, { "from": "gpt", "value": "Output: Hello there, poor oral hygiene and deficiency of vitamin C can cause gum inflammation at young age. It shows symptoms like redness, swelling and bleeding of gums. Viral and bacterial infection worsen the condition. At home, you can ask your daughter to rinse her mouth regularly with warm saline water, antiseptics like Betadine, chlorexidine etc. that gives soothing effect. See your dentist soon. Thorough professional ultrasonic cleaning of gums and root planing followed by a course of medicines will solve her problem. I hope that helps you, take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father had a stroke 4 months back. He is hypertensive is on medication now which includes antihypertensive drugs, atorvastatin, glycerol and asprin. He has recently developed lumps below the nipples in chest. They are painless ,Is it a side effect of any medicne or the result of walk and excersise he is doing during the rehabilitation." }, { "from": "gpt", "value": "Output: Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Causes for lump below nipples in chest-Cause is related with Atorvastatin with which breast glandular tissue develops in males and is known side effect. This lump is not related with exercises done for rehabilitation. So please consult ER Physician. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my period on 24th June 2011. Only I could sense my ovulation by 12th July(I had some white stuffs coming out of vagina). Is it correct that my ovulation is on 12th July? I am desperately want to be pregnant by this time. We are having sex daily for last 3 months. I took letrozole from 4thday to 8th day . till yesterday I had sex with my husband. Will I get pregnant for sure? Pls advise." }, { "from": "gpt", "value": "Output: Hellos you mentioned that you are trying for conception, and you are trying everyday sex for getting pregnant. Now you have ovulation on 11th or 12th July. And you want to conceive this month. As per Ayurveda infertility ... daily sex causes for low sperm count, In classical method described in Ayurveda that have to follow braChatDoctorharya for three months when you want to conceive. So, that it is advisable that have to sex at before days and that day of ovulation. But have to avoid daily sex for trying of conception." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have heart palipitations and an increased heart rate at night once I lay down to go to sleep. They happen throughout the night and even wake me from sleep. Do you any idea what could be causing this? Heart desease does not run in my family and Ive never really had heart issues." }, { "from": "gpt", "value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to anxiety or autonomic dysfunction related to nightmares. Coming to this point, I would recommend performing a careful physical examination and some tests" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, about a year ago, I bit a small part of my upper lip. It usually shouldnt be a problem because it heals and closes, but in my case its not doing that. Every 3-4 days, a new layer of skin forms, and starts pealing, and eventually peels off completely. After another 3-4 days a new skin layer forms again, then start peeling, and goes away completely also. This has been going on for 1 year, there is no bleeding associated with it, but this wound just won`t heal and close, and a new skin layer forms and peals every 3-4 days. I tried using every medical lip stick I know off and all sort of things but they are not working. What is the solution?" }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. Lip bite is very common kind of thing and there is no need to be panic about it. The area will take around week to heal but as you having recurrence It's due to frequent licking of your lips which leads to formation of cracks in skin and eventually fungal infection there. It could be due to riboflavin deficiency as well. I would suggest you to" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good day! I am 53 years old female.I dont drink wine and I am very much careful with my diet. My SGPT is 60, normal is 36 and my SGOT is 51.1. normal is 34.What should I do to normalized this problem? I accept that i am lack of exercises and sometimes stressfu. Please help me." }, { "from": "gpt", "value": "Output: Hi, I had gone through your question and understand your concerns. These are only slightly elevated got and Sept, so you should not worry. It may stabilize on its own or some minor lifestyle changes should be done from your side. You should avoid alcohol and regulate blood sugar and body weight. Also, Sylvain supplement should be taken. If there instill elevation of liver markers then the next step is to look for certain liver damage such as viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done then-Then appropriate treatment can be started. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband has widespread bone cancer and is in pain, he is allergic to all the pain meds he has ever tried such as dilaudid, oxycodone,percocet, ibuprofen. all of cause a bad headache and n/v. is the same ingredient in all these meds so that we will know what it is he cannot take. we still have not found any pain meds he can take to get any relief" }, { "from": "gpt", "value": "Output: There are a few options available for ameliorating your husbands pain. Firstly, you can try opioids like morphine tablets. These can be taken from a dose of 5\\u00a0mg thrice daily to 30\\u00a0mg thrice daily. There is a fentanyl patch available that you can stick on any non-hairy area of the body, and it will relieve pain for 3 days when it needs to be changed. Start with a 25\\u00a0mg dose and if required move to a 50\\u00a0mg dose. Also, bone cancer pain can be decreased with In Role Chat Doctor. Lastly, giving short course radiotherapy to the painful area will decrease the pain and chance of fracture." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Umm hey. I have lower back pains like near my butt crack sorry for the language and I have like a bump. It s hard shaped like an oval. Not a spider bite or insect bite. But it hurts to walk to stand sitting down is almost impossible I can t put any pressure on it. Even when I lay on my stomach it hurts. And I have no idea what this bump could be. I didn t fall of anything so I have no clue.. Please help" }, { "from": "gpt", "value": "Output: Hard swelling over lower back or sacral area with severe pain that get aggravated by even slight touch and movement is suggestive of some infection. Most commonly its infection of hair follicles. That we call folliculitis. This can be managed by topical application of some antibiotics ointment and if severe you may need to take oral antibiotics. If it is not subsiding you should consult a dermatologist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi im a 36 year old male. I have suffered from mouth ulcers my whole life. I have always been able to keep them under controll until recently. The past two years i have had ulcers all the time. Sometimes ten to fifteen at a time. I have had them even in my throat. I have not had a break from them in so long i mentally cant take it anymore..Any suggestions?" }, { "from": "gpt", "value": "Output: Hello, Thanks for consulting Chat Doctor, Read your query, as you have mouth ulcers frequently this is known as Recurrent Authors dermatitis or Recurrent Authors ulcers don't worry see what happened is this ulceration is due to some reasons it can be due to Stress and anxiety related, Nutritional deficiency, vitamin B deficiency, Chat Doctor. Hope this will help you. Wishing you good health. Regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Dr Age" }, { "from": "gpt", "value": "Output: HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusive as regards the diagnosis and cause of your symptoms. In view of all these symptoms started after prolonged abusive masturbation I think the prolonged masturbation has caused trivial damage to urethra resulting to form a scarring and flimsy stricture of urethra. I would suggest you to consult your urologist again and explore need for doing endoscopic examination of urethral passage (Ureteroscopy). This procedure of visualization of urethral passage directly perhaps may help to diagnose the precise cause for your symptoms. Further treatment will be decided by him on final diagnosis. There is no possibility of pinching of any nerve as it never happens in reality. 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 been diagnosed yet again with another UTI with Klebsiella being the bug that is always found in my urine. The dr says it is not caught from my partner but every time I have sex with him I am back to the Drs again complaining of the same symptoms. Sometimes the urine samples show nothing but most of the time it does. Why is it that I no sooner get rid of the infection then have sex and the infection starts all over again. I m beginning to wonder if my partner is the cause of all of this. Never ever had this issue before with any other partner. I m in my 40 s and have been with my partner for 2 years and am completely monogamous (never have numerous partners). I m so over this please help me" }, { "from": "gpt", "value": "Output: Hello, Klebsiella is mostly and primarily found in not immunocompetent individuals, usually in hospital settings and cause the so-called hospital-acquired infections (HAI). They could cause opportunistic urinary tract infections, pneumonia and other respiratory infections, bacteremia, infection of surgical wounds, etcetera. In diabetics, people with chronic obstructive pulmonary disease, etcetera. Due to their particular structure, Klebsiella species are naturally resistant to penicillin-type antibiotics, some Aminoglycosides (Gentamicin, Kanamycin, Streptomycin, etcetera.). Often their treatment is possible only through the use of Carbapenems and Fluoroquinolones (Ciprofloxacin, Levofloxacin, etcetera.). Klebsiella is considered part of the normal flora in various parts of intestine and colon. Recent studies have reported that recurrent Klebsiella urinary tract infections are caused by persistent Klebsiella found in the urinary tract even after appropriate antibiotic treatment and all persons with recurrent infections were elderly and diabetics. Recurrent strains of Klebsiella also had increased adhesion and invasiveness compared to colonization strains (those causing infection for the first time) and this might explain their tendency to cause repeated infections. Now, it is known that frequent sexual intercourse is the strongest risk factor for recurrent urinary tract infections in healthy women, and it is why your disease comes back each time you have sex with your partner. The fact that the disease comes back after you have sex with your partner puts in high risk of future urinary tract infections. In your case the following measures could be of benefit" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor. I have been havin a toothache since few days. I ws told few months back that the tooth needed a root canal. A temporary coverin ws done but within days it came off and exposed tooth since then. I ws advised meftal - forte tablets to take for pain by a chemist. Please advice ASAP if i should take to subside the pain for now. Within 2 or 3 days i would be visiting a good dentist. Thank you!" }, { "from": "gpt", "value": "Output: Hello, I am glad to assist you. The temporary filling placed would be expected to wear away if only placed to cover the tooth while expecting you to return for a root canal therapy. The filling needs to be removed to enter the center of the tooth and clean out the canals to complete the root canal. You will have a temporary filling until the canals are sealed, and you can plan restorative treatment with your dentist. An antibiotic such as Amoxicillin may be necessary if pain and swelling is present. This will help control the spread of inflammation from the infected tooth. I usually recommend taking a combination of two Advil and two extra strength Tylenol to control a more severe pain until you are able to visit the dentist again. Thank you for your inquiry. I hope you will feel relief soon." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I ve got pain from my shoulder to my foot all down the right side Back aches Tearing feeling at top of buttock Outside of leg always feels tight Foot aches along the last two toes under sole Knee sometime aches Outside muscle on knee is growing People have noticed me limping Has been ongoing for a while but getting worse any help would be good thanks Donald" }, { "from": "gpt", "value": "Output: U have a query that is bizarre in its nature although thank you for your question. U have pain in multiple sites of your body on the right side as u mentioned. But even if these painful sites have occurred at the same time, it is not necessary that these are related. I would advise u a Chat Doctor. For example pain in your sole and last two toes can be related to faulty/badly crafted footwear and so on. Take care. Some amount of rest, physio and pain relievers may help." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways. It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it." }, { "from": "gpt", "value": "Output: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is causing me to keep bumps with puss all over the back of my head? Different shampoos seem to make it more irritating than others. I have tried all kinds of things and have been to two skin doctors and nothing works, but the nail fungus pill medicine?" }, { "from": "gpt", "value": "Output: Hi, From history it seems that there might be having scalp infection giving this problem. This can be folliculitis, yeast infection, sebohrric dermatitis, Dan Chat Doctor. Consult dermatologist and discuss this. After finding the cause go for treatment accordingly. If there is fungal infection in nail, this can be yeast infection in the scalp. Go for one oral course of antifungal medicine like Fluconazole 150 mg once in a week for 4 weeks. Take head bath daily with plane warm water. Avoid using shampoos, conditioners. Ok and take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have recently noticed a bump looks like half of an egg size mainly on my left side but it is also on my right. It is located in the space of where the collarbone and neck meet. It is more defined if I shrug my shoulders up like when brushing teeth . It is not painful, rather soft, but getting larger. I recently was told I have a tumur on my thyroid right size golf ball size which is getting removed in a week or so. I just really concerned about these new bumps now, last year I had a nerve shealth tumor removed of spine that I was told was non cancerous. The FNA I had on the thyroid tumor also suggested non cancerous. I have an ultrasound scheduled for new bumps but I m getting sick to my stomach stressing about it. Can you give me any insight as to what you may believe it is? Thank you, 42 yr old Marine" }, { "from": "gpt", "value": "Output: Hi, welcome to Chat Doctor I am Chat Doctor So, you have cervical and probably left supraclavicular lymphadenopathy. Now, to be frank, on left side both cancerous and non-cancerous cause. Which include infectious conditions along with some carcinomas. You did not mention what type of thyroid lesion you have. Now, first you have to do FNAC from those lymph nodes. It must. If it becomes noncontributory then surgical biopsy needed." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here.... Yes i woke up this morning with a terrible lump feeling in my throat, it comes up woth this very indescent taste and it feels as if i jeed to vomit but i simply cant, i tried to induce it but no dice. What do you think?" }, { "from": "gpt", "value": "Output: Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from HERD with Globes pharynges (of the Constrictor pharynges muscle) feeling due to the Acid reflux causing esophagitis or pharyngitis. Remedy is by Proton -Risperidone combo Chat Doctor. Cause of acid reflux needs to be investigated and treated in such cases. Team of GP and Ent-Surgeondoctor would be needed to treat your health issue. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hey I was jumping on a trampoline and I was jumping and tried to do a backflip and landed on my knees. And my lower/middle back (lumbar I think its called?) like crunched. It was like my lower back went forward and my upper snapped back and it still hurts in my middle back. I dont know if its serious its just sort of soreness. What do you suggest I do?" }, { "from": "gpt", "value": "Output: Hello dear, Thank you for sharing your concerns in this website. I understand you are worried, but I would suggest you to calm down and follow these step sim explaining below" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have a little dot quarter way up my spine from the bottom that has developed a lump and bruising around it I have been to the doctors two weeks ago and he said it might be something torn and give me cream but not the pain is spreading up my spine and when I bend or touch it it winds me thnks" }, { "from": "gpt", "value": "Output: Hello! Welcome on Chat Doctor ! Regarding your concern, you should know that your symptoms could be related to an infection. For this reason, I recommend consulting again with your doctor for a physical exam. An X-ray study in this region is also necessary. A spine MRI in this region would help examine better the soft tissues and the spine in this region and exclude any deeper disorder, which can not be seen during physical exam. Hope you will find this answer helpful! Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have heavy pain in My upper left quadrant right beneath my ribs. When I stand up or walk it feels like I amCarrying a cannonball on my left side. It also is painful to the touch. I have had a colonoscopy, a ct scan, a gastrin testand a test for parasites. My doctor cannot find any cause for my pain. I have to take Imodium or I have diarrhea 24 /7.Do you have any clue as to what is wrong? They are suggesting I see a surgeon for exploratory surgery." }, { "from": "gpt", "value": "Output: HIT hank for asking to ChatDoctorIn such cases when nothing's come out in investigation as long as the abdomen cavity is concern the next strategy would be exploration of abdomen in this the surgeon can see the pathology or try to find it out in different areas of viscera, but most of the time abnormality does not decked if it would have there then it might have been decked in Ct scan, If I would be your doctor then I would definitely suggest you for MRI scan this would give the same result as you will get after the exploration, it may not be anything danger just keep your steps level low and try Omeprazole with domperidom for six weeks will get good relief, have nice day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi i am 39 weeks pregnant and last night i had chills and shaking i wore lots of clothes but i felt cold when i get up for bathroom now i am worried because i fell my baby move less than usual from this morning could you please tell me why that happen ?" }, { "from": "gpt", "value": "Output: Hi there,At 39 weeks you are almost full term. You need to get checked by an obstetrician immediately for these child and the decreased fetal movement. Any fever or infection at this stage cannot be taken lightly and needs to be evaluated. You need to measure your temperature 4 hourly. Also do you have any complains loss of fluid, or breaking of membranes? It is a possibility that you have ruptured your membranes and are going into labor. But if you have chills and decreased fetal movement, any womb infection called chorioamnionitis needs to be ruled out.Also, you need to get an ultrasound and fetal heart tracing done to check for fetal well-being. 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: My daughter is 15 months old. She fell about an hour ago on her fisher price house and hit right at her cheek bone and ear. She cried for about a minute, we put ice on it and watched her. There is just a little swelling where she hit. Her balance seems to be fine and she is acting normal. She didn t drink all of her milk before bed, but not sure if this is related. Is her fall cause for concern?" }, { "from": "gpt", "value": "Output: Holloway to look for in a head injury" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i took a single dose of azithromycin on thursday 12/13/12 and had nausea afterwards but then was pretty much symptom free. on Saturday the 15th i began to spotting, but not regular spotting. its a darker thicker blood. i can t find anywhere that says this is a common symptom. should i be worried or is this normal?" }, { "from": "gpt", "value": "Output: Hello, Azithromycin is an antibiotic and like all the medication has side effects. One of them is vaginal discharge. If this symptom has occurred for the first time and doesn't repeat any more there is nothing to worry about. If spot is going to happen again you have to make an appointment with your gynecologist. 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: My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70s. His doctors say that he isnt diabetic. They never see the spike and wont listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up." }, { "from": "gpt", "value": "Output: Hi, As you have mentioned Blood sugar levels of your boyfriend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be fulfilled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2\\u00a0hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes i.e. increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headiness do not denote Diabetes. Taking in to consideration of profession of your boyfriend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms, or you can make video during symptomatic period." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for" }, { "from": "gpt", "value": "Output: Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m a female aged 29. About 6 weeks ago I got a really intense pain that comes in waves at the top of my stomach. The pain is so bad and on the same pain scale as contractions, only higher up between my ribs. Within the 6 weeks I ve had this pain on 3 seperate occasions and each time it s been followed by dirrahrea. It usually lasts about 2 days. 4 weeks ago I took a really sharp pain in behind my rib on my right side that went up into my right shoulder. The pain came on me very quickly and I couldn t lie down or take deep breaths as the pain was so bad, I was so worried I went to a&e, on arrival I had a high temp, pulse over 100 and low blood pressure. Doctor did an X-ray whicChatDoctore back clear, and done a ct scan as they suspected PE, this also came back clear. They told me my bloods came back that I had infection somewhere but they just didn t know where and sent me home with antibiotics. 4 days later I went back as I didn t feel 1 bit better, done another X-ray which was clear, more bloods and tested my liver this time as they were thinkin maybe gallbladder, al bloods came back clear, my liver slightly elevated but nothing to worry about , I think it came back 41 and doc said its usually 36, only bloods still showed infection, but doctor was baffled as to where the infection was. I got sent home with stronger anti biotics, I started to feel a bit better within 2 days but I still kept the pain for about 2 weeks after. Since all this I have been to my own GP, she redone my bloods , all came back clear accept my liver ggt which was slightly raised but not raised enough to do anything about. I ve got an US appointment in a couple of weeks, I m really hoping I can get to the bottom of all this, have you any ideas ? Do you think both these symptoms could b related? Any feedback would be gratly appreciated, many thanks!" }, { "from": "gpt", "value": "Output: You had episodes of severe pain at lower two ribs at right side probably rt Hyperion Chat Doctor. Your CT thorax was normal, and blood investigation showed infection i.e. raised total count, X-ray was normal. I wonder y abdominal CT wasn't done. This kind of pain can be due to respiratory, CVS, GIT, ( cholecystitis, cholelithiasis, pancreatitis, colitis, diverticulitis, PUD)etc.... pathology. As CT thorax was normal respiratory pathology can be rule out. Blood investigation dint showed any pathology. As you are going for ultrasound whole abdomen it will show other pathologies. If it shows normal study then you can go for CT Aldo.n last ECG Only after your physicians advise. Thanks n regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I was working out yesterday (on the rowing machine) and yesterday afternoon, all night and today I am feeling a flutter in my chest. It feels like my heart is palpitating but my husband says maybe I just pulled a chest muscle. I used the rowing machine the past 2 days in 20 minute increments. could this have caused a pulled muscle?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because arrhythmia commonly causes palpitations and Fluttering sensations in chest. So consult doctor and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Pulled muscle can also be the cause. So apply warm water pad on affected areas. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these but first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I believe I will need a dentist to answer my question. Is there one available? My son lost two of his bottom teeth over month ago. Yesterday he came to show me his mouth. One of the spaces has bubbled and become dark blue however he is in no pain or discomfort. There is no sign on his perminent tooth . What could this be and how concerned should I be?" }, { "from": "gpt", "value": "Output: Hi and welcome to Chat Doctor, After reading your history I suspect the lost teeth were primary or milk teeth, you did not mention your sons age so that we can predict the eruption of permanent teeth. I would suggest you to consult a dentist and get an x-ray done for the affected area. x-ray will show if there is a remnant of tooth left in the jaw that has lead to swelling and bluish discoloration or there is some infection or bubbling of the area is due to permanent tooth erupting. Accordingly treatment can be carried out. I hope this helps you, take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had sepsis in October 2013. I now have bruising on the soft pallet and petechiae on gums and tongue. Still havent been feeling great, losing weight, chills, fatigue and upset stomachs daily. Should I be worried? Should I see my doctor? They said it would take time to feel better. Finished Ive antibiotic beginning of Dec." }, { "from": "gpt", "value": "Output: Hi, I understand your concern. Sepsis & also the antibiotics taken to control it disturb the normal intestinal flora which keeps our gastrointestinal tract healthy. To manage, -Keep oral cavity clean by warm water gargles. - Use a mild paste with finger/slim soft brush. -apply boroglycerine to affected area. -Take warm/cold milk, non-irritant/bland food, grated juices, salads - B complex (specifically folic acid)& vitamin C supplements are essential. - Take Lactobacillus preparation before food. - Avoid constipation. Exclude amoebas. * To consult doctor for assessment of health & prescription of medicines n proper combination. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear sir i am a medical persons my mothers have a upper abdominal pain bodyache and low back pain .on ultrasound report have simple liver cyst and rt cortical renal cyst .what cn i do sir please give me an appropriate way for treatment ." }, { "from": "gpt", "value": "Output: Hi, These conditions might really not be related and need a keen review. Liver cysts are treated depending on the cause. They could need Chat Doctor. Upper abdominal pain could be due to gastritis or pancreatitis or some medical or surgical. In case these symptoms have been going on for a long time, the opinion of a gastroenterologist, coupled with an abdominal ultrasound and Ct scan would be helpful to guide diagnosis and treatment. Kind regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, this is Ravi from Gandhidham, Gujarat, recently my moms hernia surgery done dtd 10/06/2011, after four days some liquid leakage is started, now mom is under treatment. Doctor has suggested nothing to worry as this is fat liquid which overflows sometimes. This is will continue four to five days. We are so worry about present circumstances, can you pls. advice on this matter...Best Regards Ravi" }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Leakage of fluids can be possible after a week or so. Leakage after this time is abnormal. It requires a treatment. I suggest you to do culture and sensitivity from the fluid coming out. If it is infected than appropriate antibiotics as per the report will cure you. If the fluid is non infected than it requires a correction surgery. Once these measures are taken the fluid will decrease coming out. Please maintain good hygiene locally, you can do it by frequent cleaning and Chat Doctor. This will equally important as taking" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor.. My mom has tuberculosis.. treatment is started 2 weeks ago... i.e from 9 may 2014. medicines taken are rifampin and isoniazid(R-Cinex) along with thynorm 25mg before breakfast, pyridoxine hydrochloride (benadon 40 mg half tablet) & prednisolone dispersible tablets (i.e wysolone) after breakfast but this wysolone tablet for 1st week 3 times 2nd week 2 times i.e after breakfast and dinner & 3rd week only after breakfast.. Then pyrazinamide (i.e pyzina 750mg) 2 tablets after lunch and at night after dinner ethambutol hydrochloride tablet i.e themibutol 800 mg.. before starting with this treatment i.e on 8 th may 2014 Tapping was done.. and now from 20 may 2014 pseudomonas aeruginosa was found so on 20 & 21 may doripenem 500 mg diluted in 10ml steriled water was given after that from 22 may ertapenem 1gm IH was given for 5 days till 26 may. Now doc told to stop this injection but didn t told us to do any test. And she still has fever around 102 to 103.. Doctor told to take crocin if it crosses 102 and maphtol if it crosses 103.. Her diet is also not proper. She don t feel like eating as she use to eat before.. She has loss her weight too.. She is still coughing & cough is normal white or water colour.. Sometimes she has breathing problem too.. Even stomach upset sometimes.. when there is fever at night she become wet due to sweat. Please doctor advice me.. Is this treatment going on is proper ?? And how many days will this fever & cough remain..?? When she will gain weight?? why is this stomach upset now.. is it because of medicine side effect or other disease like jaundice or something because some jaundice we dont come to know..?? what vegetable fruit should be eaten & which should not be eaten as she has cough too?? is it ok to have non veg ?? please specify name of fruits and vegetable to give & not to give.. please doctor reply soon.. i am worried a lot.. please please please" }, { "from": "gpt", "value": "Output: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. A patient with Tuberculosis on treatment doesn't have any special dietary restrictions. However, patient should avoid Spicy food, alcohol. Should be given lots of green leafy vegetables. Should be given lots of fruits. If on treatment develops any pain abdomen, jaundice, visual disturbances, it should be reported to your doctor. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My baby is 1yr. old (12months). For last 2 days she is having loose motions. I don t know whether to call it as loose motion but she is having toilet 3-4 times a day. Toilet smells badly. Also colour of toilet is Blackish Green, Yellow and also it is sticky. Please let me know what kind of food shall i give to her. I normally used to feed her milk, Dal/Rice, Fruit(banana/Apple), Khir etc." }, { "from": "gpt", "value": "Output: Hi, Does she have fever or vomiting? Does the stool contain blood or mucus? Is there any abdominal pain or discomfort while pooping? If no above said symptoms, this need not be taken as significant. Some change in stool frequency, colour or consistency is common once in a while, and need not be worried about. You can continue the same feeds as before. If stool is too loose, reducing amount or withholding fruits for few days might help. Take care. 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: Hello. I kicked something and now my foot is slightly swollen, slightly bruised, but definitely sore. I cannot bend my big toe (which is the area where the pain originates, in the foot part just below my big toe) not because of the pain, but I physically cannot make it bend. It hurts to walk on the affected area but I can walk. I just cannot put weight on the big toe. It is painful with a mixture between dull and achy and suddenly sharp or throbbing. Though, I took a Vicodin and the pain is a lot better. The pain is more localized and the areas around it hurt less allowing me to put weight on those areas. Does this sound more like it could be a sprain since the pain medication helped with almost all of the pain aside from the milder pain I feel in the location of the bruise and swelling?" }, { "from": "gpt", "value": "Output: Dear patient You have injured your foot more so your great toe and possibility of fracture cannot be ruled out since pain is not relieved. I would advise X-ray of involved foot anteroposterior and oblique views to confirm diagnosis. If it shows fracture you need to consult expert orthopedic surgeon with report. If its normal diagnosis is sprain and recommended treatment is rest for 2 weeks and tab diclofenac 50\\u00a0mg 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: intense pain in the head, vomiting blood and even low sighted..treated with brain cancer..age 17 female can anybody help plz..her weight is also low its 33kgs..height is 5.7..the pain is getting regular and when in pain no other option other than taking a sleeping tablet as an insomnic..plz doctor help.." }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. She should go for MRI once. It will give exact diagnosis. If it brains cancer then surgery and radiotherapy is the treatment. If it is some other pathology 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: 18 month old more tired and cranky than usual. Other than the end of a cold, she s healthy. She normally sleeps 11 hours at night, with a 2 hour nap. For the past 2 days, she has slept 12-13 hours at night with an almost 3 hour nap. She s normally quite pleasant, but has recently been cranky and even laying around some when awake. She s asking for milk more...seems hungry. Growth spurt? Other ideas would be appreciated!" }, { "from": "gpt", "value": "Output: Hi, thank you for choosing Chat Doctor.Sometimes kids are more hungry and cranky without an apparent reason. But just look for any ear ache or pain while passing urine which can make kids irritable and are usually missed. If she is not having these, then she is in the recovery phase from her cold which has increased her appetite. Just give her an extra meal for another week or so before going to sleep. Hope this has helped you. Your vote of thanks is appreciated, Good luck, Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Husband had an endoscopy during the procedure found white spots. Took a biopsy and thought it was fungus. Found out today not the case. White blood count low told might be an infection. Not for sure needs another scope in a few months. Taking meds for acid reflux. What could it be?" }, { "from": "gpt", "value": "Output: Hello thank You for contacting ChatDoctorWell first I must say there's too little details provided to work on however let me try__ 1. Your husbands having acid reflux and on meds - since when? 2. Did he undergo endoscopy for that or there was some other problem(what was the problem that he's facing lately)?? 3. Is he having any other problems lately (fever, flu like symptoms, loose motion, pain abdomen etc.)?? 4. Apart from the meds for acid reflux, is he also taking any other medications for any other problems(Diabetes, Hypertension, Asthma etc.)?? 5. You've mentioned White blood count low - it's better if you kindly attach the report of white blood count and also the differential count along with next time it would be better 6. Does he smoke?? Either way do check in with your gastroenterologist and also get back to me with some more details next time for actually telling what it could BEP.s Haunt you got the report of the Endoscopy?? If yes then please attach along with in your follow-upHope to see you soon, thanks a lot for posting your query in Chat Doctor" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, after marriage i concieve but my baby is not growing.and doctr did dnc after that 1 year i didnt concieve and my husbnd reports of siemen analysis was worst.now his reports is fine and doctr advised me to take proflien.my mensus are regular .and iam 24 yr old" }, { "from": "gpt", "value": "Output: Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnant when results are normal.right.well.there is HIGH CHANCES of getting when all reports are normal. For getting pregnant following things are required-in women-regular menses reproductive age group(15-45years)normal reproductive organs(uterus, tubes,ovaries etc.). In man-normal semen analysis(normal sperm count, motility etc.) as u told that u both have all reports normal then DON'T WORRY.RELAX.there is high chances of getting pregnancy in your case.u also told that u had abortion, but DON'T WORRY, it happens with most of the women. It doesn't mean that u can't be pregnant in the future. it's normal.nothing is wrong in this. With the above discussion u can try out my suggestions-1. Try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnancy is high).2. KEEP PATIENCE...there is high chances in your case. Just RELAX.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. . I can understand your tense-full situation, DON'T WORRY, I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...i hav mild pain in right side of my stomach and mild back pain.doctor suggest me to take scan,urien test,blood test and xray,but i all was normal,finaly doctor suggest me to take zintac,nimusulid and cifran 500,there is no redusing of my pain.still i hav pain,what to do" }, { "from": "gpt", "value": "Output: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Castro esophageal reflux disease. I advise you to get an Upper GI Endoscopy and Crease test, complete blood picture, stool culture, per digital rectal examination to confirm the diagnosis. Chat Doctor. Pantop once daily before breakfast, Syp. Gelusil and Di gene chewable tablets. Avoid strain and coughing as it may lead to Diaphragmatic hernia. I also advise you to get investigated for H.pylori. You may also need to take Qua" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Seasonal. Allergies and sinus congestion Hey.Im 31 years old..My allergies seem to be out of control u this year..I stay congested all year around and nothing seem to help ..Im on nose spray, asthma medicines and still have trouble..Any ideas that will help me stay uncongested?" }, { "from": "gpt", "value": "Output: Hi, first go for a head and neck X-ray in Caldwell Luc view and waters view to rule out other pathology of paranasal sinuses like polyp, muscle or chronic sinusitis, then meet an ENT specialist to have a thorough examination including rhinos copy to assess your condition .let them diagnose the type of rhinitis you have, go for complete panel allergen test to get the list of all substances which are allergic to you, also go for pulmonary function test.proper see of levocetrizine, montelukast, oral or topical steroids and antibiotics can manage your symptoms perfectly for which you should follow your ENT specialist. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was recently diagnosed with a pituitary tumor, after going to a neurologist his assistant informed me that it is not a pituitary tumor but it next to it by my brain...The reason I even found out about this is through an MRI I had because of vision issues that I am having (double vision) the thing is this is the third incident it seems to come and go with the first time being in 2009, the second in 2011, both with pregnancies, and now this time while I was on an appetite suppressant. What do you think" }, { "from": "gpt", "value": "Output: Hi, I had gone through your question and understand your concerns. If you had double vision, the tumor infiltrated cavernous sinus, and treatment depends on the kind of tumor. In that area three are the most probable lesions" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i have 23 years old , i practice fitness ,, i feel an instability on my knees while walking , i feel a weakness too on my legs , i have a flat feet , when i woke up i feel that my left knee is blooked , but when i m walking and movinig it in a while i lost that feeling , and it s comes over when i set to mush or after sleeping , and when change the shoes for exmple my knees come to pain on the miniscal tears i think , i m suffring can you help doctors ?" }, { "from": "gpt", "value": "Output: Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI again to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i have pain accross the middle of my back just under my lungs, it isnt there all the time, when i sit on my knees and stretch forward then try and straighten myself, it seems to hurt then, i have been told by the doctor that my lungs are clear. What could this be?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific position and movement. So avoid movements causing pain. Avoid sudden jerky movements of chest. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 62 years old Male. I underwent a brain MRI examination the outcome was" }, { "from": "gpt", "value": "Output: Hi, Thank you for posting your query. I have noted your MRI brain findings. I would like to reassure you that these findings are not significant and do not represent any serious brain disease. I would like to know your clinical details (history and examination findings) in order to completely interpret your MRI findings. Hyperintense loci on MRI are most often due to migraine and ischemia (lack of blood flow to brain). Ischemia of brain occurs in people with high BP and sugars. At this stage, you need to keep your blood pressure and sugar under good control. In addition, aspirin tablets may be taken to prevent further ischemia. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I truly believe my brother has a paranoid behavioral disorder. How can I get him the help he needs? He is currently taking meds for anxiety and Atavan. He has begun the process of counseling however he continues to suffer major meltdowns daily, not able to be alone, maintain a job and daily living skills are difficult for him." }, { "from": "gpt", "value": "Output: He may have a psychotic illness. However, reaching to a diagnosis and treatment plan need more information about his behavior and illness and interviewing him. Get back to me with more information like duration and nature of illness, does he talk to himself, more details about his suspicious behavior, how does he spend his day at home, any addiction? Etc. You also consult a psychiatrist in Lois vicinity as interviewing the patient is key to make a decision. 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 been experiencing a pretty severe constant pain in my upper abdomin for the last 4 hours. When Im standing it becomes a sharper pain that causes me to walk a bit hunched over. I had tried to go to the bathroom but that doesnt feel like or seem to be the problem nor do I have any nausea sensation. I did just start taking Celexa 3 days ago and melotonin at night for sleeping 2 days ago.Thank you" }, { "from": "gpt", "value": "Output: HIT hank for asking to ChatDoctorSudden abdominal pain is indicative of many possibilities and sometimes nothing's comes out, colicky abdominal pain can be considered, just take a rest, no need to take anything by mouth (Food) wait for half an hour if subsided then it's okay if it does not then try antispasmodic (Dicyclomine) it will come around for sure, further query will be answered ask without hesitations have Nice day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I HAVE A VEIN ON THE LEFT SIDE OF MY CHEST THAT IS VISIBLE AND IS SORE. I JUST HAD A STRESS TEST DONE AND EVERYTHING IS NORMAL WITH MY HEASRT. THE AREA IS VERY SORE TO THE TOUCH. I ALSO HAVE BEEN HAVING FLUTTERING SPASMS JUST UNDER THE LEFT BREAST AREA. I AM A 53 YEAR OLD MALE." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry about heart diseases because your stress test is normal. Possibility of skin infection like herpes zoster is more in your case. It is viral infection of skin caused by skin contact. It is commonly seen in chest area. Herpes causes pain, redness, itching and venous engorgement (dilatation of veins) in localized chest area. So better to consult dermatologist and get done clinical examination of your local part. You may need antiviral, painkiller and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband just had an angiogram. They did not put stint because there was more blockage than expected. Is it normal for him to change sleeping habits. He is falling asleep in a second. This has never happened to him. We have been married for 26 years." }, { "from": "gpt", "value": "Output: Hi Their understand your concern for your husband I would like to tell you that angiogram is only a diagnostic procedure that has no effect on sleeping pattern. You must check his blood pressure if it is staying low or go through his medicines if he was prescribed any sedatives' medicine if yes then consult with his treating doctor and ask if he can stop using that medicine. Hopefully this will help Kind Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I need to consult psychiatrist for my brother My brother is 34 yrs old. He gets angry and becomes irritated on small small issues. He is working in a call centre. He had polio but after the polio has been treated he is become more short tempered kind of a person. he abuses when he is driving when someone overtakes him. we need some suggestion for his sudden mood change prob. He is very noble hearted person but when he gets angry he himself dont know how is is behaving with his elders but when he calms down he aplogise for his behaviour. He do not drink or smoke . Please advise?" }, { "from": "gpt", "value": "Output: Hello ~ It seems like your brother has an anger management problem and impulsively becomes angry at little things. However, it also seems like these anger episodes are predictable, which makes it amenable to treatment. I suggest that your brother take anger management classes or complete a do-it-yourself book for anger management. It is helpful to consult a psychiatrist if you or your brother feels like this is not helping and medications may hold a key to the question of anger. I hope this helps. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my sister 47 had gallbladder stage 2 cancer, had surgery done and after 1 year she got liver metasis, she is now at the hospital, cause had an infection of the bile, a stunt was placed to drain infection, she had received 2 types of chemo for 3 months, but did not workNow taking Tarceva and should start pallitive chemo once she is better stage. My concern is that she is retaining fluid her belly is swollen, her ankles pratically all over. Is there anything that can be done, what does this mean for her life.She is not taking any other medications. She is strong and she is positive on all this. Would she be a candidate for liver transplant.TksVicky" }, { "from": "gpt", "value": "Output: 1) palliative chemotherapy is for stage-4 cancers where there is no any other treatment option is available to cure cancer. Purpose of it is to relieve symptoms of patients and to improve quality of life. Palliative chemotherapy is not better stage.2) gall bladder cancer with liver metastasis is aggressive disease. It might affect liver function (formation of new proteins) depending upon spread of liver metastasis. Symptoms of fluid in belly, ankle swelling suggest less protein in body.3) she is candidate for palliative chemotherapy (but consider location and spread of metastasis in liver)" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have pains under my right side rib cage it comes and goes , im sitting on couch and have strong pains under rib cage same spot everytime.my family physician says its nothing to worry about.but its something to worry about if it happens everyday for about 6-8 months now.please help." }, { "from": "gpt", "value": "Output: Hi, thank you for providing the brief history of you. A thorough cardiothoracic assessment is advised. As the pain is persistent from past few months I will advise to take up a thorough cardio thoracic assessment if it is in the middle of the chest or above the abdominal region. You may be recommended x-ray or any other test based on the assessment the pain is below the xphisternum then I will advise to take a thorough abdominal assessment and a Diagnostic ultrasonography will be advised to see the soft tissue status. Also, if the pain is near to the rib joining the sternum then it could be Costco Chat Doctor. I will still advice to undergo at least a chest x-ray to check the soft tissue and bony status. No pain persists for longer months until there is something to understand about the physiology. Also, with breathing exercises if the pain subsides then you many not have to worry, as certain times due to weakness of the intercostal muscles there leads to pain. As no chest congestion, cough cold, abdominal pain is mentioned by you, I suspect it to be a Costco" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my nine year old son has been complaining of a headache all day at school. He said that it started yesterday on the way home from a road trip. His eyes are blood shot and he looks miserable. no pain to light or sound however, when i tell him to touch his chin to his chest he says there is pain. It also hurts his neck at the base when i touch it. He also says that he just feelis icky. He is congested and has a cough that only seems to come on at night. This may be an over worried father but my 18 yo daughter went thru a bout of meningitis that was caught early by me and I just wann be sure. this could just be a common cold right? the pain when bending the neck is what worries me but it isnt terrible pain he says its like a pinch then it goes away. thoughts?" }, { "from": "gpt", "value": "Output: Hello dear! I can understand your concern. The pain which you are describing can't be meningitis as in this infection the child is quite sick and is unable to flex his neck. Its probably sinusitis or could be viral flu both of which can have headache. I would advise giving him some good anti histamines like levocetrizine 5 ml at night or fexofenidine 6\\u00a0mg /loratadine 10 mg once in the morning before going to school. You can also try some home remedies like 1 tablespoon of honey in a glass of Luke warm water once daily. Normal saline(2 ml) nebulization and especially steam inhalation also helps. Dnt worry he will be fine in 2-3 days with all this. Get him an X-ray PNS done, and his eyesight checked because sometimes it could be due to refractive error. Hope it will help. Wishing your child a good health" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I took a Dollar store pregnancy test and it came out negative, but Im not sure if its accurate. Ive looked up common early signs of pregnancy, and I seem to have most of them. Is it possible that the test is wrong? Or that Ive taken it too early?" }, { "from": "gpt", "value": "Output: Hallow Dear, The routine urine test for pregnancy detection gives reliable results 8-10 days after missed period. If this test is done earlier, the chances of false negative tests are high. Beta Chat Doctor test is very specific and sensitive test. It gives reliable results within 2-3 days, or even before the missed period. Another test is ultrasonography. It gives direct visual evidence of the pregnancy status. However, it also is reliable about a week to ten days after missed period. Hope this helps you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Sir,I am 40 year old, since last six month my leg got amputed whenevre I travel. Even if I walk for a KM, my leg starts amputing and also I feel breathlessness and also Khansi get started. Since I have a strong Khansi, but nothing is coming out of it.Would you please help me." }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Leg pain, breathlessness, coughing etc. are suggestive of DVT (deep venous thrombosis) and Pulmonary embolism (PE). So better to consult pulmonologist and get done venous Doppler of legs for DVT and CT pulmonary angiography for pulmonary embolism. Don't wait at home because this is serious disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been having lower back pains for the past year or so coupled with a lot of gas in my stomach. I have seen my doctor for a kidney infection and was treated. But the symptoms remain. I have no history of lumbar injury. I am 57 yrs old an in generally good health. I was prescribed Zerodol 100mg and Cipro 500mg for the infection and they seem to work but the lower back pain lingers. I have noticed that the pain is especially discomforting between midnight and 7am. thanks for your advice." }, { "from": "gpt", "value": "Output: Hello dear, The symptoms are attributed to increased gas formation secondary to excess acid secretion in stomach. Presenting with such symptoms, I usually treat my patients with" } ]

[ { "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 owais..i had piloniidal sinus about 1 and half years initially i used to ignore in sense of infection but after some days it become worse and pain hitting so much at that instance someone suggest me to use a `Lehning L86` 20 drops in water 3times a day it works a lot but not cure sinus it only stops watery kind of thing which emits from sinus ..i just want to know that is there any possible option to get rid of it without surgery?....Thank you!" }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, for colonial sinus surgery is the only final cure. Taking a medication can only help you heal for some times. Against the surgery which can cure you completely. If you receive any serious stress on back colonial sinus will recur. You can take the detail solution in the water diluted. Which can help clear infection only. Remember it will not clear up the sinus. You can use the pillow before you seat. As it can help you to get severe sinus infection. Also wear the cotton undergarments. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Please hit thank you for me if you are helped. Thank you, ChatDoctorInfectious diseases specialist." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 4yr. old a week ago got very pale a fever and started vomiting, then he felt better and was fine, but yesterday he got a fever again he didnt throw up and we put cold towels on him and he cooled down, last night he woke up screaming and he had another fever, what could be wrong with him?" }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of fever which is due to impaired and reduced immunity of your body. Need not worry about it. Take antipyretic Chat Doctor. Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Cronin as well every 4-6 holy. You should take Metal P tablet as well. If symptoms still persists go for blood tests and then start treatment as per that. Avoid cold carbonated beverages. Hope your concern has been resolved. Get Well Soon. Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have swollen Lymph nodes, I have had this for the second time. First time they took one out and found it was normal, but not normal. ??? My symptoms are, Hot spells especially at night, not assoiated with hot flashes, extream fatigue, pain in lower abdomine that travels any time any where, worse at night. Nausious all the time especially after eating, over weight and can t loose weight even though I eat almost nothing. I do eat healthy, veggies and fruit don t seam to trigger it any different than any other food. I have seen a few Drs and am to see a colon specialist on the 4th. My nodes started swelling last night making it unbearable to sleep. worse ones are in abdomine. Last time I went to the hospital they did basiclly nothing, the meds they gave me made me sick. There has to be a reason for this. No one seams to be able to or want to help. Any ideas?" }, { "from": "gpt", "value": "Output: Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! There are various causes of lymphadenopathy (Viral, bacterial, tubercular infection), lymphoma, leukemia, etc. You need thorough examination and set of investigations(ZN stain from FNAC and cytology) to come to diagnosis whether viral, bacterial or tubercular in nature. In your case as you have evening rise it is likely \\\"Tubercular\\\" in nature pulmonary or extra-pulmonary. But I recommend take a course of antibiotic for 2 weeks to see if it resolves before you get investigated for other causes. You will need antibiotic prescription. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hey, so 4 days ago I was cleaning the bathroom at my work and I felt a really sharp pain in my neck and went all down my spinal cord. I could barely walk that day but as it progressed it got better. jump to the next day and ever since, I ve had majopr pain in my neck to the point where I can t move it to my right, and I have pain in my shoulders and a tingling in my left hand. I looked it up myself and the symptoms seem to be that of a slipped disc, but could there be something else, and what should my next step be?" }, { "from": "gpt", "value": "Output: Hi you have guessed it right these symptoms are probably of a disc prolapse in the cervical region and if the pain extends to the hand then lower discs may be involved.be on rest take analgesics get a MRI of the cervical spine done do not lift any weight on neck, do not excessively move the neck use cervical pillow. Traction may be helpful, and some doctors prefer a short course of steroids to reduce edema and pain." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife is concern with the seman dicharging after we have intercourse, my wife think something in wrong. One other question, i had a Vasotemy Reversal and it was sucessful but my sperm count is low, i am taking medicine for 3 month with very little change in the sperm count, can you give me some advice." }, { "from": "gpt", "value": "Output: HelloThanks for your query, based on the facts that you have posted it appears that you have undergone Vasectomy in the past and Vasectomy reversal very recently. Your semen analysis done very recently after reversal surgery is low. Normally there are very fewer chances of normal sperm count to be achieved, and it entirely depends upon the time gap between two surgeries as the anti sperm antibodies are formed after vasectomy which kill the sperms. Chat Doctor. ." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My fiance is a 27 y/o male. He has knots that will come up sporatically on his fingers. He has also lost patches of his hair that has been diagnosed and alopecia. He has what looks to be a swollen lymph node behind his ear. He has been to many doctors who have ran blood work and he has also visited a dermatologist. He is very concerned that he has some underlying disease that the doctors are missing. I have to re-assure him daily that he will be ok. Please help me" }, { "from": "gpt", "value": "Output: Hello, Alopecia with lymphadenopathy may be possible with fungal infection of scalp may present like hair loss with lymphadenopathy. Also check for autoimmune disorders may present like this. Photosensitivity or autoimmune thyroiditis or diabetes millet us etc. Until examination is done it is difficult to say what it is. please consult your dermatologist check for skin biopsy and oral cavity, sinuses for examination for infection. If symptoms not improved please consult your dermatologist he will examine and treat you accordingly. 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 I am Khushboo . 22week scan done . My Bebey seen left renal pelvis measured 4.6mm . What does Mild pelviectasis of the left kidney mean? What does Mild pelviectasis of the left kidney and kidneys are echogenic mean? How concerned should I be?" }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor .yes the left kidney is not fully developed, and it is something serious your baby needs surgery, so please get your delivery at a well-equipped hospital and please be prepared mentally for your child surgery after hos birth I suggest that you should take help of nephrologist to discuss various options available for your baby know it is very painful, but one kidney is normal it is a good thing with 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 is suffering from vasculitis for three months treatment is going on from Sahara lucknow but the condition is getting worst now he is unable to do any movement and suffering from severe muscular pain what treatment should be done to relax him from this pain" }, { "from": "gpt", "value": "Output: Hi, thank you for providing the brief history of your father. As mentioned by you about the symptoms, since it is vasculitis we need to have patience for the bodies mechanism to function. As treatment of choice is always directed towards the symptoms. Also, as the fatigue and pain is the factor, taking physical therapy will be advised as per me depending upon the vascular assessment. By passive movements of the limbs it will help to maintain the normal muscle property and metabolism of the cells. Also breathing exercises will help improve the oxygen in blood cells, which will delay the fatigue and pain. Usually, physiotherapy is a non-invasive and no side effects' therapy. Avoid performing massage to increase the symptoms. Also icing can help. You can discuss the same with your vascular surgeon. RegardsJay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello there...i have been having some issues that bother me. I have a pain in my stomach area (my left side)...just where the stomach and pancreas would be. While standing up, I feel a bulge and it hurts to push on it...it seems to bother me more when I am at work..but I sit most of the day. I also have heartburn about every day...I have been taking some prilosec almost everydat to stop that..but when I stop taking that the heartburn comes back. Also, when I lie down I do not feel the hard bulge.Please help" }, { "from": "gpt", "value": "Output: Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have pain in the stomach, on upper left side. When you stand and at work it is bulging and tender. You got heart burn also, When you lye down the bulge this appears. The heart burn may be due to irritation of the stomach due to peptic ulcer of irritant food habits. Underlying cause could be hernia, gallbladder stones, or H pylori infection. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have M.R.I. gastrostomy, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Left sided lower rib cage anterior pain. No known injury other than possibly brought on by raking the yard. Pain is sudden and sharp with a stabbing sensation. Pain is intermittent. Pain scale = 4/10 to 5/10. Increased pain with coughing or sneezing. No history of cardiac and no other related cardiac symptoms. Wife a nurse at JHH and thinks possible costochondritis or possibly related to my Rheumatoid arthritis. No fever. No nausea or vomiting. No diarrhea. Feels better after taking Motrin. What do you think this may be?" }, { "from": "gpt", "value": "Output: Hello Thanks for writing to us, I have studied your case with diligence. As per your history there is possibility of rib contusion or Costco Chat Doctor. Rib contusion is visible on X-ray. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care" } ]