{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello and Thank you. 64 year old male.Diagnosed and treated prostate ca this past summer.Four stints put in this summer.Copd,I smoke but as always ....have cut down....My problem now,Last 8 months or so..As soon as I wake I start have difficulty breathing. Hard,heavy deep fast uncontrollable breathing..No other symptoms. on one trip to er was in a-fib.Had appointment at Murfreesboro va with respiatory Dr. He said Bronchiaspasms.E r DR. there did not know and called mental health dr to see me. Do not know she diagnosed but gave me med called citalopram,20mg daily.already on clonazepam 2mgdaily.taking three htn meds,prostate meds two kinds, bupropion hcl 150mg twice daily.No other symptoms oiher than what I described.No chest tightness pain ect. What they always did at er was nebulizer .albuterol and iprotropium bromide.so now I have a nebulizer at home.Takes about forty five minutes to 1hr 15 minutes to clear up and then every thing is fine.until nex one they do not happen every morning but are becoming more frequent,last two times I called 911 It cleared up when they were here it ouit so no trip to hospital..I live alone and it is very frightening Please excuse the one finger typing.Any advice or what to do I will be grateful for. regards ,Walt", "output": "Hi, as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing. Respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker. What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body. I will advise you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. For making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So last week I started itching real bad, especially in my legs. I started noticing some bruising (and there were a lot of bruises, BIG bruises) where I scratched. I didnt think I was scratching so hard and Ive never bruised like this before whenever Ive had skin problems where I needed to scratch. Now, I found a lump in my upper thigh and its the size of a quarter. I can only notice it when I touch it and it feels like Im pressing against another bruise. However nothing has appeared on the skin which is leading me to believe its beneath the skin. Any ideas on what it could be?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. In My opinion-Currently-I feel you have Urticaria bruise. Cause of this -could be allergy to cosmetics / body spray/ food, or it could be worm infestation eosinophilic / or it could be due to skin disorder in itself/ Chat Doctor. Advise-Consult a doctor who would treat it accordingly. Hope this would help to plan treatment with your doctor. Hope this will help you to take further needful steps and to treat this emergency. Wellcome for further query in this regard. Wishing you fast recovery."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife gets headaches that causes blackouts. She has seizure like symptoms and has been diagnosed as not having seizures. After she comes out of this blackouts she is fatigued for the remainder of the day. She has been seen at an ER 5 times in last 2 months and they always come up with something different. No Diabetes or blood sugar problems. Could these problems be associated with Neuro problems?", "output": "Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you Symptom : After she comes out of these blackouts she is fatigued for the remainder of the day. Opinion : This is more likely due to seizuresSuggestion : Please consult a neurologist and do MRI Brain and EEG Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing weakness or paralysis on one side of my body. I think I have Hemiplegia, can you please provide me with the list of required medications for this condition?", "output": "Yes, for Hemiplegia we would recommend starting with a combination of 'Levetiracetam (Keppra)', 'Baclofen', 'Carbamazepine', and 'Phenytoin (Dilantin)'. Additionally, we may also use 'Botulinum Toxin Type A (Botox)' injections to help manage muscle spasms. In case of any stroke-related symptoms, we may also use 'Hydralazine', 'Phenobarbital', 'Atomoxetine (Strattera)', 'Cisatracurium (Nimbex)', and 'Alteplase'. We would also recommend using 'Ammonium Lactate Topical' to help manage any skin itching or irritation."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have MS and have been seeing a neurologist for 8 years. I recently had optic neuritis again. I have had two appointments within the last two months as I changed form Betaferon to Aubagio with no real problems. My problem is I am not happy with my neurologist. How do I go about finding someone that comes close to where I live instead of our capital which is 700k away. I have one neuro in mind that travels from Brisbane to Rockhampton (closer for me) but I want to meet with him before I go changing where I now go. How do I go about it?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Please fix an appointment, consult the doctor and then take a decision Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir my mother is suffering from slip disc problem in her lower back. she is been using ayurvedic medicines for that .since last year she had a problem in uterine system so it was removed and supplemented with drugs nw again she is suffering pain in her back so doctor consulted to take zodone 4mg for hypercalcemia but didnt workout so am confused whom to consult for this. many are telling may be she is affected from TM so wht to do plz help me through this she is aged 47 years", "output": "1. What exactly you or Doctor meant by Slip Disc (Herniated, Ruptured, or Prolapsed)?2. What was the cause of slip disc: Injury, Occupation or Weight?3. Any pain, numbness,tingling, weakness around the damaged disc or area supplied by the nerve?4. On what basis is the diagnosis of Transverse myelitis (TM) been made, any history of cytoplasm pneumonia, Multiple sclerosis or other Autoimmune disease?5. TRANSVERSE MYELITIS occurs in combination with declination of other parts of the nervous system, is Neurological examination been done, maximum time TM is associated with Multiple sclerosis, so treatment should be directed towards it, is Examination of spinal fluid and MRI brain and spinal cord carried out?6. What was the cause of hyperkalemia, for which Zone (Role Chat Doctor. 7. Avoid gluten diet, sugar,dairy products, and use of Immunomodulators and Ayurveda panchkarma (Pizhichil, Shirodhara), consult for the same with your doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello: Was wondering if could provide me with sort of advice on depression?  I have been going through depression now for what I would 5 years now and it keeps getting worse.  For the past couple to three months now I have been contemplating suicide.  Part of me wants to end it all but there is another part of me that wants to go on, I do not know why.  I am physically handicapped from a work related accident.  I am capable of doing things for myself but on occasions I need help with house chores.  No body I know wants to help me not even my parents.  There was a time when they liked me when I provided help for them, now that I need them they tell me that they do not want to help because I am a crimp and are embarrassed of me.  So the only thing I can think of right now is to end it all, my main method is a .38 Mag.  I do not know why I am asking for help but for some reason would like some advice. Please forgive me for bothering you, but would appreciate help.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely advice you not to confuse between depression and disappointment. Yes, you are disappointed due to what god had given you. But there is always room for positive thinking. I am a person without two legs and a finger. I found a course suitable for me and studied. Furthermore, I am now a clinical psychologist and am able to discharge my duties without having to get up from my chair. There are difficulties. But I am satisfied and am more and more thrilled to help others. Imagine a person without two legs and a finger helping others to stand erect in their life. Ironic. That is life. Take heart. Nothing is lost. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson has had a bad cough for several weeks now. The doctor said there was drainage and was probably allergies and gave him antibiotics which he has been taken for a week now but today he has blotchy skin and his cheeks are red. Should I be concerned?", "output": "Hi, First thing blotchy skin or rash or red spots over cheeks need to examined by doctors naked eye and only after then one can comment on that if its duty antibiotics allergy or something else. If your grandson was having severe cough and doctor diagnosed it could be due to allergy and then given antibiotics and other antiallergic treatment. So better u go to him first and then dermatologist if there is no solution."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have experienced sudden and very noticeable swelling in the abdomen and have had difficulty moving stool the last week Ive tried milk of magnesium, gas-x, and magnesium citrate (not at the same time or back to back). The swelling is somewhat painful and Dead Sea salt baths or a heating pad help, but Im worried because both sides still feel firm. I cannot get to a doctor for 48 hours because of the storm- what do I do, what foods are safe to consume, and is there anything else I can try OTC?", "output": "It is not clear from the details whether the swelling is a localized one or is it abdominal distention due to bloating. To me, it seems more like the latter as you mention irregular bowel habits. There is no restriction about the food intake, but it is preferable to avoid junk food. Try taking a high fiber diet as well as fiber supplements like Isabel alongside your dinner. Alternatively you may also use lactulose syrup 2 teaspoonfuls once or twice and day and see if you get relief. I would still insist that you remain in follow up of a doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2 month old son seems to have a really tender tummy, he hasnt stopped crying ALL day, nothing soothes him but a bottle even when hes full. i tried a warm bath, and everything. he has made a bowel movement today so i dont think he is constipated. also...im not sure if it matters but last night for the very FIRST time, he slept for SIX HOURS STRAIGHT! i couldnt believe it. he woke up super fussy this morning and hasnt stopped screaming since. HELP!", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor.  Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my kid is 3 years old and by birth he has asthama, he got in heridity. he is restless and unable to breathe proparly even sputom is formed in lungs. allopathy homeopathy treatment everything done, but did not got proper relief . kindly suggest some home remedy", "output": "Hello. Welcome to Chat Doctor. Chil Chat Doctor.  We need to understand the importance of immediate bronchodilator which the child may require anytime-playing/ school etc. It is an important fact that many childhood asthmatics will lose/ get relieved from this problem by puberty or adulthood. So, please maintain him on his prescribed medication (inhalers/ bronchodilators etc. and do not stop medication. You can simultaneously continue homeopathy as treatment is very effective and offers permanent solution. Available home remedied for asthma include:1. Daily intake of honey with lemon water.2. Indian gooseberry3. Juice of bitter gourd with honey or Tulsa level. Hope the advice helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am suffering with the following symptoms but not all at the same time. they come at random times in random orders and last for different lenghts of time . : pins and needles in both feet, pins and needles in both hands but mostly the outer half of hand and most often at night, stiff neck, lower back pain, severve pain in right thigh and calf- shooting and crushing pains and hyper sensitive skin, plus occasional pins and needles in both legs, a numb big toe and occasional severe pain in right heel. Is it possible to just have multiple trapped nerves or is there just one main one that could cause all these symptoms if damaged. the symptoms have got slowly worse over the last 2 years and are now very frequent", "output": "Hi, From history it seems that there might be having pinched nerve pressure due to generalized degenerative changes in your spines. There might be having neuritis. Go for x-ray cervical and lumbosacral spines or MRI to get some clue about your problem. Rule out diabetes as well. Consult Neuro-physician and get examined.Meanwhile, take B1. B6,B12 shots or medicine and calcium supplements. Ok and take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.i am a 24 years old boy with SGTP 70.i had done sonography and there is no sign of liver damage .i smoke but i drink alcohol rarely.i take some drugs such az floxetin and clonazepam under doctors priscription.and they add gabapantin and domperidon recently,i vomit every morning.and i had a heart problem for somyears ago.plz help me,what should i do now?", "output": "Hello, Welcome to Chat Doctor, I have reviewed your query, your liver enzymes are high though there is no sign of liver damage seen under ultrasound, but you need to be careful as the medications you mentioned are metabolized by the liver and your daily vomit could be associated with early onset of damage to your gastro-hepatic system, hence will advise you to consult your physician or hepatologists with all your reports to review all the medications and advice accordingly. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor m 24 year old bachelor, a few days back a lump appeared inside my lower lip wall it is whitish n light jelly like in colour.. though it does not cause any pain but its quite disturbing... m a regular tobacco user until this tiny lump appeared.. m worried please suggest what it may be", "output": "Hello, Thanks for your post on Chat Doctor. I carefully read your query and able to find out your point of concern.Don't worries its not a serious issue to get worried. I think it is a muscle, caused due to local trauma. Mucocele are formed by accumulation of mucous from trauma to salivary duct. Usually it is not harmful and spontaneously resolve on their own after a short time, and you can rinse the mouth thoroughly with salt water for two to three times per day for few days to augment the process. If persist for long time then you can go to a dermatologist for laser treatment or surgical excision. I think it will help you. Wish your good health. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have early stage Alzheimers and have been on Aricept for a number of years in the hope to stop the disease in it s tracks. I also have chronic depression and have been on a cocktail of drugs for decades: Buproprion, Lamictal, Lexapro. I also take supplements include Turmeric capsules and other vitamins. This disease runs in my family. My aunt, my Mom, my cousin and my sister (who was 12 years older than me all died of this disease. My sister also had Parkinson ss which ran on my Dad s side. I truly hope you can help. Many thanks, Linda Grishman", "output": "Hello there, Well I see that you have been on medications for a long time, you actually have not mentioned your name and sex, the prognosis of Alzheimer's disease varies depending on these two factors. I would like to know if you have been properly diagnosed to have the illness, because depression itself can cause loss of concentration, which reflects as forgetfulness. To be really frank there is no cure for Alzheimer's disease, the medication that you are on can delay the worsening of symptoms, this is a fact that you have to come to terms with. Regular follow-ups with your physician and continuing the medications that you are on right now is the best thing to do."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m someone with very high anxiety, and I did myself no favors last night. It had been a bit for me, and more than anything I was curious about the whole casual sex thing, and wondering if I was missing out (NO!) I had my first (and only!) one night stand last night with a girl I didn t know. I used protection and well before climaxing I pulled out and she gave me oral. Genital to genital was probably only about 5mins. I know she is promiscuous, which is what scares me the most. And probably also just not knowing her. At the same time, I know she is careful as far as protection and assured me she gets tested regularly. I did notice a couple of red marks in her inner thighs. She is a heavier girl, and told me those were chafe marks. Of course I ve been freaking out tons. I should have known I would. For the most part reading other peoples stories online is freaking me out more. If I could find something to worry about it would probably be herpes. I wish I could know NOW, but I see that I would have to wait at least 4 or so weeks for the test to show anything (if I did contract anything). Any thoughts? Already not sleeping or holding food in", "output": "Degree understand your concerns went through your details. I suggest you not to worry much.  This clearly is apprehension. You should have thought about this before indulging in sexual activity. Most of the people does this. Take risk, and worry about the risk later. The only cure to your anxiety for the time being is to think positive and believe whatever she told and do your normal life. After 4 or 5 weeks get yourself checked up and confirm. Till then be positive. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i just notice a lump behind my 5month old right ear during bath time. he has no fever but was little cranky, i think it might be an ear infection. seems if you touch the lump he moves his head like it might hurts , please give me some information on this matter! thanks chuck", "output": "Hello, I can understand your concern. The area behind ear contains lymph nodes. When ear gets infected, the lymph node in this area swells and causes pain. As it might be minor infection, the child has not developed fever yet, but he may develop if the infection is not treated at the right time. I would advise you to visit a pediatrician or an ENT specialist for clinical examination of the swelling behind ear and further investigations, if needed. If ear is infected, the child may need to start antibiotic course. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your son feels better soon. Best,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Samuel - for the last number of years I ve had a number of short (once or twice a year) intense shooting pain in my left arm and left side of my head which lasts about a second. Over the last few months this has increased to a nearly daily occurrence. any ideas?", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As the shooting and shock appearance of the pain is more of a neuropathic and needs an attention. Since the history suggest about the one side limb pain and also the head pain, I will advise you to get a thorough neurological examination done and also an MRI later of either the brain or the cervical region. As post thorough neuromuscular examination and by understanding the MRI reports we can come to a conclusion. Also, we need to know if there is any motor functions compromise or not. As this will be a major area of concern. Regards Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had severe chronic back pain since i had an epidural for childbirth in 2007. Every doctor I go to tells me nothing is wrong. I cry daily from the pain and it has affected my mobility plus I have scoliosis. I can not find a doctor who will manage my pain so I can feel normal again and move around and be  a mom and wife again.", "output": "Dear friend, I understood your concerns, This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease, spinal stenosis and spondylolisthesis) can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem. If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option. But I will suggest you to go for physiotherapy treatment which is best for you. You need to take it and ultrasound therapy on your painful part."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with H pylori and have the precpac, but wbc are elevated and the ER Dr., called me back after a visit in the ER and said I showed sign of Lymphocytosis need to follow up with my PCP. I did but he is not doing anything because he insists that the elevation is related to my pylori and my GI Dr says it s not. I am very concerned my wbc is at 14.3 and rising. Should I seek another opinion or just see a blood dr. My cbc s (4) all came back abnormal. My mom just went yesterday to a specialist because she has a high WBC also. Please help getting worse and no one seems to know why.", "output": "Hello and welcome to Chat Doctor, White blood cell counts (WBC counts) are raised in infections and leukemia. Leukemias are characterized by very high WBC levels (over 50,000/ cubic mm). However, the WBC count can be lower in case of leukemia. They are called sub-leukemic leukemia. In infections, the WBC count is also increased. An increase in lymphocytes (as in your case) can raise the WBC count. Lymphocytes are increased in chronic infections. H. pylori infection can lead to lymphocytes since it is a chronic infection. Treatment of H. pylori infection will clear away the lymphocytes and raised WBC count. Get the differential white blood cell count (DLC) in your mothers case. The DLC helps to determine the cause of infection. Thanks and take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For over 15 years I have complained to several doctors about an overall body fatigue, pain, ache than I can closest describe as when I have an extreme fever, BUT I do not have a fever (usually). Occasionally a blood test would come back saying I had a recent flare-up of the Barr Epstein virus. Occasionally antibiotics would help. I have been checked out by about 5 different doctors over the years with no determination. Currently we are treating the pain with oxycodone but I would prefer to at least know WHY I have to take it. It does not take away all the pain and my tiredness and malaise seems to be increasing. Right now I am told it is arthritis but my joint pain is the least of my problem.", "output": "Hi, Cannot say in your particular case but location and type of pain are helpful in determining both the cause and the process. The process has inflammatory components. Therefore, something that works on inflammation would seem to be warranted. A trial of steroids just to see what happens might be one option. Over the counter naproxen is certainly less damaging over time than steroids. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been trying for a baby for over a yr now. i started taking pregnacare conception tablets this month and i am not due on my period for another 7-9 days. I seem to have a very small amount of brown discharge very very small amount today and it has stopped again could this be an effect from the pregnancare tablets?", "output": "Dear kcpocknellwelcome to Chat Doctor.Please do a UPT (urine pregnancy test) which u can do it at home by ourself. If It's positive, then the spotting (brown discharge) which your getting is because of the implantation of the placenta in the uterus, which means there's further development of the fetus is happening in the womb. This has to be good news for you:-)If pregnancy is negative, the tablets do have these side effects because of the hormones in them. Kindly do not panic. Thank you:-)"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "43 year old female had kidney cancer at 36. History of vertigo nystagmus and migraines. Woke on aug 16th with no hearing in right ear. Taking prednisone 70 total at end of course. Only improvement is a delayed broken speaker sound coming from my ear. Heart beat in my ear is so loud I can t hear with my good ear. Ent PA told me severe conductive loss. Now this week ent told me sensorineural. MRI not scheduled until 19th. What do you think?", "output": "Dear DtbomarHello I am Chat Doctor.  At first thought with a history of renal cancer and hearing loss I would consider metastasis (spread) of renal cancer with deposits into the brain causing deafness and vertigo. I would advise you for an MRI. Please consult your oncologist and an opinion of a ENT surgeon and neurologist to solve this problem. Do let me know if you need more information on this with regardsRavinder Sharma"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 21 years old and i play football regularly and that causes pimples . if i stop playing , my skin starts becomming clear gradually. my skin type is combination , i dont know which face wash to use. i am using garnier oil clear facewash which dries up my jaw line. i want you to recommend me a good face wash. can you please help me ?", "output": "I hope you have not been picking up on any of the lesions as that will lead to deep scars and pigmentation.  First of all creams that you can apply. You need to follow a routine of cleansing, sunscreen, creams daily. Cleanse your face with detail cleansing lotion for acne prone skin thrice daily or Neutrogena deep pore cleanser is also good. Using a face wash with salicylic acid also helps in reducing acne. Sunscreen needs to be used daily, Neutrogena would be a good choice. Creams would be:- clindamycin gel on the active acne lesions in the morning and Retain A 0.025% cream at night on the entire face. Retain A need to be applied only at night, start witChatDoctoring it for 2 hours and then gradually increase the time interval to keep it overnight. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hollo am 23 year old girl right now am suffering from deep venous thrombosis with hemorrhagic infarct in the right thalamus and adjacent structures", "output": "Hi, Its curable with good results. You need anticoagulant therapy....low molecular heparin Subcutaneously or iv heparin followed by warfarin....u have to keep INR more than 1.8 with frequent monitoring of PT... u have to rule out coagulation abnormalities like antiphospholipid syn Chat Doctor. .if seizure occurs u need antiepileptic... Outcome is excellence with heparin even if hemorrhagic infarct.get well soon"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 30yr old female with bilatteral menieres disease, my dr has me taking effxor xr 250mg every morning,  and i started taking my ADD/ADHD meds recently too, we started off putting me on ritalin 20mg in the morning and 20mg @ noon, it wasnt helping so my dr switched me to adderall xr 30mg, and the 2nd day i took the adderall, i got hit with a severe vertigo attack and my tinnitius got very loud, then i started having them on a daily basis, so she reduced the mg to 20mg of the extended release adderall, and the vertigo got better, but then i was still having the attacks every other day, so then she switched me back to the ritalin 20mg, morning & noon, and 10mg @ 4pm...still having the sudden vertigo attacks...i have 3 small children and cannot function with these vertigo attacks happening.  frustrated, with not knowing exactly what is causing this...is it just my menieres acting up?..or is it the effxor?  could it be the effxor & ritalin interacting?  could the adderall xr 20mg, been too high of a dose? could the adderall & effxor been interacting?  please help me, i have been researching and have found nothing to give me any answers.  my dr is doing some research today too, and we will be meeting later this afternoon.  are there any other add/adhd meds that wont have this interaction if it is an interaction?  PLEASE HELP!!thank you!kellie", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Betahistine is a good medicine for vertigo. There are other options as well, but your may try with betahistine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I know this is a difficult question, but, how can 2 doctors have such opposing views? My hepatologist/liver doctor is saying i need a liver transplant, based on the bilirubin (13) and Meld score (22). My brother in law, vascular surgon, says remove the spleen and everything else will resolve itsself. The brother in law keeps asking for fractionated bilirubin count, hepatologist says it does not matter, its way too high. Brother in law says put a shunt into portal vien and hepatologist says it would kill me. I am 46 year old male and currently have cirrhosis from years of drinking too much alcohol. I have been clean for 90 days and will remain that way. Not proud of of current situation, but, it is what it is. My father said not a damn thing you can do about the past, live, learn, and make the most going forward.", "output": "Hi there, Thanks for posting in Chat Doctor. Cirrhosis is an irreversible condition. Liver transplantation is the only definitive treatment. The suggestion given by your hepatologist is the right one. Whatever your brother-in-law has suggested is only supportive care to prevent complications of cirrhosis. But unfortunately some of these options like shunt itself would lead to many other complications. Yes fractionated bilirubin not needed. I hope that answers your query. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have one tetralysal 300mg left from a course which I didnt ned to finish (the medication cleared everything up very well and quickly).  Can I just take this one to tackle a couple of spots that have kept coming back in exactly the same place over the last few weeks?  Thank you.", "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, you should not with Chat Doctor.  Incomplete treatment can develop resistant in the organisms. Which makes your condition untreatable. Completing the course has advantage that it will clear up all the bacteria. Thereafter infection won't recur. You can also apply antibiotic cream over the bump like polypoid. Please wash the area frequently with soap and water. Avoid injury to the affected part otherwise it will keep recurring. I will be happy to answer your further concern on bit.ly/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a daughter whom i think might have adult adhd but not sure she is being treated for anxiety but i never had a diagnosis that i really believed in . she has been going to seveal theripists over the last 20 years and i see improvement . she is 47years old and she shows some signs of adult adhd primarily with relationships and holding a job.what would you suguest i do?", "output": "Hello, You need to see an expert in this field as various symptoms overlap in illnesses. When we search our symptom online, it does not pop up question like do you have this symptom as well? Diagnosing illness is not just making a tick mark on what we have but to rule out what you do not have? Adult ADHD is diagnosed when retrospectively you had such symptoms in childhood. Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Severe articular cartIlage thinning, at the mid level of the medial facet and median ridge of the patella, also there is a horizontal of the posterior torn of the medial meniscus the tears tend into the mid to posterior of the body where it becomes a complex tear. There is a tiny popliteal cyst, wht do this mean and will I need surgery?", "output": "Healthier is a need for consultation with a knee arthroscopic surgeon who may advise partial meniscectomy and/or with repair of ACL, if implicated.is not then repair of meniscus alone. In same sitting popliteal cyst may be evaluated and removed. It depends on your symptoms and mechanical function of knee, if grossly impaired, arthroscopic surgery is a solution, if slight, then conservative treatment may suffice_ so consult one and let him decide your treatment as necessary"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is on 15 months old . She is on teething these days. She got allergy also. She is passing white stool from yesterday. We consulted Dr yesterday as per her she got allergy because of pollen in air. She prescribed levocitrizine and Econorm sachet. Are we on right treatment", "output": "Hello. Thank you for asking at Chat Doctor. I went through your daughters' history. I guess, apart from white stool, she might be having nose symptoms or skin symptoms because pollen allergy causing white stool is not likely. However, as long as treatment is concerned, I agree with your doctors' treatment. In addition to that, I would suggest her plenty of oral fluids including ORS (Oral Rely Chat Doctor. Hope above answer will be helpful to you. Wish your daughter a fast recovery and the best of the health. Should you have any other query, please feel free to ask at Chat Doctor. Thank you & Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing severe lower back pain. A recent MRI suggests a compression fracture in L5. Its been suggested that I may have Osteoporosis. There is no family history of this. I am 54 years old and had a hysterectomy in 2002. Ive had chronic sinus allergies and have taken Rhinocort or some form of corticosteroid for over 20 years. I started using Vivelle Dot last October. Is it possible that the bone problems I am experiencing are related to the medications Im taking? Also what are the non-surgical treatments for this back pain. Im an active person, not overweight, and have done Pilates, Yoga and massage for many years. Since my recent diagnosis, ive been encouraged to rest. Im losing my mind. Chronic pain, no sleep and no exercise!!", "output": "Hello friend, Osteoporosis and compression fracture are common in people with poor Calcium content or It. D. Try to improve your calcium intake and expose to sun more than your usual exposures. Your backache may be associated with your psychological conflicts which remain unresolved. Your sleeplessness and the poor spirits show that. You can analyze them and share them with an expert Homeopathic physician. Homeopathy considers the mind and body as equally important both in health and in sickness. I cannot say that the Chat Doctor.  Therefore, try to avoid all the chemical "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had slightly above average motion sickness issues since I hit puberty at 11. In the back seat of a car sometimes, roller-coasters, etc... I m now a 23-year-old (female). About a week ago I started having motion sickness so easily that it is ridiculous. Things such as anything moving too fast, even my boyfriend fiddling with his phone on the restaurant table by spinning it immediately made me feel queasy. And cigarette smoke never really bothered me but now it does very much. A picture being crooked makes me feel a bit queasy. What could have caused such a sudden, drastic change in my tolerance to such things? For the record, I have been having allergy issues (mostly due to mold in the house I believe) for about a month, and I am hypoglycemic. Also, I am on the pill and have been for the last year. Any help would be GREATLY appreciated! Thanks in advance!", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that there is need for systemic examination of you to diagnose the exact cause of such a symptom. Buy for your motion sickness you can take bromine tablet, which is promethazine. Your motion sickness will be stopped definitely but for other because you have to investigate your self in detail by nearby doctor. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a pain in left side of chest and am a light smoker having 1-2 cigarattes per day.sometimes the pain radiates in to the arm .i have had indigestion problems and been treated for it and got cured,but pain in the chest is still persistent . i hav quit smoking and yes i also was a very frequent sheesha smoker...do help out plzz", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* There are different issues which may contribute separately or together for this chest pain radiating to arm - chronic gastritis or duodenitis with acid reflux - bronchitis in association with chronic smoking - cardiac issues - others * Needs thorough clinical examination, EKG and x-ray chest for further diagnosis and management guidelines. Wishing you fine recovery. Feel free to ask any further queries. Regards ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been sick with a cold for 4 days. It started with a sore throat, then coughing, then a runny blocked nose. I am concerned though because I have started feeling nauseous (last 2 days)  have a loss of appetite am having diahrreah particularly at night when I am really blocked up. Im wondering if its to do with the mucas (clear).", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe cold, cough, runny blocked nose which seems to be due to upper respiratory tract infection is caused by virus known as common cold infection. Need not worry about it. Nauseating feel and diarrhea occurs mainly as a coinfection due to impaired immunity of body, and it could be side effect of medications if any you have taken. I would suggest you to take few preventive measures such as avoid fried and spicy food. Apply mist humidifiers in room. Take multivitamins to booster your immunity. Visit ENT specialist once if symptoms keeps on persisting and get it examined and start treatment accordingly. You should take antihistamine Chat Doctor.  You should use decongestant nasal sprays like Origin along with antibiotic such as Amoxiclav.  Use throat lozenges. You should do saltwater gargle as well. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was bitten by an insect of some sort a few days several times on the ankle. I suspect a mosquito. Overnight it did swell and itched like crazy. The following day I went on a trip and forgot about it until the evening when I noticed the swelling had got worse but I didnt have redness I normally get. The following morning the swelling had gone but I woke several times with it itching and had severe dizziness. I found a pharmacy and bought anti histomines which seem to have help but the dizziness is not going away. Even moving my head makes me feel like ive been spun in circles repeatedly. I had dizziness a few weeks ago too but not as bad... could it be related to the bites?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Dizziness is because of antihistamines taken by you. There is nothing to worry since mosquito bite never causes any complication It will be treated without doing anything. I advise you to stop your antihistamines. It can cause dizziness symptoms as mentioned by you. Maintaining hygiene can help you better. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 49 years old and is mildly active. hes recieving chest pain that are deep, aching throbbing pain for about four days and no injury to cause it. its getting worse and hes getting back pain, shortness of breath, a cough, his voice is hoarse, and he is having trouble swallowing and so far nothing has happened to him before.", "output": "Hi thanks for contacting Chat Doctor... According to history your father can have respiratory lung infection along with laryngitis ... Consult physician for examination.... Posterior pharynx also needs to be examined. Chest x-ray done ... If needed spirometry also done ... If evidence of bronchoconstriction by investigation bronchodilator can be given . If seems lower resp infection then antibiotic given ... If needed short term steroid can be given... Steam inhalation can be useful.... Chat Doctor. ... Avoid smoking... Take care ..."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood sugar is always high even with medication (3,4 and 500 s) It s been mentioned plenty of times that I may need to be out on insulin but nothing has came of it. Not felt right all day, weak, exhausted... Just out of it. I just checked my sugar and it s 558. What should I do?", "output": "Hi, Thank you for quarry, As you mentioned your sugar level its too high patient may go into diabetic coma on such high sugar level if sugar level is not in control it causes its complication in each and every organ of the body so controlled your sugar level. You 1st must understand about it two types of diabetes Type 1 and type 2.in type 1 diabetes always required insulin because body is not producing insulin.in type 2 only resistance develop which may increase with medication. You must check with a diabetalogist and proper dosage of insulin or metformin adjustment required. Do daily exercise, stop alcohol and smoking, reduce fat, rice,salt, canned juices, sweets and bakery product. Close monitoring of Sugar level along with proper follow up with your Chat Doctor. Wish you a good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I hit my head hard today on a metal door that was swung open. I have a good size egg on my forehead, I remember everything and how it happend , dont have a headache,But just a fairly good size egg on my forgead. Do I have a concussion? Can I sleep? Im afraid", "output": "Dear patient you seem to have hematoma formation on your forehead. If there is no vomiting and giddiness internal head injury is less likely, but Ct scan of the brain should be done to be sure. You should be observant for 48 hours after injuries. If nothing happens in 48 hours you should not have head injury. Apply ice packs on forehead and take tab ibuprofen 400 mg twice a day for pain relief. Tab choral forte twice a day for swelling."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "while grocery shopping today, I suddenly got a needle sharp pain in right side of back, It lasted only about 15 seconds. Later 5 hours while trying to sleep it started again. It is like sharp needles sticking in my back. I put ice pack on the spot and it seems to subside now. I also took 2 baby asperin. I had too much alchohol the day before and my liver counts are higher than they should be. What do you think?", "output": "Hello! Thank you for the query. Your symptoms can be caused by kidney stone, gallstones, pancreatitis or rib nerve neuralgia. Kidney stone usually gives sudden pain in the one side back which radiates to the lower abdomen and groin. Frequent urinating and pain while urinating appears. Gallstones or pancreatitis usually give abdominal pain which radiates to the back, nausea, vomiting associated with meals. Neuralgia gives sharp like needle pain which aggravates while moving the chest (breathing). It is advisable at your case to have abdominal ultrasound, full blood work, liver tests (AST, ALT,GTP), amylase, urine amylase, bilirubin, urinalysis. Hope this will help. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having anxiety / shortness of breath and chronic  asthma.  I am using two puffs of Combihale twice a day and if required I take Synasma - 400 mg per day and Montek LC.  Only medicine that is effective is Montek LC and since it causes drowsiness at high dosage, I resort to asthalin quite often.   I would like to know if my shortness of breath may be the cause of excessive asthalin usage.  If so, how may I manage both shortness of breath and anxiety.Age: 37", "output": "Hi, I had gone through your query and understand your concern. No, this is unlikely to cause shortness of breath in asthma patient due to excessive Stalin use since Stalin acts by dilating airways and thereby relieves breathlessness. Rather excessive use of Stalin indicates that your asthma is not under good control. For asthma management, Physicians follow step care management. If I were the treating physician, I would check the diagnosis, inhaler technique, triggers and Chat Doctor. If every thing is found alright, then I would think for stepping up like increasing the dose of steroid inhaler if required and other "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My son is 2yrs 7 months. He is suffering from cough with wheezing (repeated infections since past one and half months). Initially he was on nebulization and the doctor prescribed Azithral for 5 days.He recovered a bit and again after 4/5 days the same situation of persistent cough and wheezing continued. We got the blood test done. His eosinophilia is 20%. Doctor has prescribed for LIvolin syrup and Banoside syrup (3ml twice daily for 20 days).Please advice.", "output": "Hello welcome to Chat Doctor , Based on your children history and treatment received most likely reason for his cough seems to be allergic (reactive airway disease), chances of which are more if there is family history of allergic also. If your child responds immediately to nebulization, chances of allergic cough are very much. Inhalation therapy are best recommended treatment for such type of cough, also you need to check your immunization, apart from routine vaccines he needs yearly flu vaccination. As these are prescription Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor i am suffering from psoriasis last 12 years and i am in saudi arabi the decises is spread alover my body and the problem now the psorisis place all i got some big sweeling with pain and get come out yellow colour some like seal i am affride this may be devlope cancer like can you please advise me about this", "output": "Hello Rohan;welcome to Chat Doctor Psoriasis is an autoimmune disease and there is limited treatment available which you can get prescribed by a Dermatologist and your condition should improve. As for the big swelling from which yellow color discharge is probably pus coming out, and it may be some infected abscess or a boil for which you should take some antibiotic. Please consult a doctor near your residence or visit a hospital and the doctor will prescribe antibiotic after examination.Don't worry it could be an infection and not a cancer. Take care. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "h/o severe back pain radiating to knee,,unable to walk properly...put him on high dose of steroid and pain killer three time a day..MRI shows diffuse posterior bulge with small left paracentral protursion of l4 l5 disc compressing thecal sac and left budding nerve root .. diffuse posterior bulge of l1-l2 & l2-l3 disc intending thecal sac diffuse posterior bulge of l5 -s1 disc effacing anterior epidural fat,,,plz explain daes such patient need surgery?", "output": "Hello, Your MRI and history is consistent with lumbosacral spondylosis with disc prolapse at multiple level, significant being the L4-L5 level with L) nerve root involvement. Decision to go for surgery depends on extent of weakness in L) lower limb. Just wait for the improvement with treatment planned presently. Avoid lifting weight and flexion of spine. Take absolute bed rest for next 2 weeks. Use lumbosacral belt for minimal daily activity. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing neck pain, back pain, leg pain, and shoulder pain. Do you know what could be causing this?", "output": "Based on your symptoms, it sounds like you may be experiencing spondylosis, a degenerative condition that affects the spine and joints. It is most commonly seen in the neck and back, and can cause pain, stiffness, and limited mobility."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my father is having lump in buccal mucosa inside the right cheek. Its painless and its since 10 years. One surgeon advised us to operate it. But while undergoing pre operation check up, anesthetic department didnt want for full anesthesia as my father is having severe breathing problem. Now please suggest me can we go for the surgery with local anesthesia. Suggest me a good surgeon who is expertize on this in Kolkata, West Bengal Area.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Oral surgery is possible with local anesthesia.  If your father has breathing problems then you should not go for general anesthesia.  Because there are many complications in high risk groups. So I would like to advised for local anesthesia.  You can go it with any surgeon.  Its common surgery. No need to worry. Just be relaxed. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , my dad has been suffering through epilepsy for about 38 years now , the doctor has asked him to take depakin chrono 500mg , and due to the tablets , its under control ,but the problem is , he has trouble in catching up things , its like his brain functions very slow , and he has a problem in listening too ,is this a side effect of the tablet , is there no cure for such a symptom ?..pls help", "output": "Hello dear, I understand your concerns. Dopamine throne(sodium valproate) can cause behavioral and mood changes, but not hearing deficit. 500 mg per day is very low dose of sodium valproate and likely not associated with side effects(even when it is taken for years). Please take your father to a neurologist so that he can examine to find the exact cause of these symptoms and treat them. I hope it helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have had bronchitis in the past, usually after the flu. I am just getting over a headcold and I cant stop coughing.  It is a non productive dry cough.  When I blow my nose it is all clear, no coloration. Is the cough a sign of bronchitis?Thank youKim", "output": "Hello and welcome to ask a doctor service.  I read your query and here is my answer. Is it associated with fever? At what times the cough is more? If you have fever or flu like symptoms and your chest is clear on auscultation or x-ray chest, then it is most likely bronchitis for which you will need to take antibiotics.  But if there is only cough which occurs at nighttime in bed, then it is most likely due to HERD, for which you will need to raise bed end, keep a gap of at least 2 hours between meal and going to bed and may need medication. Hope I answered your query.  Feel free to ask more if you have any doubt. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had 2 cycles under clomid no body response then took femara 2.5 mg still no body response until took another cycle under femara 5 mg then had a follicle scan last april 30, 2013.  One mature follicle size 1.8 cm by 1.9 cm, is there a possible way to get pregnant? I am PCOS and also taking progynova (5 days) for my endometrium. Taking also metformin and diamicron and folart....", "output": "HELL OIT IS A Favorable FINDING THAT YOUR ULTRASOUND STUDY HAS SHOWN A FOLLICLE SIZE OF 1.8*1.9CM. IT MEANS YOU HAVE A DOMINANT FOLLICLE OF APPROPRIATE SIZE AND YOU ARE LIKELY TO OVULATE IN THIS CYCLE.YOU CAN BE GIVEN AN INJECTION AT THIS TIME FOR A CONFIRMED AND TIMELY OVULATION FOR WHICH YOU CAN CONSULT ORGAN DOCTOR. CONTINUING FOLLICULAR STUDY, URINARY LH KIT CAN PREDICT OVULATION. TIMED INTERCOURSE ON THE DAY AND DAY AFTER OVULATION IS LIKELY TO GIVE POSITIVE RESULTS. GOOD LUCK."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friends 9 month old baby girl just came back from the doctor for hives - while there, the mother mentioned her quivering lip and chin. The babys always extremely excited to see everyone so we always thought it was just excitement. The doctor then says the only time hes ever seen this happen (quivering lip and chin) is when a disease is present which may prevent the child from ever walking....Im reading just the opposite everywhere online. The 9 month old crawls and tries to walk just like a normal 9 month old. Thank you", "output": "Hi. Thanks for the query. Lip and chin quiver in infants is commonly seen as they have an immature nervous system, and it is resolved as the child grows and reaches further milestones. As far as hives is concerned it can be due to allergic reaction and in case if quivering has not happened previously and is happening just now it can be due to the similar cause as of hives. But in case if the quivering does not resolve, or it becomes more severe you should consult a Pediatrician and get evaluated and a clinical evaluation and investigations like MRI Scan and blood tests to check for any nerve related problem or nutritional deficiencies and syn Chat Doctor. . Consult a Pediatrician and get evaluated. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure is 170 over 100, consistently the past few days...i have pain towards my back (left side that comes and goes, mostly when i lay on it, have felt fatigue for over a week, change in breathing, hard to concentrate, pressure in head, arms feel week and tingly sensation to my bottom lip.I am a 43 year old otherwise healthy female.", "output": "Hello, all the symptoms you describe are due to the blood pressure being on higher side. The mentioned pressure range will not come back to normal with just diet and lifestyle modifications.  So along with the above, you should consider starting medication for hypertension after proper evaluation. . An ace inhibitors /ARB with chlorthalidone will be a good combination for you.  Regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter s baby tooth was struck when she was 2 and it darkened ever so slightly. Her pediatric dentist said not to worry about it, and it might fall out prematurely. Our pediatric dentist is no longer practicing, and our new dentist wanted to extract the tooth. She has since developed a small painless lump above the tooth - not complaining of any soreness or other signs of infection, like a fever. What do you suggest - could we try antibiotics in case there is infection, or does the tooth have to come out?", "output": "Hi Cory, You haven't mentioned the age of the child. Milk tooth will fall eventually but if it retains for a longer time it creates problem in the eruption of permanent tooth of that region. The small painless lump may be the gingival overgrowth or pulp polyp. The best thing you can do is take opinion of one more dentist and go for extraction of that tooth or the required procedure as suggested by your dentist. Your dentist might suggest you for the dental radiography of the tooth also which helps a lot in the diagnosis of the problem. Don't ignore the problem as it may get infected and become worse. Antibiotics and other medication will be prescribed by your dentist depending on the condition. Hope this will be helpful. May the joy be with you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i had a tooth taken out about a month ago ,the cause started with receeding gums,which caused infection,and became to loose to save, i also have a recceding gum on a front tooth, i had never had problems with it before, but now my lower front gums are stinging,i brush mt teeth twice daily,and use a mouth wash 3 times a day,", "output": "Thanks for using Chat Doctor. Read your query. The loose teeth, recession , inflammation all shows signs of chronic periodontitis. Using the mouth wash thrice will not help as it may cause over usage and in turn stain the teeth. I would advise you to visit a periodontist in your area and get your teeth cleaned professionally and then use the mouth wash for a few days. Use the proper technique of brushing. Use a desensitizing paste for a while. Once the teeth are cleaned and maintained well, the recession and mobility may reduce. If still persistent recession, the periodontist will plan the next treatment for recession. Hope this was useful. Thanks and regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 yr old granddaughter has been suffering from seizures, brown urine , high heart rate , stops breathing , has stomach cramps , pain in hips and flanks. She is presently on medication for the seizures. This all started when she had an infection in her throat and her tonsils were removed. She is a senior in high school and is missing a lot of school because of these horrible symptoms. HELP!!!", "output": "Hello eugeniedoylethanks for your questions developed tonsillitis and then subsequently underwent tonsillectomy. After tonsillectomy, she developed seizure, brown urine, high heart rate, difficulty in breathing, pain in stomach and hips. I would like to tell you that seizures can develop in any child without any obvious past history, while tonsillectomy itself may lead to metabolic abnormalities. Uncontrolled bleeding is one of important complication of this surgery, and it may lead to electrolyte abnormalities and consequent development of seizure. Due to significant blood loss she is having complaints of palpitation and difficulty in breathing. Due to seizure injury to muscles occurs, and it leads to release of myoglobin (muscle pigment) from muscles to blood and which causes brown urine and severe muscle pains. At present, she is on anti seizure medicine and continue giving the medicines, her other complaints will improve once her blood Hemoglobin levels and electrolyte levels will come in normal range. Do proper care of her, give plenty of citrus fruits and juices. Reassure her, and she will be all right in no time. Thanks the Jestingly RATE"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi  doctormy ct scan are( both kidneys are normal in size, shape and position. normal excretion of contrast medium is noted from both kidneys . no obstructive lesion identified. normal urinary bladder wall thickness , no ston/ mass is seen.rest of abdomen is unremarkable.  mild dilatation of the calyceal system with delayed pyelogram is appreciable)- i go to the bathroom many time in the day- i dont have any bain in kidney- my blood test is normal- bun 5.5        2.5-6.4  mmo1/l- crea 95       53-115  umo1/l-k     4.2         3.5-5.1 mmo1/l-c1  101        98-107 mmo1/l-na   153    132-145   mmo1/lphos 1.62    0.81-1.58  mmo1/l-urca   42    34-50     umo1/lwhat is wrong with me doctor ?why is mild dilatation of calyceal in both kidnys?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. Nothing is wrong with you. This is common finding and as it says this is just mild dilatation. It means that there is some minor obstruction of your urogenital tract. This is most common in prostate or ureterocystic junction. You need to do prostate ultrasound first to evaluate this. ALso, there could be some stone which passed, and it could cause cancel dilatation. There is no treatment necessary at this point but taking enough liquids. You just need to do frequent check-ups.Wish you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandmother has this continuous problem for the last 20 years of heaviness in chest due to mucus build up. She always feels like a weight on her chest and constantly forces it out by coughing. She constantly  draws the mucus up her nose to release it from her throat to get some relief. Can you advise what to do.", "output": "Thanks for your question completely understand your issue. Actually in obstructive airway disease or in lower resp tract infection and many other diseases mucosal glands in the bronchus gets hypertrophied or enlarged and so is the secretions from them. These secretions have to Chat Doctor. If the secretions are yellow u need to give some antibiotics to clear up the infection .you can consult a pulmonologist to prescribe the "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I've been feeling sick with vomiting and I have to pee a lot. What's wrong with me?", "output": "Based on your symptoms, you may have pyelonephritis, which is a kidney infection."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir!My wife aged 25 years is having murmurs hence i consulted a cardiologist. He asked for 2-D Echo and an ECG which showed that she is having RHD with moderate MR with mild MS with trivial AR. the diameter of MVA is 1.3 cm2 and ecg shows p mitrale. Cardiologist started digoxin 0.125 mg od, frusemide 20 mg od and pentids 800 mg od. My wife is having mild breathlessness and palpitations on exertion. My cardiologist opines that pregnancy is high risk and nothing to do at present and advices valve replacement in future when symptoms develop. Please give your opinion.", "output": "Hi, This is Chat Doctor.  Moderate MR with mild MS does not require surgery at present, but it may progress in future & may require surgery. She will have mild breathing difficulty which is a normal disease natural history. Necessary medicine she is already taking. Pent ids is an oral penicillin which will prevent further damage to valve & has to be taken life long. Palpitations are also very common & these type of patients may developed irregular heart rate called AF which she is also prone to developed as she has a P Mitral in ECG which means enlargement of a chamber of heart (Left Atrium). Pregnancy is not contraindicated & can be proceeded with close monitoring of a cardiologist. But if the pulmonary pressure is higher than the pregnancy will be high risk. We also give beta blocker to such patients. So remember to ask this with your cardiologist on your next visit. Rest don't worry, be in regular follow up with your cardiologist, do echo every 6 months & keep taking the medicines, and she will be fine. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 29, African American women of average weigh and general good health. I am however suffering from a bite and or fungal infection of some type on the right foot. The skin is dry and cracking. There is no puss today but there was a clear-ish oozing  liquid after the scratching and burning sensation. Not sure if this is easily treatable or if I need to seek the help of a certified foot dr etc.Any help id greatly appreciated.Itchy Foot", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It sounds like dermatitis. But to confirm the diagnosis you need to visit the skin specialist. As per your description of itching, burning and oozing of liquid from the wound it sounds like dermatitis. It should be treated with clobetasol ointment. It is steroid and can cure the condition immediately. Bit do not use it for long period as it can cause dermal atrophy and in long term use it even may not respond the condition. So with Chat Doctor. You should not itch it much as it can cause injury and makes it difficult to treat. Infection should be prevented by good hygiene with antibiotic application and good cleaning and "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an MRI on my cervical spine 8 months ago.   Findings were, mild effacement of the ventral aspect of the subarachnoid space with mild bilateral neural foraminal stenosis secondary to disc osteophyte complex.  c5- c6 Evidence of cervical spondylosis with mild bilateral neural foraminal stenosis.     My pain has gotten worse ove this 8 months....neck and base of skull pain chronic...and dizziness and the feeling of shifting when I turn my neck at certain times....I can no longer get comfortable at all.   Numbness and burning in left hand and elbow and even nerve shocks in left leg and foot.   I would also like to know if throat problems can be a symptom as, lately I have felt like I have an object in my throat.   (No pain) just the feeling of something abnormal there.", "output": "Hi your leg pain and throat symptoms unlikely to be due to the problem from the cervical spine. If your symptoms are getting worse, then it may be worth seeing a spinal surgeon who can examine you and review your scan. Try to engage yourself with some activity to take your brain away from your spine condition (if you are unemployed for example), you might surprisingly notice improvement kind regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Zaheer, 22 years old and 64kg weight with 1.72m height.I m brown in colour and I want to lighten my whole body colour through pigmentation process.I not much more known about the process pigmentation.But I need to do this treatment.Is it is possible to lighten whole body? What are the after effect of this?How this after effects make impacts in our body?Hope you will reply properly.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. The symptoms you mentioned in query you want body color to be lightened through a pigmentation process which is a self limiting process. Most of the cases do not require any treatment, condition usually resolve in 1-2 months after proper preventive methods. You should avoid exposure to sunlight and cover your skin. You can go for chemical peeling and laser therapy as well as it has little or no side effects. Take some over the counter anti histamine Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother is suffering the blockage of 3 main vessels of her heart .she is 60, she has high blood pressure and diabet kind 2 . the doctors here recommend to perform the bypass surgery but according to her situation we hesitate.there are new methods that doesnt need surgery as laser treatment and ....do you recommend the surgery?", "output": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. HD can be occurred either occlusion of 1/2/3 arteries .in your mother it is due to 3 arteries n to correct these lesion we need to do angioplasty/CABG which depends upon the lesion site n severity of disease for example if vessel h more calcium scoring or unfavorable anatomy then need to do CABG BCS it gives better results then angioplasty . Ur concerning cardiologist had done your angiography n he might notice that it's better to do CABG then angioplasty BCS it is more life-saving in your mothers case, so I advised u to go for CABG to avoid father complication of stents get etc . I hope this answered your question, if you have more feel free to ask. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My mom is suffering from rheumatoid arthritis from 2 and half years, she started taking allopathy medicines initially but couldn t find any relief at all from the pain killers.. so she shifted to ayurvedam medicines..but since 6months pains got vey severe and she is unable to do basic day to day work too.. doctor prescribed zempred and some pain killers for 10 days ..is it ok to take steroids ..I heard that these medicines have side effects which tamper eye sight and other major health issues.. she is suffering a lot please suggest ?", "output": "Hello! Thanks for being with us. Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks joints. It can be a disabling and painful condition, which can lead to substantial loss of functioning and mobility if not adequately treated. Various treatments are available: Non-pharmacological treatment includes physical therapy, occupational therapy and nutritional therapy but these do not stop the progression of joint destruction. Analgesia (NSAIDs) and anti-inflammatory Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is chantele im 17 and im freaking out, i have trouble breathing sometimes, im not sure what this one is but its either my chest or my heart hurting, i have trouble sleeping because i keep thinking im going to die, i also get really sweaty and shaky when i get scared , is this anything to worry about? will i die? i need answers, im really scared! thank you for your time.", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is most probably from psychosomatic manifestation of underlying anxiety disorder.* Suggestions for better outcome - One time consultation with expert Psychiatrist.- Avoid stress, anxiety.- Try to have sound, regular sleep of 8 hrs.- No smoking or alcohol.- Regular walking in fresh air, exercises, deep breathing, YOGA Hope this clears your query. Welcome for further guidance. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, This morning after my walk, I felt some nerve pinch in my neck and head. Came as a sudden shock. After 3 hours its got worsen. Something in my right side head is pulling, moving shocking. it hurts. The sudden shock attacked 3 to 4 times in the past 3 hours. I do have head and eye ack in my right side and the musle pulles to the back of my right ribs, as a contraction. What is happening to me. I am female, 59 years old,, 5 .2 , and around 145 pound. Please reply. Thanks", "output": "HI Thanks for posting your query.  Most likely you are having a condition called Cervical Radiculopathy. In this condition there occurs compression of nerve between two neck bones (Vertebra). This nerve supplies sensation to back of neck, shoulder, back, chest, arm and hand.  When this nerve gets compressed then it causes shock like sensation in the above-mentioned areas.  Treatment depends on the severity of the problem. I advise you to get MRI Cervical Spine done and revert. Hope this information was useful to you. Any clarifications feel free to ask."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have got pain on my galbladder for 2 years, pain is really hard now. i went to doctor a lots of time and they made me ultrasound,endoscopy,MRI,a lots of blood test but everything is normal. is it possible to seem nothing if i have got problem in my galbladder.im sorry for my english.", "output": "Hi, dairy have gone through your question. I can understand your concern.  Gall bladder pain may be due to gall atones or chronic or acute cholecystitis or rarely other gall bladder disease. However, all conditions can be easily diagnosed by ultrasound study and MRI. So if you're all ultrasound and MRI reports are normal then there is high chance that you may have some other pathology like muscular pain or other pathology not detected by imaging study. You should go for examination. Search the cause of your pain and take treatment accordingly.  It's less likely that you have any gall bladder disease. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter took antibiotics for whooping cough and now complains when trying to go to the bathroom , the stool is there but she can t get it out, would like to try home remedies first. Have already given her prunes and prune juice, she s a wonderful eater , lots if fruits and veggies", "output": "Hi welcome to ChatDoctorI have gone through your query. I can understand your concern for your daughter. It would have helped to prescribe a remedy if age, length of referring, lifestyle were given ? And situation and stage of her problem? Besides constipation. Any way, as whooping cough, is a very contagious bacterial infection of the respiratory tract.  And she already took antibiotics for whooping cough Supplements, herbs, and homeopathy may help her further, to get better faster when used along with conventional medications.  \"Magnitude of the survival advantage from improved nutrition can even be greater than the magnitude of the treatment effects being targeted in current clinical Chat Doctor. \"In fact, I am of the opinion that getting adequate amounts of vitamins specially D & C, minerals and other nutrients through lifestyle changes, such as a healthy natural diet including more of fiber, green leafy veges, citrus fruit, minerals, vitamins and a lot of water Antioxidants like ginger, garlic, lemon juice with warm water, , Turmeric powder with a cup of hot milk gives resistance from diseases.  Eating small meals every couple of hours to keep up energy and replenish nutrients"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR my father was suffering from infection in march n was admitted to hospitl for 1 month with medications and anitbiotics. but we want to consult over his health again as because his hands legs n face is sweelling again. please sir suggest me something.", "output": "Good day, and thanks for your question. Sorry about your fathers' health. How old is he? Your father would need a proper and thorough medical check including physical examination and tests to ascertain the cause of the swelling. Tests would include a kidney function test, liver function test, an abdominopelvic scan, a PSA and other vital tests. Please kindly visit a physician. Hope it helps. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing some spotting and bleeding during my pregnancy, and I'm also having trouble getting pregnant again. What could be causing these symptoms?", "output": "Based on your symptoms, it is possible that you are experiencing uterine atony. This is a condition in which the uterus fails to contract properly after giving birth, leading to excessive bleeding and other complications. It can also lead to infertility if not treated properly."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just diagnosed with reoccurent Papillary Thyroid cancer. two masses. One is 1 mm and 2nd is in midline neck 2 mm in lymph node. I had total thyroidectomy in 2010 for Graves and papillary cancer. I have had urgent bowel movements for 2 years. My endo doesn t think it is a problem. What doctor should I see about this issue.", "output": "Hi, Thanks for writing in to us. It is important to review your condition in detail with imaging findings. A 1 mm and 2 mm mass in lymph nodes is less likely to be a cancer. These are too small to be told apart and can also be seen in many benign conditions. This requires clinical examination by a surgeon and correlation with your scan report. Since you had a total thyroidectomy in 2010, it will help to know the scan findings in the post-operative thyroid bed and know if there is any suspicious malignant process going on. In the absence of a recent mass or lymph nodes of considerable size in the area it is difficult to call it a recurrent cancer. You should consult a head and neck oncologist and discuss your report and get examined. If required further testing will be asked like a FNAC or nuclear scan. Please do not worry."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive accidentally stabbed myself in the chest with a craft knife, what do i do? The wound is clean and not bleeding much. The size is approx 1cm length by 2/3 mm deep. my breathing is ok but Ive got a kind of indigestion feeling and a slight feeling of pressure. Im just a little concerned in case im bleeding internally. Ive patched it up and its been about an hour ago now. Am i ok to go to sleep", "output": "Hello, welcome to Chat Doctor. You are absolutely fine. The wound seems to be deep. It heals on its own but takes a lot of time. Also, you should take care that it should not be infected. The wound should be cleaned with antiseptic solution like salon if the knife was soiled.i advice you to take appointment with doctor. With 3-4 sutures and local tobramycin like ointment, the chances of getting infection can be avoided. All the organs are fine. Nothing to worry. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I have been having fatty liver for long period - more than 10 years. I am non-alcoholic. My father who was also non-alcoholic developed Cirhosis of liver. The latest ultra sound scan indicated reduced velocity of blood in portal vien, Liver Function Test was conducted, SGOT/SGPT is 49 & 51 respectively. Alkaline phospate is about 75, -Ve for Hepatitis C antigen, Lipid profile shows optimal levels. Ultrasound revealed mild Spleeno-Megaly. Endoscopy shows NO abdominal or Esophegus Verices. Fatty infilteration evaluated about Grade II. Given this scenario would like to know how bad my liver is and how best to manage it ?? Is it possilbe to reverse some of these conditions ???", "output": "Hello, I hope you are well, it is important to mention that you have a family history of first line of liver cirrhosis, so it is important to rule out genetic / hereditary causes of liver cirrhosis. In spite of this, worldwide the first cause of liver pathology is the fatty liver, which in your case is the non-alcohol group. There are non-invasive methods of study to determine the degree of fibrosis of your liver. In this case, if it is a grade II, measures must be taken to correct the underlying cause; an adequate metabolic control that includes a control of weight, modification of the diet, physical activity. Currently, there are no completely accepted Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im latha n 25 years old. n i hav regular periods. im trying 2 conceiving .doctor advisd me take 3 tablets of siphene 50mg for five days from the 5th day of my period. but i missed one day n continued on d next day. is it cause any problem? im so afraiding.plz advice.........?", "output": "Hi, it is okay. Just track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My urine is orange Ive got a pain in my side and shooting pains down my leg and in my breast all on the left side. Ive just been clear of one kidney infection around 3 weeks ago it took 3 different lots of antibiotics to clear it. I also have urticaria and take dapsone as part of the treatment I have jaundice quite a lot with this too", "output": "Hi thanks for asking question. You just had kidney infection. It might be pyelonephritis or glomerulonephritis like condition. It can lead referred chest and leg pain. Gradually you will recover from it. Meanwhile also check your hemoglobin level to rule out anemia and treat it. Here you also have jaundice but not mentioned reason. Fatty liver?? Hepatitis???hemolytic jaundice???? Which bilirubin increased, direct or indirect??USG useful for fatty liver. For viral hepatitis viral marker can be done. Your bilirubin estimation done. If conjugated hyperbilirubin then hemolytic may be the cause. If cause not clear and further investigation need then biopsy useful Meanwhile follow below.....-more fruits-green leaf veg-avoid smoke and alcohol-avoid trans fat-sunflower like omega 3 containing oil can be used-Avoid junk foodsExercise done. Repeat LFT after few days. I hope my suggestion will help you. If you like my answer vote my answer as helpful. Good luck. Regards; Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter age 7 is not breathing right .when she is eating food she needs to stop chewing and take deep breath from her mouth,and she gets uncomfortable,is her nose blocked or is she just not used to breathing from her nose I don t understand what to do", "output": "Hello. I just read through your question. The most common reason for what you describe is nasal congestion. Usually this is cleared by simply blowing the nose and perhaps administering saline nose Chat Doctor.  However, this could sometimes be an issue with the lungs (i.e.: wheezing). If she is otherwise comfortable, I don't consider this an emergency. However, I do recommend consulting with your pediatrician."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir I am 29 years and have two childs(8 & 3 years).Last two weeks I feeling very different in mind, and I not getting deep sleep,wake up suddenly from the sleep.Actuly mind is totally disturbed.but some times I getting some reliefalso just for one or two hours.What is happening for me ?Can you pls advise me ?Regards,Mrs.Radhika", "output": "Dear Radiate understand your concerns went through your details. I can understand. Disturbed sleep or lack of satisfying sleep are almost always due to mental stress and disappointment or anxiety. You noted that you have two child Chat Doctor.  Is there any stress regarding your family members? What about your job? Are you employed? Do you or your family members have NY financial problems? Any physical ailments for you or your family members? The above are some of the troubles which could push you towards stress and disappointment. I suggest you to ignore the present sleeplessness. Engage yourself in physical activities, games, entertainment etc. for a week continuously. Enjoy playing with your child"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! For about two months now I have been noticing that the head of my penis is becoming more and more scaly and dry. It s not flaking or bleeding but it s is extremely sensitive. I have tried jock itch cream but that doesn t seem to help. I have never had sexual intercourse so I don t think it would be an STD. What do you think it is?", "output": "Hi, Welcome to Chat Doctor forum.  It appears that you are a teen aged boy, masturbating, and exerting more pressure on the glans.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have good health resistance against the infections.  I advise you to consult a dermatologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms lifetime, multivitamins and anti oxidants.  Wishing for a quick and complete recovery. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. my name is vinny. I have a tooth on my lower right side all the way in the back that is competly broken off. but the last few ive been very sick in my stomic and my ear hurts and its making my toung hurt and even travling down my throut hurt. im positive its the tooth causing the problem but I was wondering if the problem could be a very bad infection and if it is can the infection harm me?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have decayed broken tooth which has sharp edge causing injury on tongue for this you should visit dentist and go for Extraction of tooth or Grinding of tooth, Do warm saline gargle two - three times a day You can apply Anesthetic gel McCoppin on tongue twice daily for one week it will help you Hope this will help you.  Wishing you good health Regards "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having what I think to be a cramp in my right femoral muscle. This has been going on for about 6 months Sometimes it is more frequent and painful that other times. It is relieved by gentle massage. It is always in the same area of my femoral muscle and occurs almost daily and also at night. I have some concern because of a recent blood clot that my friend had in her leg that moved to her lungs. What fo you think?", "output": "Hello, Your symptoms are not suggestive of a blood clot. Instead, I would think about compression of the femoral nerve. For this reason, I would recommend performing nerve conduction studies in order to examine the femoral nerve. Other tests to consider would be: vitamin D plasma levels and calcium levels for possible deficiency, and uric acid plasma levels. Take care. Hope I have answered your question. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hy my mum got severe itching that she cant sleep...........we took her to skin speacilst but still......she is diebetic had and under treatment of kidney infection and heart swelled due to lack of trasportation of water....now her legs has realy swelled and the itching is getting worsewat is the problem?she is 53 years", "output": "Dear user, I believe that the renal function is not going in the right direction. Swelling is a symptom of fluid retention, as well as pruritic may be associated with hyperazotemia and hypophosphatemia. I recommend a complete screen with serum creatinine, BUN, phosphorus, calcium, potassium, BNP, sodium, PTH, vitamin D. Introduction or increase of diuretics (in particular loop diuretics) should be considered by your physician."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years old and I have had a cough for over 2 months now.I have taken syrups which have not done anything. I later turned onto antibiotics and nothing worked ! My cough is largely dry but sometimes there is thin salty spittle coming out. Please help!", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* The cough since 2 months not responding to antibiotics need evaluation with basic lab tests, x-ray chest with or without further detailed work up ( CT scan, pulmonary function test) depending upon the primary evaluation.* Without precise cause evaluation, empiric syrups or antibiotics are strongly not recommended in this case. Hope this clears your query. Wishing you fine recovery. Feel free to ask any further doubts. Regards ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had a tooth extraction over a week ago. It was my lower jaw. Since then I still find it painful to open my mouth. When I do it hurts across my face down my neck and up to my ear. Do you think I still have an infection?", "output": "Hi, Difficulty in completely opening the mouth is called Erasmus. This problem can occur after wisdom tooth extraction, as it is usually a surgical extraction resulting in trauma to the adjoining tissues. If you have completed the course of antibiotics and your dentist is sure that the extraction site looks clean then you just need to do warm siege gargles 3-4 times/day and may be a mild muscle relaxant coupled with a painkiller to relax the strained muscles and help in healing. The pain should reduce, and then you should be able to open your mouth fully without any difficulty soon. If the problem continues i strongly advice you to re visit your dentist for a thorough check-up. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Doctor,My brother had a sever stomach pain in the right and back side of the Stomach. We went to a doctor and he gave a injection and pain killer where in he got omitting.Then doctor asked us to go for a scanning where in they diagnosed it as a kidney stone  that is of 0.6mm and effecting the surrounding areas.Then they asked us for CT Scan where in the report is as belowa preliminary A>P scanogram of the abdomino-pelvic regions was first made. spiral scans were made through KUB reagions. emplying 8mm sections and wide latitide in wimbdow settiong coronal reconstructions were also performed.both the kindly are normal in location, orientation and size and shape and attenuations.on the right side of the mild pelvicalyectasia with ureteric ecatasis is noted down to the upper L3 level at which point loged on a nodular focus of cacific hyperattenuations of up to186HU in attenuation values and about 0.40x0.38x0.73cm in diameters distal to thus the right uerter grossly appears normal.the appendix is retrcaecal/retrocoloc in orientation and measuring approximately 0.6cm in diamiter and normal.Please let me me know the reason and what action is required. IS a surgery nessecary ?", "output": "Hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8 cm size in the rt ureter, and it is not causing any significant obstructive myopathy. The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgery and usually pass down on its own over a period of time. Though it can be painful, there are other options besides surgery like ESL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "started sunday evening, sharp sever nerve pain not muscle pain across top of right foot from 3rd and 4th toes to ankle to outside of lower leg to knee, so pain full unable to stand. would last 5 seconds stop and start again minutes later. stopped hurting after 3 hours and started again Monday after 7pm not as often 2-3 times an hour until about 10 pm, toay on and off again all day, now tonight constancely standing walking or setting. I am 35 year diabetic with nerve damage .", "output": "Hi, Given the history of nerve damage with diabetes these symptoms may be of nerve damage. Do take care of keeping your foot straight with pillows under knee to prevent any unwanted stretch at nerve.  Chat Doctor.  Do visit a neurologist. He may be able to help you with some nerve pain relieving medication. Do some active movements of toes and ankle it will keep the muscles toned up and prevent any swelling of ankles. Hope you find the answer useful. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i had a incomplete abortion in the month of march at that time i was 7 week pregrent. now am trying to become pregrent i contacted doctor she suggested me pubergen injections on the 10th 12th and 14th days and xfert-f tablets for 30 days will that work immediately or will it take time. My doctor had a complete checkup of mine and the over status the reports were absolutely fine. Regards AAAA", "output": "Hi, Thanks for your query, This injection Bergen is a Chat Doctor injection . It is given for ovulation and also for maintenance of pregnancy especially in patients with history of abortion. Ferry tab is given for healthy pregnancy.  It may work immediately also and may take some time also because pregnancy depends on so many factors. But in your case, as you said every thing is normal, I think you may get the results soon. Best of luck and take care. Hope it helps you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having lower back pain for like 2 months now.I been having dizzines,feeling moody,tired,and ect. Everytime i press my stomch it hurts and i feel lil heartbeats and lil balls... whats wrong?? Ive been having unprotected sex almost every now and then...could these symptoms be caused by pregnancy??? i havent missed a perdiod yet...", "output": "Dear patient These are symptoms of gastritis and stress.  Having unprotected sex is not at all a good idea and can lead to deadly disease HIV.  So always use condom while having sex.  For gastritis, you are advised to take visit to gastroenterology specialist and get examined. Also, upper gastrointestinal endoscopy is advisable. Take tab antacid 40 mg twice a day before meals for 7 days. Take regular meals and avoid spicy foods. All the best."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my wife is pregnant and 8th month is running. Recently due to itching in legs doctor suggested for LFT. she has a high level of sgot and sgpt. SGOT- 279 U/L ,SGPT- 248 U/L and Serum Alkaline Phosphatase- 310 U/L. doctor has given Ursodeoxyholic Acid Tab and Levo Cetrizine. Is this safe during pregnancy.", "output": "Hemstitching is commonly seen in pregnancy. Raised GOT and SGPT may be due to homeostatic jaundice, and it is common during pregnancy. Your wife has been prescribed right medicines. Ursodeoxyholic acid tablet helps in regeneration of liver cells. It will correct raised SGPT and GOT. Levo cetirizine is an anti-histaminic, and it will relieve from itching. These medicines are absolutely safe during pregnancy, and it is recommended by FDA. Get well soon. Take Care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a brother that is diebitic and has a cute on his foot. it is swollen. He went to the doctor and the nurse said for him to go the the hospital to have it check out and make sure is not gangurring. cant spell it. He has been cleansing it and putting Iodine on it and soaking it. He says the bubble that in side cute busted and its draining out. He says he cant hardly was on it. I trying to get him to check in to the hospital, but no luck.in the mean time he tring to keep it clean. Is there any good medicine I can get to keep it clean, untill I can get him to go to the hospital and check it out.", "output": "Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor.  Consult a planetologist when you can. Good luck"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr, my daughter 8moths got a lump near her left arm pit, bcg shot was given in the same arm. We had taken two drs opinions and two diff diagnosis. Genaeral surgeon says it is lymphadenitis and the other dr paedatric surgeon, not able to give a proper diagnosis. He says it is a cyst as per the CT scan with extensions or could be a tubercular lymphadenitis due to bcg or???. Anyway we have been adv no surgery and to take her for continous follow ups to a peadiatric surgeon. please adv as we are really confused.", "output": "Welcome to Chat Doctor .1. I would think in terms of lymph nodal enlargement after BCG, or any recent infection, fever or systemic causes.2. To clear the doubt regarding cyst or lymph node - get an ultrasound axillary region - it will give exact nature of lesion, its source and extensions.3. But personally I feel like lymph nodal enlargement - you need to monitor and a followup visit with the treating doctor.4. Follow the advice given by your doctor, he is right. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I m Lea and I m 16. This evening I had really intense pain in my lower left abdomen. It was the worst pain I had ever experienced. It got better with pressure but now it s getting worse again. The pain is now all over my stomach but its origin in my lower left side. I also feel cold and shakey and a little achy. I also have been urinating more than usual and there has been some yellow/green discharge in it.", "output": "Hi. Thanks for your query. Noted your history of more frequent urination with some yellow/green discharge in it. Intense pain in lower left abdomen, getting better with pressure. Now the pain is all over abdomen. I would advise you the following in such a situation. First send urine for tests of routine, microscopy, culture and sensitivity before antibiotic is started to get a proper reports which help in further treatment. Further, tests of blood, stool ultrasonography of the abdomen and so on. Clinical evaluation and examination by a General Surgeon to have a proper diagnosis and further proper treatment. I hope this answer helps you to get an early and proper diagnosis and treatment."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wet dreams don t affect a man s health .. In my case whenever I masterbate then practice football later on the same day or even 3 days later I feel weaker and I never manage to complete my team s run in training, so I become physically weaker or lose stamina. Do wet dreams cause that too? In both cases.. how can I recover my lost power as soon as possible to produce my normal form in football training/matches? Like what should I eat/drink", "output": "Hi, Occasion wet Chat Doctor.  Over masturbation however can lead chronic fatigue. I suggest you to rule out other causes of fatigue like anemia by complete blood count. If it comes normal then also investigate with serum calcium estimation, SEPT, GOT estimation and urea, creatinine estimation. Underlying because specific treatment is priority. Before playing sport eat some energy rich fruits like one or two bananas.  Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 weeks 2 days pregnant. I have had decreased vaginal discharge this past week(hardly anything at all). Would this indicate that I may have lost my mucus plug? Does the plug have to be discolored? I do remember a large amount of mucus but it didn t have any discoloration to it.", "output": "Hi, I understand your query.  * Vaginal discharge in pregnancy is influenced by hormonal changes during pregnancy.  It is a reaction of uterine lining & some normally residing bacteria in vagina. To the pregnancy changes.  It may be scanty or considerable depending on pregnancy hormonal pattern that time. So please do not be tense because the discharge is less.  It is usually thin, colorless, without symptoms.  The moment you start having symptoms like copious, thick, cheesy/green or yellow discharge with itching or burning you should get concerned, consult your doctor immediately * In pregnancy mucus collects at cervix, & comes out as the cervix dilates, It may be clear / pink/ red.  Clear mucus plug indicates beginning of dilatation, & may be followed by labor pains in about 15 days.  Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi  for the past few months i have noticed soft swelling just above both clavicles close to my neck,they are painless and i notice them enlarging when i excercise also,i have recently stopped smoking but did smoke for 22 years,i am a 43 year old female with anemia but no other medical problems,i have experienced tightness of the chest and irregular pains in left area of chest but theses are not too painful and dont last long", "output": "Hello, Supraclavicular Bulging on exertion is mostly seen with bronchitis. Since, you were a chronic smoker; possibility of bronchitis is more likely. Your chest tightness and dull chest pain are also seen with bronchitis. So, it is better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had blood in his urine last night and a drop of blood on the tip of his pennis at the end. he said he did not have any pain while urinating. He has been feeling sick to his stomach the past couple of days though.. I know he needs to go to the doctor, do you think this is somthing we need to worry about.", "output": "HelloThanks for query. Hematuria and pain while urinating can be either due to stone in kidney or UTI and needs to be investigated. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis In the meanwhile take antibiotics like Ciprofloxacin and Nitrofurantoin with urine alkalizer like Catwalk twice daily. Further treatment will depend upon result of these tests and final diagnosis.  Chat Doctor. ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Having severe heart arrhythmias for last few wks. gotten much worse today, am feeling wk. and little worried. Have history of such but it normally goes away. I have a hospital nearby but I have no insurance & not much $ and fear I ll be turned away or die while waiting in E.R. No pain in chest, arm or jaw. Get a very bad headache in back of head when these spells come on. Not sure what to do or if its life threatening-", "output": "Hello Welcome to Ask doctor service have reviewed your query, and here is my advice. Without EKG tracing it is difficult to say anything about the arrhythmia more over it is the medical emergency that demands the immediate medical attention, the symptom that you stated here weak and worried is not indicated the arrhythmia, but it could be due to anxiety and depression, if you want to confirm the arrhythmia then you need to get done the EKG, if this is found there then you have to get in hospital for proper treatment, type of arrhythmia matters here. Hope I have answered your query, let me know for further assistance."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 57 wt 80kg ht 5.9\" my bp is 136.80 I was advised atten50 which I took for a year. ECG revealed some minor deviation and the doctor attributed that for atten50. he advised me to take telma20 once daily after dinner. is it a better advise and ok for me?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. Atenolol belongs to the class of beta- blockers. It lowers heart frequency and through a secondary mechanism it lowers blood pressure. He has this effect.he might lower heart frequency too much. You explain that your doctor saw something on ECG. Maybe he sows low heart frequency and this is why he exchanged it with something else. Telma is a good medication. He belongs on ARB class and lowers blood pressure, so keep taking that because it's fine. Hope I was helpful. Best regards, Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 18 months old and has a history of thrombocytopenia.  He has had a healthy platelet level for 4 months now.  However, he has a bruise on his head and a bruise on his back, both of which have lasted for 3 weeks.  Are these long-lasting bruises a sign of low platelets?", "output": "Welcome to Chat Doctor. I am Chat Doctor. Platelets are small cells that circulate in the blood and whose function is to take part in the clotting process. An adequate number of normally functioning platelets is also needed to prevent leakage of red blood cells from apparently uninjured vessels. These long-lasting bruises are looking due to thrombocytopenia. I suggest you to repeat platelet counts, so it will be very helpful for further management. Keep in touch. Thanx for query."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my pain management dr that prescribes my pain meds and other meds don t show up at office the entire dr office was full today and by 8;30 they posted note that he would not b in today I drove 150 miles my meds were out on the 6th with the pain in my back I really don t need to drive 150 miles cant function next 2 days Dwight Kilgore 229 457 1020", "output": "Basically all pain management can be categorized broadly into 4 parts. 1. pain medications 2. Physiotherapy 3. Steroids(controversial) 4. Surgical intervention. That being said. The first thing is to get the basic investigations such as a X-ray. Assuming you got that, and the pain is not yet relieved after 6 weeks duration, please consider getting a MRI done. For now, Just to get pain relief, you can consider buying any over the counter Chat Doctor.  If you have a physician within your reach, just see if it is possible to get a prescription medication such as NSAID diclofenac/diclofenac and Muscle relaxant- Thiocolchicoside 4 or 8 MGS.  Hope this helps Thank you"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam 54 yr old female . Now i have been diagonised for fatty and enlarged liver.Iam an indian with clean habits and vegetarian. kindly suggest diet and excersie scheduel. iam weighing 63 kilos and ht 157 cm. can i do cross ramp.kindly suggest.Regards and thanksRajisrikar", "output": "Thank you for posting your query. Increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". Though your diagnosed with Fatty liver but you're also advised to test for Herb & C serology. Further advice:- abstinence from \"Alcohol and Chat Doctor. - Moreover, (no sports)but you may walk daily for around 30 to 40minutes. Cross ramp is not contraindicated - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 to 6 weeks.- violin "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell a week ago Chiropractor say left shoulder lower then right did a corkscrew when I fell.Neck muscle sore swollen spot on collar bone by neck,hurts yet to lift arm up,in upper part of arm.was told that i just about dislocated collar bone.How long before stop hurting.", "output": "Hi I am Chat Doctor. .  In my opinion it varies according to the degree or injury and the severity of the swelling and your body built whether muscular or fit. It usually takes not more than 3 weeks with proper management and treatment.  For my patients I may recommend NSAIDs like Advil tab once daily, hot massaging with topical gels, avoid heavy lifting and vigorous movements, using an arm sling or a shoulder splint to decrease the swelling will be effective . Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 year old female in very good health. Have not had a bladder infection in 15 years. I have pulsing in my bladder with pressure and frequent urination.this has been going on for over 30 days. I do not have an infection it has been tested by Dr. I have taken lots of herbs and high doses of tumeric. What can I do?", "output": "Hello, Welcome to Chat Doctor, The Presence of bacteria in the urine may lead to bladder infection and other forms of urinary tract infection. Escherichia coli is the most common organism responsible for bladder infection. The most common way bacteria gain access to the urinary system from outside is through the urethra. The most common symptoms of bladder infection are burning sensation when urinating, Frequent urge to urinate, Passing only small amounts of urine at a time despite the urge to urinate and cloudy Urine. Bladder infection is diagnosed by an urinalysis and the presence of white blood cells in urinalysis indicates bladder infection. Simple bladder infections in women can be treated with a three-day course of an antibiotic like Co-trimoxazole. The choice of antibiotic, the strength of the medication and the length of treatment vary depending on the circumstances and antibiotics need to be taken for 10 days or more. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had some pain in my big toe and went to see a Chinese doctor who did a blood test and later told me i have romatism. I have no idea about this sickness and would like to learn more about it and if it is cureable or not? I would also like to know is only on my toe or will it be all over my body?", "output": "Hi, (Actually, the proper spelling is Rheumatism, not dogmatism).  Rheumatism is not a single disease, it is a group of disorders that cause inflammation in joints, muscles and/or other soft tissues. There are several diseases such as Rheumatoid Arthritis, SHE, Scleroderma, Psoriasis, Gout, etc. and all of them are a kind of Rheumatism.  Overall, the diagnosis of a Rheumatic disease is based on your history, examination and lab tests. You should only refer to an Internist or a Rheumatologist for proper diagnosis.  Some Rheumatic disorders only involve one joint and some others involve other joints and even other parts of the body such as kidney, heart, etc. The major treatment for these disorders are the Chat Doctor.  Although other treatments also exist. In most cases, rheumatic diseases cannot be totally cured, but with the help of proper medication the pain and other problems will go away, and the disease will be off for a long time.  I suggest that if the doctor that you saw was not an Internal Medicine specialist or a Rheumatologist, you refer to another doctor to be sure that your problem is hematologic.  Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR,I AM JUST 23 YEAR OLD. I M SUFFERED FROM KIDNEY RENAL FUNCTION DISEASE, HIGH BLOOD PRESSURE NEARLY 210, SERAM CREATININE IN URINE IS 0.7, LOW HAEMOGLOBIN NEARLY 11.6, ALBUMIN PROTEIN IS ALSO PRESENT IN MY URINE WHICH IS ++++. IN MY URINE CULTURE TEST , THERE IS ESCHERICHIA COLI BACTERIA ALSO GROWN. BEFORE 1 MONTH 15 DAYS AGO, SUDDENLY I HAVE SOME SWELLEN IN THE FEET , BUT I DONT CARE BECAUSE I THOUGHT THAT IT WAS DUE TO COLD , BUT THIS PROBLEM INCREASE, AND I CONSULT TO ALOPATHY DOCTOR , AFTER THAT MY SWELLEN HAS OUT BY INJECTION AND SOME EDEMA TABLETS BUT I AM NOT FEELING WELL EVEN NOW FROM INSIDE ,SIR I BELIEVE IN AYURVEDA FOR COMPLETE TREATMENT AND I DESERVE A LOT ,,,,,SIR PLEASE SUGGEST ME THE RIGHT WAY AS SOON AS POSSIBLE ,,,THANKYOU", "output": "Dear Sanjay damaging by your reports I believe that you are only suffering from malignant hypertension and nothing more. Though this is capable of causing renal involvement but thank god that is very minimal for the time being. All that is need is prevention and treatment for hypertension. Be regular with your medicine, and you will have no problem with kidney if you maintain your BP. Donor miss your dose for hypertension. Diva must vat will help to control it. A mild diuretic will keep your kidney and BP normal. Punarnava manner is Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have elevated potassium in my blood. Other than that all levels are normal. My doctor suggested I cut down on potassium rich foods. I don t see that I am eating in excess any food foods high in potassium. The only drug that seems to affect potassium levels that I take is Aleve. Could this higher level of potassium be an indicator of kidney disease?", "output": "Hello... Hyperkalemia -- high potassium in your blood -- may occur if your kidneys do not work properly Kidney disease is the most common cause of hyperkalemia.  Excess potassium in the diet can also contribute to increased levels in your blood, especially if there is an issue with kidney function. Salt substitutes typically contain high amounts of potassium. Foods such as melons, orange juice, and bananas are rich in potassium too. Over and above Chat Doctor. . For better evolution kindly get done renal function tests and cardiac check up with regular monitoring on potassium level"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my shin, it s been there about three weeks. the gp has said its a lypoma , and will need to be removed surgically. Since seeing the GP it has grown slightly and is red and though it has been painless to date it is now tender to the touch. It s about the size of a cherry tomato. thanks", "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 concerns. Based on your query data, In my opinion, Dear Your baby seem to suffer from -Non-Lipmatous lump on your shin, as its tender lately with redness over last 3 weeks. In My opinion, you need to rule out the Varicose Veins of shin. Color Doppler with dual image USG would fix the cause and would fix line of further treatment. Other possibility of Sebaceous Cyst needs to be ruled out. Surgeon would be needed to fix this health issue with you. 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. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "every night when I go to sleep, I feel discomfort in my upper left chest and under my armpit. I get anxious and it takes me at least 90 minutes before I fall asleep. When I awake...there is no pain...it only happens when I lay down for the night....never during the day", "output": "Hi thanks for contacting Chat Doctor.... Noted you have chest pain while going for sleep.... It takes 90 minute for getting sleep means you have sleep induction problem.... Because of that you are taking excess stress and yes this anxiety leading mild chest pain..... So be relax ....don't worry about sleep.... Here are few to advise for better sleep.Don't eat heavy while taking dinner.... If feeling hungry snack can be taken... Daily regular exercise done... Coffe, alcohol etc. avoided before sleep... Avoid late night party. Go for sleep before 12 at night.... Try to avoid attending phone calls before sleep.... If still no benefit then collided Chat Doctor. ... Take care..."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir.few year ago i have some cold problem. every morning i have  sneezing...... but after taking furamist az  . the sneezing is stop. but our doctor said that u have to continuee for life time this medicine... bust i dont want to take... any suggestion", "output": "Hello No doubt you are having allergic rhinitis or allergic bronchitis, but allergy is the predisposing cause of your problem. Since fluticasone + elastin is the Chat Doctor. But this is a steroid treatment. When such patient visit I advise my patient to take montelukast+ levoceterizine tablet one or two in day (according to severity of symptoms i.e. sneezing). When patient also feels breathlessness (not uncommon in this type of patient) I advise them to take montelukast+ albuterol tablet once or twice in day. Avoid, fine dusting powder, mite, pollen, mold, sudden change in temperature, hay, fodder as these are predisposing factors for allergy. Hope this will help you. Steam inhalation also help."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i was doing gymnastics and i was getting tired and after i completed the trick i was going for the spring floor made me rebound and when i came down, not very hard, my ankle rolled and i felt a little pop/crack. i have had bad ankles for forver so usually the problem is not as bad as it feels. any tricks for getting it better faster?", "output": "Hi, you need to know that after getting frequent injuries at the same joint. The structures around the joint become weak. It needs to be strengthened. Since you mentioned you are gymnastics person you may have more laxity in the joint. Why don't you just try some specialized session with a physical therapist who can help you to the best and assess the grade of laxity in your ankle joint. As the laxity does not come down it is always intended to reinsure same place. maybe you can try for time being taping of the ankle joint. Which can help you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What could be the cause of a sharp intermitten shooting pain in the instep of my left feet. I have also developed a dull pain in my left arm which I feel when I attemp to turn my outstretched hand backwards. I am thinking this may have to do with my heart as it has been feeling sore at times.", "output": "Hello, As this may not be related to heart conditions. In case to clear your doubt an ECG will be good to rule out along with blood pressure measurement. I think this will be due to two factors - one for leg - degenerative disc disease of the lumbar spine and this causes sharp shooting pain. Correction can be done with simple exercises. Two for the arms - can be due to muscle weakness and can also be corrected by shoulder strengthening exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello ive had a cold for almost three weeks. it started off as a cough and i though it was getting better by week 2 but then came a runny nose & last weekend i was vomitting. This week I have totally lost my appetite, vomit mucus a little, have a hacking cough, cant hear out of one ear,  & cold/hot flashes. Could you please tell me what could be wrong & it i should be examined by a doctor asap?", "output": "HI, thanks for using Chat Doctor Cough and cold infections can be prolonged in some cases. The decreased hearing in the ear may be due to infection in the ear or dysfunction of the Eustachian tube (tube in the ear). Loss of appetite, coughing, chills can occur with these infections. If the cough is wet, then a bucolic can be used to break up the mucus so that it can be expelled. e.g. bipolar, Mucomyst, guaifenesinA decongestant with antihistamine may also help. You may need to consider visiting a doctor to see if antibiotics are necessary. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been dizzy/off balance now for 2.5years, but I figure its from PTSD & GAD since im extremely beyond stressed out. Im guessing I have high cortisol in my body due to stress. Ive had changes ever since 2010 from a car accident as well. I also  had a depressing breakup where im still thinking of this person and its already been 2.5-3yrs since ive seen him/we been apart so yes ive had a broken heart now for 2.5years. I also have a kidney stone which isnt out yet. Im a mess.", "output": "Hello. Kidney stone is not now the most important. The most important of all is PTSD and Gad that causes dizziness, stress..... You have to receive right treatment for PTSD and Gad. Besides treatment with Chat Doctor. Do not be discouraged, with the combination of both treatments you will feel better. I treat my patients with Paroxetine 20-30 mg per day+Diazepam 0.5 mg twice a day when PTSD and Gad is the diagnosis. Please consult your local doctor for a prescription. I wish you good health.(In case the answer would have been useful please indicate this)"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ?  Hi , I have asthma and quit smoking 9 months ago.  I have had recurrent chest infections since and 2 chest x rays and blood tests have come back clear.  I still have a productive cough, my chest feels tight, a hoarse and tired voice, lethargy, lack of energy and sleep forever!  Any ideas?", "output": "Hello dearWelcome to Chat Doctor.come have evaluated your query thoroughly.* This indicates underlying systemic issue with either Pyrex of unknown origin or else.* Causes of respiratory ailments are low immunity level of the lungs.* Needs detailed case study with proper clinical assessment and necessary lab tests according to the clinician concern. Hope this will help you for sure. Welcome for further guidance. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor I am infected with fungal infection over a year ,and consults many doctors near my city ,they gave me medicines (cram, tablets and a fungal dusting powder) ,then after use of medicine my skin clean means round circles (fungal infection) removed ,but after 1 month or 1.5 month , problems creates again ,it is done 5-6 times ,but problem still as new, doctors say me use clean towel and did not use your old clothes when problems created, and said that wash your under garments, with hot water, I can do everything but not successful. now problem again increasing, it effects on my back side of ears, I am also sending scan picture of cream i used.plz see it  WWW.WWWW.WW plz guide me and give me guidance", "output": "HI, thanks for using Chat Doctor If the infection is recurring then you likely need a prolonged course of oral medication combined with topical treatment. A swab of the lesions should be done to identify the specific fungus and the agents that it would produce the best response. In addition, you may want to consider screening for reasons that may be affecting your immune system and preventing you from healing. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I have yellow teeth by which I am facing too many problems . Can u give some advice to remove it ?", "output": "Hello, Thanks for posting your query, Several reasons exist for our teeth turning yellow. Some people are born with slightly yellow teeth naturally, and only unnatural dentistry, such as veneers, can fix them. It is perfectly normal for people to have slightly yellowish teeth. The problem is that the teeth become more yellow with time. The number one reason for the yellowing of teeth is staining from foods, Chat Doctor.  Teeth are made of four layers of tissues. The innermost layer is the cementum. It attaches the root of the tooth to the jaw bone. Next, is the pulp. The pulp contains the blood vessels and nerve-endings in the tooth. I suggest you go to your dentist so that he/she can examine, determine and recommend what's the best teeth whitening product to be used hope this information has been both informative and helpful Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im nine days post op TAH. I ran out of pain meds, feel a little feverish and am in pain. Dont even have Tylenol in the house. Is it normal to feel feverish? Also there are hard knots/lumps forming below my incision. Is this normal? Major stomach pains immediately prefacing bowel movements as well.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that there is infection at the incision site leading to bump formation that can also be pus filled leading to abscess formation and fever and pain can also be due to it. I would suggest you to consult your treating physician and get evaluated, and a thorough clinical evaluation can help in diagnosis. In case of infection he can advise taking antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen, clean the area with antiseptic solution and apply triple antibiotic ointment over it. You can also do cool compresses over it. If infection is severe injectable antibiotics can be advised. Keep the area away from water and moisture and maintain Chat Doctor. . Hope this information helps. Thanks and regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr,my uncle is having cancer on pancrease,and secondary on liver and it has diagonised today only.But consulted doctors are telling it is the final stage and no need to take any medicine,please give me valuable suggestion for getting the good treatment centre in india", "output": "In allopatry science line of treatment palliative TherapyPalliation of symptoms may be achieved with conventional treatment. Palliative measures that may improve quality of life while not affecting OS include the following Surgical or radiologic biliary decompression.  Relief of gastric outlet obstruction.  Pain control.  Psychological care to ad Chat Doctor. But in homeopathy can you believe so u should start sponge HY"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was reading about personality disorders and other disorders after my brother was diagnosed with aspergus ( spelling?) and I was reading one that sounded like me and it scared me so I was reading about it and it really sounds like me, its was schizotypal disorder, umm I was wondering If its was just a conisidence or if I really should get me checked out because Im scared of having a disorder . Im to scared to talk to my mum because I tried it once and she just said I was beings silly so I know she wont belive me, I was reading the sympotoms and its so much like me and I was thinking if I should get it cheaked out or somthing?", "output": "Degree understand your concerns went through your descriptions. I suggest you not to worry much. You have not mentioned your age and occupation in the description. From the description, I cannot see schizotypal personality disorder in you. But I do see anxiety rather health anxiety. To find out your personality type, you need to take personality tests which are administered by clinical psychologists. Don't go with tests available on the internet which are normally misguiding. Don't read unnecessary books. Even for a trained psychiatrist, it takes some time to understand your correct problem, in that case, how an untrained person can? Be confident, if you have a problem, Always say - SO WHAT?-. You need cognitive behavior therapy. I can help you with that. Please post a direct query to me with every minute details possible. I shall prescribe tailor made cognitive behavior therapy techniques to you which should clear your problems within weeks. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has been having shoulder pain for over a year. We ve been to ortho doctor. Finally after several xrays, MRI and physical therapy and xray showed something on collar bone. Had a CT done and ortho doctor said its normal. However, I got a print out of the ct and it shows a small cystic area at the medial aspect of the right clavicle posteriorly. A small adjacent osseous projection extending posteriorly. What does this mean? and what can they do to get rid of the pain she has? She cant even play softball because of pain. But ortho doctor says its normal.", "output": "Hi, thank you for providing the brief history of your daughter. As she has a cyst formed in the medial posterior aspect of the bone I think it should be a calcium deposition. Since the child is in the growing stages she may have some changes of growth of the bones. As bones also has some remodeling phase during the growing ages of a Child certain things are time framed and goes off on its own. As the or tho said, this is not to worry as he might want to speak about the growing phase of your child and also the remodeling of the bone which he must have not explained. In my opinion this is not so worrying thing as its only giving pain due to the remodeling of the bone. In case the pain worsens over a period of time and this remodeling doesn't remove the excess deposition of the cyst may be an excision of the cyst will be performed. In my clinical practice many parents comes with child having pain and aches, but this is the growing phase of the child and may have some aches and pains. I advise them to take the child for swimming as it will help better for muscle movements for its relaxation, strengthening and stretching. I will recommend you the same to try out swimming, and I am sure your daughter will be fine. I wish your daughter a good health and a blessing from God. Regards Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby is 5nhalf he having loose motion.he is on breast feeed mostlyn only once bottle feed. i .should to the doctor they said he has infection. igave him medicine still he had 5 times loose motion. te medicine doctor gave him suprax100&kapect.what else should i do.", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better.  Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old has been crying and wanting her nappy off. I got her urine checked thinking it might be a uti and it came back clear. I noticed when we got home she appeared to be itchy. She is slightly red and white cream could it be thrush? She was sick once could it make he sick? She has no temperature.", "output": "Welcome to the ChatDoctorI have gone through your question and understand your concerns. Don't worry. It seems that your daughter has either nappy rash or pin worm infestation. Both the conditions can be easily managed at home. Give her a dose of Albendazole for deforming. Also, follow the following measure to help her in nappy rash if present:-regularly change damp diapers.- keep the area clean and air Chat Doctor.  - apply ointments having statin/ clotrimazole with antibiotic such as Rash free. Once the rash improves, use very thin layer of petroleum jelly to avoid any further infections in the future. Hopefully this will be helpful. I would be happy to help you in any further questions. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A DEEP ACHE OR PAIN IN MY UPPER RIGHT SIDE OF BACK IT FEELS DEEP,ABOUT 6 WEEKS AGO I USED THE WEED EATER FOR A FEW MINUTES AND IT DIED ON ME SO I TRIED TO PULL THE CORD I COULD NT BUT 2 DAYS LATER I STARTE GETTING DEEP PAIN IN MY UPPER BACK RIGHT UNDER MY SHOULDER BLADE COULD THIS BE A MUSCLE IT HAS BEENTWO MONTHS", "output": "Hello, I have studied your case with diligence. As per your symptom and history there is possibility of muscle spasm in shoulder or there can be cervical disc compression. Due to compression of this nerve root there is pain associated with it. For these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI cervical spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor! Im 28 yrs old and 24 weeks pregnant now. Please advise me whether I can take cooked-vegitables like (water contented) bottleGaurd, raddish and fruits like SweetLime, pomogranate during night time. Whether it ll suffer from cold for my baby? Thanks in advance.", "output": "Hi Surya, Welcome to Chat Doctor and heartiest congratulations on conceiving. You can eat all the fruits that you like. There is no restriction. You can and must eat vegetables, either fresh or cooked, taking care that they are washed properly. They will not harm your baby in any way. Do regular light exercises such as casual walking in the morning and evening. Avoid all strenuous jobs. Wishing you and your baby all the best."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "premature baby born at 28 weeks with low birth weight 10 months now with spastic lower limbs MRI showed: White matter gliosis - PVL . Dilated ventricles with no signs of obstructive hydrocephalus. what does this mean? any signs he will develop cerebral palsy?", "output": "Hi. Thank you for posting your question. Cerebral Palsy is a long term result of any kind of damage to the developing brain. This damage could be either before/during or after delivery. Preterm birth with low birth weight is an independent risk factor developing cerebral palsy. The MRI changes that you have mentioned suggest damage to the brain which is commonly found in child Chat Doctor.  These changes do strongly suggest that your child has a significant risk of developing cerebral palsy. Apart from that spasticity also indicates that the damage has started manifesting itself. The main signs that would suggest that your child is likely to develop C.P. are delay in attaining developmental milestones as expected or his head size not increasing as expected, continuous thumb in fist position of his hand, scissoring of his legs when you lift him in the air, spasticity of limbs etc. If you find these signs I would suggest talking to your doctor regrading consulting a physiotherapist along with starting some stimulation therapy. Apart from these regular follow up and monitoring of your children development and progress would help you decide the next step. Do reply if you need any more guidance."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had a medical aborion at 8.5 wks.had the mirena coil fitted at time of ab and ended up with an infection.it was removed by my dr a few days later and inf was treated with antibiotics.I have been fine since.my ab was 29 oct 10.I have been trying to concieve since and had no luck,is there something wrong?", "output": "Hi, Thanks for the query. I understand your concern.  I feel the post portal infection might have caused the problem.  You should go for HSG to look for tubal pregnancy.  Consult your gynecologist for internal check up needful treatment.  Ovulation should be tested by USG ovulation study. Husbands semen analysis would confirm normality of both partners.  When everything ascertained normal... ovulation to be determined by LH surge test try for conception by unprotected sex 2 days before &2 days after the estimated date of ovulation.  Prey test phone after 8 days delay in periods by hit.  Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a significant indentation on the interior left foot just behind my ankle. I just noticed this but it must have been like that for awhile as I can see that there is a smaller indentation starting on the interior right foot in the same location as the left. It is not at all painful. I am 62 years old and am very active. Play racquet sports 3 times per week. There is no redness and my ankle looks the same as always and is not sore. I am 5ft 5 and weigh 160 pounds. Any thoughts?", "output": "Hi, It is actually common for athletics to have such skin fibrosis due to wearing shoes or sketchers tight or that makes friction on this particular areas. From your history it is not painful, so I think some skin care by topical ointments for fibrosis skin and glycerin containing creams are helpful. If they increase in size or became painful you may ask your dermatologist for proper evaluation. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have constant back pain across my waist line. My right leg hurts for th hip all the way down to my ankle day and night. My left leg has muscle pain from the hip to the knee. I m off to the doctor in an hour what should I ask him. by the way this has been going several months but has got to the point I m totally miserable.", "output": "Hello, You have got articular pain in both lower limbs may be due to nerve root compression in lower lumbar spine. This may be due to disc herniation in lumbosacral spine. Diagnosis can be confirmed by doing MRI of the lumbosacral spine with screening of whole spine. Please get it done from radiology center nearby you.Meanwhile, start tab regain x 75 mg one at bedtime for pain relief. Avoid forward bending and weight lifting. You can ask your doctor for detailed clinical Examination and to refer you for MRI and ask for temporary medications to relieve your pain. Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cough now for 3 months, before this I was perfectly fine..no illness what so ever..Im 51 years old and overweight..but no diabetes..my cough accompanies.. lots of phlegm & congestion, Im short of breath and having difficult time breathing..what ever it is has taken over my ears..cuz now their plugged and I cannot here..Ive taking 3 antibiotic prescriptions, cipro, levaquin and avalox, and it wont go away..first they said, sinus infection, then Pnemonia, then Asthma,,I know its not just asthma Ive had asthma for 50 years and this with all the phlegm is not asthma.  Please help..I need to get better..not die.   At one point Xrays said Pnemonia, a second time they were clear..I have been in the hospital and to several different docs..including a Lung specialist that just says its asthma and allergies..I know this is not what it is..PLEASE HELP!!!!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I also feel that you are having acute exacerbation of asthma. Normal chest x-ray rules out pneumonia or lung cancer or other lung diseases. Chronic cough, congestion, phlegm, wheezing, shortness of breath etc. in asthmatic patient is suggestive of acute worsening of asthma more. So get done PFT (pulmonary function test). PFT will tell you about severity of asthma and treatment is based on severity only. You may need long acting inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) is also beneficial in your case. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir while i do sex with my partner cover skin of my gland penis get lesioned and abrasion. which causes irritation, inflamation and pain..after that my partner got infected with UTI..why this is happening and what is the solution for this ..please solve the quarry.", "output": "Hi, From history it seems that due to hard sex and lack of proper lubrication there might be having irritation, minor injury to glans giving this problem. Or there might be having some lower genital tract infection of your partner might have caused problem to you. This can give urinary tract infection as well. Both partners go for one antibiotic medicine course for 5 days. Apply antibiotic cream locally. Maintain local hygiene both partners. Ok and take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I've been experiencing weakness, sharp chest pain, problems with movement, leg pain, and sweating. What could be the problem?", "output": "It seems like you may be suffering from Vertebrobasilar insufficiency."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my daughter is 5 months old, she is suffering from loose motions(12/day) for last two days,doctor gagve her normet(ofloxacin 50mg+omidazole 125 mg) syrup. THe dose is half teaspoon thrice a dat,she is not liking it and vomiting after taking it, is is safe? pls reply", "output": "Welcome to the ChatDoctorI understand your concerns. Poops of babies at this age may vary a lot in terms of frequency, color, and consistency. Most of the diarrhea episodes in infants are due to viral gastroenteritis which do not require antibiotics.  If your babies poop is not having any blood or mucous in it, then there is no need for any antibiotic such as Nor met. You may take the following measures to help her:1. If she is on exclusive breastfeeding, then its very good as breast milk has antibodies which can fight many gut infections.  Continue regular feeds, she will be fine.2. If on formula feeds, try to regularly feed her to prevent deny Chat Doctor.  Also take a very good care of hygiene in the preparation of feeds and feeding bottles or vessels.3. You may give her acetaminophen "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having very severe pain in my left foot. I can be walking and suddenly get a spasm and cramp that is so painful, I can t walk without limping. It most often happens after standing at work for up to eight hours. What could be causing this, what can I do about it? Thank you.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the cramps arise post long hours standing at work, it can be due to two factors -1. Due to vascular insufficiency2. Due to neuropathic changes vascular insufficiency a Doppler scan might reveal any varicose vein or DVT. Post which with simple medication and physical therapy you should be finer neuropathic pain, understanding the MRI of lumbar spine needs an attention to rule out the disc injury. Also, with simple medication and physical therapy you get relief. RegardsJay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor , I have small penis and I need penis like a man . I am not asking very big penis but it should be like a man with proper fatness as well as my testis are also small. so it it possible to have a big and fat penis. money is a major problem but I will afford if there is any hope. Please do reply if it is possible with the expenses required for surgery or treatment course along with your fee. Regards Sanjeet Jain", "output": "Thanks for asking in Chat Doctor forum IN short: There is no way to increase the size of penis(except implants)Explanation: The size does not matter, if you are having normal erection and able to satisfy your partner then its normal. Please do not fall into any ones hand who just try to get money out of you saying he knows how to increase the size of penis. Hope your understanding. Stop thinking about your penis size."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Lisa. I am 41 years old and pregnant for the first time. Last Wednesday I had my first ultrasound at 6 weeks and 3 days pregnant and it only showed the gestational sac and yolk sac. No pole sac was detected. What does this mean? My doctor is going to repeat the sonogram again this week, but I am nervous and just looking for some input. Best regards", "output": "Hello, You are elderly prime gravid and carrying pregnancy of 6 wk plus as on USG. Early scan may not reveal detail of FPP and need to wait at least 2 wk for repeat scan to get details with fetal heart beat and pole. May undergo TVS (Trans Vaginal Sonography) to get early details than TAS (Trans abdominal sonography). On TVS, you get details of fetal pole/cardiac activity around 6 wk gestational age. So consult with your doctor for suggestive measure. Continue folic acid supplements, protein rich diet, avoid long journey/heavy work, maintain personal hygiene, take adequate rest. Be well."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some problems with my lung/heart area. I ve been told after numerous EKG s, that my heart is fine. Every time I go to the ER, the doctor s tell me that I have an infection in the lungs, or that they are baffled. Even still, I experience chest pain/ pain breathing/ and tenderness to touch in the back/front area after a long periods of the mentioned symptoms.", "output": "Hi, thank you for asking Chat Doctor. With this presentation, one would still need to ask you some few questions like the précised location of this pain, whether the pain is always there or it is intermittent (on and off). Notwithstanding, I think it might be related to peptic ulcer diseases or an inflammation within the pleural cavity. Concerning peptic ulcer diseases, I would suggest you try an antacid with another Chat Doctor.  If you feel relieved, then continue for about 2 weeks. If there is no improvement, I think you would require some tests like a chest X-ray or chest scan to rule out an inflammation within the pleural cavity. I hope that helps wish you well"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m staying in Chennai. On Tuesday, my 4.7 year old son had a cough and had fever that night. The doc gave him crocin and Azithromycin. Wednesday, he had no fever. But Wednesday night at 12.00, he started shivering. Since then, the fever came and went for three days. He had a bout of shivering Friday early morning as well. The cough is not too bad now. He hasn t had fever now for more tha 12 hours. Could this be Malaria? Our doc told us to wait till tonight to see if his shivering recurred, But I just wanted to ask.", "output": "Hi, By what you say this looks like viral fever and unlikely to be malaria. Now there are a lot of viral fevers going on in Chennai with a similar presentation. So you can actually wait as your pediatrician has suggested. But if you need a second opinion you are most welcome at the above said Hospital. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, my younger sister age, 18 yrs had been suffering from gland tb, and stop the treatment after completing 12 months medicine course & when the blood test report shows no tb germs are there, treatment period was mid of 2009 to mid of 2010,but after that she felt lack of appetite, weight loss, so we consult with doctor & he told to remove two small gland from neck side,just one week before she removed the gland & after biopsy report doctor says that there is tb germ.weight 42, height 5 2 we are really in tense, what should we do now, is it curable?", "output": "Helots biopsy of gland in known as tubercular lymphadenitis i.e. enlargement of lymph gland was mycobacterium tubercular bacilli. As you mentioned that she took complete anti-tubercular treatment. But at present need not worry, however reduced weight is cause of concern. Another reason is loss of appetite. So get in PCR tuberculin test for tuberculosis confirmation. And also get in blood culture and Chat Doctor. Since she is also having loss of weight and loss of appetite, so consultation with a specialist is important. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, mam. i suffering with hormonal imbalence .undergone for iui for 5cycles,but not successfully .now my docter asked use thyronorm 12.5g alternatedays so that my fsh level be low.i am much worried about my future can i have child ? i am a working women travelling about 80km per day", "output": "Hi, Your history gives only limited information.Don't get disheartened by having -ve GUI. As your doc has started Thermoform only 12.5 mcg, it means the lowest dose, it's not significant. Thermoform does not affect FSH !! No matter how much you travel, pregnancy is not affected. Kindly confirm if following test have been done.1. Husband- At least 2 semen analysis 4 weeks apart, showing all parameters normal. Preferably from an infertility center (where trained an Chat Doctor.  Wife-Blood sugar / Thyroid levels/ Serum Prolactin Tubal patency evaluation with - SG (X-Ray with dye) or SSG ( Scan with dye) or Laparoscopy Ultrasound scan of pelvis-evaluate Uterus & ovaries / adnexaUsually these tests will confirm one of the faults. If you are aged 35 yrs or above, have Serum AMH levels, to evaluate the number of eggs in ovaries.Don't worry GUI is not the last steps. There is time for everything, when right time come you will get that jackpot. Have faithful the best"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,My doctor called and said I had citrobacter amalonaticus but didnt know anything about it......I was hospitalized in ICU for two weeks. I have lived with ankylosing spondylitus, asthma and tachycardia,for which I am at 540 of tiazac. I have lived with diarrhea for 4 weeks now, then the head was hurting,back of neck, stomach pain, then some fever added to it just lately. I also found out near the end of my stay b12 was down so I had to start taking injections and my thyroid was chaning in my tests. I have been losing strength alot that I fell bedridden. I am really not one who likes hospitals. I have lost alot of trust here in Canada, it is just the way it has become here....    THANK YOU FOR YOUR TIME.", "output": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. I really feel sorry for your situation. But no need to worry. Take the treatment for your problems. As far as Enterobacter infection is concerned it can sometimes be seen in patients who are immunocompromised. If these bacteria is found then I suggest you to take antibiotics based on culture and sensitivity results. Hope I answered your query. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took an answer pregnancy test and 1 bold purple line showed up on the right side. Can I be pregnant?And also my atomic feels tight. Im dizzy all the time.I feel tired I get head aches all  the time.   Ive been using the bathroom alot.  What dose this mean", "output": "Hi, You should read the test as positive if you get two positive lines. Please repeat the test after a couple of days with a fresh early morning sample if you are 3-7 days post your missed period. Else, you can go for the serum beta-ChatDoctor title estimation if you wish for an earlier and better confirmation as it is more specific as well as sensitive. Your symptoms are suggestive of a very early pregnancy, but need to be documented by an evidence. Hope your query has been answered. Wish you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,My mother has been diagnosed with cancer. The OB-GYN told us that it is Ovarian Cancer and that there is already a spread to other organs in her body, particularly the wall surrounding her intestines. Suggested treatment is chemotherapy. But my mother is a bit hesitant, considering the pain that she is experiencing right, she might not withstand the side-effects of the procedure. Based on the result of the biopsy, as follows \"ENDOMETRIOID ADENOCARCINOMA, MODERATELY DIFFERENTIATED, Both Ovaries.  Extent of Involvement, Both Fallopian tubes and Omentum. Lymphovascular Invasion. Present in the Cervix and Endomyometrium. Other Findings: CHRONIC CERVICITIS with NOBOTHIAN CYSTS. SECRETORY ENDOMETRIUM.\", how would you stage her cancer and what treatment would be possible aside from chemotheraphy? Thank you,Francis", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. By her reports, your mother is having stage 4 ovarian cancer. Her cancer is already spread to intestine, so she is having end stage cancer. The only treatment advisable is palliative treatment in the form of1. Chemotherapy2. Radiotherapy3. Nutritional support4. Pain management. Surgery is contraindicated. Did effects of chemotherapy are high. So you need to be very cautious about starting it. Life expectancy without chemotherapy islets than 1 year. So better discuss in depth about chem chemotherapy and then decide accordingly."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a nephew of 2 years when he was 5 or 8 months old he started itching his whole body.his parents went to all the pediatric allurgist in middle east they say that he has enlarge liver and becouse of that his enzym system isnt working properly.Still they dont tell us the name of the disease till now we dont know what has happend to him please please please tell me what to do.he even dont have any food allurgy.i will really appriciate each and every reply thanks Additional Details we have obviously use body washes medicated soaps lotions medicines still no use we have change alot of pediatric allurgist", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your nephew have symptoms of itching all over the body which is probably due to lowering down your immunity and making you prone for infection. It could be due to allergic reactions and contact dermatitis. Need not worry. I would suggest you to apply wet cold sheets on your body to lower down body temperature. And itchiness. You should avoid touching or pricking rashes of body. Take hot milk rich in turmeric as it will boost immunity. Take combination of antiviral Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Father is 75years old and is having attacks where he is sweating and then gettting chills. He walks the floor all the time. He has been to different doctors in the past two weeks and they are giving him pills for depression but he will not take them he says they are making him worse. What can we do my mom is not sleeping because of this he is wanting to go to the hopital but they will not keep him.", "output": "Hello there, I m Chat Doctor. Infectious disease specialist. These symptoms chills and sweating is may be psychological but before that we née to rule out infection. If it is along with fever there may be malarial infection. If it is along with caught it may be respiratory. If there is burning micturition there may be urinary infection. To rule out these we need to go for certain blood investigation like CBC, peripheral smear for malarial parasites, urine routine microscopy and culture, sputum (if cough is there) microscopy and culture. And blood culture 3 set. And is there any "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 42 and had endocarditis about 4 yrs ago since then my heart has never been the same. Once in a while i will still get chest pain. I have spidery looking veins on my upper chest. Within 1/2 hour of waking up every day i get swelling in my ankles but mostly really bad at the top of my shins right below my knees.", "output": "Hello, this is most probably due to heart problems, you should get first echo, hemoglobin, kidney function test and serum albumin levels done to confirm the diagnosis and rule out other problem.  Also, get your BP tested. In treatment, you should have low salt diet and fluid including tea, juices restriction to less than 1.5 liters a day. Also, l, you can get tab Dy tor 10 mg half tab once a day in morning, prescribed from local doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i put earrings in my holes that havent had earrings in in a while and i slept on them. i woke up and my ears are very red and i took the earrings out. my ears are in pain and the holes are bleeding and seem very irritated. what should i do to prevent infection. should i keep the earrings in or take them out. they are sterling silver", "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, please take it out and clear the ear with sterile water. It is likely to be allergy reaction. It is allergy reaction which causes a fast reaction like you have mentioned. I advise you to take cetirizine, prednisolone for allergy and newsprint powder for local Chat Doctor. There is no need to take oral antibiotics right now, as the infection has not actually occurred. Please maintain local hygiene with frequent "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dip tobacco and recently noticed part of my gumline has receded.  Visually  my gum line under my front bottom tooth has eroded and when I rub my finger along my gumline I can feel a clear recession only in that area.  Also, when I push on it, a white substance (pus?) comes from the receded area as well as from under the tooth.  How serious is this?", "output": "Hello, thanks for concern in Chat Doctor. Gum line recession generally occurs in hard brushing, poor oral hygiene, calculus deposition, crowded teeth, and in tobacco and barrel not chewing. Here you did not mention your oral hygiene status, brushing method. Visit a dentist nearby you because only by seeing your oral cavity he can diagnose. If you pus in your gums you may have pain, but you did not mention pain, if it is really pus you have to stop chewing tobacco and start medication (dosage depends on your body weight) and concern dentist for diagnosis and treatment."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small bump if u will - looks like a pimple (I have no skin issues) under my tongue (frenulum) on connective tissue between back of tongue n floor of mouth.  I only noticed because I could feel the bump.  Its small n appears to have a white head.  Im healthy 56 f - am under stress with a move/fathers passing innaug/ & sons health issues.  Monogamous for thirty years, but have smoked most of my life.  Concerns?  See a doc?  Or give a few days n see if maybe goes away?  Thanks.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pimple like bump under the tongue on the connective tissue that is lingual frenulum can be due to conditions like Traumatic ulcer caused due to injury caused by any hard foods or toothbrush bristles. I would suggest you to consult an Oral Physician and get evaluated, and a thorough clinical evaluation can help in diagnosis and treatment can be done accordingly. As of now you can start taking a vitamin B complex tablet daily. You can take anti-inflammatory painkiller like Advil or Alive if there is pain.] Do warm saline gargles. Avoid spicy and hot foods and Chat Doctor. . Take soft diet. Maintain a good oral hygiene. Hope this information helps. Thanks and regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 16 and have pains in my chest  im a smoker it hurts when i push on this area, i thought for a long time it was from smoking but whenever i massage the area it goes away. some of my friends said it was becouse im growing idk if thats feasable though i also have had a pretty bad shoulder injury and recently started working out after i thought it had stabilized back into place and my shoulder started hurting to after my routines im currently not working out and it feel like my shoulder went out of place again it hurt and i feel my tendant moving and my chest  could the shoulder and the chest pains be connected due to a misplaced tendant? what could the pains mean? should i get an mri?", "output": "Hi thanks for contacting Chat Doctor.... Your age is just 16. Although here your pain might not be related to smoking, but you should stop smoking as smoking release elastane and that lead to lung tissue damage and fibrosis dear.... So stop smoking... Here chest x-ray done to rule out bronchitis and fibrosis... Now move towards your shoulder injury. Yes as secondary to injury you might have damage tendon that can lead chest pain. Your physical examination done for it... And if you need MRI is the best one.... If you have severe tendon injury then surgical management or bandage might be needed.... Rest done.... Take care......"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is in the hospital for over a week for back pain and an infection. She has been given enimas, and all kinds of bowel moving meds and nothing has moved. They tell her they see poo but it isn t moving. After the enima just clear liquid comes out. It has been 8 days without going poo. What should she do?", "output": "Hi, Thanks for asking on Chat Doctor. I have gone very carefully through your query. As per your history is concerned please do check and ruled out intestinal obstruction by doing a physical examination. Check her abdomen is swollen or tender. Secondly do an abdominal CT scans to confirm the diagnosis. Admit her and place IV line into vein in her arm so that fluids can be given. Put a NASA gastric tube through her nose and into her stomach to suck out air and fluid and relieve abdominal swelling. Place a thin flexible tube catheter into her bladder to Chat Doctor. So after stabilized she needs surgical treatment and obstruction part will be sent for histopathology examinations. So nothing to be worried at all and prognosis is 100% good. So do not take chance by staying at home, admit her now. Hope that helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I am having hip pain, rib pain and shortness of breath.", "output": "Based on your symptoms, it seems like you may have a fracture of the rib."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiii doctor im 24 year old guy.i have been using MELACARE for last 2 years as a remedy for dark shade,eventually there was an increase in complexion but when i stopped it my face got dark complexion. Is there any remedy for this?? Any alternative cream can use?", "output": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. I would insist you omit using Delaware cream as it contains ingredients which damages the skin on long run. Consult your dermatologist for your condition. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I quite often suffer from occasional constipation (about once a month) but now its becoming nearly constant. Are there any natural remedies that might help (apart from water and an increased fibre intake)? Its making me tired and grumpy and Im losing my appetite...", "output": "Hello.I suggest the following to prevent the constipation. Cut back on refined food items. Avoid foods that contain white flour like maid, white sugar and other processed foods. In the morning consume one tablespoon of olive oil along with lemon juice. It works best on an empty stomach, so have it before you eat anything else. Eat plenty of Beans, Apricots,Whole grain bread, (AMLA)Berries, Broccoli,Plums, pears, and apples and nuts, raisins. Adding condiments like jeers, HALDE and again in your food while cooking it is a great way to help digestion.mix 1 tablespoon of flaxseed oil with 1 glass of orange juice.  Chat Doctor. Or"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So my mom just noticed a bruise on my lower back, but it doesn t hurt when I touch it, or when she touches it, it is pretty direct on my spine ... I have had some back pain but I haven t been sleeping in my normal bed. I didn t think much of it, but she is worried... I ve been super sleepy all the time lately, and I constantly feel sick. It s just a conincidence right?", "output": "Hello, Thanks for writing to us. Unexplained bruising once in while is understandable but if occurs frequently should be investigated thoroughly since it can indicate an underlying medical condition or ailment. Many times taking medications like aspirin, ibuprofen, non-steroidal anti-inflammatory Chat Doctor.  Topical and systemic corticosteroids cause skin thinning, making one prone to bruises. So let me know have you take any "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am looking for some information about the MRI results which shows that L4-5 and L5-S1 show diffuse mild posterior bulge with subtle ventral thecal sac indentation and mild B/L neural foramina narrowing. No nerve root impingement is observed.And also Lumbar myospasm with early lumbar spondylosis changes.Patient is having pain in lower back and left thigh and hip area.Please suggest whether it is normal?", "output": "Hello, Welcome to Chat Doctor. I have gone through your query and understand your concern. You are suffering from Lumbar spinal canal stenosis. This is most commonly due to age related degeneration of tissues like cartilage and discs. It is usually associated with lumbar spondylosis. Spondylosis nothing but which is a defect or fracture on one or both of the wing-shaped parts of a vertebra. This lead to sliding of the vertebra over the lower vertebra and compressing the nerve root. This results in spinal canal narrowing. This may cause MySpace and pain in the supplying nerve root area.Thus, patient is having pain in lower back and left thigh and hip area.1. Non-steroidal anti-inflammatory medications (NSAIDs) such as aspirin or ibuprofen may help relieve pain symptoms.2. Flexing the spine by leaning forward while walking relieves their symptoms. 3. Lying with the knees Chat Doctor. 4. Rest, aerobic activities may provide relief. Gradual resumption of work after rest is usually recommended. Surgery is the final option to release the nerve root and increase the spinal space. Hope this helps. Please reply for further queries. Wishing you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, my name is Ashith K M and i have a problem of extensive hair loss and Im stil l 20 years old........ what do i do ? i have tried out everything and have got frustrated with no results obtained.. plz help me out . i want look as earlier and want my hair to regrow. height-5.10 weight-82 medical history- i have taken treatment near a homeopathic doctor.", "output": "Hello Mr Ashish, and welcome to ChatDoctorFirst thing to consider is if you have a family history of hair loss, if there is male baldness in the family. In this case you will be more prone to similar problems. Other causes to consider are hormonal(thyroid etc.), any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. These causes need to be considered and treated as they affect hair growth. For now, you may apply hair Minoxidil solution to scalp with hair supplements daily like Collinear. This needs to be continued at least for 2-3 months. Do consult a dermatologist as well, to assess your type of hair loss and to give you treatment based on the results. They may also suggest some routine blood tests if required.is medical, methods do not work well for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation. Hope this helps you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have just started on the levlen ed today. my doctor advised me to not wait until my next period to start taking the pill. i took a white (inactive pill) today and realised i should have taken a beige (active pill). i then took a beige one, is this okay?", "output": "Hi, It is not mentioned which day of menstrual cycle you have started taking the pills! Each pack of Even ED contains 28 pills of which there are 21 hormone-containing pills (beige or active) and 7 hormone-free (white inactive) pills, to allow each monthly cycle to end with a with Chat Doctor.  Ideally, you should start taking the combined pills on the first day of your period (day one of your menstrual cycle) you will be protected from pregnancy straight away. You will not need additional contraception. If you start the pill after the fifth day of your period, you will not be protected from pregnancy straight away and will need additional contraceptives such as condoms until you have taken the pill for seven days. It is okay to start taking the white or inactive pill by mistake since you have taken the active or beige pills later on. Continue to take a beige pill at the same time each day until the pack is finished. Then take those six white or inactive pills (during these days you will get a bleed).  Start your next pack of pills on the eighth day, whether you are still bleeding or not. This should be the same day of the week as when you took your first pill. Hope I have answered your query. Let me know if I can assist you further. Take care "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking 500 mg of Hydroxyurea for polycythemia every day 1000 mg every other day to lower my platelets. I have a drink before dinner. After dinner I experience hot flashes which are quite extreme. Is it the alcohol that is causing the hot flashes?", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hot flashes are usually due to increased circulation giving a feeling of warmth2. Alcohol is known to cause neural stimulation in mild doses leading to increased circulation all over. Higher does would cause neural depression.3. Avoid alcohol and neural stimulant medications. Hot flashes will reduce. Hope it helps. Any further queries, happy to help again."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have low back pain my period last month was messed up i had light pink then brown discharge then i started spotting and it only lasted three days i am weak,moody,achey and tired and i have been running a low grade temp for a week straight it keeps going up and down i had one blood tests done and two pregnancy tests both was negative and i have no insurance and now i have a little sore throat what is wrong with me please help", "output": "Hello, I have studied your case. There is possibility of infection leading to pain in lower back. Due to compression of this nerve root there is pain in your back For these symptoms analgesic and neurotrophic medication can be started. If no relief with medication then further investigation need to be done. I will advise you to do MRI thoracic spine USG ABD and pelvis, and blood test. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have been getting a pain in my right hip bone more of a soreness than a pain. My GP has done blood tests but nothing has come to light. I am in the throws of the menopause. I also think that I may have aniety issues which have come about since my partner passed away could this pain been linked to either the anxiety or the menopause", "output": "Hello, As what I see from the history is it's a combination of menopause and anxiety issue.  Several cases have been reported to my clinic in the past 12 years and most of them have recovered well with proper guidance towards the treatment. In your case, menopause can lead to hormonal changes and as you mentioned Menopause I can expect your age to be above 40.  So in this age, there are changes in women's body about having weakness of muscles, osteoporosis and lower back muscles weakness. Anxiety is also one of the cause as during anxiety one doesn't feel like to do any kind of physical activity and feels more of a depression. I would request you to start with meditation, deep breathing exercises and some physical exercise like aerobics. Also, do not become too much introvert and try to be extrovert.  So that you can mingle within the social life and have more things to do. In case if you have any particular habit like dancing, singing or anything. You can start taking classes for the same for the community so your anxiety levels Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 years old man, i have been masturbating from past 10 years, recently i am unable to control my feelings so masturbating daily and sometimes twice in a day.. so whether this will affect my health or my marriage life, will it affect my fertility, etc. Please tell me ur opinion.", "output": "Hello dear, Masturbation is a normal phenomenon at your age, and does not have any side effect on body or mind, unless you get addicted to it. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditation. These measures will be helpful in improving your health & build up the confidence level. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 37 year old woman. I am 65 kgs, 170 cm. I had my appendix removed 4 days ago, stayed in hospital for 2 days. The doctor said he removed also an ovarian cyst during the operation. Yesterday and today I had vaginal spotting, though my perioed is due in two weeks. The pain also radiates on the right side down to the uterus. Is this normal, should I go to the ER.Thanks", "output": "Hi. Thanks for your query. Vaginal spotting may not have any direct relation to the surgeries you have undergone. The pain can in fact be related as both are in and near the pelvis, so it is normal for some time to get the pains as you described. You may please attend the ER if there are associated symptoms like fever, vomiting, distension of abdomen, pain increasing with walking or changing the position in bed."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "20 year old female. I have been having abdominal pain, primarily in the left upper quadrant for a few days. Also pain, stiffness, and swelling of joints. Headaches, wierd smells, fatigue, nausea, and now sudden nipple and breast pain. I have never had nipple or breast pain before even as pms.(I usually do not expierience pms) My periods have been irregular since they started and i take bithcontrol. My main concerns are the breast/nipple pai. And the abdominal pain. Any ideas?", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. The pain on the left side of your abdomen could be due to gastritis caused by the possible intake of any painkillers consumed by you for the headaches, etc. If not, it could be due to any intra-abdominal inflammation for which a physical examination along with blood test like a CBC, LFT, serum amylase and serum lipase would have to be done, specially if you consume alcoholic beverages. Till then, you could go for some anti-spasmodic and a proton pump inhibitor Chat Doctor.  A word of caution on birth control pills: All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would also go for a serum Chat Doctor determination and an ultrasound abdomen to rule this out, and then consider your symptoms of breast pain, nausea and fatigue etc. not to be due to a pregnancy, if these tests were negative. If positive, the whole management plan would change accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother has bullae emphysema,COPD, asthma and pulmonary fibrosis. The doctor say that my mother has only 37% of lung functioning left, what does that mean? Does it mean my mother has less surviving rate? Does this mean she have higher risk of lung cancer?", "output": "Hi welcome to Chat Doctor..... Your mother having asthma, pulmonary fibrosis and emphysema like conditions ... So having both obstructive and restrictive lung disease. ... So survival chances very less .... Bronchodilator and steroid like treatment needed for these ..... Oxygen therapy also needed. .... Pulmonary rehabilitation will be useful ... Lung transplantation if feasible is ultimate treatment for COPD but here its utility seems less .... Keep exposure to smoking, dust, pollen etc. very less .... Consult pulmonologist for this. Take care ... Regular clinical follow up needed ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 years old , 1year back i get typhoid,i take the treatment for that ,but till now i get the positive 40 dilutions in O and H ,In a blood culture i get some infection ,the DR feel its b an enterococcal infection, i get a severe eyebrow pain nearly that 1 year,what i have to do for this sir", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It won't cause pain in eyebrow, but it can cause headache and generalized body pain. Enterococcus infection is very notorious for its resistant to antibiotics routinely prescribed. I advise you to take the combination of Chat Doctor. If you have this bug in the blood than monitor the infection continuously until the blood is clear of all the bugs. Please adopt good handwashing practice for all the family members as it can prevent transmission to other family members. Widal title is used for the Salmonella infection it is negative in you and so enterococcus infection is only left out option in you. I will be happy to answer your further concern on bit.ly/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 20 yrs old and Im an indian guy my penis is abt 3cm when not hard and 13cm when hard.. I will like to know will it grow... And another aspect how will I be able to detect that its mature and reached its final stage.. Pls do reply with some suggestions thanks..", "output": "Thanks for contacting Chat Doctor I am sorry to hear that are displeased with the size of your penis. Since you are now 20 years old you have reached full maturity. The size of your penis will not change at this time. There are no known treatments medication or supplements that help improve the size of your penis. Hope this answers your medical question. Please contact us again with your health care concerns and questions"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband 45 years old has at L5/S1 level, there is evidence of a broad based disc buldge posteriorly with a focus of calcification in midline. Disc material is seen encroaching into the right L5 nerve root canal. Disc material is seen abutting the exiting right L5 nerve root postero-laterally.   What does this mean and what treatment will he require?", "output": "Hi, Welcome to Chat Doctor. After going through your query I came to know that your husband is suffering from lumbar disc prolapse at L5/S1 level. Above description say that intervertebral disc between L5 and S1 vertebra has come out of place, and it is going towards the hole through witch L5 nerve root goes and pressing it. There are two treatment options. First option is Rest in position of relief(generally lateral position with both knee bend), NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). You can discuss with your treating surgeon. I think your query answered. Welcome to any follow-up query"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing shoulder pain, arm pain, drainage in my throat, and arm weakness. What could be wrong with me?", "output": "Based on your symptoms, it seems that you may have suffered an injury to your spinal cord."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bad case of Vertigo a year ago. I was prescribed 12.5mg Meclizine.  It worked along with physical therapy, but now it seems to be coming back.  It is not as bad, however, it seems to be constant causing me to worry about falling.It is the worst if I lay down on my back.  What advise do you have about this situation?", "output": "Hi, thanks for writing to Chat Doctor. Apart from taking medicines, there are a few things that you should follow to prevent vertigo. They are as follows -* Change your position slowly, especially when going from a lying or sitting position to a standing position. When you get out of bed, sit on the side of the bed for a few seconds to gain your orientation and allow your circulatory system to adjust.* When walking, focus on distant objects. Do not look down at your feet. Avoid walking in dark areas or on unstable ground. * Use a cane, walking stick, or walker for support and to give additional pressure and touch (tactile) orientation.* Avoid activities that move the head up and down repetitively.* Try to avoid keeping the head tilted back for long periods of time, for example painting or dusting above your head.* Be cautious when using medications that may cause balance problems as a side effect. Hope this information is helpful. Good day"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my mother has some sort of infection that is causing an open wound around her stomach region that has light green puss coming from it and smells she also has an infection lump near her tailbone that has blood coming out of it and some puss. shes also been really tired and sometimes in pain. she is also a diabetic and i think the infection is causing her blood sugar to raise and blood pressure too. Were not sure what to do we think she might have some sort of a staph infection.", "output": "Hi. First and foremost you need to do regular Chat Doctor. . Then send the pus for a culture and sensitivity to see which organism is growing. An empirical antibiotic therapy can be started. The culture reports will come after 48-72 hrs following which we can start on the antibiotics which is sensitive to that particular organism. Kindly watch out for the wound as it takes a longer time to heal in diabetics"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had anorexia/bulimia for just over 2 years , throwing up 4-6 times a day, i lose my colour in eyes doctors dont no why that is yet, i have damgerd my kidneys so they wont hold potassium any more so im on 16 tablets a day, how long does your body take to geting to work probly again, i was told that i mite become diabetic when i comeply recover due to the change ,i am v thristy most of thetime but i put the down to my kidneys not working quite right, this true is the a change?", "output": "Probably you are suffering from a condition called polyuria where excessive urination leads to fluid loss, and thus you feel more thirsty.  You may be suffering from a condition called diabetes insidious which is different from sugar. Consult good endocrinologist for further management. In the long run it won't hurt you, and it is not life-threatening. All the best. If you have any questions feel free to contact me."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swollen inside cheek.  When I moved it around, a space opened, and some things keep coming out of the space.  They are somewhat hard, squishy whitish small masses.  Could that be infection coming out?  Every time I remove some pieces, there are more in the space in my cheek", "output": "Hi, thank your for asking on Chat Doctor! Have you had any trauma of your cheek before? Have you bitten it accidentally? If something like that has happened it might be infected. Otherwise, something else may have caused the swelling of inside cheek. You have to see a doctor at your healthcare center to take a look in your mouth and cheek, and he will make a better suggestion. Take care! Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is six and has had a solid lump on his bone on the inside of his arm just above his elbow for a while, doc said it would go but a year on its still there and he has in the last couple of months been losing weight and seems to get infections easily and sores in the corners of his mouth could this be cancer?", "output": "HI. As your son is only 6 lumps on the bone is not likely to be due to cancer. I hope you have done at least X-ray of the affected part. X-ray may show this as an exocytosis- a benign condition. As for the sores at the corners of the mouth-this is called angular dermatitis and the cause is vitamins and folic acid deficiency. The root cause may be bad eating habits/ enterocolitis of some sort. This deficiency also causes the reduced resistance of the body giving easy infections and loss of weight. I would suggest such a patient to be first clinically evaluated by a Pediatrician and / or Pediatric gastroenterologist- HE would suggest further tests on examination and would advise multivitamins and folic acid in proper doses as also an antibiotic and metronidazole. I would advise you to give him It A one cap daily for 6 days and Clairol sachet one every week for 3 weeks. (if your Pediatrician does not write separately). This is going to help in a long run for a healthy baby. Give a shot of tablet for worms. Follow Orthopedic Surgeon for the growth at bone. I hope this helps you and your son to get a cure. Give a long term treatment and diet training is also a must (I know how 6-year-old are)"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a chest cough which has been getting worse over the past week and half to 2 weeks it started off as a sore throat i feel like im finding it a bit harder to breathe i  went to the doctors but could only be seen by a nurse prctioner who told me she couldnt hear anything my chest was a lot quiter than what it should be so she isnt sure if there is anything there or not she said my heart was racing but i havent done any strenuous activity. she has given me some anti biotics to see how i go but im worried", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. 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 mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The fingers on my left hand tingle.  The lower part of my left arm:  elbow down to wrist hurts inside a lot.  My left back shoulder also hurts inside a lot.  This has been happening for about one week.  It does not keep me awake at night.  Ibuprofen and \"Icy Hot\" have not really helped.  Thank you.", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you should be examined, as the type of description you are giving can stem from causes of pain from arm to elbow, meanwhile avoid heavy work, continue with Chat Doctor. 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. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hiya, I feel like my ribs have been hurting for a few days now just underneath my breasts, however today they are aching and when trying to go to the toilet they really hurt... What could this be? Is there any need to go hospital for X-rays or anything as I m only 16.. Thank you Amy C", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. I think you may be having some chest problem as you are having pain in area of ribs. You should get your x-ray chest. Till then, you can take analgesic such as ibuprofen for pain relief. Vitamin B and C is helpful. Further treatment will depend upon x-ray chest. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... m 23 year old, n m having a lump in ma left breast.... doctors said its fibroadenosis.... hvng medicine since then but no relief....  fear dat it may not turn into adenoma.... can i get rid of it forever??? with or without surgery??? n if i go for surgery i fear dat i dnt get ny permanent deformity in ma breast", "output": "Hi. This is the most common worry a lady/ girl has. Well to simplify: fibroadenomas never transform into a fibroadenoma or cancer. This is for sure. Medicines never really work well to get you relief, if at all someone getting it, this indicates her body and stenosis getting adjusted to the hormonal levels and nothing else. Next point is it all depends upon:: the site / size and symptoms you have/ whether you are married or unmarried / I'd married what is your consciousness and your husbands' opinion/ If the lump is large enough to cause deformity on removal- it is a choice between the pain relief and psychological effect of no pain but a deformity if at all it occurs after removal. Now-a-days we do multiple incisions on the lump to relieve the edema that develops with hormonal changes during cycle to cause no or minimal pain. You must have noticed that if you are under stress, the pain is also more than usual. I hope I have tried to explain this to your satisfaction, please contact me/us if you have further query or explanations to the questions I asked."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My friend has received very low lab results and is very concerned of what it might be.Her Hemoglobin is 9.7, Her Iron is 17 and her Iron%Saturat is 5 She has felt achy for weeks and runs a fever on and off. She feels very week too. Her son ended up getting a transfusion for a bleed and low iron and she was told his problem is caused by her The doctor she saw said she is anemic and she is worried it may be more.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Nutritional Anemia is the presentation here. It is not too worried about. She is weak, achy because of anemia.2. The lab tests are also showing severe iron deficiency. She needs to take diet rich in iron like fish, eggs, green leafy vegetables, pulses, legumes etc.3. Yes, the problem with her son could have been caused by her - the possible reason, both are malnourished and diet is not nutritional. They need to concentrate on diet. Improvement through diet and iron supplements will improve anemia. Overall improvement can be seen within a month. Hope it helps. Any further queries, happy to help again."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a pain on my right aid of my abdominal for 3 days now I went to the er and they sais I have white blood cells in my urin but my blood test came back fine no big increase in white cells they want to wait for a scan what could it be I have been on antibiotics for 4 days now today is my 5 th and last day for a sinus infection", "output": "Hello! Thank you for the query. First you need to know that as you are on antibiotics right now, any inflammatory disease in the abdomen can give fewer symptoms than usually. Moreover, WBC can be in normal range if the antibiotics are used. Lower right abdominal can be caused by appendicitis, urinary tract infection, ovarian cyst, pregnancy. Appendicitis should be ruled out at first. As the pain is still present, you should visit your doctor again, have blood tests repeated (WBC and CRP) and abdominal ultrasound. Sometimes it is more safe to perform appendectomy than wait and persist unsure. If you are a female, transvaginal ultrasound should be also performed as well as pregnancy test. Hope this will help. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister s 14 year old son has indentation of his rib cage. His is tall for his age, and very slender. I have known other children with this condition that had to get surgically corrected. What is the term for what he has, and what is the surgery?", "output": "Its called Petrus excavated which is a congenital deformity of the frontal chest in which the chest appears like its sucked in .the corrective surgeries are of two types : 1- traditional method: involving a midline incision with removal of deformed cartilage and insertion of piece of metal to allow for normal cartilage to grow and then removed 6-12 months later 2-two incision method : at both sides of chest with insertion of thoracoscpoe and placement of curved metal to correct the deformity and left it for 2 years I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i wanted to ask a question about my self, past many years i have been getting stabbing chest pains and then this hurts my fingers its like a numb tingling pain which hurts inside alot, and this happens often when am upset or feeling low i get tth pain often, am just woudnering why? and if it normal does everyone get it, am not sure am worried can anyone help me?", "output": "Welcome to Chat Doctor .stabbing chest pain and numbness tingling in fingers point towards cervical spondylosis .please get cervical spine X-ray ...take neurotics as methylcobalamin .a good option is tab neurons plus .as it is prescription Chat Doctor. .maintain proper posture of neck .no more flexion please ...as you get problem when in stress so please as a precaution get BP checked and ECG done ...regards "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does diffuse disc bulge at the L3-L4 level with minimal thecal sac compression mean? Also according to my MRI I have minimal central canal stenosis at the L4-L5 level secondary to disc bulge Ligamentous and facet hypertrophy. What does this mean? I have severe pain in my left hip radiating down my thigh and across my back/hip.", "output": "Hello, Between vertebrae cartilaginous circular discs are there. If the degenerate and bulge and compress the spine in front of them. So in your case lumbar vertebrae 3rd and 4th inter disc is bulging and lead to nerve compression.That's why you're suffering from pain radiating to your leg. Physical therapy and painkiller medication may useful. If symptoms not improved please consult with your orthopedist / neurosurgeon he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a chronic Hepatitis B patient for 27 years. I m taking New Livfit tablet regularly twice a day two tablets each time for last 15 years. I,m doing regular yog n pranayam also for 1 hour. I m 45 years old and my weight is 80 kg. I m in sales profession. Though I am doing my work properly but not feeling healthy enough.My income is not as enough to expend much on medicine and treatment. Give me proper suggestion.", "output": "Hi thanks for asking question in Chat Doctor ..... Noted you have chronic hepatitis b infection....... You have to only do just now is lifestyle measures and preventing complication like cirrhosis... Eat healthy and balanced diet. More fruits... Fatty and fried food less. Use only good oil like sunflower or canola like... Avoid alcohol as it is toxic to liver... Papaiya good for liver.... Junk foods taken less.... Take one tsp of crushed carom and cumin seed with water daily.... Licorice one tsp with honey good one. Regular LFT profile done with follow up... Take care.Don't worry.... Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandson was falling out of his chair. I reached out and grabbed him, and felt bad pain in my left shoulder. now, if I try to lift even a small object by lifting it laterally, I can only lift it to a horizontal position. I can lift it straight out I front of me all the way up, but not to the side. while it does cause discomfort, that is not what prevents me fromlicting it, ijust cant do it. any thoughts", "output": "Dear user, do not worry about shoulder pain for your grandson.at home just ask him to apply any pain reliving ointment or diclofenac gel for 15 - 20 mins. Must cover the area applied by gel. After 20 mins gently massage it with warm water which relives pain. Then some shoulder exercise like, lifting hand full up and down, lifting hand straight over the head from side direction. Standing near the wall and make hand lift gently with the support of fingers. All these exercises can be done 10 times twice a day for a week. If you think still no improvement then take him to physiotherapist for ultrasonic therapy."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I was diagnosed with follicular lymphoma in 2008. I also came +ve for TB at that time. I preferred not to have Chemotherapy.  Since then, Ive been on alternate medications. Now, I have a lump adjacent to my Adams apple. It has no pain at all. What could be this?", "output": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have -Relapsed Follicular Lymphoma /? Could be thyroid CLT . I would advise not to depend on Alternative treatment-which you may -support with the advice and consultation of ER -Oncologists- who would treat it with-low toxicity-Rituxan-Radio-immunoassay treats would fix the problem you had. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 5 year old son has been cranky for a couple of days, hes chesty and coughing up a little phlem,  hes also an asthmatic on regular inhalers and singulair tablets for this,  but this evening his torso is hot and his hands and feet are cold, hes still eating and drinking,  any ideas???????????????", "output": "Thanks for your question on Chat Doctor. I can understand your sons situation and problem. Possibility of lower respiratory tract infection (LETI - pneumonia) is more in his case. Asthma patients are at increased risk of lung Infection and his symptoms like cough with phlegm, cold extremities, hot torso etc. are commonly seen in pneumonia. So better to consult pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Chest x-ray is needed for the diagnosis of pneumonia. He may need antibiotics, antihistamines and anti-inflammatory Chat Doctor.  Intravenous fluids are also needed. So consult pediatrician and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your son. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has severe itching over most of her body. It is worse on her back, across her chest, on both arms and behind her knees. She has no allergies we are aware of. Has been to doctor 4 times over last month. One biopsy was inconclusive and we are waiting on results from 2nd biopsy. She gets about 3 hours sleep a day and heat makes it worse. Please help...", "output": "Hello. Thank you for asking at Chat Doctor. I reviewed your wives history and one most important think I would like to ask you is whether she has only itching or itching with skin rash? If she has itching with skin rash, I will first think of chronic urticaria, and she will require long term regular montelukast & levocetirizine. However, as you haven't mentioned skin rash, I assume she has only itching and therefore am I elaborating it in detail. There are many causes of itching like diabetes, thyroid problems, Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had M.S. for almost 30 years.  After this long, family just seems to ignore it.  Sometimes I want to scream it out, but that would seem too in your face.  I dont want them to feel sorry for me, I just want them to understand that it just doesnt go away.", "output": "I read your question carefully however you don't say anything about your disease course which can be different from one patient to the other. You don't say anything about your medication either. Generally speaking MS is managed by treatment for relapses with short courses of steroids and disease modifying therapy which traditionally has meant interferons or Latimer acetate, while now there are many newer options like fingolimod, omalizumab etc. As for the family understanding there is no medicine for that, you could try to talk about it with them, take them with you when you go for check-ups, so they can hear what your doctors have to say and realize what you go through. I hope to have been of help."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dizzy for 3 months its getting worse everyday. The first time I went to ER and they said all my bloodwork and chest xray, ekg was fine. Then I went to an Urgent Care they said I had wryneck and put me on prednisone. The next time same diagnosis. I have been on high doses of prednisone for a week now and Im worse. Im scared to death something major is wrong. I also have swollen lypth nodes in my neck. What could it be?", "output": "HI, thanks for using Chat Doctor Enlarged lymph nodes are normally as a result of infection or inflammation in the surrounding areas. They can also become enlarged if the nodes themselves are infected or in malignant conditions. A full blood count and ESR (checks for inflammation) would be able to determine if infection, infection or other serious conditions are present. It would be best to be reviewed by your doctor. Dizziness can be due to different possible causes such as conditions of the inner ear, low blood pressure, inadequate fluids, side effect of medication. An ENT doctor or neurologist may be helpful to determining the cause for your dizziness. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ?  Please type your query here... I developed 2 very small red marks on my upper abdomen;(only 2), along w/ a very small  reddened- mark under my rt.breast. Appeared as a white \"blackhead\". They at 1st itched, & do NOT now. I put Bacitracin ointment on them. They seem to be disappearing. I have had sexual contact this past Sunday, the 19th. They developed on Mon., the 20th. I would hope that this is not the beginning of Shingles. What could these possibly be??", "output": "Hi, I have read about your concern. Thanks for asking. Let me tell you one thing about shingles. They are not sexually transmitted. Shingles are caused by a virus called Herpes zoster, the same virus which causes chickenpox which might be well known to you. Shingles only occurs in people who have had previous episode of chickenpox probably in childhood.  In people who have chickenpox in childhood, the virus enters nerve cells in body called dorsal root ganglia. There it stays dormant. When the persons immune system is weakened, it gets reactivated and develops into shingles.  Also, it is restricted to only certain areas where that particular nerve supplies the skin called dermatomes. It doesn't occur in the way you have mentioned like red marks. Shingle has many blisters or vesicles. So don't at all worry about shingles. You might have developed some allergy to some clothes or due to excessive sweating. Just try to avoid clothes that irritate you. Try to keep the area with red rashes Chat Doctor.  It will mostly resolve by itself. As bacitracin ointment has worked on them, you can continue applying it. If it doesn't resolve in few days, visit your dermatologist."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,I am 30 years old.My  serum triglycerides is 527mg/dl.serum cholesterol is 182mg/dl,ldlis 100 and hdl is 28.as i know my serum triglycerides is very high.how much harmful it is for my health?Plz suggest me what i have to do to make it normal.", "output": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. It is harmful but not acutely, since it will increase risk of cardiovascular diseases. It should be treated with dietary changes and medications for lipid lowering. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello last week I used misoprostol for medical abortion. one day after discontinue my drug , I had a bad head ache that aggrevate during midnight. it doesnt response to brufen or acetaminophen. it is about 5 days that i experience this headache. please tell me is it related to drug or I should do something else.", "output": "Hi, You need to keep a track of your blood pressure. If acetaminophen or Ibuprofen are not effective more potent analgesic like Tramadol and Naproxen should be used alone or in combination. If pain persists a neurologist review to look for signs of increased intracranial pressure etc. may be done post Bisoprolol etc. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been feeling very tired lately, and I experience shortness of breath when I try to do anything strenuous. My heart rate also seems to be very high all the time. What could be wrong with me?", "output": "From your symptoms, it sounds like you could be experiencing atrial fibrillation, which is an irregular and often rapid heart rate that can cause fatigue and shortness of breath. I'd like to do some tests to confirm the diagnosis and then discuss treatment options with you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently been discharged from hospital after which the consultants thought was a heart attack. My trponin were raised. I have had an angiogram and my arteries are excellent, no problems. I know am waiting for an MRI. Can an anxiety attack raise troponins in the blood? I am 43 yrs old 13 stone and 5ft 4ins", "output": "Though top I is very specific for cardiac disease yet if coronary angiogram is normal, it was not a heart attack some other condition associated with increase in levels of troponin are-primary pulmonary hypertension, pulmonary embolism, and acute exacerbations of chronic obstructive pulmonary disease (COPD), right ventricular strain with increased wall tension and ischemia. These condition can cause chest pain and increased troops.don't worry if Anglo is normal it's not cardiac"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married, 37, 180lbs, 5 10 , I have been masturbating with Neosporine dome until I started noticing small red bumps on the base of my penis and on my scrotum . They are dome shaped and then turned skin color after days with masturbation. They dont itch all the time, but now and again one or two do. I am worried they are something like genital warts .", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Sebaceous Cysts on penis and scrotum. The scrotal and penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16th month old daugther has excessive coughing and runny nose. Last wednesday the docter said she had tonsilitis and prescribed tylenol and an antibiotic. I believe she has been getting better, her temperature has been down fr the most part, but i cant explain the excessive coughing. the runny nose i had assumed she gt from me because i am just recovering from the flu.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is due to respiratory tract infection through some bacteria or virus.* Suggestions for better recovery-Continue current antibiotics.- Maintain HY Chat Doctor. - Avoid excess sugar , oily, dairy fat, chocolates, ice cream or candies.- Take care of hygiene of the nose , mouth.- Balanced nutritious diet to combat the infection. Hope this will help you. Welcome for further assistance. Regards dear."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am xxxxxx, 23 yrs old. i have recently done Laproscopic surgery still, i am not able to conceive, we have been trying normally, My doctor says that follice count is not increasing for that i need to take some injection .... is it possible to increase the follicle count naturally... I have done IUI before surgery but no results.... Pls help me on this with your advise.....", "output": "Hi, Its better to take injections to make more than one follicle per cycle & do GUI which will increase the chance of pregnancy by more than 6-10fold. Regarding increasing follicular count naturally, the medicines required for that have more side effects than benefits, so better to not go for it. It's better to follow your doctors advise for faster conception because wasting time may harm in long term. Wish you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Have got the semen analysis report as of yesterday, and is as given below : Volume : 2 ml Sperm Count : 10 million/ml Viable sperms: 25% Liquification : 20 minutes Fructose : Normal Motility: 1st hour : 25% (Normal 70-90%) 2nd hour : 20% (Normal 60-70%) 3rd hour : 20% (Normal 50-60%) Abnormal sperms : 20% Normal PUS cells : 10-12/HPF Epitheail Cells : Occasional RBCs : Absent As per report there seems to be a problem in motiliy and when can my wife can get pregnant ? Can we improve the same ?", "output": "Hi, Thanks for choosing Chat Doctor yes your sperm count as well as the motility are dull account to WHO one should have a count of 20 million per ml and above and more than 50 % sperms should be motile more than 30 % should be of normal morphology so your report shows that you have very few chances for natural pregnancy because though WHO sets a limit of 20million per ml, many infertility clinics say that normal count is 40 to 110million per ml both count and motility depend on agar your age is more they decrease any infections in the body also tends to lower the levelsDiabetes also causes low levels, get your glucose levels checked smoking and Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a little over a yea ago I stared a new job which had me standing in the same place for hourd.  Ihave always worked on my feet but never without moving.  My back when into the worst back spam anyone could ever imagine and I ended up at te ER.  Several days ater it did the same ting but by this time the spasms were covering my whole body. After 2 MRI and every test imginable I got no anwers.  Now I live on pain meds. I am a 60 year old woman of 125lbs and take12, 10miligram methodone dailey and 4.5 1milg oxicodne a day and I still hae modeate pain. he only way I can work is to take this stuff and since I am a alone have no one but me to count on. Is there anythng I can do besides this?", "output": "Hello, Thanks for your query. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. You might need to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don't play a role in long term treatment, what does are exercises. Few exercises that the therapist will teach you must be done for lifetime. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke this morning at 4 am with what felt like my face had something crawing under the skin on my cheek bone and under my eye lid. I still have that weird sensation on my cheek bone. It is driving me nuts. Could this be some kind of nerve thing ging on?", "output": "Hi, I had gone through your question and understand your concerns. These sensations are called tactile hallucinations and there are several conditions that may cause such sensations, I would mention certain substances (alcohol, amphetamine, cocaine, some medications), sleep disorder, a number of psychiatric and systemic diseases. If it is your first episode and related to sleep disorder or some substance, I think there is nothing to worry about. If it repeats several times I suggest you to contact your local Doctor. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i had a urinary infection 15 days back and met a urologist.....did my scan and urine culture test.As per the report my doc said i was perfect and nothing to worry about.But from the day i had my infection i started having loose motion particularly after having my food within 3 hrs i will have to use the toilet.I am worried now what problem should i have ..... i do not have a stomach pain and i eat normally consume every food. which physican do i have to meet to identify what exactly the issues is about.kindly suggest.", "output": "Hello, Welcome to Chat Doctor, AS you have consulted your doctor for the problems of urinary tract and as you have done all the investigations required to rule out the UTI and which has come as negative. So nothing to worry with your symptoms related with urinary tract. As you are having symptoms of gastrointestinal tract of passing loose stool after having the food for last 15 days, this can happen when there is alteration in the gut mucosa, due to which you may be a having these symptoms. If the symptoms persists for longer period of time I would suggest you to consult Gastroenterologist for complete evaluation and treatment. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been having trouble getting pregnant and I've been experiencing hot flashes. What could be causing this?", "output": "Based on your symptoms, it's possible that you have premature ovarian failure. This means that your ovaries are not functioning properly which can lead to infertility and other symptoms like hot flashes. We'll need to run some tests to confirm the diagnosis."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pedal adema and am a stonemaker. My stones are composed of calcium oxalate . How serious is this? Could I possibly ever need dialysis? This is my worst fear. Ive had open surgery for a staghorn calculus ten years ago, several lithotripsy procedures . I had lithotripsy done one week ago but the treatment was unsuccessful. Currently I have stones on both sides. The pedal edema has been going on for two weeks. What is your opinlon of what to do ?", "output": "Hi, many thanks for the query! As you are recurrent stone former, do - Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid. B/L obstruction to urine outflow due to stones may compromise renal function, do- FT, USG PUB. Dialysis is needed when renal function is severely compromised, in your case, your Sr. creatinine (more than say 7.5 to 8) will decide need for dialysis. You haven't mentioned exact size & site of your stones. Lithotripsy failure is expected as Ca-oxalate stones are very hard to break by ESL, need to be removed by copy/open procedure. Wish you a good health. Take care. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had surgery for testicualr torsion approximately a month ago. He is still suffering from pain in the lower abdomen frequently. He has said tha after he hasejaculated that he has extreme pain for several hours . He ends up doubled over and or in a fetal position fighting off the pain. he s been told that there is nthing wrong but i have witnessed his agony pesonaly and i feel like there may be something wrong. can someone help me so i can help him", "output": "Respected user, Warm welcome to Chat Doctor.come have gone through your concern in depth.* This is in relation with impinging of some neuronal or vascular structures involving the spermatic cord.* Needs color Doppler with or without MRI evaluation for perfect diagnosis and management guidelines.* For primary relief can give tab. Ibuprofen (400) mg 3 times a day after meals , avoid tight undergarments and any weight lifting, ejaculations. Hope this clears your doubts. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,For years I have goone through test for lupus but it comes back negative,I have had fibromyalia.for 15 years, but, now my healthy mouth has gone to ruin,I loosing a tooth every 6 month or so.I wonder does this have to do with my immune system", "output": "Hello, Your health of the gum and bone is a very important factor for maintaining your teeth. There is more tooth loss, commonly, due to lack of supporting bone than decay. Have you been to a periodontist? Periodontal disease is a progressive disease and preventive measures are important for keeping your teeth. I need more information on your dental health history. Have you kept up with routine cleanings and exams? Have you had a history of a high rate of decay, abscesses or gum treatments? Overall health changes affect the oral environment. Medications have side effects.  Chat Doctor.  Your dentist can help ad"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing joint stiffness or tightness, vulvar soreness and bedwetting. What could be wrong with me?", "output": "Your symptoms are consistent with scurvy, a disease that occurs due to deficiency of vitamin C in your body. Have you been consuming a balanced diet, or do you have any dietary restrictions or allergies?"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an 89 year old neighbor, female, who is experiencing (sp?) numbness in the fingers of her left hand all morning. They are very white compared to her other hand. I don t notice any other symptoms (like facial deformity, or slurred speech), Is there other symptoms to look for? Or is there a remedy besides soaking in warm water? Or do I try to get a family member take her to a doctor", "output": "Hi, as you mentioned that you didn't notice slurred speech, facial deformity it should be ruled as a major issue. Thanks for the quick assessment made by you. As you said she is feeling numbness in her hand you should see if she has placed her arm in a resting position where it is compressed. Like resting on a edge of the chair etc. Also, she might have pinch nerve which may be leading symptoms of numbness for her. Taking a help of a physical therapist for this will help her. Also, as she is aged, there will be a lot of weakness which can be corrected by doing some simple active physical exercises. Neck exercises are also important to keep the muscles stronger and avoid the symptoms. With the grace of God I wish your neighbor a good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is having severe lower back ache which extends towards the bone upto kneel. please suggest me what may be the cause? He is having business by travelling in two wheeler for past 13 years. He used to travel 100 kms per day (approx) Which doctor should i consult and what kind of treatment should we take? i reside in velachery", "output": "HelloThanks for your query. After going through your query I came to know that your husband is probably suffering from lumbar disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operation(Discectomy).  You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gamma gt results and date; 294 in Nov 2014, 150 in Feb 2015, 174 in April 2015, 132 in May 2015, 157 in July 2015, other factors are okay as at July 2015 including those that were not okay before. Biopsy result confirmed that i have mild fatty liver. Pls with info on what to do on the fluctuation of gamma gt, Im worry?", "output": "Hi thanks for contacting Chat Doctor.GGT present in intrahepatic biliary calculi. So by fatty liver it can affect hepatocytes and so GGT level can high... Do following steps for treating fatty liver. Low fat diet. Use very less oil in cooking and sunflower like good oil taken. Regular exercise. Avoid alcohol. Fruits taken more.like berries, grapes, papaya etc... Green leafy salad more. Take Adílio tablet 150 mg in morning. Within few months you will recover. You can discuss all these to your doc which is helpful... Chat Doctor. Part"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Daughter has epilepsy and will soon be 18 because her pediatric Doctor has left should she see an adult doctor?  She was diagnosed (at 14 or so) with simple complex seizures and has tried over three medicines without any luck.  I was just thinking there may be more options out there for adults?", "output": "Hi, Thank you for posting your query. Yes, you should take your doctor to an adult neurologist or epidemiologist. There are several good anti-epileptic Chat Doctor.  With them, it is possible to achieve good seizure control in about 70% of patients. The remaining 30% of patients may not improve with medications, and are called as medically-refractory epilepsy cases. For some of them, epilepsy surgery would be a good option. 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,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am currently getting over the flu, however I have a pain under my rib cage when I sit down or bend over. Doctor told me it was from coughing. I have not had a good bowel movement since I got the flu, so I have taken a laxative with no relief. Is there anything else that I can do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, coughing from flu cancer cause chest pain. Actually, coughing causes intercostal muscles and ribs contraction. So forceful cough is likely to produce musculoskeletal pain. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 days. For constipation, you should take high fiber diet like green leafy vegetables, fruits etc. Take curd or yogurt daily once a day. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife aged 26 years of age had cholestectomy on 9th Jun 2010. She had been discharged on 11th Jun 2010. But now after 5 days of surgery, she had itching problems particularly in arms and back. before surgery, all tests were normal.Please suggest. She had no other chronic problems before surgery. The surgeon has prescribed Nimusulide,Oflaxcin and Rantidine after surgery for 4 days. Presently she in not taking any medicines.Please suggest.", "output": "Hi there, There are two reasons for itching after surgery. The most common reason is a reaction to the pain medications, as opioid based pain medications such as nor co, Vicodin and percent can cause itching.  I would recommend, if she's not having pain issues, for her to stop pain medications. The second thing that can cause itching after gallbladder surgery is an injury to the common bile duct, which causes an increase in bilirubin leading to jaundice and can lead to itching. If she cuts the pain medication and is still having pain issues and itching, she should undergo an ultrasound to evaluate her common bile duct. I hope this answers your questions. Please feel free to contact me should you have any further questions."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My query concerns electro-convulsive therapy.  I have had 44 ECT treatments over the past year-and-a-half.  I sense that I am cognitively diminished as the result.  My defacto spouse says that I am changed for the better in terms of depression.  Im not sure that overall this is a worthwhile trade off, as I doubt Ill again be employed in a professional capacity.  My question is:  what percentage of ECT patients feel cognitively diminished (beyond short term memory loss) and has there been any systematic evaluation of such?", "output": "Good news for you is that there are no report of memory loss after electroconvulsive therapy (ECT) beyond short term memory loss. ECT is quite safe procedure, it's wrongly stigmatized with a lot of misconceptions. Most common side effects are memory loss and headache for few hours after ECT. You may have memory issues because of some other ailment. Provide me more details about your health, so that we can identify the cause of your complaints.  Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my sis 35y/married presented with h/o sudden onset sewelling all around face, body 7-8 days duration a/w oliguria ,past his.h/o sore throat infection 2wks back, no other any significant personel n family his, work up done by urologist , shows urine re protein 4plus, ASO titer slight raised, usg kidney N, renal fn within normal limit.diagnosed as nephrotic syn Rx getting prdnisolone 60 mg, lasix 40mg TDS, augmentin 625mg BD.she is responding on steroid.seeeking for further evaluation by ephrologist n further management at varanasi. what is prognosis?", "output": "Hi, welcome to Chat Doctor. You are one of the rare few who has provided all the important details! I suspect you are a healthcare worker yourself. You are right in that your sister needs to see a nephrologist (not urologist) ASAP. She needs to have a 24 hour urine protein estimation and possibly a renal biopsy for diagnosis. The two differential diagnosis here are IGA Nephropathy and Post Infectious Glomerulonephritis. Only a biopsy can differentiate the two or clarify if the problem is something totally different. I am very wary of doctors treating empirically with steroids without proper diagnosis. We can prognosticate only if we have a biopsy confirmed result. However, if the proteinuria has settled already, we are in a dilemma whether to biopsy or not?? Don't waste time and see a nephrologist pronto. I don't know who is near you at Varanasi, you will have to find out. Feel free to come back with anymore queries. Best wishes."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im male, 35 years old, 5ft 11, 17st, ive got this area on the right hand side of my stomach which is really tender to touch but if pressed it doesnt hurt, but if you brush against the area lightly it hurts, please put my mind to rest to what this problem is?", "output": "Hi. Thanks for your query and an elucidated history. You are getting tenderness only for the brushing or just touching. The most probable causes are:Shingles meaning Herpes Zoster. Disc compression in the thoracic region. Neuritis of some sort, may a time these are idiopatChatDoctoreaning no definite cause can be found on any of the clinical or lab investigations. The treatment is done after investigations:MRI of the thoracic spine. Neurologists opinion. To check for Shingles This can be surgical if the disc is causing too mucChatDoctorpression. Medical like tablets of Amitriptyline or gabapentin only if required. Be assured once your Neurologist opines so."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 years ago I had an ultra sound that found gallbladder sludge . I then had a HIDA Scan done and it said that my gallbladder was functioning at 27%. I decided to try alternative treatments before surgery (Chinese medicine, supplements, etc). I had planned on having it removed in 2 weeks but decided to repeat the HIDA scan since it had been 2 years. My gallbladder is now functioning at 85%, which I understand is hyperactive. Do you have any insight as to why the rate increased substantially and if I should continue with the surgery?", "output": "Hi jessicagregg, It seems you have had very different results on the HIDE scan test, but you have to understand that this test is not a perfect test, and results may vary. To do surgery just based on these results, you would need to have a function (or ejection fraction) of the gallbladder below 35% AFTER the injection of cholecystokinin. The most important factor to consider before getting surgery is your symptoms. If you have typical gallbladder symptoms such as right upper qua Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 yr. old female and for the last 8 years my hands and feet are pretty swollen, and red. About 4 years ago i began feeling extremely tired and very weak it even feels difficult to get around or do anything physical.Could this be some sort of arthritis? oh and also my toes go numb randomly.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your problem can be arthritis. You should exclude rheumatoid arthritis by getting rheumatoid factor test done. You should also get your vitamin D test as tiredness can be due to this. If found low you should get supplements of vitamin D3. For pain relief you can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.  I am worried about my son.  I took him to the pediatrician when he was 5.5 months old because he had a coronal ridge that stuck out.  The doc said his soft spot seemed small and ordered skull xrays.  They came back completely normal.  I am so worried now about the radiation from the xrays.  Is he at risk for cancer now due to these xrays?  Please help.  I am so mad I trusted this doctor and followed his order.", "output": "Hi, Thanks for writing in. A single S ray is not a concern in an infant when done for medical investigative purpose. This can be ignored. CT scan is to be avoided in those younger than 15 years of age because of the radiation dose. In a CT scan the dose is equivalent to 200 X-rays. This is a high dose and should be avoided unless there is an obvious benefit arising by doing such an investigation. Research shows that those kids having exposed to two or more CT scans below 15 years of age have a twofold risk of developing leukemia later in life. However since you child got only X-ray done hence there is no concern for radiation exposure. Please do not worry."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "chest pains for a 50 year old woman in good health. Doctor recently told me to start taking over the counter heartburn med after an endoscopy . But I am under a lot of stress from work too. My back constantly burns do to the stress. Chest pains in the center of my chest that radiate out toward my ribs. It hurts to take a deep breath.", "output": "Thanks for your question on Chat Doctor. I think you are having HERD (gastroesophageal reflux disease). Stress is one of the Major risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms. So along with antacids you should follow these too for better symptomatic treatment.1. Avoid large meals, instead take frequent small meals.2. Avoid hot and spicy food.3. Avoid stress and anxiety.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed.6. Avoid smoking or alcohol if you have these habits.7. Lose weight if you are obese."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve been working with Xylene for 6 years. During this time (within first year) I developed Fibromyelgia, Chronic Fatigue, Anxiety, a feeling that I ve lost some sensation and co-ordination in my hands and patches of skin that occasionally become supersensitive. I used to feel intoxicated while working in the lab but by the time I got home was super aggressive and angry. I no longer feel intoxicated when working with it. After 4 years I noticed when working with Xylene my face began to burn/itch. In the last two weeks I have developed irritation in the Trachea immediately after commencing a major project with Xylene. It settles down when I go home but immediately on entering the lab the trachea gets irritated and I cough. How do I know if it is the Xylene causing me problems?", "output": "Xylene is a pretty toxic organic solvent. It certainly affects the liver, and liver function tests are necessary. Likely also to affect nerves. A nerve conduction test can show if the nerves are sick BUT, there isn't good treatment for it except stop exposure and hope. It would take months for the nerves to correct themselves. Then lung exposure to xylene can cause lung fibrosis. This is testable with lung function tests (x-ray, spirometry, but mainly diffusion testing)."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cleaned two days ago with bleach in all the rooms of my house, last night and today i have had burning in my chest, i cant smell anything and shortness of breath, sometimes it makes me feel as if im going to pass out. Is this something i need to go to the er for to get checked out?", "output": "Hello these symptoms, chocking (shortness of breath) and burning sensation are due to irritant nature of ammonia produced by bleaching. Since two days ago you cleaned your house and still symptoms present so take some steroid inhalation 2 puffs 2-3 times and stop. This will relieve congestion caused by bleach. Burning of chest will also be relieved by this but if you feel burning in chest then take antacid (containing tetracaine) and this will provide complete relief. In my opinion this is not case of E R just annoying."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was in a small car crash about six months ago, When the accident happened my chest was very tight and I couldnt breath properly. The pain was more uncomfortable than painful. Ever since the accident my chest has pop/cracked when I have stretched or did something involving my chest. This pop/cracking causing the uncomfortable pain to reappear but not as bad. It last for awhile... is it nothing to be worried about?", "output": "Hello can understand your concern. I need some more information as:When you did the accident did you do a control with chest X-Ray to see if something was damage in your thoracic cage? If yes and now problem was detected than, and you did not have cough with bloody sputum now I don't thing that you have to worry about this. But if it will repeat do a chest X-Ray to exclude any new problem in your lungs. Thank you wish you good health Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 82 yrs. old. My primary doctor gave me a DTP shot on 6/12/14. On Sat., 6/14/14 I got up and within a few minutes I felt faint. I was sweaty and lightheaded. I took my blood pressure and it was 104 over 70. Is this a reaction from the DPT shot? I felt poorly for 2 days then started to feel more normal. Today is Tues. 6/17/14. My arm at injection point is still bruised and my upper arm is red and itches. Is there anything I should do or should I just give it time to wear off?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that either you had allergy or reaction to DPT vaccine. You have to be careful when you go for second dose. Right now you can take an ORS and chlorpheniramine male ate as antihistamines to relieve from such s light headdress also think for low dose prednisolone for further improvement. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 yr old daughter has a fever, the highest last night of 102.2. I am giving her a fever reducer. She has a whitish tounge with bare spots as if she has been rubbing her teeth on her tounge to scrape the white stuff off. I am bringing her to the doctors in the morning until then, should I be more concerned that the fever has not broke yet? ( started early last evening) also she has a metabolic condition called MCADD.", "output": "Hi... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (Maximum ceiling dose 500 mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother-in-law had bladder cancer - stage 4.  He had surgery and had his bladder removed about a year ago.  He is now back in hospital with massive bleeding and suspected liver cancer.  They gave him 3 units of plasma but he is still bleeding a great deal.  What may be happening with him?  He is very jaundice and sick to his stomach...Thank you.", "output": "Hi, dairy have gone through your question. I can understand your concern.  He has bladder cancer in past and now cancer is spread in liver.  It is stage 4 cancer.  So prognosis is very poor.  Bleeding is common in liver cancer because it may lead to portal hypertension or may have associated cirrhosis.  Is platelet may be low which further aggravate bleeding.  He should take symptomatic treatment only. Chemotherapy can be taken as palliative treatment, but it will not cure the disease.  Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and plan 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This morning I awoke with pain in my lower back (about level with my belly button). It felt like it was coming from my spine at first, but after adjusting positions in order to relieve the pressure, I realized that the pain was coming from a few inches to the left of my spine and I could not find a position to relieve the pain even slightly. After an hour the pain was unbearable and I had a bowel movement. During a quick shower the pain shifted to the my abdomen, to the left and below my belly button and the pain increased. My stomach muscles were tight making another bowel movement impossible though pushing made the pain tolerable for a moment. I then began to pour sweat even though I felt cold. Eventually I threw up a lot of water, though it appeared a bit grayish. Then, while laying on the bathroom floor, the pain gradually subsided over the next 5 to 10 minutes until all the symptoms were gone. A few hours later I feel a light pain in my back and I m worried that the episode might repeat before I have a chance to see a doctor. If I had normal insurance I would have gone to the ER, but I have only a VA medical plan. I apologize for the length of this, I m trying to provide all information up front. I m hoping you can tell me the cause of the pain and what to do to prevent it from reoccurring.", "output": "Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in lower back and hamstring due to excessive work strainer these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 7 and has started stretching his neck back every 2 to 3 minutes and I am not sure why. At first I thought it was a nervous twitch that he would do with his eyes because it looked involuntary but then he started complaining about neck pain . We just got back from vacation and I remember he fell out of the hammock onto his neck and landed on his neck on to the sand underneath him. I have a Dr appointment July 7th but until then I will just continue to give him Advil for children and alternate cold and heat. the thing that is bothering me the most is that he arches his neck backwards. He tells me it helps the pain but he can not tell me if he is doing it or if it is an involuntary movement. Any suggestions would be welcomed until I can get him to the Dr.", "output": "Hello Chris;welcome to Chat Doctor If your son had a fall landing on his neck he may get pain due to a possible internal injury and to get relief it may be that he is stretching his neck because keeping it in a particular position may be helping him so to avoid the pain he is doing it. Normally it happens that when any person tries to take a particular position to avoid pain or excess pain he may land up doing it involuntarily as a reflex to the pain. Please do not worry and keep giving him painkiller when required and by the time 7th July appointment comes you can get an X-ray of the cervical spine (neck) done, and you will get the report and also come to know whether there is any injury or fracture which is bothering him. With the X-ray you may consult the doctor. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a Medical student...my mom is suffering from a serious condition i.e pressure in the head as well as bleeding from the ear ..this all happend when i took her to a cardiologist for check up..high B.P depression and arthritus was confirmed...after taking the medication prescribed by the doctor...the same condtion is suffered i.e pressure in the head as well as bleeding from the ear..sir what could be the cause of it????", "output": "Hello ! I read your question and understand you concern. This symptoms may be caused by uncontrolled high blood pressure. Have you measured her blood pressure during the episodes? This would be very important for the diagnosis. Other causes would be an ear infection like Otis or mastitis, but she would also have problems with hearing or fever. I would like to know if she has had any problems with bleeding in other part of the body before, because this could also be caused by a problem with coagulation or the intake of anticoagulants. A full blood work and a brain CT scan would be necessary. Hope to have been helpful! Best Wishes, "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im hoping you can help. The past couple of weeks have had chest discomfort and burping.  I am able to eat but feel its stuck in my chest.  I have occational dizziness.  I had an ekg this past tuesday but am thinking of going to the hospital tonight.  I was given lexapro.", "output": "HelloThanks for posting here. I have gone through your description. Your symptoms look like hyperacidity. However dizziness cannot be explained by that. I recommend you to take antacids tablets two times a for two weeks.  That should bring some relief. Learn is an antidepressant. You have mentioned no history of depression, so I can't comment on the use of it in this case. Please update. Wishing you good health. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE HAD PROBLEMS WITH MY NECK SINCE I WAS 17/I AM NOW 54 I HAVE HAD MULTIPLE EPIDURALS AND INJECTIONS-MY ARMS ARE NOW GOING NUMB MOSTLY EVERDAY/I WENT TO A DR WHO REFERRED ME TO A SURGEON WHO SAYS I HAVE A 5 LEVEL HE WILL GO IN THRUOUGH THE FRONT AND BACK OF NECK AND WILL BE APROX 8-9HR SURGERY AND WILL MOST LIKELY BE ON A VENTILATOR FOR 1-2DAYS I KNOW MY NERVES ARE CCOMPRESSED BETWEEN C3-C4-C5-C6-C7 I NEED TO KNOW IF THERE IS ANYTHING OTHER THAN SURGERY TO REPAIR THE NERVE DAMAGE AND THE CONSTANT PAIN???", "output": "Hi, I am Chat Doctor. Based on what you have written, and also based on the severity of the illness, Surgery may be needed Some Surgeons like me may first do a relatively less invasive Procedure posteriorly, wait for the results of that Many patients will show significant improvement even with this posterior approach, and then they can be managed with physiotherapy. Only those not responding will be subjected to Anterior Approach Some Surgeons prefer doing Combined Approach in First Sitting If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from anxiety depression for the past 5 years. I used to do regular exercises and yoga. Now, everytime I attempt to do either causes palpitations and sleeplessness. Even an evening bath keeps me awake. I dont understand why this happens. I would like to know if I can get back to my normal life after treatment. Please help me out on this. SA", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Definitely you can get back to normal condition But you should understand your anxiety well. Anxiety is fearing something which actually is not there. You are worrying that something may happen to you while exercising / yoga, or at least, you become apprehensive about those. Such apprehension makes you anxious while doing those. You need to learn relaxation exercises such as deep breathing and meditations such as mind-fullness. Consult a psychotherapist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,  I have been having stomach pain and problems over 6 months off and on and maybe even before then.  Lately it has been a bad cramping in the middle of my abdomen under my rib cage and it will send me to the bathroom and go and then maybe sweating and maybe back and forth with cramps and sometimes eventually vomitting.  They I break out in chills and the cramping can last for hours.  Sometimes my knees are in my chest because they can be severe.  It seems to be mostly in the middle of the night and has happened at work  once.  It seems to be food related to me...pizzza, steak even a granola bar.  I have had all the test you can have...colonoscopy, endoscopy, abdominal cat scan and all were normal.  I did have a Hidascan and they say it was normal but I did have the same cramping after the injection.  I am scared to eat many things and trying to eat bland.  I have been to two gastro docs, my internist, and a heart doctor to check anything related there and all checked OK,  My internist and cardiologist just thinks it is the gallbladder.  I have been back to the gastro and told him this cant keep going on and he did send me to a surgeon who said that the hida scan cramping is a sign of gallbladder as well as other symmtoms.  He did say he would take it out.  I have talked with the gastro guy and he said that if it inteferes with your lifetstyle and work then have it removed.  I am just wanting to know if this is the right thing and nothing has been missed.  I do not have gall stones that have shown up on any test.  Thanks", "output": "Thank you for sharing your complaint, if there is no gall stone in gall bladder then I think no need to remove gall bladder, rather than indicating other cause for surgical removal of gall bladder. If infection is there, complete course of antibiotic will clear infection of gall bladder as well other infection in abdomen if any. For pain relief you can take diclofenac + Chat Doctor. But after studying your case, for pain in abdomen from many months homeopathic treatment may be much helpful to you if you are interested in homeopathy. Following medicines, you can take for a month and then inform me.-nun voice 6, 5-6 "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a cystic pimple just under my left eyebrow. it is common for me that when i get a pimple near my eye it causes the area to swell some. this pimple had been growing for a couple of weeks and was not coming to a head so i finally decided to try and drain the fluid out of it but when i woke up this morning it just seemed infected and my eyelid is so swollen i do not want to go into work today - it looks awful", "output": "Hi, Thanks for writing in.  Acne is caused by hormonal imbalance. Blockage of sebaceous glands causes pa pules and pustule and cystic acne. Acne is treatable now. With correct treatment all your pimples, scars and dark spots can be treated.  To start with you have to apply Brevity cream twice daily. Also, you can use anti acne face wash like Brevity face wash.  For swelling, you can take tab ibuprofen.Also, you can apply newsprint ointment over the area. Discuss the option of Isotretinoin with your dermatologist. It will have rapid effect.  Hope this helps.  Regards.  Chat Doctor.  MD dermatology."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, after I urinate the tip of my penis burns and it burns alittle after I defficate. I was checked for all STDs last month and was negative. Last fall I was treated with antibotics. The MD was leaning towards a Prostate infection. Does it sound like I might have another infection? Im 43 years old. The symptoms above have lasted for about three weeks. Thanks", "output": "Hello, Welcome to Chat Doctor, The symptoms are suggestive of urinary tract infection, the burning micturition is a classical sign of UTI. I would like to know whether there is any history of high grade fever, chills and rigor which will suffice the UTI. You may be required lab investigation like urine examination for pus cells which helps to confirm our diagnosis of UTI, as you are getting frequent UTI you should be completely evaluated. For the present symptoms you can take oral antibiotics like of lox and metro, which will improve your condition. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been having severe headaches and nasal congestion for the past few days. I also have a fever and my face feels very tender. I think I might have acute sinusitis.", "output": "Okay, based on your symptoms, we need to perform some diagnostic procedures to confirm the diagnosis. We may need to do a CAT scan of your head and an Influenzavirus antibody assay to rule out any other conditions. Additionally, we may need to evaluate you further and consider other respiratory therapy or physical therapy exercises to help you feel better."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was just outside and when i came back in i noticed that either the roof of my mouth or towards the tip of my toung has either a numb or smoother feel to it i was smoking while i was outside and was wondering weather the feeling would slowly go back to normal?", "output": "Hello and THX for your query you didn't mention the frequency of your smoking how many a day and since when. Mostly the slight numbness ll go back to normal. You can apply travel to the affected area and use a mouthwash. If it persists then u SUD visit a dentist. Some cases of oral lichen plans also shows numbness of tip of tongue and roof of mouth but in that case soreness and swelling is also present. Hope this ans helpsRegards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I FELL AND FRACTURED MY HUMERUS BONE, THE CT SCAN SHOWS 4 BREAKS. THE BREAKS DID NOT GO INTO THE JOINT, (BALL AND SOCKET) BUT THEY ARE RIGHT AT THE TOP WHERE THE BONE JOINS THE ROTOR CUFF. THE DR STRONGLY RECOMENDS SURGERY TO PUT IN A TITANIUM PLATE AND SCREWS TO ENABLE BETTER HEALING. HE SAYS IT WILL HEAL WITHOUT THE SURGERY BUT THE CHANCES OF RECOVERING FULL RANGE OF MOTION IS MUCH LESS WITHOUT SURGERY.", "output": "your doctor has a correct evaluation, upper end four part fractures require internal fixation. Depending on age group, and condition of bone (whether osteoporosis and old age) nature of surgery and modality is decided. Inolder age group a reverse shoulder joint replacement or shoulder replacement is done if rotator function is good, especially the latter surgery method, if it is weak then reverse one is done. In younger healthier subjects, titanium screw plating is done after accurately positioning the fracture parts, Some surgeons use a long plate with more than 5 screws for additional strength. Results are good and satisfactory. But assessment of rotator cuff strength prior to surgery is a must to decide, which your surgeon has already proposed Best wishes"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day. I am 32 years old from the Philippines and married for 3 years. We want to have children but i have pcos. I have already seen an obgyne and she has given me pregina to be taken 1st day of my menses until the fifth. I respond to the medication. I am able to ovulate and have dominant eggs. We were advise to have sexual contact between day 10 to day 20. Me and my husband followed the advise religiously. We have been undergoing this treatment for 5 cycles. Still we are unsuccesful. My husband has also undergone sperm count and his result was okay.I would like to ask what may be the possible causes why i am unable to conceive? What other test may i undergo to determine the cause of my inability to conceive?", "output": "Hiwell I totally understand your concern and will be with you to help you all the first OF ALL we five Regina from day 3 to day 7 of menses and do scan for see size of follicle good follicle is anything more than 1.8 cm and then ovulation if this is what you followed then do your progesterone level on day 21 also what is your husbands counts and qualification time is it in normal range also if all is good kindly do your hysterosalphingography test to confirm tubal patent hope this helps you thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have had back pain (upper and middle) for several days. Today sudden, sharp pain in abdomen . Nausea and vomiting - felt somewhatbetter after vomiting. Back and abdominal persist. No fever . Pain in middle is bilateral and dull but strong. Upper backmpain feels like pulled muscle. Also bilateral. Abdominal pain just under breasts is bilateral and sharp, shooting alt with crampy. Dull but strong painin center of abdomen under breast feels likesomething boring through. Helps somewhat to press it. Sharp severe pain on rt side of abdomen and is tender to touch - also exacerbates pain in back when pressed.", "output": "Hi, Thanks for posting your quarry. As you have mentioned that you had back pained for several days, I am assuming that you have been taking painkillers for the same. Painkillers if taken in large quantity cause the symptoms you have just describe die: pain in center radiating to sides in abdomen specially under breasts. This seems like severe case of gastritis / ulcers to me which needs to b treated with antacids. You must have cold milk and milk ice creams like vanilla to sooth your cramps and pain. Do NOT take any more painkillers. Also avoid spicy and oily food. I would strongly recommend you to visit your physician for prescription for medicines.  Wish you a speedy recovery. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my penis goes down sometimies before i try to ejaculate, it mostly happens in night time. but during day time i am consident and i am able to ejaculte and have good sexual intercourse. Please help me with this problem. is this a common problem for men, do we have any medicines to cure this.Regards,Rajesh", "output": "Hi, Thanks for writing in. There are many phases of erection and some of it is also controlled by emotions and foreplay. Sometimes in the night, intake of alcohol or certain addictive substances may inhibit erection. I suggest you avoid alcohol and any intake of any addictive substance if you are using. If you do not take alcohol or addictive substances then lack of erection may be due to stress and low energy levels. You must spend more time with your partner at night having foreplay and use lubrication jelly. Also try and keep your energy level high just before having sex by taking a nutritious dinner and taking some rest."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have been experiencing fatigue, weakness, and pale skin. The blood tests showed that I have hemolytic anemia. What medication do I need to take?", "output": "You will need to take Prednisone to suppress your immune system's attack on red blood cells. You will also need Folic Acid to help produce new red blood cells. Rituximab can help to reduce the production of antibodies that are attacking your red blood cells. Fenofibrate (Tricor) can also help by reducing your cholesterol levels, which can improve your symptoms. You will also need Vitamin B 12 to help with the production of red blood cells. Other medications that can be helpful include Prochlorperazine (Compro), Tacrolimus (Prograf), Epoetin Alfa (Procrit), Sennosides, Usp (Perdiem), Doxazosin, Glimepiride, and Ascorbic Acid. However, the exact treatment plan will depend on your individual case and needs, so please consult your doctor for more information."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have cancer of tyrhoyde .the remuve ol my tyrhoyde ,...after that my thoat alwys haves pain,is too red, and have yellow thins in the back ish side and to dried and problems eating and my ears pain feels like coverup and my heart is too slow or too fast am too tired and angry.my tang is tingling some times.if they do test for thort throat is negative but I can see the yellow in the back.I have reflex too and am scared it is cancer", "output": "Hi, Thanks for using Chat Doctor. Your throat symptoms are could be due to throat infection or acid reflux. You can do salt warm water gargling 3 times a day. Avoid taking heavy meals in nighttimes. Avoid immediately going to bed after taking food. Consult a ENT specialist for complete examination of your throat. Check your TSH level to know your thyroid level now. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am vila 23 years old am suffering from raw rice addition since am fifteen. I do 2 mouth surgery beacause of broken teeth all my teeth are dead. i have belly pain.. difcficulty to sit,to walk.. feel out of breath sometime. The thing is that iwant to stop. I ve try lots of time but i can . I have difficle menstruation. I eat raw rice all dat long if i dont eat i can t sleep i even have get insomnia problems. the think is that i want to stop but how ?", "output": "Hi Vila, Thanks for trusting Chat Doctor with your query. Your problem seems to be a very rare kind of addiction.  Based on the information provided, it seems you are motivated to give up this addiction as you appear to understand the fact that it is hurting your body physically. It seems that you are struggling psychologically as well. I guess first and foremost, you should get yourself checked physically as raw rice can cause some physical issues and some problems of menstruation could be due to other unrelated/related issues. An opinion from physician or gynecologist might be helpful. Next comes the issue of addiction. I suppose one method could be to use Exposure and response prevention strategy. The basic principle would be to expose you to raw rice which will possibly induce the desire to eat it and then have someone stop you from eating it. During this process, you might experience significant restlessness and anxiety. If you are motivated enough and know relaxation techniques, try to be in this situation for approximately 90 minutes or when you feel your anxiety is wearing off without any additional help. You will realize that gradually the intensity of your craving is reducing and after sometimes start doing it yourself. You can take the help of a clinical psychologist in this process. The role of medication would be very limited. However, I believe consulting a psychiatrist to explore other psychological issues (if any) can be of further benefit. Hope this will be of some help. Best wishes, "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc,i had an abortion 4 months ago,there was very little bleeding and i got medication to prevent infections....4 months later,i have under gone treatment for an infection because of the chronic mild abdominal pains and my urine tests had protein and pus in it ...the abdominal pain persists..wat could be causing this and can i continue with that treatment!", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a urine culture and sensitivity test to know the exact antibiotic to be used for a cure of the infection. The complete course should be taken. At the same time I would examine your abdomen clinically and with an ultrasound if need be to rule out any other intra-abdominal pathology. Till then, you could continue the treatment advised for you. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 43 years old ( Femlae) I had a bad fall 19 years ago breaking my back in two locations... I have developed these large ( excrutiating painful) lumps in my lower back. I have had them treated with lidocaine and steriod shots which seemed to make them worse. I have been to so many Dr.s over the years about my back pain and they all say Lipomas shouldnt cause that much pain. I am certain that 90% of the pain I am feeling are coming from these large ( fist size) lumps near my spine. Am I crazy??? Or can these really be causing this much pain? My cureent Dr. says he beleives me but is not sure what to do? any answers ????Thank you, Tam", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma.  Or you may have some other tumor mass.  You should 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,Just wondering im 6 days late on my period which is normally regular. I was using prenatals for 3 month but didnt take it at all this month. I took a pregnancy test last night and it was negative. Me and my husband are ttc and did use the ovulaion period very well. Can i be late due to the prenatals or was it just to early to test.Thanking you", "output": "Hello, I have gone through the query and understood your concern. Prenatal medication does not delay a period. Since you had regular intercourse during the ovulation period, your chances of conception are high. I would ask you to repeat the home pregnancy test. Please do it early in the morning using a fresh sample. You can also go for the estimation of the serum beta-ChatDoctor titles. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had dizziness, what seems to be vertigo, for 6 days now. Nausea, vomiting if I move to fast. Extreme exhaustion. Numbness in right arm, or bad circulation. Pain in back of my neck that seemed to start before all of this that I thought was from stress.", "output": "Hello! Thank you for asking on Chat Doctor! I appreciate your concern. Your symptoms may be related to a cervical spondylarthrosis, which is a chronic degeneration of the cervical column, which causes muscular contractions and vertebral artery compression. The symptoms typically worsen with head movements. I would recommend you to perform a cervical column X-ray and a routine blood test for inflammation. In the meantime I would recommend you to start treatment with Linearizing or betahistine. Physiotherapy in the neck would be useful. Hope to have been helpful! Greetings! "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...I am sufferring from allergic rhinitis and allergic bronchitis....even with slightest cold air i get throat infection and then fever , cough.  I need to cover my facce with bedsheet in the night.  Is there any immunization therapy to cure this ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, immune therapy is available nowadays. But first you should get done total IGE level. Following are the treatment options for immune therapy. 1. Sublingual immune therapy (SLIT) 2. Subcutaneous immune therapy (SUIT) 3. Omalizumab (monoclonal antibody). So consult good allergist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ?  Please type your query here.. I have a small cluster of welt marks on the middle of my back that I found when I woke up yesterday. My lower back also hurts really bad. Could I have been bitten by something thats causing both of these things?", "output": "Hi, From history as welt marks appeared all of a sudden with pain in lower back indicates that you might be having Herpes zoster infection. Another possibility of having some poisonous insect bite is there. Clinical examination with personal viewing the lesion will give exact idea of lesion. Consult your doctor and get clinically assessed.Meanwhile, take some ibuprofen medicine and apply triple action cream. Ok and take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is very ill with terminal cancer. He is age 65. I am age 60 and in good health. It is just the two of us. He is a large man. He was walking slowly like he normally does these days and then he just fell. I was not far from him so after just a few seconds his eyes registered on me and he asked how did I get here? I told he fell and got him to a sitting position and asked him to stay there for a few moments. When he was ready to get up I helped him with his walker and got him seated in the living room with his feet up. As soon as I knew he was okay, I started to feel bad in my stomach and mid-chest. The fall happened almost 2 hours ago and I am still feeling the same way. My heart rate is 101. Any suggestions for me to settle this down?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have chest and abdomen discomfort. It may be due to gastritis, muscular pain or coronary heart disease pain. You should urgently go to the emergency and go for electrocardiogram. If it is normal then no need to worry just take painkiller and muscle relaxant. No further treatment is required. If Your ECG is abnormal then you should take treatment accordingly."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Both my feet are swollen, itchy and peeling and has been so for 2 months. I am 31 yrs, female and overweight, I consume alcohol and smoke at very least 3 three sticks of cigarettes. started as discolored toe nails and got something for that. Other medicines include Tetralysal, for acne control", "output": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the first advise is to stop on smoking and second to stop on alcohol, in this sequence. Smoking can cause peripheral vascular disease, where the small arteries stop sending blood and this can lead to problems in circulation and gangrene. Second sees a doctor to have a look at your complaints, and see if things can get better. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "WELL.. IM NOT SURE IF AT WORK I INHALED TO MUCH BLEACH FUMES IS CAUSING MY DISCOMFORT OR ITS SOMETHING ELSE.. THIS INCCIDENT HAPPENED THURSDAY MORNING.. FOLLOWED THAT EVENING BY DIZZYNESS.. AFTER THAT THE NEXT DAY CHEST DISCOMFORT OFF AND ON..AND NOW TODAY IS STILL OFF AND ON BUT WHEN I SWALLOW AFTER EATING I FEEL CHEST PRESSURE AND THIS UNCOMFORTABLE FEELING IN MY BACK AND CHEST LIKE A TIGHTNESS AND OR MABE GAS.. I REALLY NERVOUS, BECAUSE I HAVE NEVER HAD THIS HAPPENED.. LET ME MENTION TO THAT I DO HAVE ACID REFLUX BUT ITS NEVER FELT LIKE THIS.. SHOULD I SEEK EMG MEDICAL ATTENTION..HELP!!", "output": "Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with inflammation of upper respiratory tract mucosa via bleach fumes.* There is no need to rush to ER, suggestions for better recovery - Gargles with salted lukewarm water added peppermint oil 4 hourly.  - Deep breathing exercises every 2 hourly for 15 minutes.  - Maintain HY Chat Doctor.  - Avoid exposure to noxious substances.  - Walking in fresh air will give tremendous relief.  - Use semi reclining position when doing rest. Hope this clears your doubt. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a dental procedure approx. 6 weeks ago. It was a wisdom tooth removal done right in the dental office, no sutures were required and I had no complications. I am now starting to get a little bit of a tooth ache feeling in that spot from time to time, its not constant and its not too painful, but its noticeable, and a slight burning sensation. A nurse told me that it could be spasming and healing. Do I still need to be concerned with lockjaw?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint 6 weeks is a sufficient time and pain after this is not a common finding. There can be a few reasons for pain in extraction region now like:1. Due to improper cleaning in that area food lodgment can take place leading to infection and pain.2. There can be left over root piece accidentally during extraction or any foreign body in the socket leading to inflammation and pain. You need not worry as it is treatable, and you should consult a dentist and get a check-up done and an X-Ray if required. In case of infection antibiotics and painkillers along with warm saline gargles will relieve. In case of root piece or foreign body inclusion removal of the same followed by antibiotics and painkillers will relieve. Hope this information helps. Thanks and regards. Chat Doctor. ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We are trying for a baby. My sperm count is low with low mortality. my wife has gone through two IVF cycles (unsuccessful) and now she is trying to conceive in natural ways. She has PCO problems and is taking ovacare forte and bigomet 1000. I am taking Fol G1, Carmined plus and Celin (vitamin C). are we on the right course? kindly suggest if there is some special nutritional diets we should adopt? are the medicines we are taking alright, kindly suggest changes as appropriate. Kindly advise.", "output": "Hello and. Your concern is understandable. As a Urologist, I must advise you that, it would have been good to know your age and the semen analysis report, to know in detail, so that, I could advise you in a better way. You should have done a scrotal ultrasound scan test, and a semen anti-sperm antibody test, as two attempts at IVF have been unsuccessful. Also, your medication must include camphene citrate, as you have low motility of sperms. Exercise regularly and avoid fatty diets like dairy products and fried foods. You may contact me by name. Wish you the very best."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I took a bad fall on my back 48 hours ago.  Didnt get to er for 10 hours. Emergency room diagnosed muscle spasms and prescribed 500 mg robaxin  up to 3 x a day for pain with up to 8 ibupropgin/day.  Worked well for 1day and now I feel no difference at all when I take it. Pain is getting worse. Pretty difficult to get out of chair or bed, unable to lift of open anything with right hand, pain/pressure on deep breathing, and coughing.  Should I go back to er?", "output": "Hi, There is no need to hurry. Wait for one more day to see if body is responding to medication. Also, you need to take rest. Try taking hot packs on the painful areas with each setting for up to 10 min even after doing this pain doesn't go away then you need to go and visit ER and explain to him that last 3 days. I don't have any difference in my pain and would like to be checked up again for any fracture or other injury. Hope you find this helpful. Let me know if I can assist you further. Jenis Bhagavan"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, my name is renukapain in my abdomen then doctor usg of whole abdomenand report isComclusion : Mild Hepatomegaly with grage II fatty changes. Retroverted normal sized uterus with thickened endometrium showing cystic areas, Likely cystic endometrial hyperplasia. normal sized ovaries with PCOD morphology. kindley correlate with LH/FSH levels.Please doctor suggest me", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. Also regarding the finding in uterus you should consult Gynecologist hope I have answered your query and this will help you. Wish you a good health"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have not felt well today, very light headed.  I have been hearing and feeling a swooshing noise and it vibrates my head and body.  I have noticed swelling in my ankles in the mornings over the last few weeks but the last couple of days i have experiencing swelling all day.  My daughter just took my bp and my systolic was 170/100.  I am also having chest discomfort. Should i go to the er now or do you think seeing my md in the morning is ok", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having higher blood pressure reading (170/100). In my opinion, you should definitely consult cardiologist to rule out hypertensive heart failure. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You will need antihypertensive and diuretic Chat Doctor.  Strict salt restriction in diet is needed. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I need to know about Dr.Raja Sri of EV kalyani medical center chennai some say that she is rude. but what about the quality of treatment given in EV Kalyani. I was pregnant but during 12th week scan it was said tat foetus is not having cardiac activity and movements and had to undergo induced abortion. Im 24 yrs old, weighing 64 kgs and height 154 cms. My husband is 27 yrs old.Will there be trouble in next pregnancy, cause doctor said its because of chromosomal problem during formation of foetus.", "output": "Hi, I understand your concern.  The mishap you had can be due to chromosomal namely or viral infection in early pregnancy.  Pregnancy consists of union of chromosomes from sperm and ovum. During this process abnormal combination may occur by chance/ by viral infection. This need not happen in every pregnancy, you do have all the chances of having a normal baby in next pregnancy. So stay relaxed.  Though, mostly it's usually confirmed to be normal by chromosomal analysis after one bad experience, Thanks.  ."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir,          Thanku for this opportunity. My Age is 31. My skin was very dry. And it seems to be shrinked not tight. Especially in winter, I suffer a lot with this dry skin. My foot is also very dry with cracks. Is there any remedy for that. Pls give ur suggession.ThankuRegards", "output": "Hi, you are suffering from necrosis and planter keratoderma .it is an abnormal Chat Doctor. Treatments include:Moisturizers, especially creams or lotions that contain urea and lactic acidTopical steroids -- for areas that get very inflamed and itchy.prevention not expose your skin to water more than needed. Use cool bath water. Choose gentle skin cleansers that are free of dyes and perfumes. Hope this is useful. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got stung by what I think it was a bee on Monday on the left side of my head right by my forehead. The area where I got stung is itchy, it doesn t hurt but there s bumps about 2 inches away, they don t hurt. There s also a bump by my ear and that does hurt. Is this normal?", "output": "Hello, thanks for the query the bumps you are having are as a result of hypersensitivity reactions to the substances injected by the insect. Itch is a common symptom following insect bite. Avoid to rob or scratch else itching will continue. Symptoms will resolve after a few days but some Chat Doctor. So you need not worry, if it had to be serious (anaphylactic reactions) it could have happened earlier, so for now no pressure. Best regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ?  Please type your query here...sever sinus pain and pressure, vertigo lasting less than 1 minute, imbalance, fatique, tingling in all sinuses, headaches (vertigo worsens), mild pain and pressure in right ear, nausea, confusion, anxiety. Chronic sinusitis surgery 3 years ago.  Symtoms now are worse than when I had surgery three years ago.", "output": "Thanks for consulting me at Chat Doctor. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines. Chronic sinus infection is causing all of these symptoms, and you need special care. Diet Modifications needed:-No fatty and fried foods. No beverages, energy Chat Doctor. Avoid famines, animal dander, pollen and air pollutions (use mask). No carpets in home. Do Scope or Listerine mouthwash gargles and keep a judicious supply of water to keep you revitalized. In medications, Take:-AzithromycinMontelukastFexet-DIbuprofen. Steam Inhalation with Picks warm mist vaporizer will help you get better fast even in cases of acute exacerbation of the sinus infection.  Hope I answered all of your questions. Please click on I Find This Answer Helpful and don't forget to add your precious positive feedback to help me able to assist you better in future too. For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow-up to see how you're doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead. Regards!"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is experiencing strange symptoms. His MRI, CT scan and LP are normal. He has weakness bilaterally but left side is more weak. His arms are weak but not as bad as his legs. He is experiencing parasthesias in his legs that he describes as feeling like he is walking on sand. He is experiencing let pain mainly in his thighs. All lab work is normal. He seems to be choking a lot lately. Any thoughts...... EMG is in 2 days..............", "output": "Hello dear, I can understand your concerns about your husband. Asymmetric weakness in legs(more on left) with paresthesia and pain needs to be examined for reflexes, sensations and other clinically significant neurological signs. It is just not possible without dedicated neurological examination to establish the diagnosis. So, Please visit a neurologist. It may be radiculopathy, proximal neuropathy, or myeloradiculopathy. Without physical examination, its not worth to make a definite comment. I hope it helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why am I having so many problems with my body? I keep bruising easily, I am easily into pain, I am always tired, I experience bouts of dizziness and vision darkening. I know it is anemia, but what could be causing the anemia? I eat (in every meal) plenty of iron. I am on iron pills every day, yet I still become anemic. My doctor has tested me for leukemia, and I dont have it....any solutions? I am a male. 13 years old, I am 5.4. and I am 83 lbs.", "output": "Hello friend, Your question is very important -= why am I having so many problems with my body? This cannot be answered in the way you searched. You are over weight. You get bruised easily. Furthermore, you feel pain more than reasonable. Feels dizzy. You explain everything as because of anemia. There you are wrong. Then naturally you say: I am taking Iron tabs regularly as if iron will take care of your anemia. You are lost to find reasons for your sickness. Conventional medicine cannot answer your question. I am a Homeopath and in Homeopathy we have answer for your questions, but it cannot be given through this forum. Your case has to be studied in detail. Your parents' history, their disease tendencies, your intrauterine life, your past history, treatment history etc. become important. While taking your case in detail we will concentrate on your genetic constitutional dispositions to find out your remedy. This can be done by a very detailed case taking and analysis by an expert Homeopathic physician. Therefore, my advice to you as a young friend is to tell your parents to take you to an expert Homeopath who can help you to make you free from several physical ailments you are suffering, and you will suffer in future if not taken a corrective treatment at the earliest. Your letter does not at all give any details about your mental makeup which is very important for a Homeopath to reach at the right remedy. With best wishes for speedy cure through Homeopathy,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have tightness in my lower belly almost like a contraction..and my lower back as well...i have 2 kids im on birth control..2 mnths ago they tested me to see if i was preg and i came out negative..my tummy looks like theres a bump..can maybe the birth control pills affect the reult? its feels like i ate too much but its been a few days..", "output": "Hallow Dear, Birth control pills contain Estrogen and Progesterone preparations. They are known to cause stomach irritation, nausea and sometimes vomiting too. Also, these pills do put on weight. So the pain in your abdomen and increased waistline could both be due to birth control pills. To avoid gastrointestinal upsets, please take these pills after dinner at bedtime. In addition, you may take one tablet of Pantoprazole daily in the morning on empty stomach. High protein, low fat and low carboy Chat Doctor.  I hope this helps you. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor I had short of breath and my left arm was uncomfortable and I couldn t speak and I was having hot and cold flashes and shaking and white spots in vision I called emergency they came checked me and told me nothing was wrong and I told them to take me to the hospital they did blood work everything was ok and went 3 more times to the emergency and done more blood work and everything was ok I went to my family doctor and told me its anxiety and depression", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you must be going through a difficult time with your undiagnosed symptoms. Now, you have mentioned clearly that all medical examinations and tests have turned out negative. In such cases, one of the most likely possibilities to be considered is an anxiety-related disorder.  It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, shortness of breath, and other vague bodily sensations like tingling, hot or cold flashes, etc. are symptoms which are commonly seen in anxiety disorders.  I would surest that it would be worthwhile to consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my jawline in between my ear and chin. its not hard and it will move under the skin but it wont leak. Except once, it spat out minimal blood when my brother accidentally hit me in the jaw. What should I do? Everyone says its just a epidermal cyst.Im eighteen", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have epidermal cyst, enlarged lymph node or salivary gland enlargement due to siledenitis or other cause.  You should 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a MRI of my left shoulder I am 31 years of age. Findings:Acromioclavicular joint: There is trace subacromial/subdeltoid bursal fluid Rotator Cuff: Partial thickness articular sided tear of the distal supraspinatus tendon measuring less than 50% thickness over a segment 1.2 cm mediolateral and 1.2 cm AP at the humeral head a few fibers along the bursal aspect are intact. I am in a lot of pain and am wondering if physical therapy will more than likely be my course of treatment and how bad is this tear ??? Thank you", "output": "Hello. Thank you for writing us here. Your report says that the bursa (a fluid filled cavity which lies near to the shoulder joint) has trace amount of fluid. The tendon of the muscle located at the upper part of your scapula bone have mild tear which is near the uppermost part of humerus. The treatment depends on the severity of the injury and in your case, it would take at least 6-8 weeks for complete recovery. You can use ice and heat therapy for pain and also use analgesics like paracetamol. The best medicine you can use is diclofenac spray/ gel. You should also see a physiotherapist and do little exercises for the recovery. And don't put a lot of weight on your shoulder as it would delay the recovery. Best regards, Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello gud day doc ....im worry about my health im 37 yrs old ive been married for 4 yrs wer working out to have a baby,but up to  now we still dont have ...a yr a go i went under currettage and sent from biopsy the result is chronic endocervicitis with squamous metaplasia proliferative endometrium ....my querry doc is it dangerous wats the best treament.?as of now im experiencing blodd spotting before my regular menstration im nervous ....hope u could answer my querry tenks and god bless", "output": "Hi, Thank you for choosing Chat Doctor. Not getting pregnant for 4 years needs thorough evaluation. The problem needs to be ad Chat Doctor.  Minimum investigation required are semen analysis, tubal patency test and ovulation detection. The problem could be in any of these areas. Have hope and kindly see an infertility specialist. If it's already done kindly get back to me with your reports. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have been having a icy hot burn around the tip of my penis and low intense burn on the penile hole very mild with small spots of light green mucus coming out the tip of my penis hole. There has been a few small pimple bumps appear n but seems to go away over time...could you explain to me what this could be?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have not mentioned your sexual history in your query, The pus filed bumps on tip of the penis are likely to be transmitted through unprotected sex. Please consult qualified dermatologist or specialist in sexual medicine and get following tests done to rule out STI.1) Routine urine test 2) Swab test and culture of pus from the bumps.3) Basic blood test to rue out STI.In the meanwhile take Erythromycin twice daily. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir my name is Raghu i am 23 year old i am suffering from hair loss before from 4 year now i am bald i was consult many doctors but no use but doctor has suggested mintop forte i am using before from 1 weak but i did not visible eny improvement please tell me solution and what i do for hair regrowth", "output": "Hello Mr Raft. Welcome to ChatDoctorFirst thing to consider is if you have a family history of hair loss, if there is male baldness in the family. In this case you will be more prone to similar problems. And medical treatment may not help you much. Other causes to consider are hormonal(thyroid etc.), any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. Also do note if you have hair loss anywhere else in the body. These causes need to be considered and treated as they affect hair growth. For now, you may continue Maintop solution to scalp as advised, along with hair supplements daily like Collinear. This needs to be continued at least for 2-3 months. Improvement will not be visible within a week. Since you have been on treatment since a long time, with not much improvement, do consult a dermatologist, to assess your type of hair loss and to give you treatment based on the results. They may also suggest some routine blood tests if required. If medical methods do not work well for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. Also get a good nutritious diet, avoid stress, smoking, get good rest. Hope this guides you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been chewing tobacco for about 15 years. In the last couple of years I have started to have shortness of breath problems and some chest pain..The heart doctor says my heart is strong with no problems..can the chewing be my problem after all this time", "output": "Thanks for your question on Chat Doctor. In my opinion you should get done ECG and TMT (Trade Mill Test) again. And consult cardiologist to rule out cardiac cause. If this is normal than tobacco chewing can cause bronchitis.  So get done chest x-ray and PFT (Pulmonary Function Test). And better to avoid tobacco as tobacco contains nicotine which is harmful for heart and lungs and can cause chest pain and shortness of breath. So quit tobacco as soon as possible."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I've been experiencing retention of urine, burning abdominal pain, rectal bleeding, lower abdominal pain, and nausea lately. ", "output": "Based on those symptoms, it seems like you're suffering from chronic constipation."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a St. Jude valve put in 6 mos. ago.  Since then I have had loss of vision in one half of one eye at least every 2 weeks.  Also, my inr is all over the board.  Now, they tell me the valve is leaking from the center, judging from a tee and echo.  Is this common?", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Your complaint of loss of vision is no way related to central leak of valve. As you mentioned that is your INR is properly controlled, then you should try to find out other causes of temporary loss of vision like Ties(transient ischemic attacks) affecting brain arteries. Yes central leak if mild should not cause any worry to you, as mild leaks impose no burden on heart. My best wishes Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump on te outer part of my anus, it hurts a little. It feels almost like a pimple. How can I make it go away, and why did I get that? Its very unusual to me, I never had something like that before. It hurts when I clean myself after going to the bathroom.", "output": "Hi, Thanks for your question. After going through your question, I can understand your concern. There is most likely a boil / folliculitis over perianal region, which is an infection of hair follicles. It may be due to excessive sweating. If there is family history of Diabetes or you are obese, better to check your blood sugar levels. Use some anti-inflammatory medicine, if swelling increases in size or there is fever there may be need for antibiotic. Hope this helps you, if so do vote as helpful."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandchild is 3 days old when they did a blood test on him the same day he was born they said his white cell count was low. Another test they did where his count is suppose to be at 0 it was at 4. They put him immediately on an antibiotic. Yesterday they said his blood count is perfect but where his number was high at for now it has gotten higher it is now at 10.5. They don t know what s caused this whether it could be an inflammation or an infection. He is in NICU", "output": "Welcome to the Chat Doctor I have gone through your question and understand your concerns. As per your description, your grandchildren white cell count were definitely low at birth. Most common reason for this is early onset sepsis. But it should ideally also be supported by C reactive protein, blood culture and sensitivity. The neonate so usually respond well to a course of antibiotics as per the sensitivity pattern of the suspected bacteria. The good point is that the count of 10.5 is perfectly fine and acceptable. If no other symptoms are present, it suggests that your grandson is responding to the treatment. Hopefully everything will be fine. For any further questions, you may contact me. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period ended may 8 but was a tad bit spotting  i had unprotected sex 2 times,where he released inside me  in fact just yesterday in which we just used the pull out method now im cramping a little feels like my period is trying to come on again my stomach is making all types of noises is there a possibility of pregnancy im very anxious to know....", "output": "Hallow Dear, Immediately on the next day of the unprotected sex, pregnancy will have no symptoms what-so-ever even if the conception has occurred. So you cannot attribute your cramping tom pregnancy. Pull out method is not a reliable and safe method of contraception. Before ejaculation of the sperms, pre-seminal secretions (pre-cum) are deposited in the vagina unknowingly. Pre-cum does contain some sperms which can impregnate the woman. The earliest test you can perform for detection of pregnancy is Beta Chat Doctor test on your blood. This test gives reliable results 10 days after the last unprotected intercourse. Values more than 25 mid/ml are diagnostic of pregnancy while in nonpregnant state, the values remain under 5 mid/ml. Alternatively, you may wait for the menses to appear. If you get your menses, you are not pregnant. If you miss periods, perform pregnancy test on the overnight morning first urine sample a week after the missed period; earlier these tests may report false negative. I hope this helps you today. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son (14 months) has been coughing, has runny nose and was vomiting for a few days. The symptoms started 2 weeks ago. When he breathes i can hear a little noise (probably in his chest). This noise goes away when he coughs and re-appears after a little while. The cough and runny nose symptoms are subsiding now but I am wondering if there could be any signs of asthma here. I am concerned regarding asthma because he has eczema already.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I know if Im depressed? And what should I do if I think I am? Im a 21 year old Swedish male whove just gotten enough of being tired, Ive barely went outdoor at all the past year or so, except for buy groceries and stuff, and even that I can find myself without mostly of the time. The times Ive seen my friends the past year is to be counted on 2 hands.", "output": "Hello You have symptoms like easy navigability, poor social interaction, less number of friends. If these are only symptoms present then it can not be labelled as a depressive disorder. But depression in milder from may present with lack of energy, easy navigability, pervasive sadness of mood, sleep dysfunction, poor or increased appetite, pains in body etc. symptoms. Still if you want to know about your symptoms you can visit a Psychiatrist for evaluation. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing some unusual symptoms lately such as back pain, leg cramps, flushing, and my urine has a strange color and odor. What do you think is wrong with me?", "output": "Based on the symptoms you have described, you may have a thoracic aortic aneurysm. This is a condition where the aorta, the main artery that carries blood from the heart to the rest of the body, becomes swollen in the chest area. It can cause back pain, leg cramps or spasms, and flushing due to poor blood flow to the lower part of the body. The unusual color or odor to your urine may also be a sign that your kidneys are not functioning properly due to reduced blood flow from the aneurysm."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart randomly starts beating faster (feels like it is going to come out of my chest) after a few seconds it goes away. Has happened about three times in the past couple of months. After the most recent one I heard some ringing in my ears. Whats going on?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this racing heart has to do with a rhythm issue. There are some electrical impulses that generates in parts of the heart different from normal sinus rhythm. They cause premature heart contraction or chaotic rhythm that's not a normal one. It might be what we call extra beats or arrhythmia like supra ventricular tachycardia, atrial fibrillation etc. The causes of this rhythm issues might be different like simple emotional stress, coffee or alcohol consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances or cardiac pathologies. In this situation you might experience palpitation, strong beating, heart racing, dizziness, difficulties in breathing deeply. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo, a full blood analyze to exclude anemia, hyperthyroidism, a holder rhythm monitoring to evaluate your rhythm tendency. Only after this we can better understand what we are dealing with and if it is necessary to treat it. Hope I was helpful. Wish you good health. Best regards, Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 years old Male. I am currently taking in medications for my hypertension but now i am having fever 39.5 last night with headaches specifically at the back of my head (checked my BP its 117/77) , muscle aches, lower back pains, chills and also my eyes would hurt as well and there are times that my lower right body will hurt but only lasted a few seconds. My fever right now went down at 37 because i am drinking paracetamol however i still have the muscle pain and headaches... Please help me understand what im going through", "output": "As you are suffering from high grade fever with chills and body-ache it is pointing mostly towards Malaria so first I will advise you to do CBC with MP to rule out the diagnosis. If malaria is negative than it is viral fever nothing more than that. Treatment for the same is tab definite 200 mg or tab CEA Chat Doctor.  You can do a course of chloroquine 250 mg base 4 tab stat than 2 tabs after 6-8 hours than 2 tab stat once daily for next 2 consecutive days after meals preferably with milk. If feeling weak you can take some multivitamin like syrup zirconia or syrup multicherry 2 SF twice daily."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 4yr old has been sick with chills,fever,puking,for 5 days.He has been drinking plenty liquids,always asking for water.Today his fever is gone but still puking up clear liquid with mucus like stuff in it.In between puking he asks for water,eyes look like they are strained from so much vomiting.Lips were chapped but are healing up.I have gave him advil for fever and he seems better for a few hours,then falls a sleep and wakes up vomiting?I m just trying to figure out if this is something i need to get him seen for or is this a stomach flu?thanks", "output": "Hi, welcome to this forum. Can understand your concerns. Repeated episodes of vomiting for 5 days along with fever can occur in food poisoning, acute gastroenteritis, upset stomach. In food poisoning, there is simultaneous appearance of fever and vomiting. After sometime, the child may develop loose stools. In acute gastroenteritis both loose tools and vomiting are present. Fever usually accompanies both of them. In my opinion, your child needs antibiotic like ofloxacin for a period of 3 days. Child should also be given antiemetic Chat Doctor. However, since these are prescription medicines, and dosage depends on weight of child. Therefore, a visit to a doctor should be done for starting antibiotics. Child should be given adequate liquid diet, so that the deny"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i fell 3 weeks ago and landed on the front of my hand and rolled it inward it swelled up and has scince gone down i had an x ray and showed no fractures although even after three weeks it still hurts to touch if i move it wrong i get shooting pain below my little finger nuckle to my wrist and it aches all the time.", "output": "Hello, What I can infer from your complaints is that you have had a soft tissue injury to your hand. If the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. I would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is suffering from itching all over the body and due to this, her whole body got just like swelling.  If the satrogyl 300 tablet is useful for this problem, as her doctor had suggested this medicine once she was suffering some allergy problem.  I am from India", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history. Satrogyl 300 is used for treating some worm infestations. Although some worms can cause itching and urticaria, there are other causes also. So first I would suggest your wife to take montelukast and levocetirizine for at least 3-5 days depending upon response. However, if she has severe swelling, swelling inside throat, feeling of suffocation, or other trouble symptoms, she may require a short course of corticosteroids. Regarding Strongly, it will work only if her symptoms are due to worms, not if they are due to any other cause. Hope this will be helpful to you and solves your query. Wish your wife a quick recovery and the best of the health. Should you have any further query, please fell free to ask at Chat Doctor. Regards. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell a couple of weeks ago and have been in severe pain ever since.. I have been told I have a lumbar disk disease but when I fell my chiropractor said my hips were shifted and Ive been having more pain in my back with the nerves pinching behind my knees but when I walk it hurts cause I can feel something moving and it causes me to be in even more pain", "output": "Hi! I can understand your concern! In my clinic when patient visits after having trauma and pain, I advise them:1. The trauma or fall can have injury to disc, if you directly fell on your back.2. If you have pinching sensation behind your knees, the disc is pressing on the nerves and may be causing radiating pain in the nerves.3. Due to disc problem, you may have difficulty in moving your hips.4. Standing and walking will put more pressure on the disc and nerves.5. Please consult an orthopedic surgeon immediately and do an MRI. If the disc is pressing the nerves, i.e. radiculopathy, you may need surgical treatment. It is possible that your earlier Lumbar disc problem has increased with the fall.6. Please consult your orthopedic surgeon again and explain your problems. If the chiropractor had advised treatment, and it is not helping, you should inform immediately. Wish you the best recovery"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am male 45 years from pakistan and facing problem of stomach for two years. some time pain in my muscles some time pain in chest bone and some time heart beat high some time difficult in getting breath. much weakness and mentally weak and nervous and fear all the time.many times visited doctors some gave me emeprazole treatment and some mantally treatment. when stand I feel pressure on my chest.plz tell me what to do. all the liberay tests are ok", "output": "Hi....... Since your symptoms are involving multiple system and entire tests are negative, there are strong possibilities that your symptoms could be due to anxiety. Proper anxiety treatment in the form of adequate sleep, regular eating, physical exercise, yoga and relaxation is necessary. If the symptoms are severe and occur very often, a course of antianxiety medications is worth trying. See a doctor - a psychiatrist who can prescribe you the antianxiety medications... Hope this helps..."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a round, hard, cyst like lump I can feel inside my right labia near my clitoris. It does not hurt, but is very strange to feel. I am on my period and am not sure if this may be something related to that? I can isolate the lump and move it around locally but Im trying not to touch it too much for fear of damage I could do...", "output": "Hello this could be a Bartholdi cyst sebaceous cyst or an Stiff you can upload me a photograph and complete medical history I will be able to guide you bettering my opinion you should consult a gynecologist for examination and a battery of tests like blood for hemoglobin CBC ESR blood sugar and urine for culture and sensitivity test you may require a course of antibiotics under supervision of your doctor you should wash it with an antiseptic solution maintain good hygiene hot water bath Hope this helps you Best wishes"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctors, I am giving the details of MRI report dated April 01, 2011 - (1) Clinical History : Presented with h/o backaches, radiating to RT. let.  (2) Sequence planned - Sagittal SE T1, Sagittal TSE T2, Axial SE T1, Axial TSE T2  (3) MRI Lumbar spine has been performed in multiple planes by using T1 & T2 weighted sequences (4) Mild osteophytic degenerative changes noted  (5) Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both newral foramina at same level (6) Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both new foramina narrowing (7) The marrow of vertebra and posterior vertebral appendages shows normal intensities (8) No e/o abnormal signal itennsities in cord.  (9) The lumbar canal dismeters are L1-L2 14mm, L2-L3 14mm, L3-L4 12mm, L4-L5 08 mm, L5-S1 08mm.  (10  This MR study reveals - Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both neural foramina at same level, Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both neu formation narrowing. Sir, I am feeling numbness in left foot fingers, backache, cannot sit on chair due to pain.  Please advise me treatment.  Is is possible without any operation, if so how.", "output": "Welcome to Chat Doctor .1. Weather operation is needed or not depending on the stage and % of herniation /bulge.2. Initially exercises are prescribed for pain relief, if it doesn't work then operative procedure / interventional procedure is done.3. Since disc is bulged and causing compression on the theta sac, and nerve compression - you are having numbness and pain.4. I would recommend having a flat bed, and exercises will give relief.5. If necessary your orthopedics specialist may ask for a belt for less mobility of the spinal movements.6. So please try all, if not then there is no option. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lmp is 01.04.12. i want to concieve this month onwards. due to fever, my esr level is 80mm. my hemoglobin is 9.70 g/ dl. i am taking moxikind 625 mg from yesterday onwards for three days. if a concieved in this month, is there any problem after taking this antibiotic", "output": "Hello, Thanks for writing to us. Moxikind 625 is quite safe (pregnancy category B) while you are trying to conceive and during pregnancy also. It has no harmful effect on growing fetus. Therefore, you wouldn't be worried mucChatDoctormon side effects include: Diarrhea, nausea, vomiting, indigestion, stomach inflammation, skin rash, dizziness etc. Do periodic checkup to your doctor and get recover soon. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes i am having problems with my balance i feel like i am floating and sometimes swaying back and forth i am having alot of twitching over my body and a tingling sensation in my hands,feet and problems with my lower back and the back of my neck can you tell me what is going on with me i am scheduled for an mri next week have jus been really scared", "output": "Hello, Well, your symptoms unfortunately don't coalesce as described into a single entity but if there was more information as to your age, other health conditions you may already have been diagnosed with, medications you are taking, etc. and whether you've been THOROUGHLY examined by a doctor would help me better put your symptoms in line.  However, would first want to get a good history on how quickly these symptoms came on and if there's been any let-up.  Next, a physical examination to include blood pressure and then, laboratory testing to make sure you're not suffering from thyroid issues, diabetes, or chemical imbalances of some sort (B12, vitamin D, folate, electrolyte deficiencies).  If an MRI is being scheduled I'm thinking that they are trying to be sure that you do not have any types of tumors, aneurysms, or even congenital intracranial anomalies which by your symptoms doesn't seem to be the case.  Worry and anxiousness can also trigger these sorts of symptoms especially the tingling and floating sensations you mention.  Is there anything of a stressful nature in your life right now that you'd rather be WITHOUT because often times if you can identify such a thing or things, get rid of them (legally! HA!) these symptoms get a lot better?  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well!! hapy Nun ..15 Days ago i have checked my SGLT test i got 49.03 . I would like to now that what Precaution I have to take form now, due to that reasons all my body is itching. Kindly suggest me ASAP", "output": "Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. You have not attached your liver function tests. If you consume alcohol, most commonly the rise in liver enzymes is due to that only. But, if you don't consume alcohol, I recommend you following investigations: 1. Complete Liver and Kidney Function Test 2. Ultrasound Abdomen to see for liver size and echo texture.3. Bag, Anti HCV antibody4. Autoimmune hepatitis panel - if you have all viral markers negative with persisting jaundiceFollow me with these investigations. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. ChatDoctor, MD"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had severe pain in ankle, calf and even top of leg sometimes. He has been in agony for four weeks now. Doctor has sent him for xrays which were fine, blood tests which we are still awaiting results but no one is arranging a scan which all of four doctors he has seen mentioned but not arranged. He isn t sporty but does a manual job and is 62 years of age. We are due to go back to doctors Tuesday and are thinking of paying for a scan just to get to bottom of it", "output": "A 63-year-old male with pain ankle/calf/leg of 4 weeks duration... perhaps the pain originated from the ankle and the rest followed due to postural adjustments while walking or working (manual job). Is he a diabetic? Any history of strain on the ankle. Any history of joint pains? Indeed, the blood reports especially ESR / CRP/ CBC and Urine test will be helpful. I am afraid to suggest that a scan would not help in the diagnosis, it helps once a provisional diagnosis is made. In this case it appears to be an Arthralgia. Keep in mind a problem of venous thrombosis, also. Anti-inflammatory like Ibuprofen 400 MGM three times a day with Omeprazole 20 MGM once a day would be helpful. Specific treatment once the diagnosis is made"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon.  I am a female who will be 31 in July, I am not on any medication at. I weigh approx 13st 11 and try to exercise for 2-3hours weekly (running, badminton & tennis).  For about 6months I have experienced missed heart beats with a sudden strong heart beat, which makes me breathe in deeper and feel a little light headed at times. I can feel this in my chest. I have a pulse of 71 - 80 BPM with a missed heart beat about 4-6 times per minute at rest and a pulse of 146-152 BPM with a missed heart beat of 8-14 times after an hour of tennis.  I only have coffee in a morning (1 - 2 cups), I eat regular fruit and vegetables, I take vitamin suppliments and have take aways probably once a month. I dont like salt so try not to eat processed foods and never add salt to my food/cooking. Most of the foods we eat consist of pasta, bread & rice (all carbs!!) but include fish, veg, red meat & white meat There is no apparent reason for the missed beats, they are all the time, in bed, watching tv, at work, in the bath, driving, walking, excercising etc. It is frustrating and a little worrying to say the least Is this normal or should I see my GP? thank youNicola Lee", "output": "Dear Nicola Lee, From your description it seems you have extrasystolies, it is a specific type of arrhythmia, when heart contracts prematurely from time to time. It can observe in young people without any pathology. If the amount of extrasystolies us less than 1000 a day, then nothing to worry. If it is more than 8000 a day, there is a need for treatment. Between 1000-8000 is a gray zone, and if there is a need for treatment, decided individually. I would advise you to see your doctor to perform a holder monitoring, which is a test, when you wear a small device, which registers 24 hour ECG, so the amount of extrasystolies will be known for a day. Take fearsome back if you have any further questions"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling weakness in my limbs and my hearing has diminished a lot. Can you tell me what's wrong with me? ", "output": "Based on your symptoms, it is likely that you have a meningioma. This is a type of tumor that develops in the brain and can cause nerve damage, including weakness and diminished hearing. We will need to do some imaging tests to confirm the diagnosis and discuss treatment options."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have numb ness in left bottom of my leg sore to touch pain Most times I have had a scan recently they say there were no signs of any problems I take simvastatin and I have seen the things that can happen and a lot of these are in my leg I m worried I want stop taking them please advise thanks sue", "output": "Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised. As the numbness is a classical symptom of impingement of the nerve in the lumbar spine, a thorough neuromuscular assessment will be of help to come closer to the symptoms. Also, an MRI of lumbar spine will assist us in coming closer to the diagnosis. Post which, with simple medication and physical therapy you will respond well, and the symptoms will subside. Physical therapist will assist you in regaining the strength in the muscle and regain the functionality. For detailed suggestion/queries/inputs/rehabilitation plan - contact me and I will be happy to help you. RegardsJay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Namaskaar Dear Doctor, my sister is suffering from Juvenile myoclonic epilepsy (JME), taking alopathy treatment for about 12 years. Well controlled but not cured. I am looking for homepathy treatment for cure. Could you please guide us. Thanks in advance.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Juvenile myoclonic epilepsy is a problem in brain. We can Control the fits. We cannot totally cure it. If you are looking at Homeopathy treatment, you can consult Homeopathy Doctors Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR DR. I AHVE BEEN SUFFERING FROM NASAL,SNEEZING ALLERGY FOR QUITE SOME TIME ,HAVE TAKE LONG COURSES OF MEDISCINES LIKE EBAST,AVIL.BUT THIER EFFECT HAD STARTED FADING,NOW A DAILY DOSE OF PIRITON SYRUP IS PRETTY HELLPFUL.CAN I TAKE IT IN THE LONG RUN? IS PIRITON SAFE OR PIRITON CS IS BETTER?", "output": "HI, thanks for using Chat Doctor The symptoms of sneezing and other nasal symptoms are in keeping with allergic rhinosinusitis which is inflammation of the nose and sinus passages. It would be in response to particular allergens, if your exposure to these can be reduced or eliminated, it would help reduce your symptoms. In terms of the portion, which is an anti histamine, you can continue to use it for as long as needed. There are also non Chat Doctor. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hammer hit me in my right pelvis area where I imagine my ovarie to be ... I have been married 2 years and no luck getting pregnant how can I get this looked at. Can it make me not get pregnant? How much does it cost for in vitriol or to get my husbands sperm tested", "output": "HI, thanks for using Chat Doctor It is unlikely that this injury would have significantly affected your ability to conceive. There are different reasons for infertility. It can be due to male or female causes or due to a combination. In terms of your partner, you are right in assuming that he would need a semen analysis. The cost would vary according to one lab to the next. He can either consider speaking to his urologist, speaking to a lab directly to find out the cost. In terms of your investigations, your doctor would need to assess the different aspect of the reproductive system-the uterus, ovaries, tubes, cervixThis would involve both imaging and blood tests. You should consider visiting your gynecologist or a fertility specialist. Even if issues are found with either of you there are effective techniques available that may be able to help you conceive. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing a lot of pain in my hand and wrist, and I also have a lump on my finger. My leg is also swollen and I've been feeling some pain there as well.", "output": "It seems like you have a ganglion cyst, which is a non-cancerous lump that usually develops along the tendons or joints of your wrist or hand. It sometimes causes pain and can grow in size, causing pressure on nearby nerves. The swelling in your leg is likely unrelated to the cyst."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been on petogen for a year now after giving birth in march 2013. My last injection was scheduled for 07-05-2014 and i did not go. I have then had unprotected sex. Could i be pregnant? or is the contraceptive still in my system? How long will it stay in my system before i can fall preggies again? Best regards Lee", "output": "Hi Lee, How are you doing ? Petogen is a depot preparation, which is taken for duration as 1 yr may stay for 4-6 myths after stopping. But a better way to know if the hormone levels are normal is, if you get periods the hormones are normal. But this is not definitive, you can get pregnant even before you have periods. But after 3-4 myths of last injection the chances of pregnancy gradually increases & by 6 myths the hormone is mostly gone. Hope I have clarified your queries, do write back if anymore queries the best Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I injured my ribs (Upper left side under arm area) approx. 4 weeks ago. I assumed it was only a severe bruise, it had been feeling better, and I had been continuing to work out lightly with Cardio and some ab work, suddenly it feels as bad as it did when it happened. No x-rays taken, is it possible to pull or detach the muscle from the bone?", "output": "Hello, Rib fractures may not cause muscle detachment, but the movement of chest wall movement became paradoxical. So unable to maintain negative pressure in the rib cage lead to dyspnea or pain and delayed fusion, etc. The severity depends upon how many ribs fractured and how damage accrued.  So, please get it done chest X-ray, then consult your orthopedic he will examine and treat you accordingly. Hope I have answered your query.  Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor. I am on IUI and I am on the 6th day. It s my first. However something worries me. I have this sensitive feeling on my right side of my lower abdomen . Sometimes its very.sensitive till i have to walk super extra slow. It comes and goes. I wouldn t say pain but it s more of discomfort. And yesterday when i had sex with my husband, during me on top of him, i can feel a little bit of pain and discomfort on the same spot. Is there something i should worry about doctor?", "output": "Hi, Thanks for the query. It is normal to have some discomfort during intrauterine insemination. But to be sure of the situation, a proper physical evaluation would be required. If the pain and discomfort persist, you may have to undergo an ultrasonography of the abdomen to rule out any other abnormalities. So it is better to be examined by your doctor if the problem persists. Hope I have been of some help to you. If any further queries, please feel free to ask. Thank you. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i discovered a painfull lump near my bum a few days ago, I thought it was a pile, although I had no bleeding? That has gone down now and just feels a bit bruised. Ive noticed today a spot on my vagina thats red and sore today on the outer labia. It feels like a normal spot?", "output": "Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with inflammatory condition perianal region through some sort of infection.* Needs clinical confirmation with the examination.* Recommendations at present - Site bath (sitting in a tub filled with lukewarm water 5 minutes each session 3 times a day) - Assistance with antibiotics and anti-inflammatory agents after clinical assessment with your doctor. Hope this will clear your query. Welcome for further guidance. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the side effects of NexitoForte and Risdone for a patient of 75 years . He was operated for NPH and VP Shunt was installed about 5 months back . One month after the operation suddenly he became very uneasy and started to roll over in the bed . This drug was then started by the Neurologist . But now we are witnessing deteriorating changes in his behavior. Is there any chance that these changes are due to the side effects of these drugs.?", "output": "Welcome to Chat Doctor! I have gone through your question, and it says that your father is on next forte and risperidone. You have not mentioned the dosage of any of them. Next forte is safe in this age, except when thee is severe liver dysfunction, it has the least interaction with other medicines, but, may cause reduction in sodium levels, especially in old age. This happens more when there is already existing liver or kidney problems. One needs to get sodium and other electrolytes checked to see if that is causing disorientation/ other deteriorating symptoms. You should have mentioned the deteriorating symptoms, this would rally have helped in telling the possible cause... Risperidone is also usually safe in low dose, and actually an effective medicine. In some patients it may cause disorientation, delirium, and rigidity (tightening of limbs), increase in salivation and slurring of speech... So, whatever it is, please talk to his doctor, after evaluation and looking at the patient one can tell what is happening. I know it is troublesome, but sometimes even the right medicine may cause distress in few patients.  These Chat Doctor.  His doctor may go for some other safe and low potency medicine or education the dosage of these only. I hope your father gets well sooner free to ask more questions"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister phoned me yesterday, said she had breast cancer in one breast, she did not remember what kind it was but said it was not receptive to the usual hormone treatments and she was having a lumpectomy then six sessions of chemo.I had breast cancer 11 years ago, invasive lobular and had both my breast off, no chemo, but radiation.  My advice to her, at 75, to ask for both off, then there is no worry.  What kind of cancer do you think she has, basal. metaplastic or what kind if it does not resond to hormone treatment.  thank you for listening.", "output": "Hello and welcome to Chat Doctor, A A breast cancer which has to be treated with chemotherapy is a malignant for sure. However, a malignant tumor is not treated by lumpectomy. Mastectomy is the treatment for a malignant breast tumor. Chemotherapy is added in the treatment protocol if lymph nodes are involved by tumor metastasis. A breast which is not responsive to hormonal therapy is likely to be triple negative tumor or basal like tumor. Invasive lobular carcinoma tends to affect bilateral breasts thus in your case bilateral mastectomy was done. In your sisters case a minimum of unilateral mastectomy has to be done. Kindly, consult your doctor again for confirmation of the lesion-benign or malignant. Thanks and take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the DR. and complained that i felt like I was lossing my mind . Im have suver . Im having  a lot of memory loss proublems . I can be talking to someone the nexted thing I dont ever rememeber the talk ,go places not remember how I got there  . After going to bedmovements  Ill wake up and roll over and not remember who the man in my bed is ( my husband of 28 yrs ) . My DR. said I have Tardive Dyskinesia , I do have involuntargive  movement with face and hands . But i am more worried about my los of memroy .", "output": "Hi, Thank you for posting your query. Based on your symptoms, you could be having a mild cognitive impairment of early dementia. You require a detailed evaluation by a neurologist to determine the severity and the underlying causes. This would involve doing a brain scan such as MRI, EEG, blood tests such as vitamin B12 and thyroid profile. You would get better with treatment. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an mri which shows disc desiccation and scoliosis. need to know if scoliosis is the cause of my disc problems or is the disc problem due to scoliosis. I am a letter carrier (mail man) been on the job since 2005. Very labour intensive. The satchel is designed to distribute all the weight I carry on my back rather than on my shoulders. In 2003 i had an xray showed my lower back was normal. Are these present problems job related?", "output": "Hello, Due to your job profile, there will be an additional weakness of the muscles of the spinal column leading to compression over the disc which is in between the two vertebral bodies.  To avoid more compression the body had taken the new position of the spinal column leading to scoliosis. At most times the disc which is situated in between the vertebral bodies loses the water content in that leading to reduced intervertebral disc place. I can say this is functional scoliosis and needs a correction to avoid more trouble to the intervertebral disc. The first thing to do is meeting up an orthopedist to get it physically examined, and also an MRI will be advised. Later taking medication for pain will be recommended.  Also, physical therapy will be helpful to correct functional scoliosis and also improving muscle strength with some exercise of correcting the spinal column. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a fever for a week now, I feel tired all the time, and I have no appetite.  I went to my doctors on monday and they gave me  Azithromycin and tomorrow is my last day of taking it, but its not helping at all so far. Do you have any ideas of what I might have or what I should do? my fever is between 99 and 102.5", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever, tiredness with lack of appetite which is due to viral infection which is lowering down your immunity and making you prone for infection. I would suggest you to apply wet cold sheets on your head to lower down body temperature. Avoid hot, spicy and sharp food substances. You should take combination of antiviral Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 8 years old, swims on a swim team and practices 3 times weekly. I m assuming the soreness in her nipples she is experiencing is because of the chloring, however, if you press on the nipple area I feel a few bumps around the areola part. Is this anything to be considered about?", "output": "Hi, Few modularity or bumpiness is normal under areola and indicates glandular tissue. You need not worry if it is not painful/tender and no any discharge. Nipple soreness is probably unrelated, and as you mentioned, may be from some irritants. Just keep the area clean and Chat Doctor.  Local antibiotic creams like juridic acid can prevent secondary infection. Hope I have answered your query. Let me know if I can assist you further. Take care "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I was wondering why I feel like I have on drive at all and that I feel before I start that Im going to mess up and fail when it comes to being passionate with my girlfriend. I love her alot but this has been a big problem and I get depressed over it and its been a never ending cycle. I get depressed about failing.", "output": "His understand your concern. Depression due to emotional stress called reactive depression. Mostly need to evaluate all symptoms of depression. It can be treated with anti-depressant Chat Doctor.  Reactive depression can be treated with supportive psychotherapy. CBT means cognitive behavior therapy now days choice in depression. Before any treatment you have to do proper consultation with psychiatrist for detail evaluation. So consult and get help. I hope I have answered your question. Still if you have a query then feel free to ask. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My last menstural period was 9/2/10 I had a positive pregnancy test at my OBGYN s office. On Sunday 10/10/10 I was having some spotting. On Monday 10/11/10 I noticed a few small clots so I called my doctor. She referred me to the ER . At the ER I had an ultrasound done which showed a fertilized egg inmplanted in the uterus which was estimated to be approximately 4 weeks old. I was told it was too soon to see a heart beat. My ChatDoctor level on 10/8/10 was 192.61 On 10/11/10 it was 322.28 and on 10/13/10 it was 356.75. I m afraid I m having a miscarriage. Is it ever ok for the ChatDoctor levels to rise so slowly?", "output": "Hello, and I hope I can help you today. In a normal pregnancy, the Chat Doctor value is supposed to double every 48-72 hours.  Furthermore, in a normal pregnancy, a Chat Doctor level for a 4-5 week pregnancy is in the thousands, not Hun Chat Doctor. So I am very sorry to inform you that is really is not likely you have a normal pregnancy that will ever develop a heartbeat.  If you had an ultrasound that confirms this pregnancy is in your uterus (an ectopic or tubal pregnancy can also cause bleeding and inappropriately rising Chat Doctor) you already likely already miscarried, meaning that the part of the pregnancy that develops into a fetus has stopped developing or died.  The tissue that supports the pregnancy can continue to secrete Chat Doctor, so your levels may continue to rise until you pass the pregnancy completely or have treatment by your doctor (medical or surgical) to remove the remainder of the pregnancy. Unfortunately, one in ten pregnancies will end in miscarriage (this increases to one in seven if you are over 35 years old and one in five if you're over 40).  There is nothing that can be done to prevent a miscarriage if the pregnancy is not developing normally, so be"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In my groin area my lymph nodes r very visible to touch,they are always pulsating and can be sore to touch.I have always sore legs and can feel very heavy at al times throughout the day. My work is very heavy on the body but was fine in the first year of job then took a sore back from lifting about 150,, 50-75kg bags al day everyday,stacking them on top of each other to make room and wheel away often. My neck is constantly sore and bait swollen near the throat area which makes me very horse in the mornings. I ve now developed migraines which makes me vomit and not hungry for the rest of the day. My hands sweat from time to time wen doing nothing like resting. It s al stated on the same week I took a flight home from Spain. This was in October but im no better now.", "output": "Hi, The visible pulsating lumps may not be lymph node. Given the fact that your job is very demanding and involves lifting heavy weights, you are at risk of developing hernias. A pulsating mass around the groin area may not be a lymph node, rather, an inguinal hernia. I will however suggest you see the doctor for examination as only a physical examination by the doctor may help say if they are lymph nodes or inguinal hernia. I will also suggest you see the doctor to examine your neck and throat and if need be, a thyroid function test and an infectious work (full blood count, ESR, typhoid test, malaria test) may be requested. These may help explain the other symptoms you are feeling. Paracetamol may help control your migraines while preparing to see the doctor. Hope this will help. Let me know if I can assist you further. Wish you good health!"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slammed my thumb with a large safe door at work yesterday. Went to a doctor and had xrays done. Nothing is broken but I do have blood pooling under the nail. Since my doctor visit yesterday at 9 am and today 3pm the blood has increased from a third of my nail to the whole thing and now the pad of my thumb has a swollen pressure and a slight numb pain. I can live with the pain but my brain is making up worst case possibilities like: I damaged part of my thumb ans the pressure is cutting off circulation to the tip and they will need to amputate. Is this just pressure from the blood behind my nail? If I don t have a hole poked into the nail what is the worst that could happen? I already know I will lose my nail.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that you will lose your nail. But pressure from blood in the close compartment can cause gangrene. I advise you should visit nearby doctor and get your self Chat Doctor.  Usually gangrene won't appears in all cases. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Back pain mild at start, left lower flank, a few days later post heat pad, red almost burn appearance, stiff back (?secondary to lack of movement last few days), current multiple papules X 2, prior to papules, skin sensitive to touch, burning sensation post appearance itchy", "output": "Cellophane you for trusting ChatDoctorHow old are you?? Are you diabetic or hypertensive?? Dear it may be due to herpes zoster or Tania corporal infection may cause rash or burning sensation.Sometimes spondylosis witChatDoctorpressive neuropathy may cause pain to particular area. Use tab.icicle MR twice a day for five days. Please consult your doctor he will examine and treat you accordingly. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. m 22 years old.. I hav this certain lower right abdominal pain for a week now.. I had my last period start on 12 Jan and ended 18 th then I got some discharge which was not a normal period but brown in color it started on 28 th and tendency on 30 .. please help as am now having this lower right abdominal pain whicChatDoctores and goes.. I have not got my periods yet..", "output": "Hi and thanks for the question, the commonest cause of absence of periods or amenorrhea in females of reproductive age is a pregnancy. If you have had at risk sexual intercourse within the period, it shall be worth doing a pregnancy. This shall be important in eliminating other differential diagnosis like an ectopic pregnancy. Brown vaginal discharge on its own could be some rare menses, which i common in females of your age, or as you describe, due may be fowl smelling nature might need further investigations.  A vaginal swab with direct microscopy, culture and sensitivity tests shall be important in diagnosis given causative agents and possible antibiotics that might eliminate them. Right lower abdominal pain could arise from gynecologic as well as non-gynecologic causes. An ectopic pregnancy, ruptured ovarian cyst or appendicitis are commonly found diseases that need to be eliminated in the firs place. Doing an abdominal ultrasound shall be a key tools to put things together. I suggest you book an appointment with the gynecologist for a proper evaluation, clarification and Chat Doctor.  Avoiding unprotected sex during this period, if you are sexually active, could be crucial in preventing sexually transmitted infections, in case found to be transmitted to or from a partner. Couple consultations in such cases might be the ideal situation. Thanks as I wish you the best of health, Luchuo, MD."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lost interest in damn near everything, except my wife. After 30 years of marriage it remains solid, in fact we have become alot closer in recent months. I used to love sports, now I really don t care that much. Travel, I have no interest in and my drive to succeed at work seems to be tempered. What is going on...no interets? That s just not me", "output": "Hello Gentleman! It's wonderful to hear that you admit all your Chat Doctor. Our basal metabolic rate slows down, so our body needs less food, digests slowly, feels tired soon and always wants limited activity. I suggest you to go for a wellness health package to check your BP, sugars, heart screen and all the relevant investigations for a whole body check. If everything is in place and doing good, you only need the guidance of an instructor either moral or physical to kick start your activities again but in moderation as suited to your age. Do not forget to include your wife in everything!"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,             I am writing this for behalf my brother. He is suffering from the dust allergy since last 3 months, we have taken him to a allergy doctor in our city, and he has prescribed him medicines for 3 months. But after the course, again it is started. So can you please tell me the remedy for his dust allergy and can you please suggest a good dust allergy doctor in Bangalore ?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for your brother:1. I would suggest your brother allergy testing which will help him identify the substances causing symptoms to him and also to know the measures to avoid them. Based on the allergy testing, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which gradually improve allergy symptoms by working on immune system.2. At present, I would suggest him regularly montelukast and levocetirizine on daily basis.3. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution. Allergies is a big problem in Bangalore because of air pollution. There are many Allergist-Immunologist in Bangalore. You may consult any of them who is easy to approach with convenient location. There are some institutes like AIMS who have many Allergists-Immunologists with a department of Allergy-Immunology. Hope above suggestions will be helpful to your brother. Should you have any further query, please feel free to ask at Chat Doctor. Wish him the best of the health. Thank you & Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was just released from the hospital after a blackout. I have severe MVP and so, even medicated, these are pretty frequent. My concern is that right after I came to, my face and limbs were numb and tingly . Its gone for the most part, but my right arm is still pretty near useless. Its difficult to move my fingers and it feels asleep . I landed on my left side when I went down and the hospital provided no answers.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your fingers numbness and tingling can be any pressure of nerves in the neck. You are advised to go for MRI of cervical spine. You can also go for echocardiogram for circulation issues. What is your BP. Mecobalamin can be useful in treatment of tingling and numbness. Analgesic such as ibuprofen is useful in pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So last year I notice a mass on my last rib on my left side. I m older, this hasn t been the case. I don t remember breaking it, but who knows. But I already had cancer. So I go to the doc and have a scan. We don t know what it is says doc, but it isn t cancer. We can have it removed if it gets bigger or causes discomfort. Not being a surgery buff, I decide no to the knife. Recently I had to take care of my ailing nonegenarian father. To my amazement, both of his lowest ribs are protruding and disfigured as if mass has grown on them. I ask the nurses and they said they had not seen this before. I know he also didn t have that in youth. We were avid swimmers with large lung capacities. So, is this anything? Since my father was in his nineties, I am not as scared about it as before. Any clues?", "output": "Hello friend, I am a Homeopath and agree with your decision not to thrust a knife on your chest. The tumor on your rib is a defense mechanism of your body attempting to resolve a conflict. The tendency to develop tumors on the body is genetically determined and can be caused now by some conflicts. This is proved by the presence of similar growth on the chest of your father. Once you get worried about them, they become more prominent and start troubling you. As long as you know very well what exactly stimulated the body to develop the tumor, you can mentally resolve the issue. Along with that my advice is to consult an expert Homeopath who can take your case in detail and find suitable remedies. This will regress the onward development of the tumor and will mentally and physically give health and comfort. With best wishes for a better health status,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im a married women 27 yrs old. Me n my husband are working couples n we are trying for a baby now. It has been 3-4 months we are TTC. We both had medical examination n everything seems to be normal. Would like to have some tips for how to improve the chances to be pregnant.", "output": "Hi, I think if everything is fine, you can try naturally for 6 months more. Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  If it doesn't work, then you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Also do a tubal patency test. Discuss with your doctor regarding this.  Hope I have answered your question. Regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I have some kind of infection in the anal area. There is a small growth of an extra flesh near the anus and when i touch that area i feel few small are coming up. I am very tensed regarding the same. What can it be and what should i do about it?", "output": "Helots type of flesh or bump near the anus may be :1 Hemorrhoids, as this is most common in any age group. Diagnosis can be confirmed by physical examination by a surgeon.2 Fissure in anus is another most common cause of such type flesh with mucus presence.3 Frunculosis, in this patient feel some pain in this type of bump or mass of flesh. In any condition, this is not a serious condition and not a cause of concern. But consultation with a surgeon is important so that exact diagnosis can be established. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter is 4 months old and shes had diarrhea for almost a week now and her doctor told me theres nothing i can do to stop it but to just give her Pedialyte and i have been doing that but its not working. is there something else i could do to stop the diarrhea?", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better.  Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry.  There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI Conclusion: 1. Small (approximately 1.5cm) are of subcortical gliosis involving the left superior parietal lobule most likely from remote infarction. 2. Several scattered punctate foci of increased T2 and FLAIR weighted signal typical of early chronic small vessel ischemic disease. What does this mean? Thank you in advance for your help.", "output": "Dear patient your MRI is of Brain region and not spine. Human brain is divided into four lobes and parietal lobe is one of them. Your report suggests old infarct in parietal area and subsequent fibrosis in same area. There are also multiple small infarct of recent origin which might be because of pathology in small brain vessels. What is your age? Always mention age and complaints. I would advise visit to neurologist for further management. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I breathe deeply, my lungs feel itchy , like they can t expand fully enough, but I don t cough. I m not sick and I don t have asthma to the best of my knowledge, at least no one ever diagnosed me with it. It borderline feels like I am ready to cough but I never do. I am not congested. I get the same thing when I eat ice cream, my lungs close up and feel tight and I want to cough. What is that from? That itchy sensation is annoying. I have a pulse ox for my dad and took a reading, says 97 so that s okay.", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. If both of the above are normal than no need to worry. You may have cold induced bronchospasm, as you find trouble after eating ice cream. So ice cream being cold can induce bronchospasm and this spasm produce coughing. So better to avoid cold stuff."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had pain so bad while having sex with my husband we have had to stop. Been to doctors had pap smears, scans of ovaries, liver. The only result was my right ovary is deffinitely larger in size than my left. I have had this pain for 4 months now.I feel it constantlty in my abdominal area right where my right ovary is. I also experience pain , sharp , under my right rib too, Please help with any information as to what else it may be?", "output": "Hi. Thanks for your query. A simple test of such a pain is :::An examination by the Gynecologist.- on manual per-vaginal examination ID the pain is elicited the Gynecologist can definitely tell whether this is the right ovary or something else. The pain under the rib can be a referred one or can have local problems like costo-chon Chat Doctor.  A CT scan can help to find or rule out other causes of dyspareunia- painful sex. Occasionally this can have a stress or fear or some psychological problem if there is no organic lesion found. Sometimes a diagnostic Laparoscopy can help to find and treat the cause."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to donate my kidney to my friend who last night was sent to the hospital for kidney failure they said he needs a transplant as soon as possible, i have the same blood type but it hasnt been a month since i have smoked. i smoked three nights ago. im 19 years old 5 foot 7 and im healthy. so is it ok to be  a smoking kidney donor", "output": "Hi & Welcome to Chat Doctor. I appreciate your generosity and gesture towards your friend. You will not be considered as an eligible donor unless you stop smoking for at least 8 weeks prior to donating the kidney. This is because there are many known health risks from smoking1. It can cause potentially life-threatening respiratory complications during or immediately after anesthesia. 2. It may also increase the risk of developing blood clots in the leg veins which can break loose, travel to the lungs and potentially cause death.  3. Furthermore, it causes increased mucus production and a decreased ability to clear the lungs which can lead to pneumonia. 4. Furthermore, it causes decreased wound healing.  To be eligible you must quit smoking first and after 8 weeks you can donate the kidney to your friend after getting the pre-operative medical fitness. Since smoking is associate with a number of diseases of the heart and the lungs and various cancers so, it's better to quit smoking ASAP. Hope I could answer your query."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my partner has taken around 10 pregnancy tests on around three qauters of them there has been white lines appear in the test zone within 3 minutes averagely about 5 of them have had pink dots within the test zone pretty sure thats where the test line appears we first had sex 2 weeks exact ago on the 30th oct and she had the implant in two weeks exact and last tuesday 5th she had it taken out she was told from the moment it came out shes fertile and we had sex both the tuesday 5th and the next day 6th could she be pregnant", "output": "Hello, In the current scenario, a definite conclusion can be arrived at through estimation of serum beta-ChatDoctor titles. Urine pregnancy tests can give a positive result about 3 weeks after conception when done with a fresh early morning sample. So many inconclusive tests mean that the testing is early and inappropriate. You can also get a trans-vaginal sonogram about 3 weeks after ovulation to clarify the issue. The blood test will clarify the issue and further help can be had from your consultant. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a grandma that had a stomach cancer removal about 4 years ago. But just recently she had a horrible high fever and red spot start to appear all over her body. Does anyone know what is happening or what might be happening to her? Thank you for your help.", "output": "Hi, dairy have gone through your question. I can understand your concern.  The has history of stomach cancer.  However, she might have some infection.  Her platelet count may be low, and it leads to red spots.  She should go for complete blood count with platelet count.  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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I've been experiencing sharp chest pain along with back pain and upper abdominal pain. I also have a history of abusing alcohol. Do you have any idea what could be causing these symptoms?", "output": "Based on your symptoms and history of alcohol abuse, it is possible that you are suffering from acute pancreatitis."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife 60 year old complaining of head reeling sensation since last night. She does not have BP or diabetics. She has dust allergy and took Claritol 10 mg dose one per day last 2 days. The reeling sensation occurs when the head is turned sideways. Please advise. Thanks, Umamaheswara Rao", "output": "Hello, The description you present sounds somewhat similar to what someone might complain of who had BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPP).  This is when the movement of the HEAD whether by itself entirely or as it changes along with body posture from lying to standing or sitting.  This condition can be treated using BRANDT-DAROFF exercises which train the brain to not pay so much attention to these head movements that can make the person feel \"dizzy\" or as if they were in movement.  There are YouTube videos that give the STEP-BY-STEP instructions on how to produce this maneuver which will help immensely with your symptoms if in fact you can see a neurologist or ENT specialist who can test you for BPPV. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 18 years old boy. I was having dengue fever and had deschargedfrom hospital on 21st Nov.10. When I eat  non-veg, my full body startsitching. What should I do? Is it because of any infection or cold winter?I was treated at Godrej Hospital, Mumbai.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions:1. Were I treating you, I would prescribe you an antihistamine like levocetirizine or HY Chat Doctor. 2. I would suggest you allergy testing for the foods that you react to. I would suggest you to avoid those particular foods for at least 3-6 months followed by \"trying\" small amounts of food to know whether you still react. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our baby is 18 months old. He is suffering from cold regularly and his weight is now 9.5 kg.What should we do? Doctor has advised us to  give him Zerolac instead of cowmilk as he was suffering from diarrhea last march. What is the alternate option of Zerolac? How much we have to continue???", "output": "Hi, I'm Chat Doctor. 5 kg weight for 18 months child is slightly on lower side. Apart from weight growth and activities of child are also important. If baby is active and gaining weight regularly (although a bit on lower side), it is not much reason for concern. Try to give him frequent and energy dense foods to help gain weight. Zerolac was started in March. Is he still having diarrhea? Zero lac is used for lactose intolerance, most cases of which are transient in nature secondary to temporary lactase deficiency post prolonged diarrhea, I do not see any reason to continue it for such a long time unless there is permanent lactase deficiency. If we are considering cows milk allergy or intolerance than also 6 months have passed and a trial of normal milk diet can be given after discussing your doctor. 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. Take care. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was suffering from loose motions, fever and vomiting since past 2 days. Doctor advised Rinifol z, calpol and ofm. The fever and vomiting have stopped but loose motions are severe. Please advise whether i can give her sporlac that i have in sachets with water", "output": "Thanks for asking question, Your daughter suffered from loose motions, fever and vomiting, in which fever and vomiting stopped, Generally loose motions took longer time to control then fever and vomiting, you asked to add sporran in above mention treatment. The Minimal z contains the Chat Doctor.  So there is no advantage to add sporran in above-mentioned treatment. Loose will decrease in one or two days. nothing to worry.  Give curd if daughter age is more than 6 months. Whishes healthy family thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello: I am a 69 year old female who attends weekly zumba classes. Last week after class my heart rate remained at 140 for 45 minutes after class ended. Is this something that should concern me? I have recently seen my cardiologist for an annual. No heart problems other than a murmur.", "output": "Hello, It is normal due to sympathetic stimulation while doing cardio. But an exertion and increased heart rate need increased blood and oxygen supply to the heart. In the elderly, the cardiorespiratory reserve is less, so it might be dangerous. Do it supervise and as per instructions of your cardiologist. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am suffering from asthma. Ive already consulted a physician about this. She just nebulized me, gave an antiallergies and nothing follows. What I want is a drug that will permanently disable my asthma. Ive got this thing a year ago. I have no records of asthma during my childhood days. Thanks", "output": "Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages)2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics can arise if there is a secondary infection.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. As the condition is related to hyper-sensitivity of your immune response, it can only be managed symptomatically. Complete cure will need complete shut down of your immune mechanism, which will make you prone for severe life-threatening secondary infections. So, kindly continue the medications as prescribed by your treating Doctor. Wishing you a good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Doctror.My name is Ula, I have malrotated right kidney with squeezed ureters.  Unfortunately every week i get an UTI which causes massive pain and swelling on my right side, besides a blood goes with my urine. I got from the doctor medication which suppose stop the pain. However those stop work. Could you just tell me if there would be a chance of having a surgery and if so, could you tell me how this treatment would look like. Is there any types of different treatments for this disease ?", "output": "Hi and thanks for the query, I must say that this malformation shall certainly deserve surgery. Surgery today, especially planned endoscopic surgery is very less invasive and effective. Especially when carried out by an experienced urologist. It is very appropriate to take your Chat Doctor.  The malformation that you clearly spell out describe the high frequency of Otis. With surgery, these infections are certainly bound to decrease. The pain medication is due to excessive contraction of ureters. Definitive treatment as earlier mentioned is surgical. Success rate with this surgery are high, and I shall advise you to accept the surgery, especially in a good center with an experienced urologist. Best regards, Luchuo, MD."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok my back has been hurting for 3 days now and it burns when i urinate i am 21 im 5 5 and im prone to kidney infetions i have been in and out of the hospital since i was 13 with kidney infections and kidney stones", "output": "Dear Jersey, you symptoms suggest a possibility of an unitary tract infection. It is possible that you can have a stone but not necessarily. You have not specified whether you are a male or female. As there are precautions that you can take to prevent UTI from happening repeatedly. Are you a diabetic? After getting you present condition investigated with urine examination and an ultrasound abdomen and treated you should discuss with your doctor possible medication and measures to prevent this infection from recurring again. I wish you all the best. Warm regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got out of the hospital , I got a knee replacemnt ,ive developed a small infection and the doctor put me on amoxicillian and im very worried that it will cause me to develop a yesat infection, how many yogurts do i need to consume to avoid this?", "output": "Hello, Thanks for your query. After going through your query I came to know that you got infection after knee replacement. This infection IIS not related to how many yogurts do you consume. Now continue with amoxicillin and advise of your doctor. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have undergone urodynamics test a year back and and it was found i was having low bladder sensations. Subsequently , uroflow test was performed which showed a poor flow rate. I am having this problem for the past 3 years. Also, i am not getting early morning erections. When i masturbate i get an erection but ejaculate within a short time. I have undergone MRI of spine(3 times) and brain(1 time) which showed normal results. I also have undergone several blood tests which all showed normal results. i had Vitamin B12 and Vitamin D3 deficiency. I am 29 years old and am unable to take a decision on my marriage. Could you please provide your suggestion. Thanks XYZ", "output": "Hi, If your MRI was done thrice, and it was normal on all three occasions, you might have to get some other tests performed. There are neurologists who check for nerve conduction defects. Sometimes these are useful in such a clinical scenario. We should ideally not think of your two problems (poor erections and bladder muscle weakness) as separate entities and should check if one solution will help both problems. There are other investigations which can also be performed. These include a penile Doppler to test vascularity of your phallus. You can also be tried with medications like alpha-blockers to see if urine flow improves, and if required also add medication to improve bladder muscle tone which unfortunately is not very often successful. Hope I have been able to help you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with PD two months ago and the doctor prescribed requip. I increased the dosage every week and now Iam now taking 6mg daily. My question is that I take the 6mg in the morning, the requip does not start working until mid afternoon. should I increase the requip or take it at different time? I should mention that Iam taking extend release requip", "output": "Hello, I think that the dose of the Equip extended-release should be increased since there's not a satisfactory control of the symptoms. The maximal dose is 24 mg/day, I think you should try with 8 mg/day initially. If still no correct control of symptoms, the dose may be increased to 12 mg/day after a couple of weeks. Discuss with your Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am currently on the depo provera and have been for nearly three years now. I get spotting a few days every three months which has happened since I started using this. I am going on holiday in a few days and feel like I might be due on but am unsure if I actually will as you can never tell on this! Can I start taking Norethisterone to stop this before it happens or will it make it potentially worse? Thanks", "output": "Hallow Dear, Depot proverb contains Progesterone. It is known to cause breakthrough bleeding. In such events, increasing a dose of Progesterone helps. Norethisterone is a Progestational preparation. So it will help you control the spotting. However, instead of taking it in advance, I would advise taking them only when you get spotting. Once the spotting stops, you may discontinue the pills. I hope this helps you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my wife is taking latetec 50 DT and frisium 10 mg for last 6 yearsnow i am seeing following changes in her behaviourabnormal thinking (disorientation or loss of sense of reality)    * agitation    * behavioural changes, including:          o aggressiveness          o bizarre behaviour          o decreased inhibition          o angry outburstsis there any serum test or some other test which can find out the content of these drugs in her bloodand what should we do to overcome her angry outburts", "output": "Hello and thanks for your query. Lametec and Frisian are antiepileptic medication. So, I presume that your wife is suffering from a seizure disorder. The recent symptoms which you have described could be indicative of psychotic disorder. However, a detailed history and psychological assessment are necessary to confirm the diagnosis. If her diagnosis of a psychotic disorder is confirmed, then she needs to be started on antipsychotic medication.I'm not sure why you would like to have the serum levels of these Chat Doctor. Best wishes."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I am experiencing vaginal discharge and back pain. ", "output": "These symptoms could be a sign of a threatened pregnancy."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help!", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. This is back pain probably for fiscal hernia or discuss that may need examinations such as MRI etc. In your condition since you do not have any insurance and can not do these examinations, I would recommend starting some exercises at home to strengthen your core muscle, back and abdominal. You can do these exercises in home and do not even need to go in gym. It will need at least 3 months to see and effect but stick with it. I wish you quick recovery."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND HAS PARKINSONS HEP C BLOOD DISORDER HIGH PLATTLETS. ADMITTED TO HOSPITAL WITH FEVER OF 103 2 NIGHTS AGO.BLOOD TEST UNREMARKABLE CT SCANS NORMAL wHAT IS A GOOD ALTERNATIVE TO KEPPRA?. .DR.WANTS TO TAKE HIM OFF KEPPRA.COULD THIS BE THE PROBLEM((fever). HE HAD SEPSIS 6 WEEKS AGO.CLEARED. ALSO HAD 4 TIMSE NORMAL PLATLETS.NOW NORMAL FROM MEDS ALSO HAD SEIZURE very complicated", "output": "Hello! Thank you for asking on Chat Doctor ! I understand your concern and would explain that high platelet number could be related to chronic inflammation. The sepsis could lead to high platelet count. From the other hand as he has fever, it is not the proper time to change his anti-epilepsy Chat Doctor.  I don't think that Kendra is related to high platelet number or sepsis. An infection could be the cause of his clinical situation. Coming to this point, I would recommend first treat the infection and the fever. After the fever is gone, you may discuss on the possible changes to his therapy. In this regard, Aborigine or Valproate would be a good treatment option. Hope you will find this answer helpful! Kind regards, "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner was told that he has a condyloma and I just had my pap smear done and everything came back negative. Does this mean that my partner does not have HPV? Or does it mean that I just havent caught it yet. If he is a carrier of it, what do I do now?", "output": "Hello only mentioned that your partner is having condyloid i.e. Human Papillomavirus (HPV) infections. You just got a pap smear, and it is negative. Now please read this, and you will get answer of your question. The clinical manifestations of HPV infection depend on the locations of the lesions & the type of virus. Now note down this very carefully. The incubation period is usually 3-4 months but can be as long as two (2) years (you didn't mention in the query since, how long you are in contact with your partner because your infection depend on the duration of the time). Now answer of 2nd question. A qua Chat Doctor. However, there is further detail study also present but due to limitation I recommend you please consider INCUBATION period and vaccines. For your partner get in anal scrapings show cytology evidence of HPV infection. Detection of HPV nucleic acid is the most specific and sensitive method of detection of HPV for your partner. Hope this information will be useful for you. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have very bad server kidney pains everyday i have had infection before ...i have dizzyness alot i blackout and have short tearms of memory loss...... i cant urinate correctly i have double vision and everytime i black out i want to collapse. please help me", "output": "Hi thanks for asking question Do you have hypertension??? As such symptoms and if slurred speech also present rule out stroke like condition and treated accordingly. If severe degree hypertension present then it can lead to nephrosclerosis like glomerulopathy. Urine examination may reveal proteinuria. Edema over body may present. So hypertension if present need be corrected. You might have chronic kidney infection like pyelonephritis or glomerulonephritis. Urine examination serves useful. If still needed biopsy can be taken. Blood culture report can be done with CBC examination also. If bacteremia present treated accordingly. If still condition worsen then according to physical examination further work up done. CT scan may be needed. Wish you good health. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i am on the implanon, i have had sex and i was on my period for a year and it stopped about 2 months ago and i had sex while on my period. i have been feeling weird and i had sex about 2-3 days ago and i had a sharp pain in my lower stomach and i throw up alot and i get really dizzy what could it be?", "output": "Hi. Irrespective of implant, there is a pain in lower abdomen on sex, this is called dyspareunia. The commonest causes are:SalpingitisPID-Pelvic inflammatory disease ovarian cancer, cyst, or problemsappendicitis.TO Mass and so on. I would advise you to get your ultrasonography first. Get blood, urine and stool tests an opinion examination by a Gynecologist. The diagnosis will help you to get a proper treatment."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 21 weeks pregnant and having problems with my right bottom wisdom tooth is giving me lockjaw problems and it really hurts I took some tylenol but that doesnt work I brush my teeth all throughout the day to make the pain stop. What can possible help me through this pain till after I have my baby to have oral surgery?", "output": "Hi, welcome to ChatDoctorAs per your query, you are 5 months 1 week pregnant, that means your you are going through 2nd trimester and second trimester is considered to be safe for treatment. For your wisdom tooth, meanwhile you can do warm saline gargle which will open your mouth and relief from infection also and can take Cronin as it is considered to be safe.2nd trimester is safe and for that you can get your IOWA x-ray/ OPG X-ray done which will tell you the position of your tooth and according to the report, you can proceed with the treatment. Thank you"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 39 year old female. I am not pregnant. I have crohn s disease. I also have high blood pressure. I was on remicade for my disease until 10 weeks ago when I started having complications with it which I was on it for over 3 years so its to to be expected. However for the last two weeks my head has been feeling really dizzy. I also keep getting headaches. The headaches are not constant but the dizziness is and sometimes it feels like there is pressure on the top of my head. I just started taking entyvio for the crohns but my first dose was last Thursday, so I know that s not the problem. My question is though could the remicaid along with the steroids that they were giving me at the time be causing the dizziness and the headaches especially since we had to just stop it or could there be something worse going on? I m supposed to do an MRI but were waiting on the insurance company to give the ok. It s just this dizziness keeps getting worse and I was just wondering if anyone has any ideas on what might be causing it? Thank you Sincerely Darlene Emmett", "output": "Hi, Headache and dizziness may not be due to Remade or a steroid, but it can be due to a migraine. The condition can be managed with Ergot amine or Carbamazepine before you go for an MRI. If headaches and dizziness are still there then an MRI can be considered. Till then, it can be managed as a migraine headache. It is a kind of functional disorders and not the pathology of any kind. Certain precipitating factors are there which can be responsible for a headache, like psychological disturbances, stress, anxiety and sometimes diet too (spicy, fried, high-calorie diet). Hope I have answered your query, let me know for further assistance."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As per Dr Sreekanth Raghavan:3.00mm subaortic vsd seen in my baby s heart.I am 25week primigravida with subaortic vsd in baby s heart.Apart from this every thing has found normal in ultra sonography DR. Comment: Infant s growth if continues appropriate to gestational gae will have a good prognosis.possibility of VSD closure requirement is high My Query: if any medication require during another three month. What are the preventive care I can take so that this may recover during my pregnancy.Thanks,Indrani(0000)Bangalore", "output": "Hi there,VSD means ventricular septal defect, it is a defect in the wall between the two chambers of the heart, which pumped the blood. This is a birth defect, and it is something that will be present at birth, and there is at present, no medicine that you can take during pregnancy that can correct this. But do not get very anxious as most heart defects are correctable after birth with the help of pediatric cardiologist and care. Just make sure you deliver in a center equipped with good neonatology facilities and make the neonatologist aware of this condition and advise his presence at birth. Around 1% of all babies are born with heart defects and most of them are correctable. You will 4 weekly ultrasound and fetal 2D echo during pregnancy to know the size and progress of the VSD. Hope this helps. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend has had molluscum for about four months. Not knowing what these bumps were and assuming it was just a rash since there were no strange symptoms, we had unfortunately been actively having sex since then. We just found out very recently that he has molluscum. I do not have any visible bumps on my own body and am surprised that I have not developed anything since. Is it possible that I either 1) have some sort of immunity against it or 2) that I have this virus in my body dormant as a carrier and somehow passed this on to him through sexual intercourse? Also, what are the best ways to treat this virus? And are there any ways that we can continue to have sex while he is going through treatment (although that is not my primary concern)?", "output": "Hello, Welcome to Chat Doctor, Molliscum contagious is a viral skin disease which is contagious and can spread to other areas. Isolated lesions can be expressed or removed by minor procedure. Topical treatment includes imiquimod cream or retinoid cream application on those lesions will cure the problem. As you are aware that it is a viral infection, and it will subside by itself in few months to years, it is true, but there are some remedies which helps to control the infection and fate the recovery. But they do have some side effects 1. Freezing the growth of molluscan. 2. Curettage of the fluid from the lesion, but it is painful and may leave scar. 3. Application of creams like podophyllin, retinoid, and cantharidin, Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have no stomach and have hemocromatois,I am tired all the time. My D 17 is very low. My bone marrow is not making mature red cells , my iron binding capac 195,wbc 4.17,rbc 3.60, hct 34,hgb 11,ferritin 98, iron 79,% iron saturation 41. They have done a phlebotomy on me but it made me more anemic. They want to do another blood test and a possible phlebotomy on me the end of july. There has to be something I can do .", "output": "Hi, dairy have gone through your question. I can understand your concern. You should confirm the diagnosis of hemochromatosis. If you have not gone through liver biopsy then go for it. No need to do phlebotomy with anemia. Consult your doctor and take treatment of anemia. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The night before last I lifted my bed so I could wash the cover. Then lifted it again to put the cover back on. I woke up yesterday just fine, but woke up this morning in unbearable pain. I need to be pulled up just to sit up.it hurts completely around my body, chest, back, and under arms. I have taken 2000 mgs of Advil and been in bed all day. It actually hurts to take a deep breath. Should I wait a few days and see how I feel or should I get to an ed for an x ray to see if I tore some tendons", "output": "Hi, In my opinion, no need to urgently go to emergency room. Possibility of musculoskeletal pain due to over straining is more likely. Do following things for better symptomatic relief.1. Take painkiller and muscle relaxant Chat Doctor. 2. Sit with proper back support.3. Avoid sudden jerky movements of back and chest.4. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these in 1 week, if not improving then get done chest X-ray to rule out internal injury. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr.,my mom is diabectic on insullin and 4 blood pressure pills ,on diladid for pain for spinal cord,theses medicines have been used for years with the exception of the diliadid for pain ,shes been on every pain killer there is almost and still has chronic pain ,however the question is ,...lately she has this terrible foul odor thats unbearable coming from her skin...whats going on ?please tell me where to start,its breaking my heart...", "output": "Hi. Thanks for the query. Well, medications can be a cause for bad body odor as well as uncontrolled diabetes causing ketoacidosis can also cause bad smell from breath and even body. Certain other causes like poor maintenance of hygiene, thyroid disorders and liver or kidney disorders can be a cause. So she needs a thorough evaluation for confirmation of the underlying cause so that appropriate treatment can be done. For now, she should maintain a good body hygiene, use aromatic oils and soaps for bathing, and also she can use deodorants for masking bad smell. Hope this helps. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have got severe pain in my kneee and feet area. i am 24 years old, height 5feet 1 inch, weight 82kgs... i am on medicine phytolacca berry for weight loss... Dr has given me medicines Etody, Medrolm,corcium k2 for my leg pain........ i want to consult am i on right track?", "output": "Hi, You need to lose weight with a good diet plan and professionally guided exercises preferably by a physiotherapist so that knees shouldn't be strained. You have high BMI and that's one reason for early signs of knees however it's better to get X-rays and get orthopedic surgeon review and start OTC analgesics like acetaminophen or Ibuprofen along with supplements for calcium Vitamin D3 and assign mineral complex. Hope I have answered your question. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after eating mixed vegetable of Capsicum and paneer, my son got pain in throat , unable to drink smoothly, continuously coughing, doc says it was allergy . Today again it pop-up. We are confused. He had Wysolone, and Histac (150 mg) and inj Effcoulin 100 mg, why should allergy attacked second time within 24 hrs after showing sign of improvement? pl advice next steps..thx Rajendra", "output": "Hello dear. All these symptoms indicate that your son might be having Pharyngitis. Management includes: 1. Gargle with warm salt water to relieve throat pain. 2. Analgesics like paracetamol 3. Antibiotics (if bacterial infection is suspected) 4. Antihistamine preparations can also be used to provide symptomatic relief. So...it will be better to consult an ENT specialist & start treatment as advised. Meanwhile...make sure that your son avoids cold food & Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 66 yrs old, a diabetic, overweight and I have been suffering from shortness of breath for about a month. It has been getting a little worse each week. I am scheduled Aug 23 for an echo test. Should I request testing sooner or a different test? Thank you", "output": "Hi.  Shortness of breath in diabetics may be a sign of heart disease.  If it is new and getting worse, it requires urgent attention.  Your physician will probably order a chest X-ray, EKG, and blood work.  Possibilities include congestive heart failure, angina, possible heart attack, pulmonary embolism (blood clot in your lungs) and possibly anemia which can also cause these symptoms.  Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 17 year old girl from New Zealand. Since a few years ago, I have been quite aware of the fact that I have a high probability of being a high-functioning autistic. I did some research at my local autism centre and everything seems clear, but my parents - especially my mother - continue to deny the allegations, saying that I m just making excuses and that you re not autistic or whatever, you re just stupid . Here are the things I have discovered. - I stayed in kindergarten 6 months longer than I should have been due to my development delay problems (late speaking, wearing diapers until I was 4, etc). Even before then, I apparently had a special needs carer/tutor lady come into my house. - I am socially anxious, and have trouble socializing or interacting with other people unless it is completely necessary. Up until I entered high school (13 years old), I was not very social and only talked to a select group of people. - I did not speak until I was 5, and according to my mother, when I did speak it was just simple phrases like Yes or No , and even then it was only to certain people such as member of my family (Mother, father, older brother by 2 years). - Every school I have been in has placed me in their GATE society (the Gifted and Talented programme), and they have placed me in nearly every annual Creative Writing programme held at school, and after reading all the Gifted information that the school provided there s a fine line between Gifted and Autistic. - I don t know if you ve already observed it from here, but I have this extended vocabulary which I sometimes wish I didn t have. Sometimes I think I speak like I have Asperger s Syndrome. - There s this online autism test created by Simon Baron Cohen that was featured in (I think) Embarrassing Bodies. I took it and got a score of 35. I d really like to get a diagnosis so at least I m aware of whether I m autistic or not. I know this isn t enough information but it s the most I can do via the Internet. Thank you.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are wondering whether you may be having a diagnosis of Autism / Autistic Spectrum Disorder. However, a detailed history (including a childhood history from your parents) and a detailed psychological assessment is necessary to make a definitive diagnosis of an Autistic Spectrum Disorder. Usually, Autistic Spectrum Disorders get diagnosed early in childhood itself, with one criteria being that the onset of symptoms should have been before the age of 3 years. If you would like to clarify your doubt, I would suggest that you consult a psychiatrist in person for a detailed evaluation. Online tests, especially the self-rated ones are usually unreliable. Wish you all the best."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is a 53 year old man with pancreatitis. He is in constant pain and has frequent attacks that last from 3 hours or more. He was tested, and says his lipase levels are off the charts high. What can he do to prevent this and get off of the many drugs he is taking for the pain?", "output": "Hello, Pancreatitis has happened when the enzyme of pancreas activate before they are released to the intestine and begin attacking in the pancreas itself. The cause if from alcoholism, gall stone, some kind of medication. You would experience nausea and vomiting, upper abdominal pain radiation to the back, abdominal distention, or fever increase heart rate. The management for mild acute pancreatitis is NPO (nothing by mouth) a couple of days to give your pancreas a chance of recovery and IV fluid for rely Chat Doctor.  Avoid alcohol or fat food, or smoking, and medicine that cause pancreatitis.  Pain relief medicine for mild pain we use paracetamol or Ibuprofen, for stronger pain relief we use codeine or tramadol.  If not better you should go to a specialist doctor to help you. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have a 2 year old daughter that is always constipated her doctor has her on laxative she has time she can use the bathroom with no problem than she has time she can t and if she do it is very hard dark brown. Today she use the bathroom and the first half was light brown than the other half to me looked black but she had no pains. This is the first time she ever had two different color stool mix. What should I do I am very concern and scare", "output": "Your daughter is probably having a functional constipation which is there no serious organic cause of it and this is diagnosed with a careful history and a complete physical exam however the laxatives should be used regularly and dose is adjusted according to the consistency of the stool and the frequency of bowel habits dietary changes are helpful including fibers and increasing water intake you can feed her in the morning with appropriate amount of water then if she's toilet trained try to make her go to bathroom and try to pass a motion if it's done regularly its very helpful I hope this answers your question"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 51, female & a smoker for maaany years. Is it true that numbness in hands & arms is a sign of lung cancer? It happens primarily when I am vertical, resting or upon waking from sleep. I also have had many bronchial infections over the years & just recently developed a chronic cough. I try ever so hard to quit, using a number of methods, but always fail & give into temptation. HELP ME PLEASE!", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. I don't think your numbness in arm and hand is due to lung cancer. Because lung cancer will not cause this. It can be due to smoking related neuropathy. Vitamin B 12 deficiencies is common in smokers. So your numbness can be due to this. Get done B 12 level and if deficient start supplement. Also get done chest x-ray to rule out lung cancer and other smoking related lung diseases. Quit smoking as soon as possible. Admit in rehabilitation center. Nowadays good antic raving Chat Doctor.  Consult psychiatric doctor for dead diction."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I think is a cyst under my left butt cheek it comes and goes and occasionally gets a tiny white head on it, it is very irritated and has a slight purplish color should I seek a doctor or could I take care of this myself because I don t have any medical care..", "output": "Welcome to Chat Doctor. 1. The most possible cause of a cyst / lump / lesion on the gluteal region / butt could be hair follicular infection.2. In case of follicle infection / inflammation there will be a cystic structure with collection within, which gives pain on touch and leak when you press the lesion.3. In this case you need to maintain local hygiene, with regular cleaning with antiseptic liquid to avoid the infections.4. If you have multiple and symptomatic, you may need to seek medical help as they do need an antibiotic course to heal completely.5.IF symptomatic get it treated with a course of antibiotics, if required a small incision and Chat Doctor. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband again is having a severe allergic reaction on his penis between fingers neck after cystoscopy. He had 500mg of Cipro but only took 2 because of itching and red patches. Penis seems to be getting worse. It is red raw skin bleeding using triple antibiotic ointment. Burns a little when applied. Anything else he can do. I also gave him Benadryl", "output": "Hello, Welcome to Chat Doctor, Your husband requires physical examination to make proper diagnosis and to take adequate treatment. As your husband is having these symptoms it can be due to bacterial infection, fungal infection and allergic manifestations. As he is having the symptoms of itching and redness it may be a fungal infection. He requires lab investigations like CBC, blood culture and KOH mount for fungal infection. He needs to keep the area clean and Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 48 years old male. i had schwannoma tumor at d11 and d12 surgically removed this year. i have weakness in my legs not able to walk or stand since the age of 29. muscle wasting is also there. upper portion is completely normal. emg test reveals lesion at anterior horn cell level affecting lower limbs. currently undergoing physiotheraphy. what is the problem and is there any cure", "output": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)As per your history is concerned you had muscle weakness since age 29, and now you are 43, and it was due to spinal cord tumor for which you did surgery this year but I am in doubt why did you delay in surgery, if you had done it before then you may not have this situation today.2)secondly you are saying that you have fresh tumor till now inside anterior horn cell inside brain, so it also should be removed, and its tissue should be examined for the type of tumor.3)It is a very toe case if you can share your MRI report I can give you a nice suggestion. I hope I was able to ad Chat Doctor.  If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how you doing dr. my name is angel I m a 53 yrs. old male/ 169 lbs. 5 6 in height, my problem with me I have lower back pain left and right, abdominal pain , constant urinating during day and night, constipated, I drinking 32oz of water a day, as it goes out I keep drinking water. pain continue around my waist area. I can t wear any clothing to sleep it painful when it ruffles touches my waist. it the mornings I cant button my pants up my waist is swollen. my body is weak and heavy. some slight dizzy, headache. no blood in stool or urine . unable to sleep.", "output": "HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. Investigations include routine hologram, RBS,LFT, RFT, Lipid profile, Urine RE/ME, Thyroid profile, Ultrasound of abdomen, Upper GI endoscopy, X-ray L/S spine AP/Lateral, Further investigations may be done if needed. There may be various causes for your problem like gastrointestinal, genitourinary or musculoskeletal causes. Treatment can be done after proper clinical examination and investigations reports. Get well footage Care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Took betnesol injection during pregnancy. Will this affect psychological development in child?My wife was prescribed 2 doses of Betnesol injection 24 hrs apart during 36 weeks of pregnancy as her fluid level was on the higher side. She took one dose yesterdayForgot todays dose any problm", "output": "Hello, Thanks for trusting us with your health concern. I have gone through your query and here are your answers. 1. Benson injection will not affect psychological development in the fetus. Instead, it helps to prevent intracranial hemorrhages in a preterm baby. 2. Your wife has been prescribed the medication to improve the lung function should she land in premature labor owing to the elevated amniotic fluid levels. Best results are shown with two injections given 24 hours apart. 3. If the second dose is missed by more than 12 hours, it may be ignored and partial protection is given. However, if it is only a couple of hours late, the dose can be administered to afford complete protection. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 22 month old daughter just woke up from sleep and had a fever of 102.3.  I gave her 1 tsp of childrens advil (per my doctors advice) but was wondering why when she awoke and had fever (and still for a few mins after taking medicine) she was shaking a little all over.  My son at 20 months had a febrile seizure, and im familiar with what seizures in general look like, this was not one, but is it a warning sign of one?", "output": "Dear Sir, Shaking that your noticed probably is due to high fever also called as chills & rigors. However, a child can have febrile seizures, try to keep her temperature down to normal limit. You may give here paracetamol for high fever under your doctors' guidance. Also, you can do cold sponging. In case you notice apart from shaking, teeth hindering, tongue bite, frothing, unrolling of eyes, rush her to ER, that is a seizure. Consult your doctor for appropriate treatment for the cause of fever. Wish her good health"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently have had a increase in my heart rate 90-100. So I went and saw a Cardio MD. My BP in always kinda low 112/64, but heart rate high. My Cardio MD did an echo and checked other areas to. She found that my liver was a little large she said it was 7cm. I have never smoked or do I drink. I did have a total thyrectomy 11 yrs ago with a stage 1 cancer had radiation. I am a retired RN now. I do take Vicodine PRN for compression fx to my back. My MD did order blood lab liver enzine and a ct of my liver, my apt is next week. What is going on??? I am also a vegetarian, drink no caffeen.", "output": "Hi thanks for asking question. When heart rate is above 100 then it is called tachycardia, and it is of concern. Your Heart rate is less than 100, so not much worried about it. Here elevation of heart rate might be secondary to inflammatory or infectious condition. So your doctor want to rule out liver infection like hepatitis by liver enzyme study. If persistent elevated heart rate more than 100 than electrocardiogram done to rule out cardiac cause. I hope you understand my concern. Wish u good health"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, It is awesome to have your noble advise to mankind. I appreciate from my heart. I am 50 years now and had some pain in the right side of my back. Consulted Orthopaedic surgeon explained my problem. It was diagnosed as Cervical Spondilitis. Prescribed with Aceclofenac & Paracetamol tab 1 a day after food. Feeling much much better this is due 10 tabs I have used a week back. Do I need to use if I get pain. Please advise and will there be any side effects.", "output": "Hello and welcome to ChatDoctorIf you take some precautions than you may not need any medication for a long time:1. Avoid jerky movements of the neck.2. NO pillow for sleeping3. Use hard bed.4. Don't keep the neck in single posture for a long time.5. Do regular cervical exercise as advised by your physiotherapist. Now about the side effects of the medication: long term continuous use of this medication can show it effects like hepatic and renal dysfunction, nausea, depression, stomach discomfort etc. But occasional use are allowed for a long term also. If you feel any of the side effect in you than immediately discontinue the medicine. Best Wishes"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? please type your query here...hi i have three year old child .he always treat cogh and cold .so doctor suggest seroflo inhaler for two times every day .it is good for health or bad .plese suggest me.......", "output": "Hello, By what you quote, I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you such as:1. How many days per month do your kid cough or feel breathless?2. How many nights per month do your kids sleep get disturbed due to above symptoms?3. Does your kid feel breathless when running around or playing with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy et cetera?6. Is the cough always associated with fever? Please revert to me with answers so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good eveningThis morning I woke up with painful lumps under my skin on my right lower leg (I assumed Id knocked myself in the night) within a few hours they turned red and got more painful. They also then appeared on my left leg. They are very sensitive to the touch, painful kind of tingly is well. The diameter of them is about 2 inches. I have seen two pharmacists and were both clueless.", "output": "Hi, Good Evening. Thanks for the query to my Chat Doctor virtual-CLINIC. I studied your query in-depth.-In my opinion-You are suffering -mostly from-Erythema Nodes or? Hive-URTICARIA.-Please consult your family doctor instead of your pharmacist friends, and get special consultation from skin doctor.-This would help you to relive the painful lumps very soon. Remedy-a-Tb-NSAIDs, b-Tb-Antihistaminic-would relieve in 2-3 days time.c-If no relief-Hetarazan-after CBC test to treat eosinophilic causing URTICARIA. If Erythema Nodes, it would go in 2-3 was time on its own.-Hope this would help to resolve your painful-leg lumps by discussing with your doctor. Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have had root canal Monday - in pain until yesterday. Dentist prescribed amoxicillin on Thursday. Have taken 1. Ear feels like it s getting blocked.. could this be the result of the amox? Worried about taking any more. Pain in tooth was extending up to left ear and weakness down left arm . When i took painkillers (which i was on round the clock for 5 days) the arm seemed to pick up. Dentist didn t take out all the infection. He took out some and then put medication into the tooth. therefore I still have some infection in there. My concern is could the infection be spreading ? Thanks for your help.", "output": "Hello and welcome to Chat Doctor forum, According to your dental history I would like to inform you that whenever there is infection, antibiotics are a must. I appreciate that you took antibiotics as prescribed to you. Sometimes infection so severe that it takes time to resolve. I assume that you are undergoing a root canal treatment for your tooth, therefore I would like you to know that a minimum of three sittings will be required for the infection to disappear completely. Tooth and the ear are supplied by a same nerve, which is causing pain in tooth as well as ear. Do not worry, as the infection subsides, all the symptoms will disappear, kindly follow the instructions given by your dentist, Perform warm saline rinses(3-4 times/day).I hope I answered your query, i wish you good health, take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been in a plyhydramnios condition. I gave birth at 39 weeks to a baby boy and now currently experiencing hard to swallow condition and having hard time to breathe, without the aid of oxygen machine he can t breathe, the neonatalogist said my baby has pneumonia. Please do help on what medical advice you can give me.", "output": "Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello am Omar,My son is 3.5 yrs old.in june he was sick and looked pale.after blood test they found out his HB is 5.8.He got blood transfussion and it was 8.8.before discharged they did another test and it was 8.1 so they gave him another blood transfussion and it was 9.2. ten days after discharge we went for a checkup and his HB was 8.4,.A month later it was 9.6,two months which was 18th of oct is was 8.2 they did all the test possible but could not find the reason why low HB.the dr wants to see us next week,and he suggested that if its low then he has to do Bone marrow biospy........am worried! wat is happening .pls help", "output": "HI... I appreciate the fact that all tests have been done to know the cause of anemia. But has the hemoglobin electrophoresis been done before giving blood transfusions as it is crucial for diagnosing hemoglobinopathy or hemolytic anemia. I would also like to know if direct Combs test and relic count have been done or not. These are indirect pointers towards hemolysis and that of bone marrow function. ANA might throw some light on autoimmune hemolytic anemia. Bone marrow biopsy is one good test which will be crucial for diagnosis as the blood components are produced in the body in the marrow only. Regards - "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had sinus infection weeks ago and severe allergies as well that is being controlled with prescription nasal spray and allegra. Yesterday started feeling numbness and tingling in upper lip and base of nose, feeling of fullness in the right eye, occasional blurriness, with some jaw numbness. Took decongestant thinking it might relieve pressure but has not worked. Any ideas?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It may be due to nasolacrymal duct blockade and congestion. You should continue to take decongestant. Analgesic such as ibuprofen can be taken for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im Edwin and im suffering pain right where i took cyst removal 6 years ago....it feels like a tearing pain and burning like sensation and is very painful that i have to stop when im walking.....please help me...i just want to know if this could lead to cancer or tumor later....but there was no mass or lump in that area since my cyst was removed.....its just a pain right where my cyst was removed 6 years ago....thanks.", "output": "Hi, it all depends on which kind of cyst was removed. Is ti purely benign or potentially malignant, whether removed completely or some part may leave. Takin in to all this matter in account one can say it will lead to tumor or not. However if you don't feel any lump or mass in that area means there is no tumor. Your pain may be due to some other reasons. So consult your doctor and take treatment accordingly. Thanks for using Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i bit my tongue extremely hard on sunday night then again on tuesday night. In the middle of my tongue where my tongue meets the roof of my mouth has a a chunk of my tongue is lift and comes about 3/4th of the way up but the front part is still heavily connect to my tongue so i cant pull it off. HOw can i fix this. the chunk of my tongue moves around and lifts hwen i talk , eat drink etc. I am OCD and CANT leave it alone.", "output": "Dear friend. Thanks for sharing your concern. Your symptoms suggests that you have tongue biting habit. This should be corrected by using palatal crib. This is an appliance which helps to overcome tongue biting habits. Presently you can apply analgesic gels which are lidocaine based for pain relief. The wounded area will heal on its own, in few days. Till then avoid eating, spicy and hot foodstuff, also avoid tongue cleaners for few days till it heals completely. Hope it helps. Thanks. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am thirty five and was diagnosed with copd a year and a half ago. Right now I am having a hard time breathing, the feeling of a lump in my throat, sweating, and a very uneasy feeling in my head. Like I m going to fall out. I live in tx so its hot but, it s about 84 degrees right now. My hands are swollen. Does anyone have a guess?", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details. I understood your health concerns. With whatever details are given by you, the lump in the throat feeling indicates respiratory distress and hypoxia causing headache and is mostly due to Spastic episode associated witChatDoctorpromised lungs of yours. The swollen hands with high temperature around indicate the pollen grains inducing this episodic attack of the respiratory distress. With this you are advised to consult ER Pulmonologist who would treat it accordingly. Hope this would help you to get rid of the anxiety with this query. Welcome to Chat Doctor in this regard by any further query. Have a good health and early recovery. Chat Doctor. N. Senior Surgical Consultant."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiMy partner has a lump on the bottom of his jaw and over the last two months or so it has grown to the size of a golf ball. He is in alot of pain. We dont have much money atal and have no idea what to do. We are flying to Perth on sunday and dont know whether we should as it grew in size when we flew a few weeks back. Can you help with any advise atal?We think it might be an abscess?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have growing lump on jaw which is painful as well is mainly because of presence of infection in circumscribed area. Infection keeps on increasing in size and not finding any way to leave so forming abscess there and leading to facial space infection. I would suggest you to visit dentist once and get it examined and go for IOWA of particular tooth and root canal treatment of that particular tooth. Take antibiotic to suppress infection in that area. It would not grow in size in just few days, but you have to get it treated as early as possible. Maintain basic oral hygiene. Do warm saline rinses. Hope your concern has been resolved. Get Well Soon."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "While my husband was ejaculating during sex he also urinated he said that it was a very pleasurable sensation and enjoyed it....is this normal or a sign of a prostate problem? He said that prior to having sex he had no need to urinate and didnt mean for it to happen but enjoyed it", "output": "Degree understand your concerns went through your details. Everyone has their own way of enjoying sex and being in fantasy mood. Your husband thinks in a novel way. In fact, urination after sexual intercourse is pleasurable. This has nothing to do with prostrate related problems. Enjoy your husbands fantasy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,Almost two weeks before I got my Medical Report, mandatory to travel to one of GCC country. My SPGT value was 69 and they advised me to come after one week. At the same day I got my Medical Report, I went to another lab and repeated the same test. it was now 54. For your kind information I am a healthy man with age 35 and weight 77 KG and has spent enough time in KSA & UAE for my job. For the last 3-4 months I am in Pakistan. Also its winter time and most of the food used is non veg. like fish, meat, chicken ehhs etc. So my question is what is the alarming value of SPGT? Can I get below 40 in the second test after 8 days? Also is there any seasonal effects?Your kind and quick reply shall highly be obliged.", "output": "Hello and welcome to Chat Doctor, AGPT ISA liver enzymes with normal level below 40 IU/L.SGPT is usually done along with GOT enzyme and both the enzymes are elevated together is various disease processes.SGPT is present in the cytoplasm of hepatocytes or liver cells. Any injury or damage to the liver cells will cause an elevation of SGPT. However, an increase up to 69 and 54 is not alarming and does not signify any major disease process. So, do not worry and get the test repeated after a couple of days. Thanks and take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,my 11 year old son has been coughing for years and years.He has been precribed Ventolin Inhalers - Light brown preventitive plus the blue one.I can see - and my son feels that the inhalers seem to actually CAUSE the cough. They defintely aggravate his chest. Doctors INSIST he has asthma even though he does not wheeze or become short of breath. He used to get a chest infection 2 or 3 times a year and Doctors ALWAYS said it was asthma but eventually they would give him anti-biotics and it would clear up. After suffering needlessly for a long time and not being listened to - only to be told its asthma - he must take his inhaler - he ended up being admitted with suspected Menengitis and was given the maximum dose they dare to give him (this is what we were told by the Paediatrician).This is relentless and we are getting knowwhere.He hasnt had any x-rays for years or been sent to a specialist. What do you suggest please?Thank you Alena", "output": "Hello dear Alena, hi Warm welcome to Chat Doctor.come have gone through your misery and sorry to listen about the same.* Primary thing is to diagnose the case thoroughly through x-ray chest, lab test of sputum, pulmonary function test.* Inhalers are only prescribed in selected cases as - can not take orally medicines - oral medicines are not that effective - severe respiratory distress that person can not speak also Hope this clears your query. Welcome for any further queries. Thanks dear regards take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got a deep cut on my hand today and got pressure on it as soon as possible and placed anti-bacteria on it. During the first 30 minutes my body got really hot and my hand started to shake a lot. I also felt dizzy and a little nauseous at times. Is this normal to occur?", "output": "Yes, it is normal whenever some unexpected injury happens to our body, it will respond to the incident in that way... if the wound is awful consult the nearest hospital for suturing if necessary, otherwise healing process of the wound will be delayed it may get infected in the process of healing, or some scar marks will be left for life. So better consult emergency department if wound is bad. Any such kind of queries will be answered by me, so kindly ask your queries. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have fits in sleep before two years, i underwent eeg and mra scan. no defects found. but the doctor suggested me to us eptoin 100 daily 2 at bedtime. after two years i take eeg again, the result was sames as before, so the doctor sugested to take one tablet for one month more and stop the medicine. and i stoped the medicine. but before 2 months i experienced one more fits in sleep. again i went to the doctor, he again suggested me to take the eptoin 2 each for further 2 years. My question is if I can reduce the dosage by one instead of 2?", "output": "Hi, Your seizure 2 years ago was probably a temporary abnormal electrical activity of the brain. To prevent it from affecting the body further you were started on anti-seizure medicine.  Now since you did not have any further episode, recent studies have shown that medications can be reduced in a stepwise manner.  This is possible only if MRI and EEG are normal, which is the same for your case. So I concur with your doctor and would advise on tapering the dose based on his advice. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am mustafa suffering from chronic sinusitis with severe associated symptoms like headache,nusea,fever,pressure in forehead portion,left sided nasal blockage,fatigue and im using some antibiotics along with steam,but there is no relief in any of the above symptoms.So kindly help me out with ur valuable suggestion with prescription.I will be highly obliged.Mustafa Syed Hyd", "output": "Dear Mustafa, Your nasal sinus may require cleaning. Your left side nasal blockage suggests that you are probably suffering from Deviated Nasal Septum also. Thus, you should consult an ENT specialist personally, so that he can remove blockage if required & can prescribe you proper antibiotics on behalf of C & S report. Meanwhile, you can take T. Minaret thrice daily & use Origin/Position nasal decongestant Chat Doctor. o.s. With best wishes,-"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my son via vaginal delivery almost 3 weeks ago, and 2 days ago I noticed a small lump that appeared in my right armpit. It was tender that day, but yesterday it only hurt when I wore a shirt that rubbed against it. Today there s another knot that formed near the first, but it s not painful either. They re located higher up on my armpit, no where close to my breast. What could it be? Should I go see a doctor?", "output": "Hi. Thanks for your query. Noted the history of normal vaginal delivery 3 weeks ago and lump in the armpit 2 days only, one of which has gotten large and painful, high up in the same arm pit. Unless proved otherwise this looks to be a boil and nothing else. I would advise you the following:Yes, see a Doctor to get this examined and to confirm whether this is a boil or a lymph node. Breasts too will be examined to see for any lump and to rule out the possibility of any Cancer. Clean the area with Liquid Provide Iodine, keep it Chat Doctor. Do not pop. Take a course of an antibiotic safe in the period of breastfeeding. And you will be fine."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for years i have had high pulse and fast hard beating heart but recently when i exert my self carry laundry walk up stair hold my grandson ect my heart starts going crazy and i feel alittle faint I listen to my heart and it make a wierd sound for a minute then returns to normal sound but still fast and hard???? It always sounds normal when just sitting around you know when the doc listens..Any items for me?", "output": "Hello thanks for posting at Chat Doctor. Basically you have symptoms of palpitations and fast heart rate when you exert. This may be related to cardiac cause also. When the heart arteries are narrowed, when you ever the heart nets faster to cope up with the demand. Please do a stress test which requires you to walk on a treadmill while your heart rate and ECG is continuously being monitored. This will show whether the heart really gets fast more than normal range during exertion. Next I would also like to see a thyroid profile on you.  Thyroid abnormalities can also cause fast heart rate and palpitations. Please do the above tests and revert. Daily exercises like walking, cycling, jogging, swimming can also increase the stamina and can help in keeping heart rate under control. Wishing you good health. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has such bad nasal congestion for the last two weeks - getting increasingly worse -has seen his PCP-been on antibiotics - recently had a CAT scan of head - waiting results. Face so swollen this morning he looked like a caricature. How serious can this be and if does not resolve - what can happen?", "output": "Hello, Welcome to Chat Doctor, Oral antibiotics definitely help to reduce the infection and there by reduces the nasal congestion. As your husband is having severe nasal congestion I would have suggested him1. Steam inhalation with Vapor caps2. Oral Nasal Decongestant3. Oral LEvoctrizine with montelukast The medicines can be taken after getting the prescription from your treating doctor. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering if anemia could affect my ChatDoctor levels. I am 2 weeks late on my period and have been trying to get pregnant. I have taken a pregnancy test and it came out negative. I have a normal period always on time for the most part maybe a day or two off.", "output": "Hi, your anemia has no relation with Chat Doctor level. If you want to become pregnant then you should try it in the fertile period. Fertile period is start generally on 12th day of your cycle and ended in 18th day of cycle. So you should try it. And if not successes then consult your gynecologist and search the cause of your infertility. Also you should consult your doctor and search for the cause of anemia and take treatment accordingly. Thanks for using Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 40 year old female who has recently been diagnosed with PVC s. I had a 24 hour Holter monitor that showed 10,000 PVC s in that time period. The PVC s go away with exercise. I had become an avid long distance runner and lost 20 pounds in the past two years. I have run 2 half marathon races and was logging about 20 miles a week. I would push myself sprinting at the end going full force. My doctor has prescribed a Beta Blocker to see if the PVC s will lessen. He said I would be a good candidate for ablation if the Beta Blockers don t work. I am not running much now because I ve injured my knee, but I still run some and attend Boot Camp type classes at the gym. Did my running cause the PVC s? Is there anything natural I can take or a special diet I can follow to make them go away? Thank you so much for your advice!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. PVC's (premature Ventricular contraction) are due to conduction defect in heart. It is due to accessory pathway in the heart. It is not caused by exercise (running) is not a cause for PVC. In patients PVC scan be due to stress and tension. So if you are having stressful life then avoid stress and tension, be relaxed and calm. No natural remedies are available for PVC's. You need to take anti arrhythmia Chat Doctor.  If beta blocker fails then ablation of that pathway is the only option. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i m 30 years old indian male.when i was 14 years old i experinced one small gland beneth my left nipple n it was paining tendorly then after sometime i felt the same in my right nipple as well i dint discuss with my parents that time due to shame n poor financial condition of my family.later on it went on to become flat n covering more surface area around my nipples probabbly 3 cms in radius with 1 cms depth.currently left chest is bigger than right with both having diffrent shape.kindly advise me what will be best option n how many days hospitalisation surgery needs", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having gynecomastia (enlargement of breast in males). The most common cause for this is hormonal imbalance. So better to first diagnose the cause for your condition. Consult endocrinologist and get done hormone levels, mammography. If it is due to hormonal imbalance then hormonal therapy will be helpful, otherwise surgical reduction mammoplasty is an option. So better to consult endocrinologist, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a good friend with multiple myeloma.  he suddenly has developed a raspy voice.  He has multiple hairline fractures in his spine and ribs and has become quite stooped and seems to have difficulty breathing.  Is the raspy voice related to the condition of his spine", "output": "Hi, Thanks fir writing in. A raspy voice is due to stimulation of the recurrent laryngeal nerve which supplies the vocal cords. It is possible that your friend has a lowered immune status after taking treatment for multiple myeloma. This might cause him to have infection in the throat which is causing irritation to the recurrent laryngeal nerve. Any infection or condition in the throat might cause the raspy voice. It is suggested that he consults the ENT specialist immediately and has a clinical examination of his throat done. This will show any inflammatory changes in the region and whether it requires treatment. Please tell him to do throat gargle with warm water twice daily to soothe the throat. The raspy voice is not related to his spine but might have an indirect association to his treatment which he is getting right now. Please do not worry."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I had a lumbar puncture a few days ago and since then I have been experiencing a headache along with some pelvic and neck pain. What could be the reason behind it?", "output": "It seems like you are experiencing a post-lumbar puncture headache along with some associated pain."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 9 and half weeks pregnant... I was given cyclogest from week 5 as I saw brown bleeding and brown mucous. Despite the fact that bleeding  supsided a little I still saw bleeding at least 2ce a week. The doctor suggested I have duphaston instead 3 times a day. After 5 days of havinh the pills the bleeding increased. In the last two days I see some brown bleeding and spottong each time I go to the bathroom. The doctor suggested I should take cyclogest again this time one in the morning and one in the evening 400mg each. Do u think its safe to switch each time medications im really worried about this bleeding. 2 days ago I had an ultrasound and it looked ok heartbeat and all.  But im still very worried of what to do.i had a hidtory of one miscarraige at 8 weeks.  It was missed.", "output": "Hi there,Both Phaeton and Cyclones are same hormone progesterone, but the method of intake is different. They are given to support pregnancy, but exactly how useful they are in preventing miscarriage is yet to be proven. The fact that the ultrasound is normal and fetal heart rate is good implies that things are ok. Once the fetal heart beat appears there is very little chance of you having a miscarriage. I understand with your previous history of miscarriage you must be very anxious but the stress and anxiety can make matters worse for you. The bleeding should subside by around 12 weeks. The oral form Phaeton is easier to take and less cumbersome. Threatened miscarriage is common in early pregnancy and only supportive care with rest is advised. You could continue either of the progesterones, whichever you are more comfortable with. Get a repeat scan after 10 days to check for fetal well-being. Do not worry. Hope this helps. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,i m 24 year old,and i have a kidney problem.before 6 month there was extreme a pain in kidney.and i found 1 cm stone by ultrasound.after the treatment,i break the stone by homeopatChatDoctoredicine.But recently 3 day ago,i feel pain again,please suggest me,this pain is very difficult.", "output": "Hai, thanks for consulting Chat Doctor. As you got a history of kidney stone kindly repeat an ultrasound to rule the cause and whether any new kidney stone developed. Visit an Emergency department/nephrologist to treat the pain depends upon the severity. Kindly rule out the cause for kidney stone formation. Poor intake of water, excess amount of oxalate, uric acid containing foods which causes stone. Ruling out which type of stone(oxalate, urate, phosphate) developing and avoiding those source of food may be helpful in restricting stone formation. Lifestyle management and proper diet will help you in keep away from developing kidney stone. Thank you hope I answered your query"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have been recently diagnosed with Neurofibromatosis. What medications do you recommend for the treatment of this disease? ", "output": "For your condition, I would recommend taking Methylphenidate, Amitriptyline, Baclofen, Carboplatin, Vincristine, Minoxidil (Rogaine), Cyproheptadine, Lactulose, Hydralazine, Gadopentetate Dimeglumine (Magnevist), and Dihydroergotamine. These medications can help alleviate some of the symptoms associated with Neurofibromatosis. However, the specific dosage and duration of the medication would depend on your medical condition and individual health needs."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I've been having these symptoms of a sore throat, jaw swelling, and peripheral edema. What could be the cause?", "output": "Based on the symptoms you've described, it seems that you may have Sialoadenitis, which is inflammation of the salivary glands."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dental x-ray showed abscess or possible abscess in lower right tooth - but there is no pain - and muscle strength test of tooth showed it to be normal. Dentist decided to wait - didnt want to do root canal until sure it was an abscess. Can x-ray be misleading about abscess?", "output": "Thanks for your query, I have gone through your query. The abscess could be because of the tooth infection or the gum infection. Consult an oral physician and get the complete examination done to rule out these two conditions. You can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection. If it is gum infection then get your teeth cleaned once and maintain the oral hygiene. If needed grafts can be placed to make the tooth firm. I hope my answer will help you, take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower than normal RBC, Hemoglobulin, HCT Hemoglobulin is 11.6 it was 13.5 last time climbing from 10 some time ago after heart surgery possible kidney problems I also take .75mcg levothyroxine/day make vasculitis from surgery almost 2 years ago--------------puzzled", "output": "Hi, Anemia can be secondary to kidney problem, as an essential hormone for RBC production, which is called as erythropoietin, is produced in kidneys. Please consult a nephrologist. If kidney function is really reduced, for treatment of anemia you would need erythropoietin injections along with hepatitis. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been feeling some discomfort and itching down there. I think I might have a yeast infection. What medication should I take?", "output": "I recommend taking Fluconazole (Diflucan) to treat the yeast infection. Additionally, you can use Nystatin Topical Product, Clotrimazole Topical, Miconazole Topical Product, Terconazole Topical, Betamethasone-Clotrimazole Topical, Butoconazole Topical, or Zinc Oxide Topical to relieve the symptoms. If you are also experiencing pain during intercourse, then you can take Pentosan Polysulphate Sodium (Elmiron). Lastly, I recommend taking a hormonal birth control pill such as Ortho Cyclen or Portia to prevent future yeast infections."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old daughters legs are very hot to the touch at nighttime. The rest of her feels normal temperature. No illnesses or allergies. She is below average height but she is in proportion and a paediatrician has confirmed she is perfectly normal and growing at her own rate. Can you tell me why her legs get so hot?", "output": "Hi...sometimes in a growing kid the basic metabolic rate or BMR can do this. But if she is otherwise normal and not having any problem regarding this issue, you need not worry about it. But if she develops any redness or pain or fever it could be skin and soft tissue infection and I suggest then you will need a pediatric consult for her. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , and Thanks in advance for your help , I guess I ve been insecticide poisoned . I used Baygon crawling insect spray on the rooms doorstep floor , and I closed them for like 12 hours , however when I came at night exhausted to sleep , I could still strongly smell the spray s odor , however couldn t resist sleeping , and woke up 9 hours later with headache and dizziness . I thought the symptoms will soon go away , but I rather find myself 2 days later still unable to concentrate properly , and I have a strange difficulty talking and formulating my sentences ( including this very paragraph) , and struggling remembering some of the most obvious details and actions . I m really suffering at this point , continuously exhausted short breathed . I tried googling for Baygon ingredients and was frightened when I read about some of its contents toxicity symptoms , clearly representing my current status , especially the parts about the Organophosphate component chlorpyrifos side effects !!! Are these symptoms caused by such chemicals , permanent or are they reversible ? is there any antidote for it ? what should I do now , and how can I seek help and treatment . I m really freaked about the idea that such acute exposure might result in long term or permanent neurological damages !! Would really appreciate any help or advice . Many Thanks . Rami", "output": "Hello. Thanks for writing to us. The effects of wagon insecticidal spray are completely reversible with the help of antidotes.  You need to attend to an ER for proper control of symptoms and anti dote treatment. Till that time, avoid bright light exposure, take slow and deep breaths and do not take any sedative or any other Chat Doctor. I hope this information has been both informative and helpful for you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I don t keep up with my menstrual cycle because it s irregular but I thinks it s about 30 days. My last period started on September 12 and lasted 4-5 days. I had sex for the first time on October 4, unprotected but he didn t finish. Could I be pregnant?", "output": "Hi, Precum may enter into vagina unknowingly before ejaculation, and it contains sufficient sperm concentration that cause pregnancy if sex was done in fertile phase of period. You got last period on 12th September, did sex on 4th October. So you did sex in the safe period of cycle if we consider 30 day of cycle. Ovulation will occur at 27th or 28th September, and it will live only for 12 to 24 hours. But you did sex after ovulation so no chance of pregnancy. But you told you have irregular cycle. So if it has sometime long period like 35 days or more than pregnancy is possible. In this case you can take I pill with in 72 hours of pill to prevent unwanted pregnancy. Avoid stress, take healthy diet and Chat Doctor.  Use safe sex practice like condom in future to prevent unwanted pregnancy. Hope this may help you. Contact further if follow up needed. Best regards,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "RUQ pain two months. HIDA scan reproduced all sxs of RUQ pain radiating into shoulder and neck but fraction was 63%. Upper and colonoscopy normal only showing some gastritis. Awaiting biopsy. Also have nausea and some bloat or reflux. Most sxs are during the night but have gotten sxs during the day too. 47 yr female normal weight eat no fried foods dairy low fat low sugar diet. Also pain and nausea with exercise. What could this be", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would also advise you for an ultrasound of the abdomen in addition to the tests already done to rule out gall stone disease. Further a serum amylase and lipase would be worthwhile to rule out chances of any pancreatitis. Till then, I would advise you with some anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son just fell off his new bed and hit the metal bar on the side causing an instant goose-egg below his eye on his upper cheek bone.  It is swollen and bruised, but my concern is that the lump is extremely movable and feels like a bag of gel.  What are your thoughts?", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint it seems that due to hitting with a metal bar there has been soft tissue injury and due to injury there has been inflammation and swelling due to accumulation of inflammatory exudate and cells at the injury site. There also seems to be ruptured blood vessels leading to bruising and formation of a Hematoma. The movable gel like lump seems to be a Hematoma and is due to accumulation of blood from ruptured blood vessels. I would suggest you that you need not worry about it as it will resolve gradually. You can do alternate warm and cool compresses over the lump. You can also give him anti-inflammatory painkillers like Ibuprofen. In case if there is pain numbing gel containing Lidocaine can also be advised. You can also apply Heparin gel over the area as it will help in faster disruption of the hematoma as well as bruising. Hope this information helps. Thanks and regards. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE ACH IN MY LEFT SHOULDER , I HAVE DONE MANY TESTS & CT SCAN, BUT I DONT FOUND ANY DISCRIPENCY IN ALL TEST REPORTS, CT SCAN , ONE FRIEND SUGGEST TO ME FOR PET SCAN TEST, IS IT FAVOUR TO ME FOR SHOULDER PAIN & PL YOU GUIDE TO ME FOR RIGHT PLACE IN DELHI NCR FOR TEST & COST", "output": "Hello, I will suggest doing MRI shoulder. If the shoulder pain is persisting from long and no solution provided. Need to see the soft tissue of the shoulder joint. Exercise will help to stabilize the shoulder and improve the overall shoulder functions.  Having a word with a physiotherapist who can help with therapeutic ultrasound therapy and TENS therapy for reducing the inflammation and pain. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am facing back pain namely L5 S1 form last 2 month, i had never been wounded by execeises nor been involved in any sports. but problem continously occur. even i consult with physicians but al  in vein.. please write me the solution....Mubashar Ali form Pakistan", "output": "Hi, thanks for posting your concern in the Chat Doctor. You have mentioned in your history that you were having pain in L5S1 region. I need to know whether any imaging (X-ray or MRI) was done to rule out underlying cause. Although you don't have a history of trauma, mechanical back pain may occur due to prolonged faulty posture. If not yet done, imaging of the LS Spine would be necessary to rule out any spinal abnormality. Low back pain may occur due to reasons other than musculoskeletal abnormality too. A detailed history would rule out the possibilities.1. Do you have a history of fever?2. Does your pain radiate from the back?3. Is your pain continuous or intermittent or related to certain posture?4. How are your bladder and bowel habits? You should avoid having prolonged analgesic use for your pain, because it may cause nephropathy, gastritis or peptic ulcer disease. For pain relief, you may temporarily have Tab Paracetamol 500 mg twice daily after meals. Please have plenty of oral fluid. Bed rest for 2 days. Ispagulah husk 2 SF in a cup of water at bedtime. Please consult a local orthopedic doctor for further evaluation. For any further questions, please write back to me directly."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 26 years old, and for the past four years, I have been experiencing increasingly worse health problems. At age 22 my blood pressure was mildly high, and has now gotten to the point to where I am on meds for it. Since my pregnancy with my daughter(who is now 2) I have been experiencing pain problems with my hands, knees, feet, fingers, back, and shoulders, and problems with breathing. I sound weezy ALL DAY LONG, and have problems breathing... I wake myself up at night from the sounds I make.... My main concern is my blood pressure, why do I have it? Can there been underlying health issues that cause my blood pressure to get so high, and could my breathing problems be why? I just recently got health insurance, should there be key questions that I need to ask my doctor to get some action to find out?(sorry I know this is a LONG question )", "output": "Hello, thanks for using our platform. I understand how worried you are about your health issues. Hopefully, you will be fine. It is not uncommon for some women to develop hypertension during pregnancy. Especially among women that smokers, overweight, have family history of hypertension etc. When the hypertension is not treated properly it develops into a chronic hypertension.  I advise you to see a physician for physical checkup, this is the only way to know what exactlmight be causing your symptoms. Warm regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What could be the cause of the pisiform bone being swollen. It s about twice the size of the other side. It don t hurt, nor does it inhibit any movement. I did lose strength in that arm this morning when doing triceps exercises with 20 lb weights in both hands.", "output": "Dear Sir, thanks for question. I have understood your concern, see swelling indicates injury or inflammation at site affected, as you mentioned pain in perform bone may due to acute immediately compression to underlying tissue. As you mentioned that you were doing triceps curls so might be there was higher compression injury around bone, might ligaments and tendons may injury temporary. So first you need to consult orthopedic surgeon and get x-ray done to rule out any fracture in the bone.  If there is no fracture then need to take physical therapy in the form of ultrasound and tens modalities which inhibit pain and swelling. I hope you have satisfied with the answer. Feel free to ask again. Provide feedback."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a tb patient and taking all those medicines which are prescribed to me. its been 6 months, i am taking it. i have got acne on face. is it due to the medicine i am taking? is there any side effect which will harm me in future? i am 20 years old and my height is 163cms.", "output": "Hi, Anti-TB medications are generally well tolerated by most patients however acne can occur as a side effect of vitamin one of the anti-TB medications that you have been taking. Other common side effects of anti-TB medications include orange colored urine, saliva or tears, redness and itching of the skin in sunlight, peripheral neuritis, joint pains, flu like symptoms, and liver injury. You must report to your doctor if you develop symptoms of liver injury like fever, right upper abdominal pain, vomiting, and jaundice. Hope I have answered your question. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI ! My mother is suffering from Cirrhosis of liver ! Its been three months that she has been suffering from acute pain in her back due to ascetic fluid accumulations. She cannot sleep at night due to pain and uneasyness in her abdomen and back. Her 80% liver has been scarred as per the doc and inspite of all the possible tests the main cause has not been found as in why her liver is self destructing ! We have extracted fluid for some relief but it accumulates again in couple of days and the entire process of pain restarts. Now the doc have suggested TIPS procedure and this symptomatic treatment will help fluid not to accumulate and the fluid will pass via urine in a normal way. I want to know a)What are the side effects of this TIPS procedure which are bound to happen?? b)And as the fluid will pass via urine then will she lose protein contents severely?? c)Is it life threatning procedure?? d)Once its done is it possible that the fluid accumulation can start once again ?? e)Will the stent be placed permanently and if yes then will it cause discomfort f)How will it effect the day to day activity g)what are the post treatment cautions or caring required?? I am sorry to have asked numerous but apt questions whicChatDoctores to my mind immediately..i will be glad if these are answered in details so that i can take necessary decision around it. Thanks for understanding and wish you all keep helping people like us on a daily basis. regrds Anand", "output": "Dear Anand! Many thanks for the query. I have gone through your mail in detail and could grasp the salient points regarding your mothers' illness. I understand that she has decompensated cryogenic cirrhosis. Her tense ascites is troubling her and prevents her from lying on the bed comfortably and requires periodic removal of the fluid in the abdomen. TIPS is a good and acceptable procedure for intractable ascites and gives good comfort to the patient. This procedure should ideally be done in a center experienced in TIPS. There will be increased urination, but there will not be any loss of protein through the urine. Hypoproteinemia (low protein in the blood) is essentially due to decreased production of protein by the diseased liver. TIPS is not a life threatening procedure but can cause hepatic encephalopathy(altered sensorial / irrelevant actions and talk etc.) over a period of time and occasionally this TIPS stent can get blocked. You need to check with your hepatologist whether she is a candidate for an early liver transplantation. If so you can wait for a while before TIPS. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ,hi have had a yeast infection for a little over 24 hrs. I noticed this a few days after a day with my family at the pool. Could the high amounts of chlorine be a factor as to why I have a yeast infection? Can I treat the yeast with a detol soak in the tub?", "output": "Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. Yes it can if u had yeast infection previously. When swimming with a yeast infection, keep your vaginal area Chat Doctor.  Hanging around in a wet bathing suit can stimulate the growth of yeast, exacerbating your infection. Avoid putting another suit on, if possible, because yeast thrives in synthetic fabrics. A loose-fitting "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am snehal, a male, and i am married before 3 yrs an i did my sperm count from genuine laboratory , and dr says that u have a very low sperms, so i want to know that how much sperm count needed to get a child? my report is below. Sperm Count : 3.1million/ml & 4.3 million/ml Motality Grade: 0 : 25 % 1 : 10 % 2 : 15 % 3 : 25 % 4 : 25 % Total Motality : 75 % Progressive Motile : 50 % Non Progressive Motile : 25 % Non Motile: 25 % Sperm Morphology: Abnormality of Head : 10 % : Micro Head : 50 % : Abnormality Tail : 10 % now tell me how much sperm growth i needed?", "output": "Hi, Thanks for your query.  I have read your query & I understand your concerns.  From what you describe it appears to be a report of oligoastenospermia (low sperm count with decreased motility). Minimum sperm count needed is 20 million per ml. Your counts are far less. I advise you see an infertility specialist to get prescription for antioxidant medication to improve your sperm count. With the present count only modality of conception is CSI (Intro Cytoplasmic Sperm Injection). Please ask details from your infertility specialist about the CSI procedure and other forms of ART. All the best.  I hope I answered your query. I will be available for any followup queries you have.  Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii. I had unprotected sex with my bf yesterday. He thought he had ejacuated he was not sure. So i took an unwanted72 pill approx. 7hrs after sex. I want to know if any bleeding will occur after taking the pill? Any sideffects? Plz help me coz this is the frst time im using this stuff. Plz reply as soon as possible..", "output": "Hello, Thanks for trusting us with your health concern. I have gone through your query and here are the answers. Firstly, any unprotected intercourse during the safe period does not cause conception. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile period in the cycle. So, if you happened to have the intercourse during the safe period, you are naturally protected. The intake of the emergency pill occurred during the stipulated time after the intercourse, so the protection offered is in the range of 98%. The pill can cause side effects like nausea, headaches, vomiting, breast tenderness and with Chat Doctor.  The next natural period also may get delayed by a week or two. Please restrict the use of the pill to one or two occasions per year and get further help if you become overdue by ten days for your next period. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tiny white specks in nose causing nose itch, discomfort and nausea. The tiny white specks seems to be moving on finger. Tiny white specks inside ear too.. The white specks seems to be moving and biting/itch when on finger. Jumping sensation near corner of eye lid and forehead and will have crust at eyelid. Feels there are invisible worms when washing fash my face as feels my hands becomes abit rough with particles. Need to use handsoap to wash away the particles on my hand. My clothings seems to also have white specks and they seems to be jumping after I wash and wanted to hang dry. Once dry..by he white specks are still there.. There are difficult to remove and when u wear the clothing.. U can feel the specks are moving ard and into ur body. My hands and legs sometimes will have small bumps.. Once press.. There s tiny white specks that look like salt/ crystal powder and u can feel them moving too. I m having anxiety over all dis and I m unable to sleep. I feel like juz killing myself as I dunno wat is happening to me. I got all these after I recover from accute bronchitis. Can I know wat is wrong with me.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having stress, anxiety and hallucinations. In some patients all these are seen after illness. So in your case, I will advise consulting psychiatrist as soon as possible. You're all symptoms are psychiatric and not organic. You need counselling sessions. Try to identify stressor in your life and start working on its solution. You need anxiolytic and anti-psychotic Chat Doctor.  With proper counselling and appropriate "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been diagnosed with a neuroma in my left forearm and it has been giving me a lot of pain. I have numbness and tingling along with burning. I ha have d noticed to lump a few years ago but never botherd me. I had a test done to check for nerve damage. it only indicated slight nerve damage. I have headaches and ringing/fullness in my ears. I have always been physical. I can no longer carry usual weighted items in my left arm as I could before. The dr requested a second opinion. What else wo uld cause this?", "output": "Hello. Thanks for asking from Chat Doctor. I can understand your concern. The neuroma occurs after nerve damage to heal the damaged area. So whenever neuroma occurs, it means some nerve damage. It can cause severe burning pain due to abnormal nerve regeneration. Weakness of muscle and sensory loss occurs due to nerve damage. The management of neuroma is either conservative or surgical excision and repair of nerve. Conservative management is indicated: If there is no or mild symptoms: Symptom of burning pain only which is responsive to painkillers like Pregabalin/Gabapentin/Amitriptyline : Old neuroma of more than 2 years old witChatDoctorplete functional loss. Surgery at this stage usually does not cause any functional recovery. Surgery is indicated if: Intractable pain not responding to painkillers: Neuroma of less than 2 years with functional loss - Excising neuroma and joining nerve ends may lead to some functional recovery. But before deciding for surgery, nerve studies are done to find out the degree of damage, site of neuroma, affected muscle. You can correlate your features and consult neurosurgeon for further management. For headache and fullness in ear, it could be due to ear infection/upper respiratory tract infection, you should consult ENT specialist. After evaluation, he might prescribe painkillers, antibiotic therapy, decongestant, ear Chat Doctor. Hope it will help you. Thanks. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my problem is when I eat something and walk I get sever chest pain and when I take water or take a digine tablet it goes off and comes again and again. I have been suffering for nearly three years and i am  not going any better. Some times after meals when I sleep I have to get up with pain and it is like a heart attach I have over 100 attacks of the similar nature.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, this is not heart attack or cardiac chest pain. You are having HERD (gastroesophageal reflux disease). Your chest pain is associated with eating and relieved by water and die gen (antacid), so HERD is more likely in your case. You need to follow these lifestyle changes for better symptomatic relief in HERD. 1.  Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. Avoid junk food. 3. Keep 2 - 3 pillows under head in the bed to prevent reflux. 4. Take proton pump inhibitors and prokinetic Chat Doctor.  5. Avoid stress and tension, be relaxed and calm. 6. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright after following these things. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is almost 2 several months ago she started having very frequent bowel movements. Like 30 a day. but they are incomplete bowel movements, more like a fart and a little poop comes out that it.. she has been diagnosed with strep on the anus although her bottom seems to bl clearing up its not helping the frequent bowel movements. she cries and has a straining stance with her legs locked stiff and really looks like it hurts coming out i dont know what it could be or how to help her", "output": "Hi, Welcome to Chat Doctor forum, I am sorry to hear about your children condition. I am sure it must be really painful for her. The frequent bowel habits seem to be due to the pain she has in the anal region. You need to take here to a pediatric surgeon for a complete evaluation of her anal region and if needed a copy study too. Hope I answered you query adequately. Let me know if there is any further clarification you need. Take Care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cough and wheeze from time to time. Also, my chest feels like someones squeezing it tightly and then I have difficulty in breathing. When it happens at night, my friends want to bring me to the hospital but I just wait till it wears off. Is there any solution? It really bothers me because I cant breath well.Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of recurrent asthma attack is more likely. Best way to prevent recurrent asthma attack is control of asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need long acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of montelukast and fexofenadine is also beneficial. Once you start these Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder removed on Jan 25 2012. After being released I had blood work done. I received a call on Feb 15, I was told my alt was at 84 and I need to see the doctor. My appointment is on monday but I am very worried. Should I be? I dont do drugs, or drink a lot, no hep. Or jaundice.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your alt level is slightly high.  There are many causes for that.  You may have some mild liver insult.  It's not a cause of big worry.  You just consult your doctor and go for complete liver function test.  Then if needed to take treatment accordingly. Just be relaxed.  It's not serious. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is suffering from microcephly and cerebral palacy.He is six and half years old. He can not walk, stand ,speak and hold things.Can he be treated? Hello Dr. my son is six and half years old. he is sufferinf from microcephly and cerebral palasy.he can not stand, walk, speak and hold things.Is there any treatment for him in any steam of medical science?Please answer my tis queston?Plz.", "output": "Hi archaea, I'm really sorry for your state. Cerebral palsy is a disorder of development. Your son unfortunately has a small brain which is not adequately developed due to some event during birth or any cause which is unknown. Unfortunately there is no cure for it. However, there is a lot of scope for improvement with proper training for him. With regular exercises, he can be trained to do his daily activity in such a way so that his disability can be limited. You need to find out which hospital has a good scope for managing such child Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 years of age and am trying to conceive.  My doctor called with the results of my bloodwork and stated my prolactin his high.  She said it is at 13.6 and has recommended I see a fertility specialist.  Im afraid that I wont be able to get pregnant.  What are my chances with this condition?", "output": "Hi, if your prolactin levels are high, repeat it in fasting state if not given prior in fasting.  If its high again, medicines are available for its treatment.  So, it can come back to normal, and you can conceive.  But, your age is slightly on a higher side, so you can take some medical help in conceiving fast. You can take some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 months.  If it doesn't work then you can go for GUI.  Hope I have answered your question. Regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been on tetralysal for 4 months due to acne, stopped taking it at the end of last month. i no its bad in pregnancy but what about after uve stopped taking it? how long should i wait until i try for another baby? cause i want a bay now but not sure how lon g it stays in your system? eloise", "output": "Hi, If you have given 1 month gap after stopping medicine, you can try for pregnancy. Usually these medicines are excreted from body within few days, to be on safer side leave 1 month. Maximum problem is if you take it during pregnancy, when the baby is growing. Do start Folic acid tablets 1 month before trying for pregnancy, to avoid fetal problems. This is independent of betrayal. Am sure I have clarified your query, do write back if anymore queries the best Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am F 38 in good shape work out (do triathlons) regular but have had back pain from different reasons throughout my life now I every so often wake up with severe lower back, hip pain for no reason. today the pain is almost taking my breathe away when i move. It is a dull pain when i am just lying down but the moment I make any sort of movement I have sharp and sometimes shooting pain down my legs.", "output": "Hi, From history it seems that you might be having degenerative changes in your lower back spines giving pinched nerve pressure. There might be having osteomalacia or osteoporosis as well. Go for x-ray lumbosacral region for osteoarthritis. Physiotherapy like back extension exercises will be much helpful. Take B1, B6, B!2 shots or medicine. Take calcium, vitamin A and D supplements. Ok and take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am having gum problem, i mean my gum is swollen and have used ampiclox 500mg but not responding well and i think even the tooth is not that much strong. should i remove my tooth so as get rid of swelling? but the swelling has been reduced by 90% but till now remaining with only two capsules i don t know what to do...please advice what to do!!!!!!", "output": "Hi, Thanks for asking the query, According to your clinical signs and symptoms I suppose that you are suffering from Periodontitis which shows the above-mentioned symptoms such as swollen gums and weak teeth. I would suggest you to visit the Dentist and get the checkup done. Go for professional mouth scaling and polishing followed by the course of antibiotics and analgesics. Also get your blood sugar level estimation to know whether you are diabetic or not. Maintain a good oral hygiene. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lots of problems. I always suffer from various illness every now and then i.e. bowel irritability , coldness, weakness, over or less sleep,depression, anxiety, almost no- sex- drive, nervousness together with frequent urination and bowel etc. which doctor should I consult with? NB: Few problems were found with hormone and I took medicine for that but no improvement.", "output": "Hello...... Thanks for your query. I understand your concern with a myriad of symptoms in various body systems. However, many of your symptoms seem to have a psychogenic origin i.e. either depressive/anxiety-related. Hence, I would suggest you undergo a thorough psychiatric evaluation first and foremost. For your information \"irritable bowel syn Chat Doctor.  Hope you found the information useful. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my Dr recently found I had a fatty liver and a small amount of fluid around my liver my right side underneath my ribcage has been hurting on and off for 6 months until recently more often and has been constantly hurting none stop for 2 days I just ate something and threw it all up.is like to know whats causing this pain.", "output": "Welcome to ChatDoctorOnce it is proved that your mother has gall stones, it is best to consult surgeon and get a check-up and follow advice. Usual accepted method of treatment is removal of stone with gall bladder.laparoscopic cholecystectomy being the gold standard today. Please discuss with your doctor and take appropriate treatment. Gall stones usually cause indigestion specially after fatty meal. Avoiding fatty meal and digestives may only help symptom wise. Stones are known to cause severe pain and needs analgesics specially injections. The stone prevent the free passage of bile after gall bladder contraction after food and cause pain."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with light insanity schizophrenia and sadism but with self control i never harmed anyone Last week someone ran into me and i hit my head really hard and now its all gone the voices the urges to kill all of it i know it should like a good thing but i cannot handle it its like im someone else and its scary i dont know what to do.", "output": "Hi. It is not clear from your statement that you have undergone required investigations or not. If not than it is required to get investigated by neurologist as such symptoms, just not get vanished by head injury. If you got investigated and all is well, and you are not having your previous symptoms than you must be feeling all this due to sudden change in your baseline behavior. As you are not use to such self you are feeling not being your self. All you will need to visit a psychologist who will help you with therapy to deal with this change. With in some sessions you will be able to see the difference in your situation. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sperm gets leaked out very soon Dear sir, I am 38 years male my sperm gets leaked out very soon, when am havinG contacts with lady my sperm is getting ejected within 15 TO 20 sec....one more sperm is ejecting while lady touch my penis.. wat to do? how to control.. pls help", "output": "Degree understand your concerns went through your details. The problem you are facing could be premature ejaculation. Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. I suggest you to consul’t a psychologist for diagnosis and treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a weird lump on my collar bone that moves around when pushed. It can be moved almost completely around but cannot outside and cannot go under the collar bone. It is hard but can be manipulated like a flexed muscle. Its about two centimeters accross. What is this and should I be concerned.", "output": "Hi! After going through your description I could summarize the supraclavicular lump measures 2x2 cm, hard, mobile but restricted and duration or any symptoms not mentioned! Well, this is fairly common to get a nodule in this area and as per my experience from fine needle aspiration biopsy, the possibilities are as follows:1. An enlarged lymph node due to infection in maxilla, lungs, throat or viral infection, tuberculosis or cancer in rare cases!2. Benign skin tumor like conditions like lipoma, neurofibroma, dermatofibroma of some cysts!Therefore, it could be a reason of concern, and you have to see a physician for an examination and needle biopsy for confirmation if necessary to decide if any treatment is needed!regards, your"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have braces and my gums are almost starting to grow under them.To tell the complete truth, I did not brush my teeth as often as should but i got a wake-up call and know i am brushing my teeth form 10 min at a time but is there any way to help to make my gums stop growing", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint growing of gums after wearing braces is due to poor oral hygiene leading to inflammation and swelling of gums secondary to infection. You should consult an Oral Physician or your orthodontist and get evaluated and get Scaling done followed by antibiotics and painkillers and topical gum paint application. You should use specialized orthodontic brushes to brush your teeth and keep getting follow up done with your treating Orthodontist. Hope this information helps. Thanks and regards. Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc, I ve had an asd repair about 4 months ago I m 22 years old and weigh 160 lbs , but I m getting frequent chest pains and they become stronger as time goes on. My cardiologist says it probably inflammation but I doubt that as the pain I feel is the same pain I used to have before I knew I had an asd. What do u figure can be the problem? I also have constant dizziness and arm pain.", "output": "Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between a cardiac chest pain and local musculoskeletal inflammation (including Costco Chat Doctor.  For this reason, I would recommend first performing a cardiac ultrasound, a resting ECG and cardiac enzyme levels. Other tests to consider would be a chest X-ray study, complete blood count, PCR, ESR for inflammation.  You should discuss with your doctor on the above tests. In the meantime, I recommend trying acetaminophen for the pain, coupled with a PPI (Omeprazole, Pantoprazole) for possible acid reflux.  Hope I have answered your query. Let me know if I can assist you further. Take care "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my family member,26 year old female has been diagnosed with severe viral meningitis. Experiencing epilepcies and today being placed in induced coma after 8 days in icu in a south korean hospital. We are shattered and helpless being in australia and rest of family in south africa. What is the severity of this illness? She has not been responding well at all. She can hear and recognise her partner (before she was induced today) . No rash on her body. When doctors woke her (she would be awake 2-5 minutes and fall asleep again for hours) she would just stare infront of her. What will happen now?", "output": "Hi and welcome to Chat Doctor. Thank you for the query. This is serious condition and aggressive treatment is necessary. But most people recover completely and there are no consequences. There is no rash in viral meningitis and treatment is usually only supportive. If she has seizures and sleep disorders it could indicate encephalitis. In every case prognosis is hard to predict but as I said, most cases are benign. Wish you good health. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started today in the AM very slight pain in the hip or muscle ? Did nothing to cause this,pain increased to extreme by noon and could not bend down and very difficult to sit down. When I finally sit the pain is almost gone,but rough getting up.standing is ok,walking is rough.", "output": "Hi, Hip muscle pain is caused most probably by overstretching or twist muscle.  Apply alternating cold and warm compresses. Take analgesic you find over the counter orally. Apply analgesic cream locally.  If still no improvement within a couple of weeks, should consult further with an orthopedic specialist and run further radiological tests.  Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is going through liver failure and has retained alot of water in his legs. I was moving a pillow under them to elevate his leg and accidently scratched it. It is seeping water, it is not a major amount but is steadily leaking, he sees the doctor tomorrow but i am wondering if this is serious and i should take him to a hospital now?", "output": "Hello, apotts6869,Sorry to hear about your friends condition. If he has retained a LOOF fluids, probably he has distended belly with fluid as well. I am not sure if he has been on any water pills or diuretics. Elevation of the legs will help some but if he has massive ascites (Fluid in the abdomen) this may not be enough. Seeping of fluid indicates advanced condition. He has to be hospitalized, get a complete blood work up, including kidney tests to make sure he is not going into kidney failure also. He needs intravenous diuretics, nutritional support and careful medical supervision to take care of any complications of cirrhosis like bleeding or liver coma. In answer to your question, yes, take him as soon as you can. I wish him well."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a total knee replacement last July and was recovering very well...six months later, I was accidentally pushed down 1/2 flight of staris and my leg folded under my body when I felll. I went to my surgeon and he told me I had three sprained ligiments and that it would take a while to heal. In the meantime, it is now 5 months later; I ve lost a lot of range of motion, and I can t walk down steps except one at a time....bending the knee is very painful. I use wet heat, try to stretch as much as I can w/o pain meds, then ice it at least twice a day I am presently w/o medical coverage. Do you think there is any other thing wrong? My quads are extremely tight and I cannot go fully around on a stationery bike.", "output": "Hello, I have studied your case.  I think that this can be due to damaged to your knee implant. I would recommend you to see a doctor and get a new x-ray of the knee. If there is everything normal than you need help from a physiotherapist. If there is any change in implant direction than It will need some surgical correction. I hope this answer will be helpful to you. Let me know if there is any other followup questions. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im a busy mom and law student. I did alot of yardwork on Monday and that night I took 5 hours of notes with my left arm. I woke up that Tuesday with a colorless lump on my forearm. It is positioned near my cephalic vein. It is somewhat firm and I can kind of move it from side to side. There is no bruising or swelling.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or some soft tissue tumor like nodular fasciitis or dome other tumor. You should go for excision biopsy of that lump. Consult your doctor and plan 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 61 and have been diagnosed with cerebellum ataxia. What is the lifespan of this disease. I know there is no cure or medication that will help me. As time goes on I realize it will take over my body. with in 4 yrs I can not walk without a wheel walker and my balance is so bad I need assistance when without the walker on wheels. I am starting to have slurred speech and now my younger sister is starting to get the same symptoms just out of the blue. It gives me an empty feeling not knowing what can become of my life. I am a positive person but I truly need to know more information on this disease to satisfy myself and my sister. If you will give us some answers on this matter we would be so greatful. We do have doctors but they never gave any info on this subject to really learn more about it. We are both the type to put it straight in our mind that what is happening is what it is and we take it day by day. We are easy going and just want to evaluate what is in store for our future years. Preparing our mind for what is coming is important for us and our families. If you could give us some insight on this rare disease it would be of great help to us for setting our minds up in the future. Just in four years time I have really seen a big change in my body and walking and speech. I will be anxious to recieve your reply. Thanks for helping me. Vickie Welsh I just wasted my time and yours......it was never mentioned in the begining that there would be a charge. I am unable to pay out anymore on doctors. After paying out 5,000.oo a year for me and and same amount for my husband. I m sure you can understand that I am strugglling enough trying to pay for medical bills as it is. So sorry to have bothered you just was looking for some other doctors advice as a 2nd opinion. Thanks for reading what I had to say. Have a great spring.", "output": "Hello You don't necessarily need to pay. There is a free public forum. Its just that in the premium pay section you get your answers more quickly and have the possibility to exchange with doctors through follow-up answers. Regarding your query, I am afraid that more info is needed. Cerebellar ataxia is only a descriptive term, Latin for balance and coordination issues due to cerebellum (little brain) involvement, but it doesn't say much about the cause. There can be many causes so more information on tests you've had, imaging and genetic ones in order to properly classify the ataxia and its prognosis. So please write again providing such information. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with H. pylori by RUT. I completed my 14 day course of triple antibiotic therapy on Dec 22. I am on an antireflux capsule now for total of 6 weeks out of which I have completed 3 weeks. I dont have any pain in chest but I still have the sensation of food being stuck up in the lowe end of of the throat. The EGD showed hiatus hernia but on 2nd opinion with another docotor i was told that there is no hiatus hernia only the opening has been a bit enlarged. What do the symptoms after the treatment suggest", "output": "HiT hanks for posting on ChatDoctorSorry to reply to your query late. Hope you are ok by now. Will still like to reply your query if it may still help you. Any of the 2 diagnosis from both Doctor could be correct. However, unless I examine you I may not know with certainty what could be the problem. Being treated for H pylori may not stop your symptoms immediately. Healing is progressive and this is why you had to go on an anti-reflux/anti-secretory for some weeks again after your antibiotherapy. If I were your treating Doctor, I will, would have treated as follows:-Antibiotherapy for 14 days-Anti-secretory like omeprazole for 21 to 28 days-Antacid like maalox-Counseling on home measure to prevent gastritis/Verdi symptoms do not improve, I send you to a Astrologist for examination and a microscopy or endoscopy. If you are still struggling with your symptoms, I will advise you see a Astrologist for evaluation and better management. Hope this will help Best regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 32 years old and as of 3 weeks ago a smokeless tobacco user.  I have developed a sore/ulcer on my gums under my bottom teeth.  It is not overly painful and seems to be slowly going away.  Is this anything I should be worried about.  I know it is from the repeated use of smokeless tobacco, but does not seem to look like any of the pictures of oral cancer I have seen online.  Just a small open sore.  I have been told that in a week or so time these usually go away, but I just thought Id seek some professional advice.", "output": "Hello, You should feel relief that the area is healing, but this tobacco habit is absolutcputting yourself in a high risk category. Repeat episodes definitely warrant observation by a professional Nd any abnormal tissue will require a biopsy. Please consider Chat Doctor.  Continue to monitor the lesion. Rinse with warm salt water often. Keep your mouth clean with good daily care inuring proper brushing and flossing. Keep well HY"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 10 weeks out of tibial plateau surgery I have a flexible brace doctor said to wear when I walk with walker I get extreme pain every evening am I excercizing too much ?I also have pain on the inerside of the knee which is very tender to the touch that is not the side of knee that I have plate", "output": "Hello/Namaste I have read your query, I will advise you to use supportive walker with partial weight-bearing on affected leg. Unsupported walking with limp will aggravate symptoms and results later on. Do not worry about knee flexion now. Once healing is complete start guided physiotherapy and exercises to get good end results. Take vitamin C, calcium and vitamin D supplement for early healing you can take physiotherapy like ultrasound and TENS. 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 are satisfied with the answer, please give your review at the end of the discussion. Wishing you good health. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got a concussion week before last & am having a horrible time recovering. I ve been to the ER twice. I already suffer from vertigo and it made it worse. Fast forward to now... I have a constant headache, vertigo still high, although it has lessened some, nausea, vomiting, and today I noticed my eyes are red. I was prescribed zofran, meclizine, hydroxizine, & aleve. They don t seembto be working. So...my questions... are red eyes normal? and is there anything else I may try to lessen the symptoms I ve listed above?", "output": "Hi welcome to ChatDoctorI have gone through your query regarding vomiting and vertigo in a person post a concussionDizziness, nausea, headache, are other common symptom about PCS, Red eyes are not a normal symptom though, yet it is just an outcome of your prevailing problems, is not a cause of concern. Redness lie down will go automatically when you are free of principal symptoms . Meanwhile, you 1.  Wash your eyes with cold water 2.  Lie down in a comfortable position, Take cotton pad dipped in cold water, squeeze extra water and apply on your eyes.  It gives instant relief. Repeat for 4-5 times.  Resting will help prevent attacks. Lie down for a minute or two and close your eyes. This will allow more blood to flow to your brain. After lying down, sit up slowly and remain sitting for 1 to 2 minutes before slowly standing up. It is recommended that medications be avoided if possible. Especially if they are not working. Side effects of medications may affect people suffering the consequences. Do not Chat Doctor. Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation. Move slowly to avoid the risk of falling."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there Dr How are you?My name is AAAAA and I have an extremely sore back... Its an on going injury and my Dr (G.P) has prescribed Naproxen, Codine phosphate, Baclofen, and Paracetamol to attempt some relife from constant pain.Today as I got out of the pool I tweaked it again and nun of these drugs has given me relief. Right now Im laying down on my stomach with a hot wheat sack on my lower back.My question is... Can you suggest a better pain medicine than the ones Ive already listed please?", "output": "Hi I am Chat Doctor.  Hope you get a speedy recovery. In my opinion you should have camped capsules 01 caps twice daily at least for a week. it's a good and effective painkiller. It contains tornado. Also get a MRI of back done as soon as possible to look for the causing factor as it helps in long term treatment. You can add Keegan 1 tab 75 mg daily to start with. It helps relieve neuropathic pains as in your case. Thanks"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine was suffering from kidney failure. She went on dialysis and improved so much that the doctor decided to remove her from it for a week as a trial run. She got sick with nausea, diarrhea, and dehydration and is now in the hospital. Can you tell me what is going on?", "output": "Hi, Diarrhea and vomiting may be due to acute gastroenteritis or electrolyte imbalance or deny Chat Doctor.  Until examination is done it is difficult to say what it is.  Use tablets Ondansetron. Use tablet Sporran. If symptoms not improved please consult your physician/nephrologist and get it done blood urea and serum creatinine, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson feet swells periodically and we don t know why. It started when he played baseball when he was younger. He is now 20 and we have gone to the hospital and tests were run and they found nothing but his feet is still swelling. What can cause this? What type of specialist do we need to see to get this diagnosed properly.", "output": "Hi, as you mention your grandson is having swelling in the feet, and he is still 20. He also understands went all test which turned negative. So to mention few Doppler for vascular screeningechocardiogramkidney function test abdominal ultrasound scan which was normal and which was performed also?well, you can try out his, using the stocking for the lower limbs will help him avoid swelling. Also performing good vascular exercises under the guidance of the physical therapist should help him. Also, you can help him by making stronger the muscles of the lower limbs on both sides and some cardio training for vascular Chat Doctor. With the grace of God I wish your grandson a good health. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it possible to cure completely sinus and viezing problems in Allopathy / english medicines ? Even though the disease is there for more than 5 years ?Even though the person has undergone an Nasal operation (a curved bone in the nose has been removed).What are all the precautionary steps that can be taken to overcome from this ? Is there any specific vegetable or fruits that he can , so that the immune power will increase", "output": "Hellhole me explain about sinusitis and wheezing problems. Please note down few triggering factors, responsible for sinusitis (a precursor of allergic asthma) , mite, dust (fine dusting powder), pollen, hay, fodder, sudden fall & rise of temperature, mold, humidity, cold clammy atmosphere. So avoidance is necessary for sinusitis. When someone get allergy (when come in contact with some allergen) there develops bronchoconstriction and this causes blockage of nose (as you mentioned that there was surgery for nasal bone), sinusitis, wheezing sound (whistling sound) and difficult breathing. As far as known to me there is no specific fruits which act against allergic factors. However, immunity increases with the use of protein diet. Now you main question \"is there any allopatry medicine \"which can cure this disease completely ? No, whenever someone come on contact with allergy he will develop allergy, hence sinusitis, hence asthma. Only precautionary steps should be taken. When such type of patient visit in my clinic I advise them to take \"montelukast+ albuterol (combo pack) once or twice in day according to condition of patient and severity of symptoms. Once relief forget about medicine. Hope this information will help you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a healthy 54 year old male with normal weight and bmi of 24. i recently had surgery to repair a tear in my left lateral knee meniscus from skiing. i had significant swelling and both clear and yellow thicker fluid that the surgeon drained and cleaned up. My doctor suspects gout and is sending out to a lab to test. Can you shed any light on this. i have had some mild pain in my big toes that flares up from time to time. i have also alerted my primary physician. Wondering if i need to be on an antibiotic.thanks", "output": "Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As mentioned in history about the pain in the great toe which is on and off. It is true that any once will suspect as a gout arthritis. So a urinalysis is needed to help further. Also, this gout can be controlled by medicine. But in case if the test comes negative, the. it's a something else. Which may be related to the spine. As the L5 - S1 nerve root supply there. Well, you may need an MRI as well. Also, if it is gout then during the time of surgery all the tests are performed, so they would be able to catch that time. But well, for time being, get the test done now, and see if the result comes positive. If not the other option I already mentioned. Regards. Jay In Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im having a lip travel reduction surgery wednesday Im really tired of my gum showing when I smile, alot of people are trying to talk me out of it b/c they say its dangerous l could possibly, if things go wrong be paralyed for the procedure is this true?", "output": "Thanks for your query, I have gone through your query. The gummy smile can be because of increased width of attached gingival or protruded maxillary and mandibular anterior or front teeth. The gummy smile or appearance of gums on smiling can be corrected by the gum surgery or orthodontic treatment. Consult an oral physician or an orthodontist and take an opinion. I feel you don't need lip reduction surgery. I hope my answer will help you, take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "you have been paid 9/8/15 for answers I requested for pain in my right leg and never got the answer. The doctor was working on the answer but when 28 % was done the program went off and I could not get it back unless I start all over and made another payment.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in the leg. Well there can be many reasons for symptoms you mention in query like muscle strains m tendonitis, deep vein thrombosis, arthritis, gout, nerve damage or slipped disk. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order certain tests like blood test, CT scan, physical examination and take history. Doctor may recommend physical therapy, which will be very helpful, muscle relaxant, nerve supplement along with stretching exercises. Doctor may also refer you to endocrinologist for diabetes problem or to neurologist for nerve problem. For now put your legs in hot water tub with Epsom salt for 15 minutes daily and take ibuprofen or acetaminophen for pain.  Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor Im Tomas Encarnacion I fiill up a form for excuse dury duty . Because every time i went there i feel an tromatic Enxity because of my fast divorce court, Last year I really cannot control my self my tears fail in front of the judges. so they let me excuse n send home. hope you do under stand my situation. YYYY@YYYY", "output": "Dear serve understand your concerns went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others.  While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Alright, so I m going to be brutally honest because I really, really want to figure out what is going on. Recently, after a couple weeks of heavy restricting (I m an anorectic) , I d gotten down to my lowest weight at this height (BMI of 18.6) and then I binged one day, the total was about 800-900 calories but I exercised about 600 off, so I wasn t too worried about getting back on track. I heavily restricted the day after that (two days ago) and I found I had gained 2lb. I was trying not to freak out but ended up binging, which brought that day s total to about 1500. All day (pre-binge) I d been having these strange stomach pains that weren t like normal hunger pangs. It was dull ache that began to get worse and worse, like nothing I d ever felt before. In an attempt to calm myself down after my binge I told myself that those pains would probably go away. ....AND I took some Laxatives. And by some I mean 3 when the recommended dosage is 2. Normally when I take laxatives they take 6hrs to take effect and then my bowels release heavily about three times. It s uncomfortable only right before I, er, poo and then it goes away. But the stomach pains got worse and worse and they were topped with shaking, sweating and nausea . Eventually it got so bad I couldn t sleep. Originally I thought the pain had continued because I d eaten so much, but even with the laxatives, nothing I d eaten since that day had, well, come back out. Yesterday I ate 1200 calories to try and increase my metabolic rate . Today, I m still in immense pain, gained ANOTHER 2 pounds, and I don t know what to do. I ve eaten around 200calories today to see if it was hunger related, but nothing has changed. WHAT IS WRONG WITH ME? I took a bit of Pepto Bismol around 3:00am that night, some antacids and some beano (gas relief) but nothing helped. Please help. I don t want to go to the doctor because then I d have to be honest about my eating in front of my mom and my BMI isn t low enough to be diagnosed anyway, especially not now.", "output": "Dear welcome to Chat Doctor There is nothing to worry and don't be anxious. You didn't mention you had pain in empty stomach or after having food. It may be due to hyperacidity and gas problem. Be aware of fatty, spicy, foods, Alcohol, smoking. Etc. Follow the hygienic diet and don't get stressed it add your pain. If possible yoga and meditation gave you relief. If you are chronic problem you better take Ayurvedic herbal preparation for antacid properties and Gas relief. Herbal Chat Doctor. Com.npThanksGet well soon"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have had lumps under my armpits for a little over a year now. It started with one under my right arm, but now I have multiple lumps under both arms. Sometimes the lumps start to open into open sores that leak or weep. I had a staff infection about a year ago, but have been on multiple antibiotics and just dont know whats wrong now.", "output": "Welcome to Chat Doctor. 1. The history and location suggest the possible cause will be hair follicle infection with collection of pus within.2. Next cause could be infection and collection in the subcutaneous plane.3. The treatment in this case will be - in small lumps an incision and Chat Doctor. 4. In small uncomplicated cases a course of antibiotic will be enough with symptomatic medication.5. As a remedy - avoid squeeze, press, scratch the lumps (you will only complicate in this way), avoid shaving until heals - use trimmer meanwhile, maintain local hygiene, clean with antiseptic liquids, avoid clothing that will cause irritation in that area - use soft clotting. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this morning i touched my neck and i felt something strange, its under my jaw on the right side of my head. It s about the size of a pea, i looked things up and it sounds to me like its a swollen lymph node. I smoke marijuana, its usually daily but there are just a couple days when i dont. I just noticed it this morning. I havent smoked at all today because i read some things online. I want to know what i should do?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node.  It may be due to reactive hyperplasia., tuberculosis or lymphoma.  However, most common cause is reactive hyperplasia. You should take a complete course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable.  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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I have been experiencing hip pain, hand or finger pain, and vaginal pain.", "output": "Based on these symptoms, it is possible that you may have necrotizing fasciitis."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My uterus size 66x38x35 mmrt overy 33x30x21 mmlt overy 33x24x23 mmboth overies enlarged and show multiple peripherally placed folicles with increased central echogenic stroma.16th day of folicular study rt overy contains 12x10 mm & E.T. 6.7 mmIt is possible can I conceive?", "output": "Hi, I think your follicles' growth is a little slow as you have pod.  So, you may need some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I am experiencing pus in my urine, back weakness, muscle swelling and low back weakness. What could be wrong with me?", "output": "Based on your symptoms, it is possible that you are suffering from Dissociative Disorder. However, pus in urine, back weakness, and muscle swelling are not typical symptoms of the disease. You may want to undergo some additional tests to determine the underlying cause of these symptoms."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a nri 4yrs. ago and have a broad based c5-c6 osteophyte complex with out focal disc protrusion or central canal stenosis. My neck pain is worse and it hurts to even hold my head up at times. My head feels so heavy. it is very sore in the back of my neck and i can not sleep with a pillow. Could it have gotten worse maybe need another MRI?", "output": "Hi, The symptoms which are getting severe are indicative of progression of cervical spondylosis. You will need a repeat-MRI scan and have it compared with the previous scan to measure the canal diameter and look for disc protrusion or nerve compression. A nerve might have got pinched as it emerges out from the spine which is causing the severe pain. It needs to be looked at and basing on the severity of symptoms you may need to undergo surgery."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 18 years old. Last week i started bleeding after intercourse, this has happened 5 times now and i visited my local GUM service where i was examined. My cervix had no inflammation/abnornalties and no growths and that there was no sign of bleeding, but when i got home after been examined i had bled. also i have been texted and there is no infection. I am on the implanon contraceptive implant and also taking the cerezette pill. there is no pain at all before/during/after bleeding and was wondering what it could be?", "output": "HelloThanks for your query. You are experiencing post-coital bleeding. This almost invariably has a cause. The commonest reasons are growths / erosion son the cervix. Endometrial / cervical polyps also could cause this. It is surprising that nothing has been revealed so far. Please have a thorough per magnum and per spectrum examination. If this has been done, insist on a cystoscopy and hysteroscopy. Take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If a person has a cyst that grows from marble size to baseball size within a few weeks and a co-worker lances it, is there a possibility that if diagnosed later it is a stem of a malignat cancer, could that cancer have caused an infection within the body that would shut down all organ systems?", "output": "Hi, dairy have gone through your question. I can understand your concern.  Growing cyst can be benign, or it can be malignant.  You should go for fine needle aspiration cytology or biopsy of that cyst. It will give you exact diagnosis whether it is cancer or not.  Then you should take treatment accordingly. Malignancy decreases the immunity and it causes infection. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 years old.  Had an amazing job , been there 6 years.   One sunday after coming home from church I just collapsed in our bedroom.  It was as if I was in a trance.  Sat that way for several hours.   Then went into a type of siesure.   Arms moving in all directions ,   eyes going to the back of my head.  Head drawing back.  Legs acting if I was a string doll.  Lasted for 2 to 3 hours.  In a little while it started over again.  Next day arrived at the emergency room .  They didnt know what to do with me so sent me home.  Told me to go to a physicologist.   I did.  Went to several of them.  They said it was not a mental problem that it was physical.     Visit 3 Neurologist,   they said nothing showed up.  And all the while they could see the episodes for themselves.  MRIS   Several Scans,   Blood work tested for everythink you can imagine.  After 4 months of visiting Ga Doctors  My parents decided to take me to the Mayo Clinic in Fla.  We stayed a week.  One test, One Dr.  after another.   2 visits to the emergency room with severe  episodes.  2weeks later returned for results of the test.   ...    Nothing showed up.  They had no answers for me.   Had to get around in a wheel chair and a walker.  Came home very discouraged and still having the siesures.  2 or 3 a day.  Many times my husband had to call the EMTs out because I would pass out.Finally went to a Physocologist and he prescribe a nerve pill for me to help with the strong hold the episodes had on me when I was drawing for hours.   He said all he could do was to treat the symptoms.  Thank God for such a kind man.  I had been going to Dr. for months and they had given me nothing to help get me through this horrible.By now my family leave had ran out and I lost my job.   I cannot drive a car, and have not since that first episode.I cannot walk around the block.   knowing I could pass out.  My grandmother stayed during the daytime and my husband took care of me at night even tho he was given out from a 12 hour job.  We went to another Neuroglist and to another Rhematologist,  as well as other Drs.  that were suggested.  None of them knew how to help me.   The Neurologist did start me on a low dose of siesure meds.   I am still experiencing episodes and causing my husband many heartaches.     Can you tell me what could be wrong  or what type of Dr. do I go to next.   Which way do we turn now.  Please help.    My insurance will run out in may.     What do I do then?  May God guide your thoughts as you ponder this.  Thank you.", "output": "Hi, Thank you for posting your query. I have noted your symptoms in detail. Thank you for providing detailed information regarding your case. Based on the description, there are two possibilities. The first would be epilepsy and the second would be non-epileptic seizures. You need to undergo a prolonged (24-72 hours) video EEG telemetry. Sometimes, the epileptiform activity is not picked up on the routine EEG, but gets picked up on prolonged EEG.PET scan of the brain would also be helpful in making a diagnosis. 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/"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Several months ago my daughter had surgery to repair a badly broken collarbone and has been feeling fine for the last couple months. Today she started feeling some pain in the area and this evening we noticed a lump at the base of her neck near the collarbone with the thing above the lump protruding", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged cervical lymph node or soft tissue tumor.  Enlarged lymph node may be due to tuberculosis or lymphoma or reactive lymph node.  You should go for fine needle aspiration cytology of that lump. Consult your doctor and take treatment according to your diagnosis. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I was in elementary school (26 now)i was kicked or punched in the groin a lot, specifically by a certain girl at school. Now by a lot I mean it would happen anytime I did something wrong or bad or annoying. I didnt think much of it now, but what type of effect could that have on a male during and after puberty?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-You could be suffering from -Post-Traumatic-hematomas with epididymitis./ or you could suffer from-TVH-Tunica Vaginalis-Hy Chat Doctor.  / Testicular Hematoma-with calcification and hypofunctioning / Post-traumatic Atrophic Testes with delayed puberty / or weak puberty changes. Just check up with Surgeon and Urologist to rule out above possibilities. Many other problems need to be ruled out, which could occur from-punches in groin region. Dos-USG of scrotum/ testes. CT pelvis and testes. Other causes of needs to be ruled out by Consulting Surgeon/ Urologist.Don't be callous to get examined with your doctor. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Surgeon/ Urologist, if things don't recover.-Other causes need to be verified with your Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from Consulting Surgeon / Urologist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have just turned 21 and im unmarried sometime a desire comes into my mind from nowhere and i make my way to bathroom and start playing with my penis meanwhile a white substance appears to come out of my penis. in early days i didnt feel any pain but with passage of time i hurts me. is it a serious matter? if yes then plz help me to get ride of this  problem//", "output": "Hi, I had gone through your question and understand your concerns. Well, this white substance is probably semen which is normally ejaculated during masturbation. In rare cases as a part of STDs it may be pus, but then it would be discharged spontaneously. Certain degree of pain is expected and depends on intensity of masturbation, but if there is significant pain then it may present reinfection or prostatitis and in this case you should do urinalysis and prostate ultrasound. In every case, I don't think this is a serious problem. 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,Am Spoorthy and my age is 25 years. I have been observing that my hair fall is increasing day by day and my hair density is becoming thin (especially in front side of the scalp) and my scalp is visible sightly.. Am really worried about this. Can you please suggest me what to do?", "output": "Hi, As per your query you have symptoms of hair fall which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes.  I would suggest you to start with Minoxidil lotion first to get proper results and don't stop in between. Apply Indian gooseberries. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and vitamin E. Hope I have answered your query. Let me know if I can assist you further. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, had hip replacement surgery 9/23 and 58 yrs old. through a process of elimination the crazy pain I have is a pinched nerve in my lower right back.  Dr. says next step is to MRI the spot.  I have to work what can i do for myself to help remedy this?Thank you,Donna", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I agree with your doctor that an MRI would help examine better the nerve compression. A nerve conduction study may also be helpful. Meanwhile, I would recommend starting therapy with Gabapentin or pregabalin for the pain. These two antiepileptic Chat Doctor.  They are usually well tolerated in every age. Physiotherapy may also be helpful. You should discuss with your doctor on the above issues. Best wishes, "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have numbness in my face after dental surgery with numbing agent used to numb my mouth. The dental surgery was over a year ago. The left side of my face, including the left side of my lips, has numbness. Is there any medical procedure, supplement, or anything that can help this situation?", "output": "Thanks for your query, I have gone through your query. The numbness(anesthesia or paresthesia) can be secondary to surgery or any injury to the nerve by trauma or any injection at the site of nerve. You can take a nerve regenerating Chat Doctor.  Take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. Consult a neurophysician and take an opinion and get it treated. If required nerve grafting can be done. I hope my answer will help you, take care."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Nupur Sharma and I am a mother of two baby. I just have delivered a baby girl on 11th jan 2012 after my delivery I got high BP problem as my family history is there. My husband says that I should not eat chicken as it is very harmful for me. I just want to know whether chicken is bad for me or not.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that there is no harm in eating chicken in your clinical situation. Instead, white meat like chicken and fish are recommended because of their low level in fat and other benefits to your digestive tract. I would recommend you to modify your diet by reducing salt intake and caffeine intake, which are known to increase your blood pressure. Besides, physical activity (walking, aerobics) would be also helpful in reducing your blood pressure. If you are overweight, I would recommend trying to lose weight, as it is known that the weight reduce would influence directly in a reduced of your blood pressure. You should closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer those values to your attending physician and discuss the best treatment options based on your blood pressure values. Hope to have been helpful! Greetings!"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old daughter caught a cold/flu she gets a high fever 104 and I give her Advil or Tylenol to take it down,it will take one or two doses for it to go away, but it returns after a few hours . Then she gets better for a few days only to relapse, she gets sick ( throwing up) loss of appetite, but will drink fluids, Her doc said it sounds good, good urine etc... says it is a cold that is not rested... I keep her in to rest as much as possible...", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have taken azithromycin for bronchial asthmatic infection. Taking 250 mg for last 4 days. Have one pill left. My condition is completely better but the med. is causing me to have a bad stomach and a dizzy feeling. Would it do any harm if I didn t take that last pill?", "output": "Hello,First bronchial asthma is not an infection. It is a condition in which there is spasm of bronchial muscles and air pipe which causes breathing difficulty. Whenever we start any antibiotic, the course should be completed even if you are feeling better before the course gets completed. The reason behind it is if you do not complete the course, the bacteria or infective agent develops resistant to the antibiotic which you didn't complete the course. And next time if you again get the infection by the same infective agent, the antibiotic won't work the next time, and you will need higher antibiotic. So whenever you are put on any antibiotic make sure you complete the course as per prescribed by your doctor. I hope I have given you satisfactory answer. Thank you"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i want to know , I M 25 yrs old and got married one year before. now we r planning for baby. but often during sex the sperm of my husband that goes into my vagina donot remain inside ,it comes out. Is this creating problem in hving pregnancy. plz help me doc , i m very confused why all the sperm comes out ?", "output": "Hello dear, I understand your concern. In my opinion leaking of semen after the intercourse might not be the cause for infertility. Because normally after intercourse certain amount of semen mostly leaks out. And the fast and strong sperms are always left inside the vagina among which only one strong sperm results in pregnancy. But if still you are worried you can follow the below suggestions:-1)Avoid using lubricants as they slow the sperms.2)After intercourse lay down up to 15-30 minutes with a pillow underneath the hips.3)Increase the frequency of intercourse around the ovulation time.4)The position of intercourse like man above helps in deeper ejaculation and less leakage. Nothing to worry regarding the leakage as it is not at all considered as the cause for infertility. Hope this helps. Best regards..."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir i am 21 year old my height is 5.9 feet my weight is 82 kg , my penis size is 5.9 inch and it is not straight it is downward and it is skin is also not good if you see you will think it has extra meat, and it is not strong. what should i do i not rich so if you tell me natural things to eat , let me tell you that i eat onion too much. i am waiting for your response", "output": "Hi dear. Welcome to Chat Doctor.I have analyzed your query completely.I understand your problem.my opinion is that,1.avoid stress.2.avoid cigarette smoking and alcohol intake.3.take nutritious foods and avoid junk foods.4.you should sleep for 8 hours in a day.5.do yoga and exercise.6.avoid masturbation more than twice in a week. These steps will help you to make your penis healthy. Thank you. Hope I have answered your question."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir,my problem is related to speaking in public(group of people).when i am alone i can speak very well with confidence and can give good presentation.but when i am in public then my heart beat goes fast and it dont allow me to speak properly against peoples.in this way i lost credit which i was suppose to get.can you please help me in this.", "output": "Hi, You seem to be suffering from social anxiety. You can take propranolol in low dosages before presentations to help control the palpitations. For a long term solution, you should expose yourself to situations requiring public speaking as much as possible, so that the fear gradually reduces. If the anxiety is quite disabling and frequent, taking an antidepressant, preferably of the SSRI class (sertraline, Escitalopram etc.) will help. Best wishes."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On top of my buttocks crack I felt a small ball like lump which hurts when touched. There are no visual sign when looking at the area. It is actually under the skin. The skin is clear.The pain and lump does come and go.I play a lot of sport, but also sit down in the same position for a long period while Im at work.What is the inner lump and why does it occur?", "output": "Hi, Thanks for writing in. A lump in that area can be due to an infection below the skin or a benign tumor. It is best to consult a surgeon and confirm the plane of swelling. If felt necessary an ultrasound scan of the lump may be done, and it will give a confirmation on the location and features of the lump. Infective lumps usually respond to antibiotics and anti-inflammatory medications. Such infections may occur due to sweat in the region infecting the hair follicles in most people."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "8 years ago I had a radical hysterectomy for endometrial cancer. I ve recently had lower abdomen discomfort, achy and sensitive to the touch in spots. I just noticed a few bruises below my belly button. I realize I need to see my Doctor, but does this sound like something serious?", "output": "Hello have gone through your question and understand your concern. Presence of bruise is suggestive of internal bleeding underneath the skin or subcutaneous tissue. It may or may not be related to your previous cancer history, but caution is the word. Fix an appointment with your treating doctor at the earliest as various diagnostic tests have to be conducted to find out the cause and initiate the treatment. Good luck. Hope your concern is answered. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this only happens when I workout after having not worked out for a while, however it is such a pattern break, and alarming, that I worry. After exerting at the gym, it s like a switch is turned, and I feel the onset, and it always fully manifests once I feel the onset. Shortness of breath, light headed (always anticipate passing out, but it never happens) fingers tips start tingling like crazy - all of them. Skin turns very very pale, I look visibly ill. Lasts around 15 minutes. There s no stopping it. I try slow controlled breaths, drinking water, laying down. All I can do is wait for it to pass. I don t think it s a panic attack, because it only happens after lifting weights, and it also usually doesn t happen if I ve been working out consistently, only when I start after not having been to the gym in a while. Keep in mind, I m not over exerting, not lifting anything crazy, pretty standard stuff. Let me k ow what you think.", "output": "Hello, To me the symptoms appear like the onset of a syncope. A syncope is usually caused by reduced blood supply to the brain. The first thing that I would like to get done for you is the cardiac evaluation. The heart problems are very well known to manifest after exertion. When one works out on a regular basis then body gets accustomed to that level of exertion and this adaptation goes off with stopping the activity. Probably that is causing the problem for you when you start it after a gap. I would definitely want a heart check up. Good luck."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi am trying to get pregnant since 2 months. I got my last period on 30th Oct .I has sexual intercourse from 10th-16th day from the 30th oct. Am usually regular with my periods and have a 25-30 day cycle. I still havent got my period. I was hoping I would be pregnant. I tested and disappointingly it came negative. also to note I tested after dinner . I had 2 glasses of water , so pee was dilute . is early morning pee only accurate . please help", "output": "Hi, Yours delayed period could be due to pregnancy and hormonal imbalance. Urine pregnancy test will give positive results once your period will delay by more than 7 days. It should be done with overnight early morning urine concentrated sample. It may give false negative result with diluted urine sample. You can also go for blood Chat Doctor test to confirm pregnancy. It is more accurate and detect pregnancy earlier than urine pregnancy test. In absence of pregnancy, delayed period could be due to hormonal imbalance. Avoid stress, take healthy diet and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Best regards,"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a cyst in the left breast 2 years ago. I have recently had a mammogram and ultrasound. the new radiologist does not think this is a cyst and wants me to have a needle aspiration biopsy to check for cancer. I am getting a second opinion and having another ultrasound done first. A cyst cannot turn cancerous right??", "output": "Thanks for your question on Chat Doctor. Breast cysts are usually benign in nature. But can turn into malignancy in the future.  Though the chances are very less, but possibility can not be denied. That's why follow-up mammography is always indicated for early detection of cancer. So new radiologist might find something unusual in cyst appearance, so he orders needle aspiration to rule out early malignancy. So in my opinion you should get done Needle Aspiration to rule out malignancy."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doc is telling me I should start taking Vemlidy for hep b. Side effects are scary.. Should I look for a second opinion? My son wants me to seek a medical cannabis... My brother died of liver cancer 3 yrs ago after getting a liver transplant. I am worried...", "output": "Hi, In the case of hepatitis B of the virus is multiplying in body than antiviral medication needs to be taken to stop its replication.  Your son can get investigated with Sept, got estimation, HBO DNA by PCR and Head estimation to check whether virus multiplying or not.  If all these reports normal than no need for medication or else medication need to be taken. Kindly revert with reports once done.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Age is 19 years.And currently I am an Engineering student.Currently I am facing many problems.I found myself very inattentive towards everything.I am having lack of concentration .And I don t know How to express it here but these things are ruining my life.I even don t remember the last time when I have completed any kind of work without any mistakes.I found myself zero at energy level. I have searched it on the internet and after a thorough research i found that I am having ADHD(Attention deficit hyperactivity disorder) .I am 100% sure about this thing.I am not diagnosed by any specialist but I am sure about this. I am trying hard to control my activities and behavior,but I feel that there is something in my mind which is resisting me to do that.Right now,I am writing this question,but there is something in my mind which is saying to me just leave it come on go do something else. The consequences which I am facing right now are : getting poor grades,feel highly depressed,becoming less socialized,poorer energy level and becoming poorer in physical and mental health also. Its not like that I am not having interest in studies,but whenever I start studying,some distraction comes in my mind and says leave it and when I start doing something else again I get distracted. I am enjoying dreaming the life.Even when I am talking to someone,there is something else going in my mind.This also leading to lack of sleep,because when I try to sleep I start doing imaginations which are very different from the reality.Sometimes when I am alone I start talking to myself in some imaginary picture.I am hating these activities because these are taking me far away from the realities. I tried to do meditation,but I am unable to sit for even five minutes. It s very difficult and painful for me as I am seeing myself destroying my own life and I am not having control over it. This is the first time when I am sharing my problems with someone. I don t know when my question will replied,But I request you please SAVE MY LIFE .I am having lot of expectations from your side. And one more request please make my details confidential. thanxs a lot.", "output": "Hi, I commend your efforts to share your predicament with someone. What you are experiencing is not completely abnormal. Do not worry. It is quite common to have lack of concentration in adolescence. How is your relationship with your parents? Do you have any close friends? Try and speak to someone openly about it. Best would be one of your parents or next best choice a close friend or sibling. Since when are these problems occurring? Do you have specific interest in something or someone that you are aware of? Try concentration exercises by studying in a dark room with only the table lamp. Even if it takes longer than it used to ... get up only once you have finished a topic that you had aimed for. I am not prescribing any medication as of now as we should try without it to begin with. Take care and let me know answers to questions I have asked and whether any change has occurred. Take care and don't worry, Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I am a 45 year old female who works out at the gym and I wear nylon stretch pants.  I recently started taking adderall and developed a yeast infection in the last two days.  Is it possible that the adderall may be causing the infection.  Admittingly, I deal with some stress, but have been working out frequently for about a month now and again, only recently developed the yeast infection.  The adderall, Ive only been taking for one week.  Can you help?", "output": "Thanks for contacting Chat Doctor. Dear patient you have been exercising wearing nylon stretch pants. The exercise basics is to wear cotton. Sweat and nylon don't go hand in hand. Your yeast infection is because of nylon pants during exercise. Adderall doesn't cause yeast infection but is a Chat Doctor.  Also, please get yourself checked for diabetes as fungal infections are more common in diabetics. Regards"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have not had a period for three months. I stopped taking the contraceptive  pill 6 months ago, had irregular periods for 3 months and now they have stopped completely. Four pregnancy tests are negative. I feel mmore bloated than usual but no other symtoms. I have a doctors appointmeny booked in a weeks time but wanted some quick advice please as it is worrying me. Thank you very much.", "output": "Hi dear user, thanks for your query. As per your history, you had your periods 3 months back and you pregnancy test are negative. Bloating may be due to fluid retention. In my opinion, you should get a few investigations done(complete hologram, serum beta Chat Doctor, blood glucose, thyroid profile and serum LHC FSH levels) and an ultrasound of uterus and adnexa to find out any cause of amenorrhea. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 54 years lady. My husband expired in april 2011 and i am not regular in my diet. Last night i was having a bad headche i cant even sleep and i hold my head with both the hands. I have survical problem as well. I had gone to lab and check my BP itis 90/60. Is there any risk. I amin stress as well due to some official problem for the last two days. Kindly suggest i have to go to doctor or any -------- Anu", "output": "Hi, dairy have gone through your question. I can understand your concern.  Normal blood pressure in middle-aged women is 120/80. You have headache and your blood pressure is very low.  You need to take treatment.  Furthermore, you should take lemon and salt water to raise your blood water.  If it remains persistently low then you should 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."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My windpipe has been hurting for about a week or so after I had a bad cold and cough. It seems like a burning sensation when I breath in. In the morning it s not as bad but as the day goes on it seems to hurt more like my windpipe is swollen but it s not. I have no wheezing or anything like that .", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having severe pharyngitis. This can cause inflammatory reaction in the pharynx. This cause edema and pain with burning sensation in throat. So better to follow these steps for better symptomatic relief. 1. Avoid oily and spicy food. 2.  Chat Doctor.  3. Warm water gargles 5 - 6 times a day. 4. Start antihistamine and anti-inflammatory "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was diagnosed last March as having Mono and that it was already passed the active period and was still in her system.. what does that mean?  She has had trouble with wanting to sleep all the time and now they are sending her to a disease specialist, What should I be asking?", "output": "Hello, Welcome to Chat Doctor, Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood and early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Because of reduced immunity you may all these weird symptoms. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am Manjula.R. my brother is taking sizodon tablets from 1 month. now i should know whether my brother should take the tablets life long or what. i know that according to patients symptoms doctor will prescribe to take sizodon tablets. my brother don t have siver symptoms, it is a mild.", "output": "Hello Manual, Your question is very important one. The psychiatric medicines even if given for a mild illness (however, nowadays there are very few patients who hit and tear clothes.and even a non violent and normal looking and working patient can also be harboring severe psychiatric illness) should.be taken. For full course. According to the research, when once a person develops some psychotic illness, he should be given the. Chat Doctor. So, the duration of 3-6 months starts after complete elimination of symptoms. Many people/ family members are in hurry to stop the medicines, but this should not be done. The second episode usually follows the first (any time in life) which is severer than the first one. The best way to reduce the possibility of this second episode is - to take a complete course in the first attempt only. And these "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi docktor , my name is jagpal..im 18. n so i have been loving this girl..for 5mtnh..n she was playng wit me all the time..i love her 100 per. truely i nvr cheat o lie to her..she left me bcuz i found out that its was love triangle..so i cried to her..n i did so many thing to make her come back..bcuz i juz love her so much..i tried to comit sucd .n it nvr hapnd..i cut my self..alot of time..its already 9mthn without her ..n im still in the pain..i cant sleep ..i will get angry very fast.i will start punching my self for no reason.i will get very agresive.i can see her every where ...which ever girl look like her ..i will scrd..i cant breath when i think about her at night..!!! .can u help me what wrong with me..n what is the way to over come ...pls tq", "output": "Dear Jag pal Dave, Hi! The best part of your problem is that you really want to solve it and come out of it. From the description that you have given, it appears that you seem to be suffering from an adjustment disorder bordering on depressive disorder. If you leave the previously mentioned medical jargon, you have developed a psychiatric condition, a minor one though, which surely needs some psychiatric help. A supportive psychotherapy will surely help in relieving your problems. I recommend that you should soon get hold of a psychiatrist and start seeking some help. There is no reason to delay, if you already have made some suicidal attempts. Hope I am able to solve your concerns."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a women, 5 6 , 48 yrs, 164 lbs. I have had heart palpations since my early 20 s and have always been told this is normal. Two EKG s that were normal. I have had occasional irregular heart rhythm for about three years now. Recently (about two months) I started working with a trainer to get in shape. I have not been able to complete a workout without feeling like my heart is going to jump out of my chest or getting physically ill, even though I have tried very hard to pace myself and usually do only about 1/2 of what the trainer is requesting. Now, for about a week, I feel like my heart is just working harder than normal, full time, and my lower jaw and teeth are aching. I was seeing a Holistic doc a couple years ago, but have not been able to afford to continue since he doesn t take insurance. Is all of this normal for my age and/or current physical condition? Or, do I need to worry more? I do not currently have a regular doctor.", "output": "Palpitations after exercise is normal phenomenon but it's too high or associated with ache its investigation is warranted. So mentioned something irregular beats. Now further you should try measure pulse rate and try to get ECG done during episodes. Alternatively you can get holder attached which will monitor your cardiac activity throughout the day and let us know if any abnormality is there. Also avoid smoking alcohol too much coffee or cola Chat Doctor. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Meloxicam for 3 years.ad a holeMy Dr. prescribe Tramadol, she said to start Tramadol, and after a week, stop meloxicam to see if pain comes back. I stopped Meloxicam 2 days ago, today I felt very strange, kind if jittery, shakier, felt like upset stomach/ like having a hole in upper part of my tummy. Could this be caused from stopping Meloxicam?", "output": "Hi. Thanks for your query. Since you have taken Meloxicam for such a long time, it must have caused Gastritis or gastric ulcers, the severe attack must have caused you to have this feeling of having a whole in the upper abdomen. The feeling of jittery, shakier must be due to with Chat Doctor.  You also have to take Sanitizing or a PPI, antacid, soft bland diet and small frequent meals. Get an Upper GI Endoscopy done to see the problem with stomach, duodenum and esophagus."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I think I might have a knee injury. I was playing basketball and I landed awkwardly on my knee. Now it's really swollen and painful. ", "output": "Based on your symptoms, it sounds like you might have a tear in your knee ligament or meniscus. We will need to perform a procedure to fix it. You'll be given anesthesia, such as Propofol, Bupivacaine or Sevoflurane, to keep you asleep and pain-free during the procedure. We might also administer Cortisone and Sodium Hyaluronate to reduce inflammation and help with the healing process. Additionally, Nitrous Oxide, Thiopental (Pentothal), and Rocuronium may be used to make sure you are completely relaxed and muscularly paralyzed during the procedure. Afterward, we may prescribe Clidinium (Librax) and Penbutolol (Levatol) to help with any post-operative pain or discomfort."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife aged 55 is suffering from back pain due to posterior herniation of L-4-5 disc with ligamentum flavum thickening and posterior herniation of L-3-4 iv disc is causing narrowing of the iv foramen bilaterally. I want to admit my wife in Ideal nursing home for operartion. Before admission in hospital I want some clarification from you. 1. How many days is required for hospitalisation. 2. How much expenditure will come for complete hospitalisation. 3. Is cabin facility is available in your hospital. 4. Is blood is required during operation. 5. May I get admission date as on 05.10.2010 or 06.10.2010. Kind regards D.K Rai Ranchi Jharkhand Phone-0000", "output": "Hi, Thanks for your query. Your wife is having degenerative disease with multiple disc prolapse. If she is having tingling and numbness or weakness of legs, then she may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over her nerves. Along with that conservative measures are a must:Avoid forward bending, lifting weights. She can take painkiller and muscle relaxant combination prescribed by your doctor for pain relief like Tablet Diclofenac and Thicolchicoside twice a day. Shee can put hot water bottle to the painful areas for relief from muscle spasm. If the medication isn't working then she can get Epidural steroid injection in the back, to treat multiple disc prolapse. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctors! My partner cum inside me but I took nordette within an hour. I took 3 tabs first, (it was 4 but I think I lost the other tablet so I took another 1 just to be sure).I am just scared because this is my first day of fertility.What are my chances of getting pregnant?Please help!", "output": "Hello, Thanks for letting us know your health concern. Since you have taken hormone medication as emergency contraception soon after the unprotected intercourse, you are amply protected. However, you may experience with Chat Doctor.  Your next natural period may get delayed by a week or two. If you do not see your next natural period even after ten days after it is due, please get evaluated by a specialist to plan further management. Use regular contraception instead of emergency contraceptive pills to avoid hormone imbalances. Hope this helps."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and taking my blood pressureflyin tables daily which is amlodipine 10mg and  candesartan 32mg since 5 months but my blood pressure still goes high some days or some days in control also I am hearing ringing sound in my ears feeling headache and under neath my feet sole feeling to burning or itching.", "output": "HI, thanks for using Chat Doctor The abnormal sounds in your ears is called tinnitus and the sensations that you are experiencing in your feet would be referred to as peripheral neuropathy. Tinnitus can be due to different causes such as : (1) side effect of medication such as aspirin, some antibiotics(2)related to hearing loss(3)deniers disease(4)ear infections(5)rarely a mass in the brain(6)depression(7)head trauma In some persons the exact cause is not known. You would need to be evaluated by an ENT doctor to determine the cause and to initiate treatment. Peripheral neuropathy is abnormal sensations related to issues with the structure or function of these nerves. It can be related to different causes such as electrolyte or vitamin deficiency, metabolic diseases such as diabetes, autoimmune diseases, alcohol use, trauma, kidney disease. This would also require evaluation by your doctor. I hope this helps"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Concerns for my daughter My daughter is two months old she was born after two days of being in labour and them breaking my waters n bringing my labour on by a drip then using the suction cup to pull her out after being dilated for two days when she was born I noticed she would shake her leg like a quiver but never thought much of it as I thought it might be her going to the toilet until a week later it mooved from that leg to her arm and mouth on the same side eventually it came to a point where her hole body would shake at time where I felt her spine shake and she would spew or have white frothy bubbles at her mouth I took her to see a peadiatrician who simply said it was a banine thing and she would grow out of it and it slowly stopped for a while but as of a week ago her legs and mouth have started to shake again but its not just that I have noticed she cant moove both legs at the same time she can only get one to moove with the other stopping half way the same thing with her arms she is also very stiff constantly and if her hands are open or closed when she goes stiff it takes her a while to close or open them again I have also noticed that her toes curl up and she cant uncurl them and has alot of trouble sleeping as in having to be held and as soon as you put her down she wakes up I took her to the doctor again and two doctors suggested I take her back to the peadiatrician as he was spose to do an ecg and blood test and she needs one done I want another opionion as to what another doctor may think this all could be thank you", "output": "Hi.... by what you Quote I feel your baby is having seizures. The history which you have provided regarding your pregnancy and associated complications during childbirth are also suggestive of the same. Your baby will require evaluation for seizures in the form of EEG, and she might also require neuroimaging like ultrasound cranium or an MRI brain. Apart from this she will require metabolic work up like Serum calcium magnesium and other electrolytes level in the blood. Regards - "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a stiff neck with pain for two days, have been taking an otc pain med and using heat but it seems to have gotten worse. I cannot turn my head to either side and it is difficult to raise or lower my head as well. Have been having a difficult time sleeping due to pain.", "output": "Hicoud be cervical spondylitis. Do hot fomentation. Wear a cervical collar, avoid high pillows, do isometric (non stretching) exercises of neck muscles, clenching and releasing without moving neck, take help of a physiotherapist. Consult orthopedic surgeon for x-ray?MRI if this measure doesn't help. Avoid jerks. After fomentation apply muscle relaxant creams locally and take chloroxozone tab as muscle relaxant after meals twice a day. It is available as paraffin tab best wishes"}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Was in motorcycle accident 4 days ago. Had small gash in my right knee. Have road rash on right hand / knuckles and forearm. Small scrape on chin. I m an EMT/FF. And my riding buddy is too. We irrigated the wounds. And put steri strips on my knee. And also sterile bandage and bactine ointment. I have been taking Vicodin/acetaminophen 5/325. And I silverdine cream for road rash. Ended up getting tetanus shot. Was checked out next day at walk in clinic. They said everything looked ok. But i am now having fever 99-100. Is this common after a bike crash?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that fever is not common after bike crash. You should check for infection in the wound. Also rest of your treatment are fine and need not change anything except, antibiotic I like to add definite as antibiotic. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had this very itchy rash up on the inside crease of my leg for about a 2 weeks. it doesnt really bother me until I touch it then it starts to itch so bad! There are tiny bumps in a patch where it is itching and it kind of flares up when im scratching it. When im not messing with it I dont feel any bumps. I hate to have to go to the doctor. Oh there is no burning when i urinate or redness or itchiness in my vagina just on the crease of my inner thighs. And the itchiness comes and goes only when I scratch. I often wear spanx and have picked up some weight. And I ve had a weak bladder recently making it difficult to get to the bathroom fast enough. I find that this region has been moist recently due to sweat.", "output": "Hi, The rash could be a Tina infection (fungal infection of groin) or intertwine (Inflammation of skin folds which could be due to a variety of causes).  Tina infection is usually treated with antifungal medications and intertwine is usually treated with mild steroid medications. Steroids can worsen Tina infection. So, it is advisable to consult your Dermatologist to arrive at a proper diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every now and then I find myself having a hard time breathing. Then I feel my heart beating fast and I can hear my heart beating. It only lasts for a few seconds. I am now pregnant. I am 15 weeks. Since Ive been pregnant, I notice it has been happening more. I always have to take a deep breath to catch my breath. Is something wrong?", "output": "Hi, Thanks for the query. I understand your concern.  In pregnancy there is rise in blood volume (for fetal circulation). This is by dilution of blood, so the hemoglobin percentage (the oxygen carrying substance) gets reduced. Also, respiration become difficult due to decreased due to pregnancy hormones, while oxygen demand is increased by 20% in pregnancy.  All these factors together cause compensatory rise in respiratory rate & heart rate. In an attempt to provide necessary oxygen to growing fetus.  The thing can be managed by- - Rise in HBO (treatment/ consumption of healthy diet with proteins, iron, vitamins) - Learning to increase respiratory capacity by using thoracic breathing (pregnancy special Panama) thanks."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am a 34 year old and  I have been trying to conceive for a few months now,  i have encountered a point of concern. First i never notice this egg white cervical mucus that i have heard so much about i only see a milky white sometimes yellowish (no scent, i have been checked by my doctor and i have no infections and he sees no reason why i should not conceive.  what are your thoughts?", "output": "Hello, Milky white discharge without any other associated symptoms is absolutely normal, you need not worry about that. I would advise you to undergo a few tests like CBC with ESR, Urine routine and microscopy, RBS, Thyroid function tests and an ultrasound of the pelvis for your self. A semen analysis of your husband. Meet your doctor with the reports. Your age could be one of the factors affecting the conception. Don't worry, take care. All the best. "}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i m from india my father has been daigonised with muscle biopsy and other tests like emg , blood tests etc and the cause was polymyositis with vasculitis ..after that medicines were given but no changes or progress has been seen.i can send you his biopsy report and other test reports which are required to you .kindly tell me email adress.assist me what to be done for treatment.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that such conditions are very chronic conditions. It requires a continuous follow-up with report so being in touch with me helps you. You can take low dose prednisolone, it will improve the condition immediately, but you can send me a report and treatment taken to help you out more. Ask me as a specialist question in Chat Doctor website. I am Chat Doctor, Infectious diseases specialist. Kindly come up with the problem of yours. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."}
{"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on a 10 day cycle of penicillin....i am very prone to yeast infections. I was prescribed two diflucan pills...when should i take the first one? I am currently on day 2 of the penicillin. Should I take it today? I already feel yeast infection symptoms begining.", "output": "Hi, Because rifleman usually starts to work within one day, hence it should be taken on the first day of starting penicillin and another dose of rifleman every seven days until you finish the course of penicillin. Since you are currently on day-2 of the penicillin you can start taking first dose of rifleman and its second dose may be taken on day-7 of penicillin. Hope I have answered your query. Let me know if I can assist you further. Take care "}