Datasets:

ophycare
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icliniq-dataset

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train · 7.32k rows

text stringlengths 359 4.64k
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had all four wisdom teeth pulled nine days ago only the one on the bottom right tooth is very painful and when i push near it all this foul smelling yellow stuff comes out what is wrong also having headaches ### Response: hello it occurs due to loss of blood clot in the early days since extraction use warm salt water gargle twice a day for a week or two to get some relief you may need antibiotics and painkillers for a week or two so go back to your dentist for a thorough clean up of the infected site for more information consult a dentist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my father is years old he is having negative thoughts and talks about deaths has a vivid dream with severe sleepiness he is not enjoying anything which he enjoyed before he has shortterm memory loss he has fatigue with increased appetite he has little issue in breathing during sleeping he can identify people but he is unable to remember what happened before five minutes he is completely confused by his dreams and realitythese problems have started in my father after a traumatic event in which my father has lost his brother and two sons of his brother in an accident that happened before three months he has a previous history of bells palsy a little hearing loss and was also diagnosed with a small lesion in the hypothalamus which is not cancerous i want to know whether these traumatic events have played a part in these symptoms or its due to the lesion the mri of the brain shows the possibility of glioma please suggest ### Response: your father may have ptsd posttraumatic stress disorder it is less likely to be due to glioma the symptoms of a vision problem and memory loss are due to gliomas you can give him a small dose of antidepressants and benzodiazepine for the sleep disturbances you can give him sertraline mg daily and clonazepam mg at night for the sleep we need to reevaluate him after days and manage the dose your father has symptoms both due to the brain lesion and ptsd family member loss if your father starts to have psychotic symptoms due to gliomas then you can give him a small dose of antipsychotic in the future
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: before two weeks i have undergone i and d for breast abscess from that day i have stopped feeding my baby on of march doctor checked and said no need of dressing and there is a small lump still present keep warm compress it will go and told me not to feed the baby i am keeping warm compress daily once but no result yesterday the wound completely healed and there was no leakage of milk from the wound so i started feeding my babyin the night i fed my baby on the wounded breast but in the morning i observed swelling again on the breast so i kept hot compress and started pumping then i observed a very thick pus on my nipple just a drop after that i am trying to hand express and pumping but the pus is not coming out now i am very afraid that my gynecologist may again suggest i and d in the present scenario it is very tough for me to go hospital every day for dressing carrying a small baby please tell me whether it can be healed by antibiotics can i feed my baby if i feed baby will that pus affect my baby ### Response: hi please do not worry a single episode of a small amount of pus exudation may occur ideally you should have pumped away the first set of milk and then started feeding but please do not get distressed now keep breastfeeding your baby keeping following things in mind after feeding from the affected side use the breast pump to evacuate any residual milk do not worry your body will generate enough milk for the baby keep hot compressing twice a day maintain proper breast hygiene do visit your gynecologist if you develop any fever or rise of local temperature take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: what is the difference between intralasik and contoura lasik ### Response: intralasik is a method in which the corneal flap is taken by laser in regular lasik the corneal flap is taken by a mechanical device which has a metal blade the rest of the procedures are the same contoura vision is a personalized lasik in which the laser correction is done according to the size and specifications of the individuals eye it is something like getting a shirt specially stitched to the individuals size whereas regular lasik is like buying a readymade shirt
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: for almost a week now i have had recurring random pain just behind both of my ear lobes it has been almost three weeks since i stopped lyrica pregabalin completely for back pain for the last week i have been experiencing something different which can be best described as random pressure or light pain almost behind both the ear lobes sometimes the feeling is localized just there other times it travels towards the neck occasionally towards the mastoid bone or it extends towards the lower jawline i have been crazily searching to see if this is a result of any swollen lymph node fearing cancer but i could not find anything out of the ordinary on the body very rarely i feel this pressure going upwards to the ear and even more rarely a sudden pain arises inside the ear too but i hear no ringing or sounds the weirdest thing is today i woke up with this sensation and i could feel heaviness behind my earsthis has come after an acute sinus infection cough night sweats for which i had to take antibiotics that hit me when i started tapering off lyrica last month i have had chronic sinus issues in the past too but this one was different never had it progress to this level i have uploaded an image of where exactly the pain or pressure originates but right now the pain or pressure is pretty spread out randomly across the neck can you please tell me what is going on and what could be the cause of this pain or pressure medicines although the sinus problem seems to be resolved now i am still taking loratadine d xynosine nasal spray and librax for ibs related issues ### Response: hello pain may be due to mastoiditis seen in chronic allergy or middle ear infection or eustachian tube block patients get it done ct brain or xray of the mastoid use water vapor inhalation and salt water gargling thrice a day for five days you may use montelukast and levocetirizine once a day for five days if symptoms are not improved please consult your ent specialist he will examine and treat you accordingly take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i started with the gym last week i trained myself at home for a few weeks after going to the gym i began to have pain in the knees it hurts me a lot i am unable to do squats for a week i tried to fix it and nothing helped me i do not know what to do please help ### Response: hi it is common to have pain when you start an exercise programme after a gap you can try icing the sore parts after doing exercise as well as do gentle stretches in leg muscles knee pain may occur due to chon take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old and married for years now we are planning for a child on of this month i experienced periods with very little stomach pain and pain in legs the next day on there was no bleeding at all i had spotting of light red colored blood flow the same thing happened and then the flow stopped again on night i had bleeding light red coloured blood flow on no bleeding at all i had fresh pink colored spotting then pinkish brownish spotting occurred morning i did pregnancy test by urine it came negative and at am had brownish spotting had brownish spotting too please help me to know whether it is implantation bleeding or anything else ### Response: hello this is not an implantation bleed at all as even urine pregnancy test is negative considering that you have been having regular spotting during this month since of this month with hypomenorrhoea there are possibilities that your serum estradiol levels are low which is a possible cause of such irregular shedding of the endometrium it is important that you get an ultrasound pelvis done to check for endometrial thickness which if less than mm then likely that you would not conceive during this cycle please tell me what hormonal profile was done with thyroid levels serum prolactin serum progesterone serum estradiol fsh lh and amh levels to establish the cause of such irregular shedding
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i pee very often even though i am young and i do not have diabetes or anything and i get horn whenever my bladder is full i do not think it as a healthy habit and it disturbs me please help me ### Response: you should rule out the cause for frequent urination it can be due to urinary tract infection and due to impaired sugar control if you have a burning sensation or feeling urgency to void the bladder it indicates an infection so get your urine test done along with fasting blood sugar it is not abnormal to have an erotic feeling while the bladder is full the sensations produced by stretching of the bladder wall may give some erotic sensation
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had periods on and had protected sex on the of the following month after that i took an ipill within hours now i am bleeding like my periods ie after days of ipill is this my period if not can i expect my periods on the coming ### Response: hi as you are bleeding now your menses going to be irregular mostly now your period is going to delay mostly and very little chance that it comes on time ipill is a hormonal pill so it can disturb your normal cycle with
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: due to excess of masturbation in my teenage time i feel my penis size has become short and thin now i am years old so is it possible to get back that previous size if i follow any instructions advised by you i do not drink or smoke ### Response: masturbation is a safe habit and it does not cause any serious effects on health masturbation is not a cause for the reduced size of the penis size of penis remains constant and it never decreases if you are seeing any reduction in size then that is due to psychological reasons if you have a normal erection then no need to get worried size has no roles in sexual intercourse jelqing is an exercise that can help in improving the size you can think of trying this this involves milking like repetitive action in a semierected penis this will help in improving the size of the penis to some extent
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have many deep acne scars on my face i have shown to many doctors but did not get a good result i have found now that lastly i will have to go for laser treatment please suggest me what to do ### Response: treatment of acne scar depends on the type of scar there are various treatment modalities for scar for instance subcision it is a surgical procedure to release the tight bands below the skin that is holding the scar injection of plateletrich plasma tca trichloroacetic acid cross deep chemical peels carbon dioxide laser resurfacing discuss these options with your dermatologist laser is effective and gives good results but again i do not know the type of acne scar that you have please attach your clinical picture along with your query so that it is convenient for me to give appropriate suggestions
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have been suffering from a fungal infection in the inner thighs for more than a month now i used terbinaforce tablets for a month now i am using only sebifin cream but i can not see much improvement can you please suggest me any better treatment or medicine ### Response: fungal infections usually take two months to resolve completely provided you take proper dose of medicine for the prescribed duration terbinaforce terbinafine is a good antifungal i suggest if you have taken terbinaforce for one month then it is sufficient i would suggest you switch to seriva cream sertaconazole topical a newer antifungal apply this cream twice a day in the morning after taking bath and in the night before going to bed you also can use kz soap ketoconazole use only for thigh area while taking bath use your regular soap for rest of the body you can also use abzorb dusting powder apply it to the thigh area after you apply seriva cream this will reduce sweating and friction along with that i need you to follow few dos and donts for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am getting severe pain on the left side of the shoulder and chest for the past four days is this a cardiac problem ### Response: any leftsided chest pain should not be ignored a history of lifting heavy weight strenuous work exercise etc might also cause shoulder and chest pain there are chances of pain radiating to the arm and chest due to cervical spondylosis neck pain follow these simple steps get a complete hemogram chest xray xray of the cervical spine and ecg done consult a cardiologist online with the reports
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: impact injury to right ankle eight months ago still painful and gets swollen mri was done on it i am years old cm and kg all healthy apart from this my daily medication is mg fluoxetine ### Response: the mri scan does not show any area of strain or gross musculotendinous injury keep it elevated as much as possible apply aircast ankle sturrup orthosis you can wear shoes over it too apply ice thrice daily for two days i suggest the following medicines take these tablets only if you are not allergic to them do not take these tablets if you have bronchial asthma follow up immediately in case of any untoward reactions physical therapy wobble board exercises to strengthen muscles this should be done once the pain reduces for more information consult a radiologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had unprotected oral sex with a csw i ejaculated in her mouth she ran quickly to spit i do not know if she was hiv positive or not should i be worried about my health ### Response: unprotected receptive oral sex is safer than unprotected vaginal or anal sex but not entirely safe there is a negligible risk of hiv human immunodeficiency virus and other stds sexually transmitted diseases like herpes gonorrhea chlamydia and syphilis the risk is more if the person had oral sores or bleeding gums for more information consult an hiv aids specialist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old female i have persistent depression and social anxiety disorder i have not ever taken medication for this issue my social anxiety usually springs me into fullblown panic attacks like shaking feeling unsteady trouble catching breathes extreme twitchiness and my throat close up i wanted to go for an audition for a singing competition but i have social anxiety and it is a severe debilitating symptom i have been wondering if there is any medicine to take as a temporary sedate as it is enough for me to perform and to stop taking them when it is not needed ### Response: your symptoms are suggestive of social phobia and performance anxiety do not worry as there are lots of good medicines which will help you to perform without anxiety medicines like beta blockers like propranolol will help to reduce your anxiety symptoms you can also attend few psychotherapy sessions to learn relaxation therapies with exposure and response prevention techniques for more information consult a psychiatrist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have flaky skin on my scalp my doctor told me it is sebopsoriasis the flaking is limited to the scalp and my doctor has prescribed folitrax mg and aprezo mg i am having this problem for about four to five years i am able to control flaking in the scalp by washing with shampoo but it reoccurs after a day with hair loss can it be controlled or can it spread to other parts of the body ### Response: hi i have gone through the query yes it can be controlled with medications but unfortunately you may experience frequent exacerbations due to stress or steroids or specific medicine or due to a sore throat mix one part of betamethasone lotion with two part of an olive oil and apply it on the night do it three times a week and wash it in the morning for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am suffering from follicles on legs from six months it is nonitchy and painless and when i apply any cream clopg it becomes tiny and after stopping the cream becomes as usual and from six months i saw a minor change in the increase or decrease in size please suggest what is this and how i can clear this ### Response: i understand your concern it looks to me like lichen planus or vasculitis but skin biopsy is required to confirm the diagnosis for that you need to visit a skin specialist in person if you have lesions anywhere else on the body send pictures of them too meanwhile use the following medications tacvido forte tacrolimus ointment apply twice a day for three weeks
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my nephew is and a half years old he fell from the bed and hurt his nose around or months back now as the doctors have said his bone there is moving in the wrong direction that is towards inside what is the best course of action for him should he go under the knife i am pleased for your advice ### Response: hi he has got his nasal septal cartilage fractured and due to that there is misalignment of the septumyou need to consult an otorhinolaryngologist for evaluation or you may also go for plastic and reconstructive cosmetic surgeon for better results it is not like going under the knife it is very sophisticated procedure and is done with an endoscope and is very successfully done in a matter of minutes with minimum cut and patient can come home after minutes of surgery
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old female i am suffering from extreme rage and irritability for the past two years i am on femilon for three months for adenomyosis and adenomyoma i feel desperate please suggest some medication for my rage ### Response: you can change the medication for adenomyosis you can opt for mirena insertion levonorgestrelreleasing intrauterine device it is a progesterone intrauterine device it is a device that looks like and is inserted like a coppert
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a protruded mole on my leg light color but it will become black if in contact with water it lasts for about two or three years or more i have no symptoms other than it will fall off as time pasts and grow back itself i was wondering what would it be as i am worried if that is some kind of melanoma ### Response: i have seen your query and examined your given picture attachment removed to protect patient identity it seems you have developed seborrheic keratosis or a mole do you have this mole since birth nothing looks like melanoma shave excision with the histopathological examination is a good option in your case because it is curative and diagnostic both take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: when i was years old i was knocked off my bike and cracked my front tooth in half horizontally shortly after the dentist fixed it since then i have had no problems with it and had multiple xrays to check on it when it happened the color of the tooth changed very slightly to a very slightly more yellow shade than the rest of my teeth i am curious to know what happened when the trauma occurred did my tooth die what are they checking for when they xray the tooth ### Response: hello i have been through your query and can understand your concern any trauma to the tooth generally has longterm consequences like tooth discoloration etc as you said that your tooth was fractured it might have led to a slight injury to the pulp or even if not so the fracture line would have been close to the pulp in both cases the pulp over time starts to become nonvital sometimes due to injury and sometimes due to the restorative material lying in close proximity to the pulp this over time results in the discoloration of the tooth the characteristic feature of this discoloration will be that only the involved tooth will be discolored and other teeth will be normal or not discolored if that is the case it generally means that the tooth is in the process of becoming nonvital till the tooth becomes slight brownish black which means the tooth is entirely nonvital it is generally not associated with any kind of pain as the process is chronic and takes time to set in i would advise you to have a visit to your nearest dentist he would prescribe a vitality test of the tooth and also would get an xray for the tooth by that way he would come to know if the tooth is dead or still vital and accordingly will propose treatment if the tooth is vital he will put some medication over the pulp to let it heal and then fill with the pulp friendly restoration however if the tooth is dead i would suggest you to go for the root canal treatment after evaluating the condition of the tooth and soft tissue meanwhile keep your oral hygiene good brush twice daily and floss regularly use mouth rinses to clean the mouth after meals
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have been wearing braces for teeth alignment i am towards the end of my treatment and have developed a high pitched sound in my right ear i consulted with my orthodontist and temporarily removed the wires on two occasions both times the ringing went down after some weeks when i put on again the sound started one ent i consulted said it could be an allergy to dust in the area i live in based on the information i received and the symptoms i am not sure how to proceed what is the cause of this issue ### Response: tinnitus due to braces is not possible tinnitus can be due to many reasons like hearing loss or nerve loss or any loud noise exposure or trauma to the ear or even nasal infection or some medicines please tell me do you have any relevant history dental procedures that involve the use of dental burs can cause tinnitus but not just the braces you should get pure tone audiometry done and follow up with the required information so that i can suggest you better
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old with a weight of kg and a height of feet inches i had a bypass surgery seven years ago i used to walk minutes daily i feel completely fit and fine a week ago i felt that my heart rhythm was irregular after going through a holter test i found that my heart rate increases and slows down with a pause of seconds my minimal heart rate is and the maximum is bpm my average heart rate is is there anything seriousmore details about the presenting complaint include i rarely get a headache with no other symptoms i am currently taking razel gold once a day in the past i have been on concor mg once a day and razel gold once a day i have gone through tmt three to four months ago with a normal outcome the doctor also did an echocardiogram and everything seemed normal please help ### Response: hello i have gone through the first page of the holter report attachment removed to protect patient identity you seem to have supraventricular tachycardia episodes likely atrial fibrillation or flutter you have sinus pauses and sinus arrest suggesting sinus node dysfunction you will need treatment for supraventricular tachycardia episodes like rate control medication and anticoagulation if it is atrial fibrillation your sinus node dysfunction currently does not require any treatment consult a cardiologist for starting treatment for more information consult a cardiologist online take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a small freckle about mm on the side of my foot it is not different from my skin in appearance it just seems to be a brown blemish i think i have it for a number of years and now i am a bit anxious about what it could be thank you ### Response: hi the brown spot on your foot could be a mole or lentigine attachment removed to protect patient identity as it has been there for long they are just harmless you need not worry unless you have a change in its size and color or a family history of skin cancer you may consult your dermatologist to magnify the spot and look for undesirable changes
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old my period was a month back it sustained for four days i generally use to pads in my periods i had sex days later on the very next day i had two ovral g at around am and there after hours again two ovral g tablets i noticed my period days later though it lasted for four days the period was less and usually my period happens four days earlier in this month it was six days earlier i did hcg beta blood test i am sending you the report can i be pregnant or conceive please advise because i want to abort i am an unmarried woman can the blood test be wrong what laboratory test i should do to get to know whether the fetus is there beyond uterus ectopic pregnancy as i m when should i go for ultrasound vagina testing to get the true picture after that i did not have any sex so then again can i be pregnant and that could not be detected now and can be detected on later ### Response: the test result is attachment removed to protect patient identity which means it is negative and you are not pregnant and your period was six days early this time nothing else do not worry much and if you still have doubt then do urine pregnancy test weekly for two weeks and if negative then there is no chance of pregnancy negative means a single line and positive means double line you have to see the result within five minutes no need to go for an ultrasound now there is no pregnancy as ovral g norgestrel and ethinylestradiol has worked this time
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am hoping you can advise me i have a mole on my chest that has been changing for about a month now it is itchy at times and it has bled small spots as i am sure from the itching i am worried it is skin cancer can you help ### Response: from your description and given picture attachment removed to protect patient identity it seems you are having a mole or melanocytic nevus they are considered benign melanomas and nothing actively needs to be done for them if the mole shows a sudden increase in size differential pigmentation bleeding irregular borders etc then you may go for a skin biopsy for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a female and have been diagnosed with viral conjunctivitis by a specialist my eye health is otherwise perfect had them checked out a week before this came on after a few days it spread to the other eye i expect the first eye will heal first even though the second eye is not as bad one question is when the first eye heals do i need to protect it from reinfection from the one that is still healingalso on the typical length of healing i am not quite at two weeks yet this is day for the first eye but the lack of improvement in my condition is becoming frustrating to me today the vision in the first eye is smudgy and the vision in the second eye is better but not perfect the specialist was aware of the vision problems and she said that it was normal though i think they have worsenedi was told this could take weeks to heal beyond the normal one or two how many weeks are weeks generally i was told i have a mild to moderate case but all i know is that i have seen no real progress and i think the virus might have even spread to one of my sinuses my mental health is suffering from not knowing how long i am going to be cooped up partially visually impaired and contagious am i impatient or should i have them looked at by a specialist again ### Response: hello i reviewed your history it seems from the history that you are having viral conjunctivitis involving both the eyes coming to your first question viral conjunctivitis remains infective in the initial three to five days hence no need to worry about the reinfection from the one eye that is still healing usually viral conjunctivitis follows a selflimiting course of to days since you are having vision problems in the eye probably it has involved cornea resulting in viral keratoconjunctivitis if it has involved the cornea it takes about three to four weeks to heal however the involvement of cornea is not because of infection but because of immunologically mediated reaction hence it will resolve even without treatment if possible send a photo of the affected eye so that i can confirm the diagnosis and answer your question more accurately i hope the information is helpful to you take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old my height is and weight is lbs i noticed three decent sized painless blisters looking like bumps on the shaft of my penis i had sex before two and a half week i do feel like i masturbate a lot which i am hoping it is but i am freaking out with it ### Response: the bumps appear to be normal pimples attachment removed to protect patient identity another possibility is an ingrown hair herpes vesicles could also be the possibility but the chances are rare since the site is not common and i hope there is no discharge if you have unprotected sex with any highrisk partner then you should go for test otherwise there is no need to get worried remain relaxed i do not think this is due to an std sexually transmitted disease
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old female almost to days ago i felt that my feet were cold as if they were frozen i felt numbness in my left leg and suddenly i had double vision issues i thought it was because of increase in my eye number but i was wrong i then went to an eye specialist who told me that it is related to the brain then i got an mri done i went to a neurologist who told me to take ecosprin but after taking one tablet i feel numb and stuffy there is no sensation in my lower part of the body starting from my stomach i have attached my mri and blood reports please assist ### Response: hi thanks for your query i have seen all your reports attachment removed to protect patient identity hope this helps if there is any further query feel free to ask thanks for more information consult an internal medicine physician online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i was chewing tobacco for the past few years and i stopped it forever but sometimes i have a little throbbing on my gums and the color of my gums changed to black is this any serious disease ### Response: it is good that you stopped chewing tobacco for how many years you had a habit of tobacco chewing and what was the frequency at what site you used to keep the tobacco does the change of color of your gums is limited or it is generalized do you have any burning sensation over that site any loss of taste above all counter questions are necessary to rule out possibilities so kindly answer so that we can come to the diagnosis and can plan treatment i would like to see the images of your concern area that is your gums where you are noticing the change
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: looking for an opinion on tuberculosis skin test please answer if you have experience with ppd skin tests i am years old former cigarette smoker my friend got diagnosed with tuberculosis due to strong arthritis medications and i have had some contact with him i have attached images of my skin test below ### Response: hi montoux test ppd test is a very nonspecific test and does not give you any confirmation for tuberculosis it is used as an adjuvant test for diagnosis and never as sole test it is read after hours of injection you have not mentioned the duration you have to measure its diameter it should be less then x mm i can not measure it online but apparently it is negative for tuberculosis attachment removed to protect patient identity
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old i have been on the following antidepressants for two years morning modapex one pill depakene lamotrigine mg one pill night clozapex mg half a pill mirtimash g half a pill depakine chrono mg one pill and anafranil mg half a pilli used to take more but i stopped them over the past two years for example i used to take double the mentioned dose about nine months ago i recovered from depression a couple of months ago i started detoxing but with my doctor the process was going way too slow and i have gained kilograms over the past two years in the past two months alone my muscles my bones and my joints started to hurt really bad because of my weight nothing works i go to the gym every day i workout but still i eat way too much because of the drugs and i can not control it my doctor does not want me to stop despite every hardship that i face and even refuses to decrease half a pill from the prescription however three weeks ago i decided to cut all medications once and for all i lost kilograms i stopped eating too much and just by cutting down the drugs i saved not less than calories per day i started going to the gym more regularly but here is the problemclozapex and mirtimash make me sleep and without them i can not sleep no kidding i have not slept in the past three weeks more than a maximum of hours even those hours they are full of nightmares and i usually wake up after two hours with my mind confused and afraid and i can not sleep back i want to sleep my eyes grew tired because i have been opening them for way too long i do not want to give in and get back to the drugs because i am sick of them and i have had enough i am not going back but i also want to sleep just a single continuous eight hours of sleep without any nightmares i usually get nightmares that are very weird i do not even know how to describe them mathematical problems and complicated solutions that are presented to me in my sleep and i keep thinking about them until my head hurts and i wake up freaked out please tell me what to do i thought that after three weeks it would get easier but it is not getting easier i have no side effects at all from any of the drugs only the disturbance of sleep some of them were written on them that if you would stop them suddenly you would risk getting seizures but nothing happened thankfully i am not even depressed or sad i am just irritated and sad about the sleeping problem ### Response: hello because of stopping the medication you have a problem with sleep you should try some sleep medication for a short time and then taper it i suggest tablet diazepam mg before sleep so you must taper it within four to six weeks or you can try tablet zolpidem mg before sleep it is a good medication but it is not so effective like benzodiazepine zolpidem does not get you addicted consult your specialist doctor discuss with him or her and start taking the medicines with their consent or you can try tablet melatonin which is a normal nonprescription medication you can get it online or over the counter the nonpharmacological ways to sleep better are hope this will help you for more information consult a psychiatrist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old male i am diagnosed with right adhesive otitis with left som already mastoidectomy was done in right ear nine years back and two myringotomies in right ear when i was and years of age i have ct scan report audiometry impedance test results ### Response: can you upload audiometry report what are the complaints now is there discharge or hearing deficit any pain or giddiness nose ct seems fine attachment removed to protect patient identity ear shows mastoiditis have they done an ear under microscope examination if it is a clearly diagnosed adhesive otitis media supported by audiometry it will need surgery but which ear to be done first will depend on audiometry is there any nasal complaints
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: six months back while travelling in the bus i got sharp pain in the chest my heart started beating fast and i had sweat a lot then i rushed to the doctor they carried out ecg echo tmt and also blood tests and all turned out to be normal the doctor that it was anxiety and acidity still now i have some chest pain and backache i am really worried that i might get heart attack or i might have fat deposition in my heart can you please go through my reports and advice ### Response: i have gone through your query and reports attachment removed to protect patient identity since the pain which happened in bus was not anginal you must not worry for your information anxiety or excessive worry is itself a cause of heart attack there is no test available with medical sciences which can predict occurrence of heart attack you can only take precautions and having a healthy life style in placethese include avoiding smoking and alcohol good control of blood pressure sugar cholesterol daily exercise maintaining optimal weight and avoiding stress
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my nephew is a premature baby on the third day his blood glucose level was decreased to later he was admitted and kept under surveillance his blood test revealed elevated bilirubin level four days later his blood values become normal on the same day suddenly there was swelling on his body the biochemistry examination revealed urine spot protein to creatinine ratio and moderate grade proteinuria ### Response: your baby probably has a problem with his kidneys a urine spot protein to creatinine ratio of more than two usually suggests that your baby is losing a lot of protein through his kidneys called nephrotic range proteinuria so the swelling of the body might have appeared due to protein loss but a single value may not be significant so get it tested once again if it is still high then you need to worry if the repeat test value is high and body swelling is persisting then consult a pediatric nephrologist for further evaluation and treatment plan
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: why some men can not grow full beards explain why some men are not capable of growing full beards and can only manage thin patchy ones is this due to testosterone and genetics or something more how does not being able to grow a full beard potentially impact men psychologically can this be emasculating for men or cause issues with selfesteem is there anything patchy men can do ### Response: hi some men can not grow full beards due to low density of hair follicles in beard area in them and that depends on their genes and hormones dihy
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a sore throat on one side of my throat but after looking it looks like a sore next to my throat on the roof of my mouth what could it be ### Response: hi i have gone through the attachment attachment removed to protect patient identity it is oral stomatitis with pharyngitis it can be due to smoking and alcohol infection certain investigations like hb hemoglobin tlc total leucocyte count dlc differential leucocyte count and esr erythrocyte sedimentation rate can be done it can be treated by taking oral vitamin b complex tablets with chlorhexidine mouthwash avoid spicy foods and smoking for more information consult an ent otolaryngologist online take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years of age weighing kg and my height is feet inches i am unable to maintain erection i have been experiencing this since a year prior to that it was all fine and greati have not had any other health issue and my bp sugar levels cholesterol are all normal i exercise three to four times a week i have attached my test reports for your reference please advise whether i can take tadalafil tablets ### Response: you can safely take tablet tadalafil mg or mg half an hour before sexual activity it can be taken on alternate days if needed because the effect lasts for two days you could also take tablet tetrafol plus combination of levomefolate calcium pyridoxal and mecobalamin one tablet daily for three months it is helpful in erectile dysfunction
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: yesterday i had to have a frenuloplasty i had to have a general anaesthetic i woke up and never got any advice off the urologist because i never saw him after the procedure the nurse who discharged me told me to take off the dressing in the morning and wash the wound and the foreskin twice daily my concern is today i noticed my foreskin has become swollen and looks similar to a balloon the stitches are preventing me from pulling my foreskin back over the glans so it has been retracted all this time is the swelling normal and due to the incision or is it not normal also am i suppose to keep it pulled back or do i try to push it back over the glans my glans is very sensitive so it feels like an electric shock every time i move ### Response: hello you have very likely developed a paraphimosis it would be more clear if you share a picture of the penis you are supposed to keep the skin in front of glans if it is painful to roll the skin over the glans i suggest using lignocaine gel and pull it front after that the swelling will slowly subside if red discoloration also is present then it can be a hematoma please share a picture revert with more information to a urologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my mother got a sudden heart pain i took her to the hospital after ecg and further processing we came to know that she got ischemic heart disease and her two valves of the heart are closed she has diabetes and blood pressure problems due to which atherosclerosis occurred three days ago the doctor told him for angiography are angiography and stent good for her please also tell me about everything related to heart problems cure and heart diet ### Response: an angiogram has to be done in your mothers case to know the extent of the blocks also since she has blocked valves as you said open heart surgery and valve replacement will be an option for her rather than stenting in terms of diet to prevent heart disease it is useful to avoid excess fried foods and red meat lean meat like chicken and fish are beneficial cook food in oils like sunflower oil or groundnut oil rather than coconut oil if she is diabetic make sure the diabetic control is strict for more information consult a cardiologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: recently i have discovered a small lump on the right side of my neck i am usually the person who starts worrying and gets paranoid whenever i discover something like this i used to do it all the time with my glands it feels like a gland but it is slightly bigger and more tender than the other onesalso if you look hard enough you can slightly see the shape on my neck i have been run down lately have a dry throat and i am also very warm so i might be coming down with something i needed to hear from you doctor please let me know what you think as i am typically worrying ### Response: hello is it possible for you to upload a picture of your neck or for the fact any picture from the internet highlighting that area it seems like it might be a swollen gland which can happen even with common cold or flu but it is hard to confirm without a picture and exact location take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had sex with a prostitute and not sure if she has hiv or not however i have used a condom as a protection now do i need to do an hiv test to check ### Response: hello i have noted your concern protected sex is safe and there is no risk of hiv human immunodeficiency virus regards for more information consult an hiv aids specialist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my son is years old we have recently moved to a new city and ever since he is not comfortable passing stool his stools are hard and cause him pain apart from climate change the water here is very hard he takes baby food and homemade food which we also consume his height weight and head circumference are normal ### Response: hi it is one of the common complaints we encounter from the parents there is nothing to worry thank you have a nice day for more information consult a paediatrician online take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have personal dermatitis i was prescribed weeks of mg doxycycline however i am skeptical about taking antibiotics as i have read that with a lot of people the rash returns upon finishing treatment also it can mess up your gut which is apparently linked to perioral dermatitis i have gone gluten dairy and sugar free started probiotics zinc and omega supplements and the rash still persists i also use metro gel and also it helps my rash is still there it is mild but is very annoying and sore if i take antibiotics will it make things worse or should i go get allergy testing i have also cut out flouride toothpaste and eliminated sls ### Response: you can skip doxycycline if you have gut problems and you can not tolerate it if you are suspecting that your perioral dermatitis is due to contact of any allergic material then go for allergy testing otherwise it will not benefit you i would like to know your work any allergy to known material and picture of your leison you can use mild steroid preparation over it for relief
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had seven teeth extracted today just the roots anyway over two of the teeth the dentist said there was an infection i did not get any antibiotics but she cleaned the area after there is a lot of swelling in that area and the gums are real red and like an ulcer but not much pain is this normal how do i know if it is infected or dry socket or anything else it could be ### Response: i have seen the photos attachment removed to protect patient identity nothing to worry about for the swelling give cold pack from the outside of the extraction area do not spit or rinse the mouth for a day
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: im a year old child my concern is that i only have set of teeth is growing at the back but i only have baby teeth and are permanent teeth to be add on i have doubling rows since three years back and have gotten it out last year but it is still hasnt come back to its place because of the lack of space my teeth are a mess i want to get braces but i have so many baby teeth i dont know what to do please help me ### Response: now its turn to see where those impacted permanent tooths are present hopefully they will errupt a bit late but they have no tendenxy to erupts they will be removed if needed ortho treatment at years of age minimum so for now get to your dentist get an opg done and get all those baby tooths extracted you can also upload the xray to me so i can assist you more you are a good kid donot worry am here to help you when even you need focus on your grades avoid too much sweet food or chochlates or sticky foods brush twice and donot forget to rinse your teeth will be fine dont worry if possible upload the xray image for me to look at have a good day thanks alot
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old male my problem is when i am about to go to sleep then there is a sudden jerk i asked my wife i do not jerk while sleeping or in middle of sleep it happens just when i am about to fall asleep suddenly a quick jerk it happens for a couple of times then finally i go to sleep it happens during the daytime also if after lunch i go for a nap there is a sudden jerk when i am about to fall asleep once i sleep then no issues till i get up a few months back i had this then it disappeared and now i am getting it again ct brain was done a few months back the report does not have it now but it was normal no abnormality no diabetes no thyroid normal lft kft i m taking medicine for bp nothing else as of now complete health checkup was done i was alcoholic for a few years if i drink and sleep no issues i also have a little bit of depression and anxiety due to business or work issues please help me out with it ### Response: yes you are suffering from hypnic jerks only this is not a disease it is a behavioral issue i have successfully treated my patients with hypnic jerk by following measures to reduce caffeine intake and particularly in evening you can discuss with your doctor to prescribe you modafinil
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: why we are getting frequent what can be done to reduce the amount of colds we are getting ### Response: there are several causes of getting frequent cold some of them are as follows
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have the first upper molar root canal treated years ago it has undergone two root canals treatment but does it seem incomplete i did a cbct and it shows a cyst and sinusitis although i have not that much pain i am and the dentist told me that i have bone resorption at the upper left maxillary region and i also have been recently diagnosed with hashimoto thyroiditis should i get the tooth extracted should i try again for a new third root canal what about periodontitis which is at the beginning ### Response: hello at first i appreciate you because you have so much awareness of your oral health the life span of normal root canal treated tooth is to years if you have treated tooth it means you are so health conscious and take care of your oral hygiene my opinion is you should go for extraction along with cyst removal because thirdtime root canal of the same tooth is not a good idea periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene bone resorption is a kind of bone loss due to demineralization there are many things which are responsible for that like age factor some diseases calcium level gingivitis with periodontitis is also a cause of bone loss
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: this is in regards to my daughter who is years old four days back suddenly she developed a fever fever was around degrees f yesterday her fever subsided and now she does not have the same she did not have a cough cold etc but she lost appetite and she also had left eye white area red the redness also has disappeared now she did complain of a little bit of nausea and headache but yesterday everything subsided and she recovered well but yesterday night we saw red bumps around her face forehead and chest area it itches sometimes i am attaching the image for your reference these bumps are slightly raised rest she seems fine now her appetite has increased as wellon the second day of her fever she fainted briefly a little bit of saliva came out from her mouth for to seconds she recovered quickly in a minute or two this happened in the early morning when she woke up and stood she had moderately high fever throughout the night ### Response: it is urticaria in your daughter s case that patient may develop this kind of rashes it will need to days antihistaminics tablet xyzal mg daily for seven days it is safe and does not have any major or common side effects it will be fine in to doses but stop it after to days later as the baby is otherwise fine no need of other investigations at this moment but i would like to highlight a point to you that the possibility of recurrent episodes may be there in future whenever it happens you may take xyzal levocetirizine in an emergency but consult the doctor too without much delay for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i tore off a mole or a freckle some weeks ago and now the surface it is like this is it good or should i worry what are those red spots ### Response: i have gone through your case your lesion is active which means the area has not healed after removing your mole attachment removed to protect patient identity keep applying fucidin acid cream two times a day till red area disappears it is not something to be worried for as such raw areas take some time to recover but no opinion can be given for lesion or mole or freckle which you have removed yourself it could be a simple mole or it could be a wart such raw areas are usually seen after wart scratching
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have some irregularly textured skin on my face that are not even visible if you are not trying to find them are they scars or damaged pores also i have been using dapsone for a month now and have applied bp and adapalene in the past can these cause such texture damage and what is the red part encircled is it pih or something else also does adapalene alond with clindamycin improves skin texture ### Response: hi you have post inflammatory hyperpigmentation with minute acne scars that are very few attachment removed to protect patient identity for pih postinflammatory hyperpigmentation you can use aziderm azelaic acid gel in the morning for acne scars you can continue adapalene gel at night if you want you can go for chemical peeling and derma roller
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old male last year i had a few molluscum contagiosum in my lower abdomen i took the treatment and they were gone after two to three months i got one skin tag on the skin around my penis i applied a lotion salicylic acid and lactic acid and the skin tag was removed but it came back after three months currently i am suffering from genital warts and taking treatmentmy doctor told me to get some test and here are the results lipid profile triglycerides mgdl hdl mgdl and ldl mgdl cbc lymphocyte serum amylase iul helicobacter pylori iga negative and urine test pus cells to currently i am taking these medicine as advised by my doctor zincolak one tablet twice daily zycolchin one tablet twice daily and dicaris mg one tablet once a day for three daysmy question is that i am a healthy man with high immunity i never get sick all around the year how did i catch this infection i have multiple sex partner but i never had sex without a condom or my condom never broke please give me a detailed answer and also give me advice for the treatment ### Response: warts and molluscum are common sexually acquired infections and can occur in healthy individuals warts spread by touch and condoms will only protect the covered area base of the penis thighs lower abdomen are all exposed so both warts and molluscum can be transmitted even with condom usage for treatment i suggest you imiquimod cream apply it over the affected area thrice a week and leave it overnight and wash in the morning use it for weeks consult your specialist doctor discuss with him or her and take treatment with consent also you should get tested for hiv and hepatitis
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old female who weighs lbs and feet tall for about days i have had consistent pain in the outer side of my breast up through my armpit i have a tingling and slightly numb feeling in my left arm i did not injure it as far as i am aware it started suddenly one morning there is also a heaviness feeling in that whole area when i look at the area there is no physical change that i notice i do not have lumps in breast or armpit that i could find ### Response: i need to know few more details about your problem kindly get back with following answers so that i can help you better revert with more information to an internal medicine physician online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my penis foreskin does not open softly if i try opening i feel pain please help ### Response: hi you are suffering from paraphimosis this is a condition in which the foreskin gets trapped behind the glans penis head of the penis and does not return back to its original position when pulled this induces pain you need a surgical correction and release otherwise you may have to face problems in your sexual life
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old male i got married a year back my problem is low sexual drive are there any safe medicines to induce sexual desire also my penis is circumcised so my penile glans are dry and insensitive is there any topical cream available to increase the sensitivity of my penis is l arginine cream effective please suggest some medicines without side effects ### Response: you should answer a few questions so that i can help you better circumcision of the penis is a good thing as you do not get diseases like phimosis inability to retract the foreskin fully over the glans penis and penis cancer
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: dear doctori have been suffering from throat pain headache weakness and sickness since last years female give me advice ### Response: hifrom your query i understood that you have simple viral infection causing the upper respiratory tract infection urti if there is no relief with this you have to do blood test and urine test
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male my weight is kg i am facing erectile dysfunction problems it has been going on for a few months now i am consulting for the first time regarding my erection issue ### Response: hi i hope you are doing well kindly let me know a little more information to guide you better for how long you are having this complaint do you have a problem while masturbation or only during intercourse are you able to ejaculate and penetrate into the vagina are you a diabetic or hypertensive and on any medications do you consume alcohol or smoke
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i know a patient who is having hypertension the doctor has prescribed losalife h in the morning and losalex in the night is this an excess dose or is it normal ### Response: it depends entirely on the extent of bp blood pressure elevation usually most of the patients become well on oncedaily dosing but in some patients we need twice daily dosing so often once daily is enough but if the bp is not getting controlled or there is too high elevation say more than mmhg then we can give twice daily dosing so the best option in this case is monitoring the bp at home using electronic bp apparatus and have the dosing accordingly let me know the bp readings if available so that i can suggest the treatment so overall if it is a need a twicedaily dose can be taken
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have red spots on my hands that started about days ago i also have a couple of spots on my foot they are mildly tender and itchy they have gotten worse but not more that to i have no medical history and do not take any medications daily i had a cut on my finger from opening a metal box a few days before onset ### Response: i saw your pictures attachment removed to protect patient identity there are multiple erythematous red plaques and papules bumps on palms sole and wrist few lesions do look like target lesions with these features i can list a few possibilities as follows may i know your age is there any similar rash inside the mouth did you have a fever before this rash or in the past one month have you used any topical cream is it the first episode did you take any painkillers ibuprofen diclofenac in the recent past do you have any history of eczema for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a girl weighing pounds i had gallbladder disease i got to know three months back the reports showed a thickwalled nonfunctioning and sludgefilled gallbladder the size of the gallbladder is mm i got my tests done again last month and it says that the gallbladder is same sized no stone or pericholecystic fluid currently i am on homeopathic medicines previously i used to have nexum and librax i have also got my ultrasound done ### Response: hello you had sludge in the gallbladder and now it is not seen in gallbladder disease symptoms are more important so if you do not have any symptoms then there is nothing to worry but if you have symptoms then i would like to repeat ultrasound after few months sludge is the initial form of a stone which means it can turn out to be a stone in future so kindly mention your symptoms for more information consult an internal medicine physician online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: right arm joint upto the shoulder neck pain for the last few days it increased from yesterday evening having difficulty moving male ### Response: hello i read your concern in my opinion it could be due to some nerve irritation following neck spasm due to facet joint irritation nothing to worry as of now i would advise you to if irritation reduces try to maintain neck in mild arching by placing hand on the chin while lying down over stomach hold this for atleast mins during this you should not experience any pain in shoulder there will be pain in the back of neck hope this is helpful for you kindly revert back to me to let me know your status bad posture facet joint arthropathy wry neck rice and mobilisation avoid aggravating postures after a day
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am having back pain six months ago i had and fusion normally no surgery or anything my doctor asked me to take rest then two months back i was again having pain in my back and no findings from my xray then i did an mri four days back when i was having pain in my legs mainly in the thigh calf and foot the pain is continuous it is not resting for a minute but the amount of pain varies sometimes a lot sometimes a littlei am years old male i was so active with all the sports activity and all for last one year after i bought my bike i stopped playing most of the sports also the walking came down to below average because of the bike does the less walking have something to do with all that i am suffering i had two to three accidents with my bike but none of them were serious ones i mean i did not get hurt badly just some scratches on my hand so i am confused if the condition is done from a trauma the doctors asked me to take one month rest and physiotherapy at this moment please suggest me what to do i am really worried if it is sciatica or something even greater i only want to heal the issue recover from it completely even if that takes me one year or two ### Response: hi does the pain continue even when you lie down to sleep does the pain radiate to the legs mri report shows problems with the vertebrae attachment removed to protect patient identity but it would be better if you can get a second opinion for the vertebral pathology try tablet lyrica pregabalin mg once daily for a month or so and tablet diclofenac mg one tablet for pain for more information consult a neurologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: there is an area on my back that started as a rash and it has now spread and it continues to itch what should i do this has been there for approximately two months i have attached photos for your reference ### Response: i have noted your concern and i have viewed the image attachment removed to protect patient identity i can see several dark nodular lesions on the back i would keep a possibility of nodular prurigo or hypertrophic lichen planus i suggest you use a topical ultrapotent steroid either clobetasol propionate or betamethasone dipropionate or halobetasol propionate twice daily in addition to that you may take oral antihistamines like tablet cetrizine cetirizine mg once daily for symptomatic relief from itching consult your specialist doctor discuss with him or her and with their consent take the medicines regards for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old male i masturbate twice a week recently during masturbation i felt some pain on the back side of my neck and head please help ### Response: masturbating two to three times a week is healthy unless you get addicted to the habit this kind of pain or sprain happens due to increased blood flow to your penile region and vasoconstriction along with it it resolves spontaneously once the excitation is over this can be relieved by a little stretching after masturbation or by doing exercises for minutes every day there is nothing serious to worry about
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have insomnia for a couple of weeks these weeks are being the worst where i have sleepless nights last night i took trazadone mg which was prescribed and slept then again after that i went back to trazadone mg tonight along with melatonin but i did not get any sleep is there anything i can do tonight to get some sleep how long does insomnia typically last am i at risk for anything fatal also i am planning to go back to my gp later on ### Response: hi first we need to know the reason for insomnia it is just insomnia or it is due to depression or due to psychotic or due to a mood disorder if there is any other underlying condition then it is important to treat that condition you can also follow some nonpharmacological way to manage your sleep problem for more information consult a psychiatrist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hii had unprotected intercourse with my partner a month back i did not ejaculate inside her later to be sure she did a home pregnancy test after days it came negative since yesterday she is having vomiting sensation not able to eat anything light stomach cramps and light fever she did pregnancy test today morning again it came negative we are confused and worried if she is pregnant she has pcod also she had her last periods days back do we have to go for a blood test ### Response: the best way to rule out pregnancy conclusively is serum beta hcg human chorionic gonadotropin test if she has not had her menses yet if the hcg levels are less than then she is not pregnant for sure the delay in menses is then likely to be due to pcod polycystic ovarian disease itself for more information consult an obstetrician and gynaecologist onlline
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a hard lump in my mouth since yesterday there is very little pain but i am freaking out about this because i used to chew tobacco and smoke for three years but clean since last one year so please can you confirm if i require a biopsy ### Response: i understand your concern since it is a hard lump if you are worried you can visit your nearest dentist for a thorough checkup before going for a biopsy as of now a biopsy is not advisable as it looks like an acute case revert with more information to a dentist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am years old my echo is normal with lvef of and dobutamine stress test negative for ischemia lvef of but it shows a jerky septum is jerky septum a normal finding ### Response: hello there are a few causes of jerky septum like bundle branch block increased pressure in the right side of the heart and disease in the pericardium as your echo is normal because of increased pressure on the right side of the heart disease in pericardium is less likely as you have not provided ecg echocardiogram i am unable to comment on bundle branch block still a jerky septum in isolation is less likely to be pathological for more information consult a cardiologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my bottom tooth has a kind of a hole at the gum line i do not know when i breathe in it feels cold like the air went in my tooth it just does not seem or feel normal also on my upper front tooth i have some kind of deep line example like when you make a line in the sand and it flows into the line but it still stays it is hard to explain is there any way i can fix this without going to the dentist and yes i do brush my teeth daily ### Response: hi as per your history you are having class dental cavity in the lower tooth you need to do filling restoration of the tooth as soon as possible if you do not take measures at this time you may need rct root canal treatment which will be to expensive and not as successful as filling on your upper tooth the line i understand is the gingival recession with abrasion if you are right handed it must be on the left side or the side you keep your teeth brushing continuously for this you only need to use an ultrasoft toothbrush and check the video for modified bass technique for tooth brushing also brush your teeth twice daily and keep the brush time of two to three minutes only for more information consult a dentist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male i have had a mild burning sensation in the middle of the chest for the past few days and along with slight irritation in my throat i also sometimes feel bloated and have slightly more than normal amount of burps i have no cough or fever checking temperature on a daily basis and highest is ### Response: based on your history and symptoms you may be having gastroesophageal reflux disease gerd if the acid goes up to the throat area it might cause thick mucus in this case this is classified as laryngopharyngeal reflux disease lpr you would need to take a different medication i recommend you take omeprazole mg one tablet minutes before breakfast for two to three weeks i would also recommend you avoid oily fatty spicy and dairy food avoid smoking and avoid lying down within one hour after eating i hope this helps
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my fiancee is b positive and myself o negative in the future will there be any complications in my pregnancy ### Response: there would be no complications during the first pregnancy but may occur in the subsequent ones due to isoimmunization phenomenon it is a problem which arises if the mother is having negative blood group and baby is having positive blood group but treatments are available so you have nothing to worry about it i hope it has helped you if you require any further queries please do not hesitate to contact me
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my year old brother has an arachnoid cyst displacing his hypoglossal nerve he has no tongue problems but he has epilepsy since the last years if i send over his mri report can you tell me what causes his epilepsy thank you in advance for your time due to his new medicine epilive he has hallucinations and nightmares he generally takes only sodium valproate ### Response: hello i read your query and reviewed the attached mri report i hope this answers you feel free to write back to me if you have more questions thanks and regards take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hellomy year old son has nightfall once a month and the quantity is very less may be three to four drops is this normal at this age please suggest ### Response: hello having a nightfall is normal at this age adoloscents often engage in masturbation which could have caused it but even if this is true you should not be worried as there is no defined frequency or semen quantity especially during adolescent years i hope this answers your query feel free to contact me in case you require further clarification
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: please see the full mouth xray that i have uploaded and see if everything is all right or if not what are the recommendations i had a root canal on two left sides lower teeth two years back which along with the cap is visible in the xray ### Response: i am sorry to inform you that there seems to be mild to moderate infection near the root of the lower left first molar it is better to go for systemic as well as some local or topical antibiotic gel and see the regression in three to five days the other options include repeating the root canal treatment or extraction let us not hope this does not happen rest of the teeth appear fine in the xray except for some incipient caries that need to be examined diagnosed and treated clinically i hope it helps you
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a single male in the past i have experimented with using nondeglycyrrhizinated licorice to reduce my libido and make single life more manageable i have hereditary low blood pressure so that the side effect was not an issue for me however after a few days of use the licorice causes me to develop muscle aches all over my body which i assume are due to the reduced potassium levels from the licorice is there a better alternative to the licorice or a way to prevent the loss of potassium so i can use it for more than a few days at a time no matter what i ate bananas avocados apricots it did not seem to be enough ### Response: i can understand your concern nondeglycyrrhizinated licorice contains glycyrrhizin which has some sideeffects like hypertension hypokalaemia reduces testosterone edema etc as you mentioned well muscle cramps and aches are most probably due to hypokalaemia to fulfill the requirements of potassium you can take a banana avocado orange lemon apricots etc an alternative to nondeglycyrrhizinated licorice you can take mint flex seed popcorn and soda they normally reduce the testosterone level and make men libido
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am getting itching in the area where i wear my undergarments i tried many medicines for fungal infection but it does not go away it has been there for more than a year it keeps recurring currently i am applying miconazole cream and clotrimazole powder please help ### Response: hi itraconazole is a good
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my ferritin level is and i want to bring it down to how much will one dfo iv session or each exjade pill reduce the ferritin level on an average i am a healthy individual and i do not have hiv hcc or any other disease ### Response: your serum ferritin is high so the cause should be found out first take care hope this will help you for more information consult a hematologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my wife who is years old developed lumps in her breast a few months back she consulted a doctor and was suggested to take vitamin e tablets and asked to undergo mammogram and fnac the test results are enclosed the doctor told us nothing to worry since the lumps are benign and the lumps have now completely disappeared but the report says further tests may be done my wife does not want to undergo any more tests can we conclude that it is safe based on the reports she had a similar problem about eight to nine years back and at that time also another doctor gave her vitamin e tablets and the lumps disappeared no tests were conducted that time please advise ### Response: hi i have seen your reports attachment removed to protect patient identity revert back with the answer to the above question to a medical oncologist online take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my wife is years old we have a month old baby girl my wife is still feeding our baby from yesterday my wife has a fever cold and throat infection can she take paracetamol will it affect baby in any way my wifes temperature is degrees fahrenheit ### Response: hi first of all temperature above degrees fahrenheit is regarded as fever and not below that baby is supposed to be breastfed at all times however if the mother is suffering from a disease it is advised for her to wear a mask and feed because that is the route by which infection from the mother can be passed on to the baby and not through milk paracetamol taken by the mother in the prescribed doses will not harm the baby
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my partner is wearing spectacles she is going to undergo lasik surgery next week she suffers from thyroid is it comfortable for her to go for lasik surgery for eyes will the eyes get swelled after lasik surgery please suggest ### Response: your partner has thyroid disease and has opted for lasik surgery usually the healing and remodeling time for the cornea is three months at maximum so she can recover soon just like other surgical procedures lasik also have a few shortcomings i will try to explain it the severity of the problem can vary depending on the preoperative status of the patient and most patients require lubricant eye
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had unprotected sex with my husband a month back and my lmp five days before that i took plan b pill within hours of intercourse my cycle is usually days and i have not got periods yet i tested times all were negative should i go to gynecologist and request for an ultrasound will ultrasound detect early pregnancy ### Response: hi i can understand your concern the possibility of pregnancy is very less and the possibility of hormonal imbalance is more likely please let me know do you have any other symptoms like breast tenderness abdominal pain or fullness have you taken plan b before in my opinion you should wait for to weeks more before going to the gynecologist for an ultrasound please reply me with answers to the aboveasked questions so that i can guide you better i will be happy to help you further
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: dear doctori have recently had a baby i experience sore stiff hands in the morning swelling hard bumps on the elbow there is a history of rheumatoid arthritis in my family blood work is negative should i go to a rheumatologist ### Response: from your history it seems that you are suffering fromrheumatoid arthritis this is more in females having morning stiffness of the joint and improve during the day and presence of nodules over bony prominences yes you need to go to a rheumatologist for proper evaluation and regular follow up it is an autoimmune disorder which will affect various organs of the body at various stages if there is a delay in starting with the treatment it can cause a restriction of movements of the joints and involvement of other organs also investigations to be done are cbc complete blood count lft liver function test rft renal function test xray rf rheumatoid factor ana antinuclear antibody hiv human immunodeficiency virus hbsag hepatitis b surface antigen anti hcv antihepatitis c virus tft thyroid function test
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male with a bmi of during a recent health checkup of blood and urine the following readings were observed i have mentioned only the ones who have the higher readings protein detected in dipstick serum uric acid at mgdl mpv at fl fbs at mgdl at cholesterol at mgdl triglycerides at mgdl vldl is at mgdl altsgpt at ul serum creatinine at increased from tested six months back other than this all others were normal i also have been infected with hepatitis b twice and vaccinated for hepatitis b i have been a diabetic for more than two years the vary between and the first one was done two years ago i also have hypertension for more than five years it is not very much under control it varies from to and now it has reduced a bit to i met my general physician who advised me to check my albumin to creatinine ratio i tested it four times the results are as follows ugmg mgg ugmg mgg my ultrasonogram revealed fatty liver and cystitis all the rest is fine my ecg was fine i have been advised to have a urine culture my current medications are telmaam dynaglipt ecosprin av levofloxacin and ctd mg i am not able to understand why my albumin levels are so high and i would like to know how and when can they be rectified i have attached reports for your further reference ### Response: i have seen all your reports attachment removed to protect patient identity i hope i have cleared your doubts thanks for more information consult a urologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: you were wonderful in allaying some health anxiety over some skin issues several months ago so i thought i would consult with you on another question pertaining to my son unfortunately a combination of my health anxiety and the big mistake of searching online has my mind imagining the worst with regard to my son my son is years old and has no diagnosed medical issues i noticed back when he was about eight or ten years old that he had a mark resembling a cafe au lait mark on his back in the upper shoulder area i had always asked the pediatrician to look at it during his yearly physicals and they made nothing of it throughout the years it has grown a bit and has become darker and more rough in texture it is probably slightly less than an inch in length and looks like a few small lesions grouped together again i have brought it to the pediatricians attention and he was not concerned three months ago i made an appointment for him and my other son with a dermatologist for a skin exam and i pointed out the spots which i wanted to be checked in particular we met with the physicians assistant there and my younger son had a peculiar spot i pointed out of which the pa conducted a shave biopsy which came back as a mildly atypical junctional nevus for my older son i pointed out the spot on his backshoulder and the pa diagnosed it as a linear epidermal nevus she said the chances of it becoming dangerous are slim to none it may darken throughout the years and they will simply monitor it at yearly visits unfortunately i went on to research online about epidermal nevi and of course i ran into information showing a possible link to epidermal nevus syndrome and all of its associated neurological and skeletal defects as i said he is and has no medical issues is extremely intelligent etc in your opinion is it safe to say that i should not be concerned about those syndromes i presume it is primarily related to the numerous and systemic epidermal nevi which he does not have and i would think it would have presented by now and my last even more neurotic question my online research led me to some information saying that a certain type of epidermal nevus could be related to a gene mutation that could be passed along to an offspring with them having possible serious skin scaling conditions etc again he has just one solitary small epidermal nevus no biopsy was done as the pa did not feel it was necessary do you feel there is any need for me to worry about that potential genetic mutation thank you so much for reading my long query ### Response: a solitary epidermal nevus is very common and does not pose any kind of serious health concern neither is a biopsy required you are right any associated symptom should have been present since birth or early childhood in this case even if it is passed on to the future generations it is harmless a yearly medical examination is more than enough for the nevi in both your kids good luck
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: every night around am any thought that crosses my mind makes me overthink about it i am worried about such things that do not have a fixed solution it may or may not happen ive tried listening to meditating sounds calming sound during that time but to no avail after an hour or two i do get normal but then i am so full of energy that i can not fall asleep so i get up and start some work i am a freelancer working from homei usually can not sleep until my head feels heavy eyes start closing and i start dozing off while working for a few weeks i have been sleeping in the afternoon or evening for three to five hours only rest of the time i am either thinking or working sometimes if i can not stop thinking i smoke around two to three cigarettes to get over it it does not help me sleep but helps me focus on work more and overthinking stops quite instantly ### Response: hello your blood report is absolutely normal attachment removed to protect patient identity and i do not think there is anything alarming yes your lipid profile is deranged and if you are overweight then try to reduce weight at your age it is not common to see raised cholesterol regarding the issues you have during sleep in my opinion this is probably occurring due to anxiety you should seek a psychiatrist consultation for treatment improve your sleep hygiene and this will improve the symptoms avoid giving attention to minor things take a high protein diet and complex carbs and low in fats i hope this helps
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my sister is years old she had unhygienic sex a couple of weeks ago she started feeling itchy on her vagina i am worried it might be herpes but i need confirmation from a specialist before we visit the doctor it looks clustered and yellow no hard lump under and it just looks inflamed she does not complain of pain anywhere else there is no pain inside the urethra no burning sensation while urinating and the discharge is whitishyellowish and watery she does not have any sign of fever she bought labia herpes cream yesterday after application it changed the color today to darker yellow and some of it fell off what could this be ### Response: hi i have reviewed the attached photographs attachment removed to protect patient identity the closely grouped fluid filled blisters and yellow crusted lesions seem to be most likely herpes infection you do not have to apply acyclovir cream as it will not be much effective in genital herpes you should start with oral antiviral like tablet acyclovir mg thrice daily for a week and apply topical antibiotic like mupirocin cream on the lesions twice daily do not use soap over the affected areas and wash only with plain water caused by herpes virus either or herpes simplex virus or herpes genitalis avoid intercourse till the healing of lesions take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have been suffering from breathing issues for about two months at that time i was coming off duloxetine hcl i was also having weird headaches but that has subsided i have been to several doctors and had blood work oxygen level test and pulmonary test everything came back normal with my breathing i have the constant urge to take a deep breath in hopes of getting that satisfying deep sigh i am constantly thinking about my breathing even when i sleep i am still able to exercise vigorously run long distances etc with no problems my fear is that i am experiencing diaphragm weakness as a result of something neurological here are my questions i have been placed on anxiety medicines which have helped to keep me sane what is your expert opinion does this sound like diaphragm weakness would i be able to exercise vigorously if my breathing muscles were weakening ### Response: we are here to help you i have some questions that you need to answer revert back with the answers to the above questions to a pulmonologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had pad before years and i am able to maintain my body by exercising when i get tensed it comes back again i have to begin exercising and gradually it gets better this time i had a bout of depression and i am not able to do exercise so it has taken longer time than usual to get the results now with new bloodthinning medicines and exercise i am starting to see good results the doctor wants to do an angiogram next month after that stents or surgery on my lower legs i have two stents near my heart one was placed when i had an infarction years ago and another one was placed after eight years they seem to be good and i am afraid of another procedure now i am willing to get a second opinion about this condition ### Response: it is very good to know that you are doing well with medications and exercise the development of collateral blood supply in the lower limbs is a good option you could discuss this with your doctor and postpone angiogram and stenting however it is important to realize that collateral vessels are small and do not provide the same amount of blood as the normal vessels do besides peripheral angiography and stenting are safe procedures so i would advise angiography to see the state of the blood vessels and collaterals and then you can decide for stenting for more information consult a cardiologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: sometimes when i am doing stuff my vision makes it seem like there is a white haze like heaven i guess like everything has a white haze light it is pure not like fog or a dirty color sometimes it lasts a few minutes other times a few seconds sometimes i see it other times weeks pass without seeing it ### Response: hello there are a number of causes which could lead to such a problem retinal detachment can cause flashes of light which come and go in an instant especially on eye movements it also causes a take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had previously been on syphilis treatment and it healed but yet i had unprotected sex with a lady and she has a vaginal yeast infection and i am starting to see a straight like a bump on the tip of my penis and am also having difficulty swallowing then i found white thick stuff at the back of my tongue is it candida ### Response: i read your complaints it looks like you been having some fungal infection in the tongue which comes only when your immune system is a bit compromised it also seems that you had been on treatment for syphilis i want you to know that in syphilis the treatment depends on what stage you have at present i saw that picture that the lesion on your penis looks like it is asymptomatic so you could be in primary syphilis attachment removed to protect patient identity i need to see your complete blood count analysis your basic blood test analysis so with that i will be able to answer your question better in regards to the treatment of your tongue related lesion i want you to take fluconazole milligrams one tablet followed by milligrams once a day for days i want you to get me the latest blood test reports and any other blood test reports in regards to your health conditions
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have ringworm on my leg and the upper side of my penis from one month i have taken antibiotics like terfaze please help ### Response: kindly send image and revert back without clinical photographs medications can not be advised for more information consult a dermatologist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old male i had polio affected right leg but have been leading a normal life since then recently i developed pain in the right thigh joint but able to walk normally in some positions it is painful i have got my mri study of the hip joint the report is enclosed herewith the doctor has suggested physiotherapy ift and ipt for days and put on medication for seven days as i am working he advised days rest the medicines are tolagin mg for seven days miofree mg once daily for seven days and pantodac mg twice daily for seven days ### Response: hello i would have been in a better position to answer your query if i had seen the plain xray of pelvis films and mri films rather than just a report revert back with the xray report to an orthopaedician and traumatologist online take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my wife who is in the first trimester of her pregnancy slipped on our sons baseball in our garage yesterday and fell she landed on some workout equipment which hurt her stomach at a angle at the mid bottom section she is still in pain and now she has a bleeding with a discharge of mucuslike blood chunks she has never bled before with our first child and i am in need of some immediate guidance ### Response: from your description it appears that there is a cause for concern it sounds like a threatened abortion to me you will need to rush her to an obstetrician as soon as possible to get a scan done and see the viability of the fetus hope everything goes fine and god be with you for more information consult an internal medicine physician online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my baby daughter is years months old weight is kg her molar teeth is coming on both left and right side she is have swollen gum she is suffering from pain she always show her finger towards teeth also her mouth is also giving very bad smell please suggest some medicine doctor ### Response: hi kindly answer the following questions for a better understanding is she having fever as well if yes how severe because it may probably be infected and may need an antibiotic course take care
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a problem with a frequent cough cold fatigue etc i started taking chyawanprash and maha sudarshana churna in the morning and chyawanprash and triphala powder at night after month of usage i feel quite better further i also have fatigue insomnia and stress so i am planning to include ashwagandha and brahmi also in my daily intake can you please suggest if i can take chyawanprash maha sudarshana churna triphala ashwagandha and brahmi every day ### Response: i just read your query chawyanprash and maha sudarshan churan are very good for your problems like cough and cold you can take chawyanprash regularly for three to four months as it is good for increasing immunity you can continue it you have already taken sudarshan churan for one month try not to take it for too long because you can not depend on medication completely as you have other problems like insomnia stress fatigue low stamina etc you can take ashwagandha and brahmi daily take the medicines as follows try all these things regularly and you will soon feel positive results i hope you are satisfied with my answer follow up after three weeks for more information consult an ayurveda specialist online
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male my bpm is during physical and mental exhaustion but my bpm is high of about during hyperventilation and has pointless frustration my bpm from rest to stand increases by at least points but averages a point increase my resting bpm is and upon standing it increases to and peaks up to had done an echo cardiogram and ekg i feel lightheaded upon standing along with sudden pulsation headache and muscle spasms i feel blackout syncope and fainting i had spontaneous jolt breathless palpitations flutters fatigue chills and skin rash on the back of handsmy mental disturbances include confusion inability to maintain thoughts i also feel pointless random irritability ankle pain random lapse of balance throbbing extremities vibrating vision burning sensation social anxiety depression irritating bowl movements no appetite and chest discomforti wast told to mention the possibility of autonomic dysfunction as its often times overlooked ### Response: hello the symptoms you have been suffering from seem to point to a number of possibilities since your ecg and echo tests are normal i would advise you to get some blood work done like a serum electrolytes test to see if there is any hyponatremia or hyperkalemia also a urine test for hours urinary collection of catecholamines both of these tests would indicate a disorder of the a
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a year old female i have never smoked i am not overweight and i do not have diabetes i have been having some left leg issues it started six months back i started limping because my left calf ankle and groin were hurting my emergency doppler venous ultrasound was clear i had a ddimer and that was negative i had an mri of my left ankle that showed a talofibular ligament sprain on my left ankle i also had an arterial doppler ultrasound that showed decreased flow of left anterior tibial artery and increased peak systolic velocity in the left common femoral artery but there was no stenosis no sclerosis and no plaque could the sprain have caused that decreased flow after three months it became normal again then while having pedicure the woman massaged my ankle and leg since then the pain has returned to my left ankle and left leg i had another ddimer done three weeks ago that was negative i have also recently started experiencing cold left foot and a left cold lower leg at night by morning both the legs as well as the feet are of the same temperature i do get pain in the buttocks and the pain is going down my leg like a sciatic pain on the left leg do i have peripheral artery disease could a blood clot be causing it i have a four hours flight next week and i am worried about flying is it safe to fly would the arterial doppler and ddimer be able to tell if i have a blood clot in my artery or is a ddimer just for the veins my ldl was points above normal in my last blood test but my doctor did not seem to be concerned as my hdl was high i have attached the reports for your reference please help me ### Response: from your description i understand that the first time you had a problem with your left leg was due to a sprain talofibular ligament around the ankle and it got resolved i suspect the same problem or something similar is causing you the pain again it is highly unlikely for a year old lady and a nonsmoker to have a peripheral vascular disease the arterial doppler did show a decreased blood flow but it might be due to a temporary spasm of the vessel than any specific pathology or disease moreover no clot was found nor was there any change suggesting peripheral vascular disease it is absolutely safe to fly and you need not worry about it an arterial doppler will be able to make out if you have a clot ddimer test is only for the veins and is not useful in arterial disease i suggest you to look for causes either in your footwear or any strain which you have put repeatedly on your ankle causing repeated sprain in the left ankle you can get an orthopedic consultation to be sure of the same if he or she does not find any problem and your pain persists even after appropriate treatment then further evaluation can be done by a vascular surgeon but i do feel you may not require it
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my fiance is so obsessed with getting pregnant she is years old and she does not want me to touch her in any way she does not want to touch herself and she washes her hands a lot she is scared of everything like she thinks she can get pregnant somehow pleases help ### Response: hello maybe your fiance is suffering from obsessivecompulsive disorder there is an obsessive fear of getting pregnant which is arising out of this illness repeated handwashing is also a type of compulsive act results from obsession it would be in her best interest if you can contact a local psychiatrist get her evaluated to confirm the diagnosis and start the treatment any delay in diagnosing and starting the medication would make an illness resistant if you have any other questions and queries you can always contact me

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