Datasets:

ophycare

/

chatdoctor-dataset

like 2

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 younger son age 3 yrs, got skin rashesget started first in hand..then started on legs, cheeks.. i am more worried now to go for 2nd opinion, ..already treatment was going from last one month..nothing more improved on this..please suggest on this.. ### Response: Hi, Your son has rash on face, hands and legs for more than a month, as you said. There may be itching also. And the rash may be papulovesicular and there may be eczematisation. Treatment is given, but with poor response, right? I feel that your son may be having atomic dermatitis. There may be itchy reddish and edematous plaque and patches on face and extremities. You consult dermatologist to have firm diagnosis. Atomic dermatitis may be caused by many allergens. Suspected allergens should be avoided. Cows milk, eggs,fish, nuts...etc. should be avoided. Contact allergens like house dust, housedust mites, perfume,grass, pollens.etc. may be kept in mind. Antihistaminics, steroid in tampering dose, application of steroid cream or tacrolimus point.etc. may be considered. I hope you got my answer. Thanks.

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 husband and I have the flu - temperatures, body aches, dizziness etc. I am currently breastfeeding our 10 week old baby and weve just noticed today that he is coughing a fair bit. He doesnt have a temperature but he is moaning in his sleep which is unusual. He has also vomited a couple of times today. Should we be worried? ### Response: Hello. Welcome. At this age these symptoms are normal and should not possess any risk. As i Lactation Consultant I would suggest you to breastfeed your baby as much as you can because even if he has the flu your antibodies found in your breast milk will heal your baby and make him feel better. If the baby shows others signs such may be: diarrhea, temperature, more cough or runny nose go and visit your pd.

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 progesterone is 72 my doctoer wont give me clomid as it will give me false hope why is that Hi im 36,4years ago i had a laparoscopy & dye put through my tubes & found out i had a patent left tube & my right tube is fine..my progesterone levels were 72,i asked the doctor at the time if i could have clomid & they refused as it would give me false hope? how would it give me false hope?i have a 14 yr old daughter ffrom a previous husband & would love another child,ive done ovulation tests & they dont show when im ovulating :( the hospital said i can get pregnant on my own but may take longer,& the doc said my only chance is ivf which we cant afford,i feel like my time is running out & nobody will try & help me..my husband & i have been trying about 6months now,my periods are 28-35 days..im thinking of going to get a 2nd opinion ...any advice is very much appreciated..thanks for taking time to read this.. :) ### Response: Hi, thanks for query. You should take second opinion. You have got all right to know about your test results and planning of treatment. You should discuss this with your doctor. Clomid is given to induce ovulation in cases where there is no ovulation. Once you are already pregnant in past your chances of pregnancy are good as major things are ruled out. Please take an opinion, you should become pregnant. Bye.

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 semen leaks out of my penis (It usually leaks after I pee but it doesn t happen all the time, it usually happens if I ve had an erection earlier) and afterwards there is a pain in the shaft. The pain usually goes away on it s own or if I get an erection and after the erection has subsidized the pain will go away. Sometimes after I masturbate I get a painful second erection and if I masturbate the pain goes away and I ll be just fine for the third erection, sometimes I can even masturbate twice and the third erection will hurt. I don t necessarily need to masturbate for the pain to go away, sometimes I pour cold water on my penis to kill the erection and after it dies the pain completely disappears. ### Response: Dear, We understand your concerns went through your details. Semen leakage is a normal and involuntary process and there is nothing to worry about it. As you are already aware, the semen is being produced when you are sexually aroused. The produced semen is stored within your body as a waste product. Body needs to eject the waste. If you masturbate, the stored semen goes out. Otherwise, the body throws it out through urine or nocturnal ejaculation (night fall). This process is pretty much normal. The pain you are talking about after ejaculation, during second masturbation etc. are due to the hard handling of penis during masturbation. Please be soft while masturbating. This improves the sexual pleasure as well as it improves the retaining capacity. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. 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 wondering why I have another upper respiratory infection? I was diagnosed with bronchitis this fall and it finally went away after 3 rounds of different antibiotics. A chest xray was taken and they said it was fine. Should I be concerned? It took me almost 3 months to be completely recover from bronchitis. I am coughing again (not a lot) and have green mucus. ### Response: Thanks for your question completely understand your question actually in chronic bronchitis cough will remain either less or more through output if cough with expectoration, that too if sputum is yellow or green or foul smelling that means there is a secondary bacterial infection which happen edit can be associated with other symptoms of fever or breathlessness better to consult a pulmonologist who can start you on antibiotic sit will be better if pulmonologist will send a sputum culture and sensitivity so that if inspire of the empirical antibiotics if cough and purulent sputum remains accurate therapy can be started cough in chronic bronchitis is a mechanism to clear out excess of secretions that is a normal phenomenon in bronchitis that protects airways to get damaged due to retained secretions, which can lead to infections exact treatment for chronic bronchitis is inhaled Sadiq.

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: Hi my name is Jessica Potvin and i have family members in my family whom are bipolar and i am experiencing alot of problems within the last year that i would like to ask. First off i am 25 years old and i have 3 little boys. I am constantly fighting with my Husband over stupid things. I tend to cry alot when he says something to me that is not even mean. I also tend to tnrow things when i get angry and just hollar for no reason at all. My moods change frequently and i dont know why. One minute i will be watching tv very happy and the next i feel very irritable and crabby and that i have to do something. I feel sad most of the time and i do not sleep very good at night. just having my hair touch my face wrong sets me off. I would like to be able to discuss issues with my husband but every time we try it seems that i become very angry and start hollering and crying and thinking that i am the worst person in the world. I love my boys very much and i get very angry at them to the point where i feel annoyed and want to scream. I have really bad hot flashes, feel very lazy most of the time with spurts of uncontrollable energy. I see a doctor on the 14th but i just want an opinion of what to expect. I never give myself credit for anything and i constantly feel like whatever i am doing is wrong. I am just tired of my spurts affecting me being happy and letting my family be happy also. please let me know what you think. thank you ### Response: Hi dear, thank you for your query.First as your family member is suffering from bipolar illness, so there may be chance of bipolar disorder in you than other. But for proper diagnosis detail and mental status examination is necessary. What ever you described about you is suggestive of you have depression and due to that you sometimes feel annoyed. Also we need to assess your Pretoria personality for better diagnosis. There are many treatment ways and depends on severity of symptoms and mental status examination. As you are having family history than there is chance that the treatment by which your family member improved same treatment also helps you. Mood stabilizer medication and electroconvulsive therapy you. Thank 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: Hi, may I answer your health queries right now ? Please type your query here... hello, my son is 7 months old and i just realised yesterday that he has a swollen penis and i tried putting sudocream and not wearing nappies for him but he still has a swollen penis as at now. am really concerned and i dont know what to do, pls if u can advise me on what to do ### Response: Hi, The swollen penis is due to infection under the foreskin. It is called Atlantis. You need to clean the foreskin properly during bathing. Can you be able to retract the foreskin? If it is tight you may need to dilate the prepuce. Some time insect and ant bite may cause penile swelling. You have to consult pediatrician if the pain is severe. Hope I have answered your query. Let me know if I can assist 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: HI Doctor, Last month i got my periods on Jan 9th but i have skipped my periods for Feb month. I performed pergnancy test at home and the result showed positive. But we do not have plans for a baby at this point in time. I was suggested with Regestrone tablet for 2 times for 5 days. Is this safe or is there any other oral medicines that you can suggest. ### Response: Hello dear, I understand your concern. In my opinion the progesterone is prescribed for the onset of periods when the periods are delayed due to some other cause other than pregnancy. So it is not the right choice. Usually the termination of pregnancy is done by medical and surgical procedures. Medical termination of pregnancy is possible only up to 7 weeks of pregnancy. Medical termination of pregnancy is done by combination of mefipristone and bisoprolol. I suggest you to consult doctor and take the medicines for termination. Kindly never try the medicines on your own as they are associated witChatDoctorplications like heavy bleeding, incomplete abortion etc. But as the pregnancy is there progesterone doesn't work. Kindly consult a gynecologist. Hope this helps. Best regards....

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: Hi, last week i found much blood in my semen and again after 3 days same happened. (i had gap of 3 days for intercourse) and again today too. it seems that it occur every time when the semen comes out. semen qty is also less and thicker than before. I have no pain at all. Pls give me quick solution something like antibiotic. I am 46 years old. ### Response: Degree understand your concerns went through your details. Finding blood in semen after ejaculating can be a cause of concern for men. Blood in the semen can be referred as haematospermia or haemospermia. Blood in the semen can come from several sources like inflammation of prostrate, urethra, seminal vesicles, trauma, obstruction, tumors and polyps etc. You need to consult your physician for an early investigation and for further treatment. Don't worry and don't be anxious. You will be alright. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.

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: Hi, I am Kamal. I have been smoking for 14 Years..Daily an average 5 cigarettes. Now I am planning to quit. I would like to diagnose my body for the effects of smoking..what are the diagnostics available today? Also please suggest which doctor( specialization) to consult? ### Response: Hi welcome to Sadiq... According to history you are heavy and chronic smoker ... Smoking can release elastane, and it can damage lung elastic tissue .... Smoker can develop following disease ....1. Bronchitis and emphysema (COPD)2. Restrictive lung disease 3. Interstitial lung fibrosis 4. Lung cancer 5. Smoker more prone for infections also . As such smoking having multiple effect on body .... To detect for above disease following investigations available ...1. Chest x-ray 2. Spirometry 3. If needed lung biopsy Its good you have taken decision regarding stoppage of smoking ... Consult pulmonologist for that ... Take care Regards : Sadiq.

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 pain that wont leave me at rest, doctors havent found the issue, other than there was two gallbladder polyps , and I have this stomach pain that is presistent, all they give me for pain is percocet , and I live with it until these doctors can find the issue with my stomach, hard to believe other folks must have the same thing , but they cant find it, and I hate living with pain killers. Is there any hope that the medical organization ever will find it. ### Response: Hello. Polyps of the gallbladder typically do not cause symptoms. What are the size of the polyps? What type of abdominal pain is it? Does the pain worsen with food or more on empty stomach? Please get evaluation with upper GI endoscopy done if pain is persisting. If you are symptomatic with biliary pain and no other cause is found, then consultation with surgeon regarding cholecystectomy should be considered

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 hit my knee on a metal hinge getting into a 4wheeler. It hurts to the touch and walking. Sitting down low like on a toilet is excruciating. However I can straighten it and can walk. I vied it for thirty minutes and now it hurts worse. That was iced it. ### Response: HelloYour condition need proper clinical evaluation. You may need X-ray of knee(AP/Lateral view). It will exclude bony fracture. You are rightly taking conservative treatment. You may take analgesics and proton pump inhibitor. MRI of knee may be advised after clinical evaluation. MRI will exclude ligament, meniscus injury etc. Proper management depend upon evaluation. Get well soon. Take Care Sadiq.

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: Monday I was diagnosed with Strep throat. Given an antibiotic. My symptoms have worsened. The uvula is swollen, white spots, laying on the back of my tongue and is raw. Swiping with a q-tip reveals some traces of blood. My throat is so sore that it is difficult to swallow. My glands are swollen and I have lots of white spots in the area of my tonsils, back of the roof of my mouth and even on my gums behind my molars. I have take the antibiotic 2x a day for 3 days. I am miserable, difficulty swallowing food as well as saliva. Warm salt water just sets my mouth on fire. Any suggestions? ### Response: Hi, Thanks for asking. All the symptoms you have suggested streptococcal infection. Penicillin or Mobil are antibiotics of first choice. If you are allergic to penicillin, you can be given- Azithromycin, Cyclosporine, Clarithromycin, clindamycin... A prolonged therapy may be needed as per severity of infection by treating doctor. It is advised to take full advised course with antibiotics & accompanying adjuvant medicines. Thanks

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 BP is 109 by 67. Blood Sugar Fasting is 98 and 2 hours after breakfast is 124. I weigh 78 KG. I am 59 year old. I do moderate exercise ( A 3-4 KM MORNING WALK 6 TIMES A WEEK FOR 45 MINUTES) and am a vegetarian. My food habits are timely (breakfast at 8:30, lunch 1 PM, Dinner at 9 PM, I might snack around 6 PM which could be fruits or a sandwich). I get occasional palpitation and some kind of flutter in stomach. Do I need to be worried? ### Response: Hello and thank you for using Sadiq. I carefully read your question and I understand your concern. I will try to explain you something. There are different reasons that might cause palpitations. In general, they are caused by electrical issues in the heart. It may be just an elevated heart rate above 100/beat for minute that gives you a palpitation or an extra-sistolik beat. This is an electrical impulse generating in a part of the heart that produces an escaped beat that you feel like a palpitation or like a flutter in stomach. Physical or emotional stress, caffeine products might cause increased heart frequency or escaped beats so It's mandatory to avoid them. All sow, there are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats and palpitations. When you experience a high frequency, it might be normal to experience palpitation or a fluttering in stomach. If these frequencies/palpitations are interfering in your normal daily live, If I was your treating doctor I will recommend some simple examinations. I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood check up to exclude anemia or thyroid problems. Doing these examinations helps us understand if it is necessary to do something or not. But if you feel these palpitations occasionally, my opinion is you have nothing to worry about. Hope I was helpful. Wish you good health. Best regards.

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: Greetings, I just recently had a EKG and it was reported as slight inferior repolarization disturbance, consider ischemia, LV overload aspecific change Boarderline ECG. I am 53 y.o., and very athletic. My cholesterol readings were a bit high but it was due to my HDL being higher than normal. (Cholesterol-210, HDL-74, LDL 133). (Weight 170/Height 67 , muscular and high endurance). I just retired from the special ops navy community. I will be doing a follow up with a cardiologist. Never had any heart issues and there s nothing noted in my family history. ### Response: Hi, Though I wish I could see the actual ECG, the report you mention is often given when there is a small abnormality in the T wave. Most often this is a normal variant, meaning that there is nothing wrong with your heart, some people just have this abnormality. Your cardiologist will probably ask you about any symptoms you have had, especially chest pain. If you had any previous ECG sit would be helpful to compare them. However, given the rest of your history, if there's no chest pain, I would say there is nothing to worry about. Hope I have answered your query. Let me know if I can assist 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: My 8 year old has developed a splotchy red rash over entire body except his face. He has had no other symptoms and says only one arm itches. We have not changed any cleaning products and he had not tried any new foods or taken any medication. He is a frequent swimmer at the community pool. Could this be swimmer s itch ? ### Response: Thanks for posting at Sadiq. Your son seems to have developed allergic reaction to something he is exposed to in the swimming pool, a phenomenon commonly referred to as swimmers itch. It is basically a contact dermatitis and staying away from the stimulus for some time should help in relieving the situation. Some steroid ointment like HY Sadiq. Hope that helps. Feel free to revert in case of further queries if any.

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 use to consume alcohol on all weekends, and I have been using montair LC for past 6 years, please advice me will it cause any allergic reaction or any serious side affects ( will it knock out my Liver? #liver cirrhosis? I am having serious & scary bad dreams almost all night after consuming montair LC and I am sick with my trouble of breathing, Kindly guide me as I am stupid. ### Response: Hello, The montage LC usually doesn't cause cirrhosis like liver affection. But alcohol can induce liver cirrhosis like irreversible condition. So I suggest you stop alcohol gradually. The montage LC on long term affection can cause chest tightness, gastritis and many other side effects. So stop it and find cause for allergic reaction. For that allergic testing can be done, and causative allergen should be avoided. Hope I have answered your query. Let me know if I can assist 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: My wife is suffering from emotional breakdowns due to my son s studies. She is about 35 years of age and my son is 7 years old. I wish her to take some psychoanalysis as this may help her to overcome this problem. She has a history of such emotional disorder on her mother s side. pls help with suitable contacts in kolkata ### Response: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely wish you away from your conceptualization. She must be getting a bit more angry and emotional than the usual. You should not try to give mental disorder color to her behavior. Talk to her regarding this. Take her to a psychological counselor / psychologist. The rest shall be taken care of by the counselor. Meanwhile, assure your wife all your support and do the teaching part for her. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.

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 fell asleep in chair by my computer Wed. night and felt out of it landing on my right side. My chest landed on my bent arm. Knocked the wind out of me and hurt while getting up but I figured I maybe just lightly bruised the chest and ribs. Pain has been horrendous trying to move, breath, cough, sneeze, etc...my whole right side hurts even down my my stomach. Theres no bruising but the area feels puffy....side of chest and upper abdomen and both areas are tender. Breathiing was a little easier today but still painful. Might I have a flail chest or.......a punctured lung? And, if I go to the ER at this late stage wont the be upset with me for not coming in sooneer? ### Response: Thanks for your question on Sadiq. I can understand your concern. Yes, you should definitely go to ER now, don't afraid of being late. You had blunt chest trauma and your symptoms are mostly due to any of the following. 1. Rib fracture 2. Pneumothorax 3. Pulmonary confusions. 4. Musculoskeletal injury. So better to consult doctor and get done clinical examination of respiratory system and Chest x-ray. If chest x-ray is normal then no need to worry about major Pulmonary disease. Your symptoms are mostly due to musculoskeletal injury. So apply warm water pad on affected areas. Take painkiller and muscle relaxant Sadiq. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. You can also wear chest belt to avoid minimal mobilization of affected areas. Don't worry, you will be alright. But immediately consult ER now. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

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 battling a groin infection for the past nine days. The culture just came back as proteus mirabilis and I have taken a prescription of Cephalexin which did not help much. I am currently on my fourth day of Clyndamycin. The abscess is still draining a very smelly fluid and it is going on the eighth day of drainage. Is this normal? Also how do you come in contact with this proteus mirabilis bacteria? Is there anything I can do to prevent this from happening again? ### Response: Hi, Welcome to Sadiq. Proteus Mirabilis is one of the bacteria which is normally present in the intestine and is excreted in the stool. It commonly causes urinary tract infection in persons with bad personal hygiene. It can cause wound infections and rarely abscesses. In your case I would suggest you get the abscess Sadiq. I would also suggest you complete the full course of antibiotics for 7- 10 days. Maintenance of personal hygiene is a must to prevent recurrence. Thanks.

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: Hi, I need to know if YAZ contraceptives are strong enough to delay menstrual period? I delayed my period for a week by continuing to take the pink pills, but the past two my period so very slightly marked twice and then nothing and I want to know if i should consider that period or are the YAZ pills strong enough to prevent it. ### Response: Hello, thanks for sharing your concern, For women who choose the Pill for birth control, Baal and YAM are approved to:Prevent pregnancy - 99% effective when taken as directedTreat premenstrual dysphoric disorder (PMDD)Baal and YAM are not approved to treat Premenstrual Syn Sadiq. Folate lowers the risk of having rare neural tube birth defects in a pregnancy occurring during Baal use or shortly after stopping not use Baal or YAM if you smoke and are over age 35. Smoking increases your risk of serious side effects from the Pill, which can be life-threatening, including blood clots, stroke or heart attack. This risk increases with age and number of cigarettes smoked. Beyaz and YAM increase the risk of serious conditions including blood clots, stroke, and heart attack. These can be life-threatening or lead to permanent disability. The risk of blood clots is highest during the first year of use. This increased risk is highest when you first start taking birth control pills and when you restart the same or different birth control pills after not using them for a month or more. Users of

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 often feel very lethargic and unmotivated. I try to study but my mind feels constantly blank and all I have enough attention span for is laying in bed with the tv on. Ive tried changing my environment and drinking coffee to wake me up but I just dont feel well. I feel lethargic enough to just lay in bed and watch the ceiling fan spin all day, even though I have so much to do. Whats going on with me? ### Response: Hello, welcome to Sadiq. Lack of interest in subject may be the reason of your problem. It will be better to structure your routine. Following steps will help you:-Daily morning brisk walk for 30 min.-Stop substance use (if present). Substance like cannabis lead to motivation.-Try to study with colleagues. You can also plan to study in nearby library.-Take healthy diet: Milk, eggs and fruits.-Involve yourself in some sport. Wish you good health and all the best. Sadiq. 99doctor.com

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: today ekg showed anterior/lateral ischemia. 6 mos ago normal, my pcp told me he read my strfess test from 6 mos ago, and thinks I should talk to a cardiologists about a heart cath...i m74 M; end stage renal disease ready for dialysis should I rush into a heart cath with contrast? ### Response: Dear Sir/ MadamThanks for your query.1. It is not absolutely mandatory to undergo angiogram to detect ischemia. There are other methods too. These include stress ECHO and Stress thallium tests (Nuclear MPI scan). If your stress tests come out to be positive, and you are really symptomatic, you need to get an angiogram done. However, the angiogram should only be done if you want to get the lesions (which will be diagnosed eventually) fixed by stenting or bypass. Second important this is that patients with kidney disease have 7 to 10 times higher risk of complications during angiogram/stenting/ bypass surgery. Your Cardiologist will also consider all these things to whom you must consult. Hope this provides some insight. SincerelySukhivnder

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 born in 1995. I m 19 year old now. I used to masturbation since when i was 15 years ago. I have a pain in my left shoulder, actually it s opposite to my heart. it has for 1.5, What s wrong with me? By the way, i was surgered for arterial septal defect in 7 december, 2012. But symptoms appeared before the surgery. Openly in 2011. ### Response: Hi, I think that is only a muscular spasm or a muscular tear due to over usage of the muscles or hyperextension of the shoulder, a wrong position while sleeping. By the way the heart is at the same side of your left shoulder and I don't think it is correlated to your heart unless you run or exercise a vigorous sport, swimming may cause a referred pain to your shoulder if this happens I suggest you ask for ECG, echo on effort by your cardiologist. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.

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 daughter is taking a anti-coagulant (lovinox) but also has significant phlegm and was prescribed fluticasone propionate to help relieve the congestion. She is not able significantly reduce the mucus and we are wondering what we can give her to help relieve the congestion and get rid of the phlegm. ### Response: HIT hanks for posting your query to Sadiq. It seems like she is having Lower respiratory tract infection. I don't think Fluticasone will be of any help in relieving congestion. I advise you ask your doctor for a prescription of an Expectorant syrup like Tu's Q X and use it for 4-5 days. Do salt water gargling, Sadiq. Avoid Citrus Fruits. If the color of phlegm is yellow or green she may require an antibiotic also. Any clarifications or Queries feel free to ask. Happy to help you. Regards.

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 4months of Fungal Infection of outside of Penis,I use Onabet B , Sebifin 250mg (15Pcs) & Tyza 250 (7Pcs),but still now not cure the problem. please give me suggestion for this matter. my mail ID is YYYY@YYYY ### Response: Howell come to ChatDoctorIf the condition is not being diagnosed by dermatologist then better to get done the clinical examination because this may not be fungal infection, second as long as the question of diagnosis of skin disease is concern clinical observation is must, till then you can try steroid preparation and the best option would be "Mometasone cream" this could be steroid responsive condition, have a nice 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: Hi, I have had a UTI for seem for a month now, I was on cipro did not work now I am on Baxtrum have a couple days left on that. But I do not feel better my lower abdomen is tender and now my left side is very achie. I just do not feel right should I wait to finish my med then go back to the dock or just call him anyway? ### Response: Hello dear, Thank you for your contact to Sadiq. I read and understand your concern. I am Sadiq answering your concern. Yes, UTI can cause the tenderness in the lower abdomen if it's not treated. As you had already tried two medication and not improved there is chance of Sadiq. I advise you to take the urine culture and sensitivity done. Once its report is available we can select the appropriate antibiotics. And your infection will soon be treated. Please

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: Female, 38, weight 120lbs, height 54, good health, runner, etc., has been diagnosed with a staph infection, taking Septra DS and Clyndamiacin (sp). The infection started as abcess in right sinus and now I have lesions on face that also tested postivie for Staph. Quesition is I have been taking these antibiotics for over a week and the lesions are starting to close up, but they have never truly drained. Does an abcess need to drain or will the antibiotics just take care of the Staph? Im afraid the lesions will just close up and the whole process will start over again which is exactly what happened in the first place to get to this point. Thank you for any information you may have. ### Response: HiT hanks for your queryBased on your query and findings, my opinion is1. Most often antibiotics are enough to treat an abscess.2. In a few cases it needs to be Sadiq. 3. In your case abscess is sealed off that means, it is walled off by fibrous tissue. If the swelling has come down, then no need to bother. 4. However, if the swelling increases in size/ gets more painful than you need to get 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: hello Sir i m going 2 do my ivf my mature follicle size are 20mm, (two), 19.5mm, 19mm, 18.5mm, 18mm, 17mm. & endrometrisium thickness is 9.9mm. What is my chance of success? Embryo transfer will be done tomorrow. Any suggestion or tips? ### Response: Hi, Thanks for writing to Sadiq. Your follicle size and endometrial thickness are good and adequate. Also, number of matured follicle is also good. Chances of pregnancy is good around 70 to 80% in this condition. I suggest you to take progesterone tablets after embryo transfer. I guess your doctor must have advice about it. Continue folic acid and don't take stress. Wish you all the best. Hope I have been helpful. Regards Sadiq.

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 girl and I was doing wrestling after school. I tried to do a move but then i fell into a splits and then my opponent fell on top of me. My legs sort of hurt but not too bad, but at the time it hurt. Will there be any damage to my ligaments or tendons? ### Response: Hi and welcome to Sadiq. Thanks for the query. It is hard to say without seeing him or making some tests, at least X-rays. you'll see soon will there be pain and swelling and if it is even after 10 days than you should do ultrasound or MRI to rule out ligament injury. Most tendons and muscles injuries recover spontaneously, just apply ice compresses, elevate leg, rest and take standard painkillers. Wish you good health. Regards.

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: 16 month old fell hard when walking and hit forehead on wood floor two days ago. Has a bruise but acting normal since. This morning he woke up with fever, has thrown up and is lethargic. Fever goes up to 103.5 and goes down with Tylenol but goes back up before next dose. Could fever be from head injury? ### Response: The history of falling is probably unrelated to the feverishness and lethargy. But pain from the fall could have some relation. Moreover, vomiting even 2 days after a fall raises concerns about head injury. It is likely that he is suffering from a viral infection independent of his fall. If fever does not get controlled with Tylenol, you may give Metal P (metonymic acid) which is more effective in controlling fever. It is better to visit a pediatrician and get him investigated since he is lethargic.

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: Hi my son developed a ache in his right thigh last night, he woke up at 4am in a lot of pain that didnt really ease with Calpol and couldnt weight bare so we took him to A&E who xray him (which was fine) and given him more pain relief to see if he could walk, when he did try his leg twisted and gave way. They sent him home saying to give him pain relief and to take him back on monday morning for ultrasound and bloods. His notes said ?? Perthes disease. he has been pretty much the same all day then about 1 hour ago he suddenly improved, he can now stand and can even walk with only slight ache. Would you think if it is what they think it can improve so quick, we thinking maybe a strain or something or do we still need to take him for tests on monday ### Response: Hello, I have studied your case. Another possibility of slipped capital femoral epiphysis or perches disease in early stage which can be confirmed by X-ray and MRI of hip joint. I will advise you to consult your doctor for clinical examination and if possible consult orthopedic surgeon. Perthes may not improve so fast, you may need regular follow up. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

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 cousin has stage 4 small cell lung cancer in both lungs and it has spread to the brain they have told us cemo n raditation did not help there is nothing more they can do he has breathing problems coughing but most of all mood swings he was always a fairly kind person but no is always angry cussing and just is driving everyone even drs nurses and anyone he comes in contact with nuts we all tip toe around him n help with everyting but it is becoming very hard is this normal ### Response: Stage 4 lung cancer which has spread to brain has a very poor prognosis. Palliative RT to brain may relieve some symptoms. If his type of cancer is adenocarcinoma then a particular test called EFR mutation test from biopsy block may be of help. If EFR mutation is positive then oral chemotherapy Erlotinib, Gefitinib can be given even in poor general condition of the patient. The main side effects of Erlotinib and gefitinib is skin rash and diarrhea which can be managed with lactocalamine lotion and operative. The development of skin rash is good prognosis. For mood swings u can give haloperidol Sadiq.

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: Hello.... i was just curious... something is wrong with my left lung. when i breathe deeply it doesnt hurt nor when i breathe normally... but when i move my upper body in a certain way then it hurts.. and when i laugh heavily it hurts... any idea whats wrong? ### Response: Thanks for your question on Sadiq. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. But better to rule out lung diseases first. So get done chest x-ray. If chest x-ray is normal then no need to worry about lung diseases. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid sudden jerky movements. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

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 grandson has plexiform neurofibroma in his abdomen! Will it continue to grow if not treated? If he has the NFi gene, can it be treated with meds? If not what kind of treatment is available. The mass in his abdomen also shows it s wrapped around major arteries! What now? ### Response: Hi, Thanks for writing in. Plexiform neurofibromas in strategic locations are to be removed through skilled surgery. It is important to know the size and extension of the tumor and if there are any cancerous areas which are developing within. In that case, you must consult an oncosurgeon and vascular surgeon and know the implications of the tumor causing pressure effects or the rare possibility of the tumor infiltrating the arteries. Medicines are not a treatment option for these tumors. Though the tumors are usually benign and harmless, increase in size with time and malignant transformation cannot be entirely ruled out in your grandson. That might take years to happen, but it can be easily prevented by getting treated through surgery at present.

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: have been taking pregablin for nerve pain due to 4 5 and 6 spine crumbling but now find that they are causing mental and suicidal feeling, what else can I take to take pain away. I cannot take NSAIDS as had kidney removed as have RCC. Previously was on Pregablin was on gabapentin these altered my mind ### Response: HAI, pregabalin and gabapentin are the best products for your problem and safe on kidneys too.most commonly other than addiction it does Nathan any other significant side effects as was u had mentioned. Looks like you are going into depression due to your long term illness.pls visit apsychiatrician, u need a good counselling. For pain u can also try with tapendetol (papal er).pls don't get depressed 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: Hi Sir. I am 34 yrs and i ve been taking spasmo proxy last two years. Later i came to know that i am pragnant and m worried taking proxyvon drugs during my pregnancy. Is it safe for my baby? Please do advice me. my email add: YYYY@YYYY ### Response: Hi, I have gone through your query and understood your concern. Spasmoproxyvon contains dextropropoxyphene, dicyclomine and paracetamol. Dextropropoxyphene belongs to pregnancy category C and D according to the FDA. Category C means animal studies may have revealed adverse effects and there are no controlled studies in women. Category D means there is a definite risk but in both cases, the Sadiq. Dicyclomine and paracetamol belong to category B, where studies have failed to reveal any harmful effects and hence can be used if necessary. In the current scenario, please get regular follow up and an anomalies scan if you are well into the pregnancy. If you are in very early pregnancy, you can get the fetal DNA sampling done. Hope your query has been clarified. Wish you good health.

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 kicked in the shin two days ago and the spot I was kicked is bigger then a golf ball and my ankle is really swollen. I can walk on it but want to know when I can get back to playing soccer. I have been elevating and icing for two days now and rapping it. ### Response: Hello, As you are a sports candidate we need to go with a sports rehab program than the conventional used for normal people. The mechanism of the injury is directly over the shin of the tibia. Now to elaborate, shin of the tibia has muscles less and fascia more. So inflammation of the fascia is the one leading to swelling. Good, you are using the RICE protocol as its good to do in the initial stages. Using the leg brace or lower limb compression brace will be useful to control swelling for longer. Try strengthening the core, lower limb muscles and post all this, ankle rehabilitation using the balance board training which is used in SL maximum number of sports to correct the muscle imbalances and provide good strength equivalently to all muscles. You should get good results if started from slow to moderate to high intensity sports Rehabilitation program. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Sadiq.

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: hi doctor,my son was going to complete his 3rd month within 3 days.from 2 days he started sudden body tightining with 5 to 10 secs crieng.he is doing every thig fine like a normal baby except this one.please give me the cause and suggestion for my baby s problem. ### Response: Hello, I just read your query. As you have mentioned body stiffness of your baby and if it is frequent then the possible cause can be cerebral palsy which is the most common cause behind this condition.* Other cause might be hypertonia where the rigidity is due to miscommunication between brain and nerves related to muscle.* Sometimes child is rigid without any cause. These all things can be differentiated only with clinical examination by a pediatrician. So do visit a nearby pediatrician to know the proper cause and get proper treatment accordingly.* I hope you find my answer helpful. Thank 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 have two swollen lymph nodes on my right armpit. One is considerably big and the other is quite tiny. These started to hurt about 3 days ago and became visible only yesterday. I had the flu which I am still not fully recovered from and also got my menstruation today. Could this be the cause or shall I go and check it out? Thanks ### Response: Thanks for posting your query to Sadiq>lymph node can be swollen due o any kind of infection It is there protective function. But you need to be sure that these are the lymph node and not the other type of swelling. You should contact to general surgeon for local. Examination of node as this area is connected with breast so any kind of pathology may leads develop such type of condition presently you can take anti-inflammatory Sadiq. 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: We are married coules...we normaly use condom as a protection during sex. But we are planning to go for oral contraceptives which my wife can take it on regular basis for another 1-2 years. Plz help me n finding best pills in India with a proper advice of when nd how to start the oral contraceptive..when to go for The unprotected sex after taking thr regular pill...Also advice if how to get pregnant when we want ### Response: Hello dear. Understand your concern. You start combine OC pills like male D, ovral, ovral L, femilon, duoluton L, novelon, yasmin, diane 35,etc... all available in India at cheaper rate also. Before starting pills, your wife should do some test like liver function test, blood sugar, pap smear, Blood pressure, weight. You want to continue it for 1-2 years, so you should know about its side effects. Pills he some side effects like nausea, spotting,weight gain, missed or delay period, tenderness of breasts, headache,mood swings, vaginal discharge, decrease libido(affect sex Sadiq. Oc pills contain 28 tablets, in which 21 white tablets contain estrogen & progesterone hormones, another 7 brown tab. Contain iron & vitamins as placebo. So start from 21 tab., start it from 1st day of your menstruation cycle .it has taken daily one preferably bedtime for 21 days. Then period is coming, you can take 7 brown placebo tab.in this day's or not. Then start second pack of tab. From 1st day of menstruation cycle again & continue up to 1-2 yr. You have to take it regularly everyday on specific time (make habit by putting reminder in mobile). If you miss one tablet then take as early possible or on next day along with that day tablet. If you will missed two period then use other contraception like condoms to prevent pregnancy. You can take sex any time if you are on regular dose of OCP.in between you want to get pregnant then stop tab. Hope this will guide you. Best regards.

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: Hello I have severe allergies,itchy throat and ears and a bad history of sinus and asthma.i was casually prescribed kenacort for the allergies,but no dosage was given.im at an age where I m getting prepared to bore children and I heard very bad reviews on how kenacort affects fertility.please my allergies get more serious every day.please advice. ### Response: HI, thanks for using Sadiq Escort is a form of steroid. It can be given in the form of injections or an oral form. If you are not comfortable using this there are other treatment that are available to you. Allergy testing would be able to determine exactly what causes your allergic reaction so that your contact with it can be reduced. The persistent use of topical steroid nasal sprays would help to reduce the nasal symptoms. Oral antihistamines and montelukast would also be helpful. 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: The other morning i woke up to extreme pain in my stomach ..to the point where i couldnt deal with it anymore ...so i went to the hospital and they gave me some meds such as morphine etc....and this is day 2 of when it happened and i am still very sore and it still hurts ....alot of the pain is between my ribs and my lower stomach ....any ideas on what it could be? They have me schedualed for an ultrasound this week ! ### Response: Hi ! Good evening. I am Sadiq answering your query. The kind of acute pain you described could be due to a lot many intra-abdominal conditions starting from infective/inflammatory conditions of the GI tract to stones in gall bladder or urinary system. It might not be possible to opine on the cause without a clinical examination of the patient and other related investigations like an ultrasound abdomen. Therefore, I would advise you to continue with the medications advised by your doctor in the ER, and wait for the investigations to be done to make a diagnosis. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Sadiq to clear doubts on your health problems. Wishing you an early recovery. Sadiq.

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: HI, my son is 21 years old and is in the small town of Sitka Alaska. We have no health insurance. he has been into emergency 3 times in 3 weeks with severe stomach pain. He has been vomiting blood . Doctors dont know whats wrong in this small town. just had ultra sound yesterday and now they say his galblader is inflamed and needs to be removed. My brother is a registerest nurse in Belvue Wa. He said another possibility is radiation posioning. my son has been scuba diving, finding thing wahed up from japan. I am very worried, what do u think? ### Response: Hello As far as the symptoms of inflamed gallbladder are concerned, as per my opinion it doe snot present with blood vomiting. As you did mention that he has been scuba diving, there is a chance that it has something to do with that also. As far as going in for surgery is concerned, i don't think it's an emergency situation as far as inflamed gallbladder is concerned which can also be treated conservatively. Advise would be to get complete blood profile done and if possible to get an upper gastrostomy to rule out any pathology within the upper gastrointestinal tract. Regards.

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 lump of size of half a pea under my left armpit towards the lower side. Its been there for more than 6 months. I don t think it has increased but it hurts and the knot is inside the skin and not on it. Should I get it checked? No history of cancer in my family. ### Response: Hello and welcome to Sadiq, Lump in the armpit is most commonly due to enlarged lymph nodes. Other lesions which can cause a lump are soft tissue swellings or accessory breasts. Cancer spread can lead to lymph node enlargement, however, infections are the common cause of lymph node enlargement. An aspiration cytology of the lesion is required to know the nature of the lesion. In this investigation, cells are aspirated from the swelling, stained and examined under the microscope. This investigation will help to make the diagnosis. Thanks and take care Sadiq.

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 girlfriend and i somewhat had sex this past Sunday, basically my penis entered in her vajina, well i did not ejaculate in her but i did pull out before anything happen, could she still get pregnant, also would it be a safe idea to take the plan B pill? she also said that she felt a throbbing in her vajina on her way back home. ### Response: Hello, Thanks for writing to us. Pulled out or with Sadiq. If you involved in sexual activity in the middle of her cycle (D12-D18) or fertile days, then I can suggest taking Plan-B within 72 hrs to avoid minimal risk of pregnancy. Otherwise, she may NOT need to take the pill. Lastly, I suggest her to undergo home pregnancy test if she misses her next period date. Review with the test result. 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: Im struggling really bad with my asthma when I am in work. I work in a restaurant kitchen. I go to take my inhaler and it calms down but then flares right back up around 10-15 minutes. Today at work I had to leave the kitchen 10 times to take my inhaler - 3 puffs each time. Please help its starting to scare me Even when I get home and relax its still bad. :-( ### Response: Hello. Thank you for asking at Sadiq. I went through your history and would like to make following suggestions for you:1. If you need to take inhalers 10 times (3 puffs each time), I would add other controller treatment for your asthma in addition to as-and-when-needed inhalers. Usually I add montelukast to my patients to control asthma. If that is not effectively, I prescribe regular inhaled corticosteroids for at least 2-3 months.2. If you have nose symptoms (nasal congestion, running nose, sneezing) also, I would add levocetirizine/cetirizine in addition to montelukast.3. Personally I would suggest you to get allergy testing done which will help you identify the substances you may be allergic to and also the measures to avoid them.4. If the kitchen you work in is closed/crowded/inadequate ventilation, I would suggest you to use appropriate Personal Protection Device (such as face mask) to cover nose and prevent fumes/particles to enter your nose.5. Please try to avoid exposure to dusts, smokes & air pollutions as much as possible.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) and regular breathing exercises will also help you in a long run to improve your immunity & lung capacity respectively. Hope above suggestions will be helpful to you. Should you have further queried, please feel free to ask at Sadiq. Wish you the best of the health. Thank you & Regards.

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: Hi I recently experienced a episode of my left side of leg and upper body go weak with the right side of my left hand crackling but nothing in my face etc, I suffer chronic pain in left leg but live everyday including work fighting it could it be my nerve on left side? ### Response: Hello against Muscle pain are very common my advice for YouTube plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. You need to continue you medication for a couple of month to see effects. Add tab methylcobal 1500 once day. You may need MRI spine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.

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 right arm is numb and tingly and the veins in my right hand have come to the serfice a lot and look like little balls on my hand. I have been dealing with a lot of stress lately so it scared me, I thought I was going to have a heart attack or stroke. I m 40 years old. ### Response: Hello, The numbness in the right arm could be related to a pinched nerve. The visible veins are not concerning about anything serious. So, there is no reason to panic or go to the ER. When the situation of coronavirus will be over, I would recommend consulting with a neurologist for a physical exam and performing nerve conduction tests to examine your nerves. Hope I have answered your question. Let me know if I can assist 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: The x-ray report says posterior osteophytes seen from c5 to c7 associated with effacement of neural exit foramens what does this mean please help? I am a old lady from kenya aged 62 years. my names..Hadijah Hajj ### Response: Hi Khadijah Hajj, oseophytes of cervical regions means your vertebral body got degenerated as a result been like or lip like structure develop at that area. This also known as lipping or seeking of vertebra. Neural exit foremen are the openings which help the spinal nerves to come outside from spinal cord through the vertebral canal. Due to the degeneration and the inflammation develop at this area this foreman get narrowed and as a result the nerve which passes through will get congestion and pain along with numbness is the result thanking youchristyjoseph1@gmail.com

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 a lot of bleeding from my gums at several different times since last summer. As of last april I went on a particular diet or "eating plan" that I use a lot of herbs and spices. I am wondering if this is causing this crazy gum bleeding. I take really good care of my gums and teeth on a regular basis. Also my hot flashes/ night sweats seem to have returned and gotten out of control. ### Response: Hello, Thanks for your query. Going through your symptoms I diagnosed that you are anemic....increase your iron intake, take fresh fruits especially apple, banana and oranges....as oranges are rich source of vitamin C, so it will help to cure bleeding gums...keep good oral hygiene and go for scaling too. For one month take folic acid 5 mg per day. I do hope that you have found something helpful, and I will be glad to answer any further query. 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 nan has been in hospital with gallstones this week - she had an ERCP yesterday and is slowly getting her appetite back. She is still jaundice especially in the eyes. I have seen her kidney function test results her creatinine is raised above 200 and her EGFR is low, they have stopped a lot of her medications that are contra-indicated with reduced kidney function. She also has low sodium . Is the redrannged kidney fucntion normal? ### Response: HelloThanks for your query. Based on the facts that you have posted it appears that your Nan obstructive jaundice due to stone in common bile duct and has undergone ERCP. Her appetite has improved which is good sign after ERCP as biliary Sadiq. . Yellowish Discoloration of eye due to jaundice takes about one month to get cleared completely. As regards her deranged kidney function it is most likely to be to toxic effects of multiple

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 22 years old...healthy and fit... I can run 1-1.5 miles in a single stretch per day.....I went for pre-employment medical check-ups & found that my BP was 145/95( Fasting overnight about 12hrs)...So they said they will take another reading few hours later.. It was still high.. my kidney sonography is absolutely normal....I am awaiting RFT results....Few hours prior to giving blood sample for RFT i consumed potato wafers as nothing else was available in the vicinity of the hospital..will it affect the outcome of RFT??? ### Response: Hi, first regarding your BP, we need to find out any secondary cause for hypertension like renal, endocrine, renal artery stenosis cause. You are required to do some basic investigations like renal function tests, urine examination, renal Doppler and special blood investigations in consultation with your doctor to look for cause of high BP. potato wafers may not affect RFT much, but beware of high salt containing food. They will increase your BP.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: hi my name is mn,i reacently took a home pregnancy test and it came up as a faint positive i did it and walked away so im not sure if it could be vapor or not i have missed my period but i dont know weather its because im thinking im pregnant so much is this possible is there such thing as a false positive? ### Response: Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. If you have missed your periods and your urine pregnancy test is positive, it is most likely to be positive. False positive test means test is positive but blood beta Sadiq test is negative. This can happen due to some defects in test kit. I will suggest you to get blood beta Sadiq test and USG done to confirm your pregnancy. I hope this answer helps you. Thanks Sadiq.

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 daughter suffers from anxiety and add. i am finding that together they are a vicious downward spiral when it comes to school. anxiety causes inattentiveness which causes anxiety etc. she is currently taking zoloft and strattera. i am not sure where to turn ### Response: DearWelcome to ChatDoctorWe understand your concerns went through your details. ADD and anxiety are mental disorders, and you should have known by now that these mental disorders cannot be cured with the help of only medicines. Change in lifestyle, thinking pattern and understanding the mental illness is the first step towards the cure. Usually, a combination of medicine, psychotherapy, meditation and exercises are given to these patients. As your daughter is already under psychiatric treatment, you should talk to the psychiatrist about psychotherapy and meditation. He will direct you to a psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.

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: Hi. I am a twenty year old female and every time i get chills i have a sharp pain in my chest. Its not a real bad pain but it does hurt a little and only occurs for a split second or until the chill is gone. This just started today but im really curious as to wht it might be. ### Response: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Sharp pain in chest with chills, could be due to muscle pull.2. Not to worry, you need to relax. Also, muscle stretching will be helpful.3. If pain increases or is constant, painkillers with muscle relaxants will be helpful. Hope there is no burning pain, if present, it can be due to gastritis. Antacids and proton pump inhibitors like pantoprazole or omeprazole will be helpful. Avoid stress. Hope it helps. Any further queries, happy to help again.

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: Hi My son is 6 years old and when he was 3 years old he fell on a protruding stick and a haemotoma formed on his rib. lately he complains of pain in that area when he runs or rides his bike. should i get this checked and if so do I consult a orthapedic surgeon for the answers ? ### Response: Hi... I do not think the 3-year-old injury could be a reason for the pain now. It could be a muscular pain the same area incidentally or a rib problem. I suggest you see your sons' pediatrician first rather than an orthopedic surgeon. Meanwhile, for pain - Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -

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 Doctors. my health is deteriorating from time to time I am complaining always swelling in the abdomen and there is no liver problems and the latest analysis work for me I have a lack of calcium severe I always feel dizzy and chills, and Hun severe tinnitus in the ear, Doctors have been puzzled in my conditions, making it refuses counseling , Finally they suggested that the work process of the colon telescope it might discover something .Please help me, I feel haunted by death I feel strange pain recently in the back and healing is very weak and am 115 km and175 linear I ask you reply Mohammed Rashid ### Response: Hi As your tests reveal calcium deficiency, your doctors may suggest serum vitamin D level and additional tests to determine the loss of calcium. Tinnitus in ear and muscular weakness are due to this. Looking for intestinal cause, kidneys, parathyroid and thyroid tests may be needed also besides dietary evaluation. All this is treatable after cause finding.Meanwhile, diet supplements, calcium and vitamin D medicines need to be given Best wishes,

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 had 2 back surgeries recently. After the 2nd surgery (some bone fragments entered the canal after a surgery to fuse L4 7 L5) I have been experiencing a change in the flow when i urinate along with a burning sensation (not painful) and what appears to be some whiteish material in the urine. the 2nd surgery did not involve a catheter. What could this be? Thank you. ### Response: HiT hanks for posting your query on Sadiq. I have read and understood your concern. The symptoms you describe point to a urinary tract infection/urethritis. I will advise you see the Doctor for examination. Tests like an urinalysis and an urethral swap smear test may be very helpful. Your treatment will depend on test results. Hope this will help. You may write back if more concerns. Wish you good health Sadiq.

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: hi dr .my patient have pcos .i give her good ova plus tab 2nd day to 6th day of cycle .but 14 th day her endometrium size 4 mm and no follicles i prescribrbe her progynova 2 mg for day 11 but still no progress .what is the next treatment? last 2 months i gave her tab pco care ### Response: Hi, Thanks for writing to Sadiq. I would suggest you to prescribe ovulation inducing Sadiq. This will help multiple follicles to mature and rupture. I would suggest you to start sidewall tablet per vaginal route from day 6 to 14. This will increase local blood flow and help endometrium to grow properly. Continue estradiol from day 8 for 10 days. If Josephine also fails then you can add FSH injection with that. In same setting you can go for GUI. This will increase chances of conception. Hope I have been helpful. Regards

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 61 years old male. About 50 days back I had an arthroscopy meniscule surgey done on my left knee. Even before the surgery, I started having numbness in my left foot, which I thought was probably due to the pain I had in the left knee. Even after the surgery, the numbness and tingling in my left foot continued and rather aggravated. I consulted a doctor who said it had nothing to do with the surgery I had undergone, He advised checking of B12 level and Nerve Conduction study of all limbs. The report showed my Vitamin B12 level at 218 (Normal levels: 211-911). NCS findings suggested of B/L Median Nerve Entrapment Neuropathy at thw wrist, with evidence of decreased amplitude in B/L PTN Nerves. The Neuro doctor has suggested: Vitcofol 2 ml inj. 7 - alt. days, and one cap. each of pentocid and Rejumex. Even after taking medicine for 11-12 days and 6 injections, there is no respite. Rather, the numbness znd tingling seems to be increasing and I also feel some numbness in my right foot, which is very less compared to the left one. Please suggest a remedy or further treatment. ### Response: Hi, after going through the complete brief history provided by you, I can understand that this could be a pinched nerve pain. The pinching of the nerve @ the lumbar region for which an MRI will help to assist the extent of the soft tissue Injury. Also, by taking therapeutic ultrasound therapy and TENS therapy will help reduce the symptoms. Besides, performing exercises will help to avoid such symptoms in the future. With the grace of God I Wish you a speedy recovery

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 DR. I AHVE BEEN SUFFERING FROM NASAL,SNEEZING ALLERGY FOR QUITE SOME TIME ,HAVE TAKE LONG COURSES OF MEDISCINES LIKE EBAST,AVIL.BUT THIER EFFECT HAD STARTED FADING,NOW A DAILY DOSE OF PIRITON SYRUP IS PRETTY HELLPFUL.CAN I TAKE IT IN THE LONG RUN? IS PIRITON SAFE OR PIRITON CS IS BETTER? ### Response: HI, thanks for using Sadiq The symptoms of sneezing and other nasal symptoms are in keeping with allergic rhinosinusitis which is inflammation of the nose and sinus passages. It would be in response to particular allergens, if your exposure to these can be reduced or eliminated, it would help reduce your symptoms. In terms of the portion, which is an anti histamine, you can continue to use it for as long as needed. There are also non Sadiq. 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: I am not diabetic, however I have been hypoglycemic for 2+ years. I have felt lately like very little if what I eat agrees with me sugar-wise. I get very tired and irritable almost immediately after. I bought a meter and checked my fasting level this morning..the reading was 96...seems a bit high... ### Response: Hi, dear. I have gone through your question. I can understand your concern. Your fasting sugar is normal. Fasting sugar level below 100 mg per DL is considered as normal. Your sugar levels do not suggest any diabetes or hypoglycemia in fasting state. You should go for HAC level. It will give you exact idea of your sugar level for last 3 month. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Sadiq. Wish you a very good health. Don't forget to click, thank 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 59 and was exposed to alot of vacuum cleaner dust over a 2 hour period thus resulting in a sinus infection (symptoms were headache, sore throat and glands, ears feel full and hurt). I went to a urgent care facility this afternoon and was given 3 injections: rocephin, solumedrol & toradol. I can not get to sleep, I feel antsy inside. Is this common and if so when will it go away? ### Response: Hello to dust, you develop bronchoconstriction and also due dust you develop allergy in throat. All these produces such type of symptoms. You got 3 shots, ceftriaxone (Rocephin), volume Sadiq. However, these are quite good injections but due to bronchoconstriction you develop sleeplessness. This is very common due to your allergy and shots. When such patient visit I prescribe them to take montelukast+levoceterizine once or twice in day. Also, to take some terbutaline type bronchodilators as allergy syrup. Hot coffee and steam inhalation also provide instant relief. Since this is a prescription medicine, so get a consultation from a physician. Hope this will help 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 have slight swelling of my left cheek and a little under my eye which is causing eye pain on that side. i think i may have an abscessed tooth from an old root canal (the crown fell off a year ago). the tooth is dead, but can it form an abscess? i have no fever, just the swelling which has improved from the ibuprofen i took. ### Response: Hello, Yes, it may form abscess it may lead to cellulitis of cheek or inflammation of surrounding area. Use tablet amoxicillin and clavulinic acid 625 mg twice a day for five days. Tablet metronidazole 400 mg thrice a day for five days. Cold compression may useful. If symptoms not improved please consult with your dental surgeon he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist 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: Hyperpigmentation of feet and fingers with wrinkling. This condition had persisted for many years with no other health related issues. Just had parathyroid tumor removed. There are no other skin related issues in other areas of the body. May have absorption problem. Persistent anemia has never been investigated. Tried many dermatologists without success. I think it is in ### Response: Hi, Thanks for writing to us. There could be many causes for hyperpigmentation of feet and fingers like acanthuses Nigerians, eczema, vitamin B12 deficiency, Addison's disease etc. Parathyroidectomy may lead to hyperparathyroidism which sometimes not commonly may cause exfoliating dermatitis i.e. Sadiq. It would be imperative that you visit a dermatologist nearby to ascertain the diagnosis and start an appropriate treatment. 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 noticed a lump in my pelvic area near my left hip. It s about the size of a 20 pence piece, hard and a little tender to touch. However I can only feel it when I lay on my back. I m 17 and I ve had hip pain for around 3 years now I wondered if this could be related. I had an x Ray 2 years ago and a blood test last year both showed up clear. ### Response: Hi I am Doctor Fa him, and I will help you with your query. I have gone through your Question, It appears to be skin condition and not related to hip joint. Needs answer to the following question for better understanding of your problem-location of the lump, precise location. It's not in the gluteal cleft?- any discharge from the lump?- change in color of overlying skin? I appear to be boiled or sebaceous cyst. Answers to above question will help in diagnosis. If such a patient walks into my clinic I usually suggest tab Co-amoxiclav 625 mg 1+1+1, Tab Paracetamol 500 mg 1+1+1. If no improvement in symptoms then surgical Sadiq. I hope it will help you, do rate my answer if you like regards

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: Just recently had a cardiac ablation done...they entered both sides of my groin area. Now I am having problems with pain in that area to the point where sometimes I am not able to walk. I am also developing severe cramping with a burning and stinging sensation in my thighs, calves and down the inner leg. I am also suffering pain across my lower back. My pelvis feels like it is about to drop out. Is this something that I need to seek immediate medical attention for. ### Response: Welcome to Sadiq I have gone through your query and understand your concern. You can take analgesic such as ibuprofen for pain relief. Vitamin B and C helpful in recovery. It doesn't seem to be medical emergency, but there is no harm in consulting Doctor. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.

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: Sir,My age is 21 years my blood pressure increased before 1 year after this I met to Dr.C.B.Maddhesia in Gorakhpur he suggested me some medicines of deprasion and a 0.25 alprazolam tab.My medicines are continue till now.but my blood pressure level is not decreasing I checked blood pressure yesterday it was 152/88.Some time I feel that some light pain in heart.Please suggest me what should i do ?? ### Response: Hi, welcome to Sadiq. Thanks for writing to us. At such a young age hypertension is unlikely though it may be present. At this point of time you should go some preliminary test to find out the cause of hypertension or any associated comorbidity. The following tests are necessary:1.complete blood count.2.lipid profile3.fasting and pp blood sugar4.serum urea and creatinine. Regularly monitor the pulse and BP, at least once in 2 weeks. In addition to that you can have antihypertensives like AMLODIPINE after consulting with your doctor. Hope I have answered your query. Stay fit, 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: hi 6 mounts ago my sgpt was 46 may sgot was 40 now my test sgpt is 61 sgot 50 after 6 mounts i shoud mention that i am realy intrested in fast foods and creams but iam so concerned about my tests do you think this is cancer or fatty liver please please answer me.THANKS . shirin ### Response: HelloYour findings suggests raised GOT and SGPT. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. Increased GOT is non-specific, and it increases in many conditions. You may need few more investigations like routine hologram, random blood sugar, lipid profile, renal function test, complete liver function test, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I suggest follow-up test after two months. You should avoid saturated fat. Get well soon. Take Care Sadiq.

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 pus coming out of one tooth and an infection in the one next to it. I have a dental appointment to get the pus tooth handled, but have to wait for a specialist to handle the infected one in two weeks. I have flu like symptoms and wonder if it could be tooth related, or even if I should keep my appointment tomorrow? ### Response: Hi Dear, Welcome to Sadiq Team. Understanding your concern. Severe tooth infection. As per your complaint it seems there is formation of DENTAL ABSCESS due to infection from tooth reaching below the root tips of the tooth leading to pus formation. At times the pus and infection perforates the bone and accumulates in the soft tissues leading to swelling. Antibiotics can take a longer time to resolve infection and swelling, and you consult the dentist so that he can take an x Ray and if tooth can be saved he initiates a Root Canal Treatment under local anesthesia. For now main proper oral hygiene, take ibuprofen or acetaminophen for pain and do warm saline rinses. Hope your concern has been resolved. Best Wishes,

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 would just like to know if I should go to my primary Doctor for mild chest pains as the emergency rooms charges a lot more than my doctor I am 26 years old I have been having pains for about 2 months now but it seems like the more I stress the worse it gets what should I do? ### Response: Hello rearward welcome to Sadiq.come have evaluated your query thoroughly.* This seems in relation with different possibilities as - muscular ache - reflux of stomach acid - stress or anxiety related.* No need to rush to ER to pay handsome bucks, just consult your family physician by appointment only.* Suggestions till then - Sadiq. - Soft, light diet with avoidance of oily, spicy, non veg stuffs.- Avoid weight lifting.- Avoid stress, anxiety.- Have adequate sound sleep of 8 hrs.- Regular walking in fresh air, exercises with deep breathing, YOGA Hope this will help you for sure. Welcome for further questions. Regards.

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 m on oxycodone 15mg. and missed a doctors appointment because he is in OR and I need them since Monsy is a holiday and Tuesday he is in OR and I m going to be sick is there anything I can take or a way to get prescibed anything because I have Degenertive disk disease and in alot of pain and does not want to get sick from not having my meds what can I do? ### Response: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As to have a degenerative disc disease, an MRI will be recommended to see the level of the injury. Post this, you can undergo physical therapy which will help to regain the muscle strength. Also, by therapeutic ultrasound therapy and TENS therapy, there will be an instant relief of the pain. It is a non-invasive therapy and most physicians recommend physical therapy. Research also supports that physical therapy provides better results with core strengthening and also with TENS therapy. In my clinical practice, the majority of patients respond well to physical therapy and in long run with exercises the spine can be made stronger. RegardsJay In Sadiq.

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 husband can t focus and is having trouble functioning and concentrating. He has a stent, is taking aspirin and thyroid medication. He has a ringing in his head that sometimes causes dizziness. He s been to his doctor and yesterday the emergency room. They did a CT of his head and found everything normal . His blood work is normal, a chest X-ray was normal but he is laying on the floor and I just don t know what to do. I m using his email address. ### Response: Hello! I understand your concern. In my opinion he should have thyroid hormones' analysis. Difficulty in concentrating is a common feature in thyroid hormones' disbalance. A stroke has been ruled out, so you should not worry. I would also recommend a cervical vessel ultrasound to see the blood flow to the brain. He has a stent and this means that other vessels must be checked for narrowing. These symptoms can also be caused by low blood flow to the brain because a carotid or vertebral stenosis. Although these disorders cause much more problems than just difficulty in concentrating and dizziness. Hope to have been helpful! Thank you for using Sadiq!

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: Ive been having abdominal pain in my tummy in the centre and right side, when I add pressure the pain is there but also when I move to get up or get in any position its very painful it brings me to tears its mostly any position I move its an unbearable, should I go to my GP or straight to the nearest hospital? ### Response: Hellman on the right side in abdomen, also in the center, bending increases pain. Such type of acute pain on the right side in abdomen may be due to these possibilities, these include.1 Right renal colic, diagnosis can be confirmed by ultrasound of abdomen with both kidneys.2 Acute appendicitis may be the another cause of such acute pain Diagnosis can be confirmed by physical examination and ultrasound of appendix.3 Consolidation of lower lobe of lung may cause such type of referral pain. Diagnosis can be confirmed by X-ray chest. However, there are so many other chances of such pain but in the absence of complete history it is not possible to establish exact diagnosis. I recommend you please consult a physician and get his opinion as physical examination is important. 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: hello dr i am having infertility problem .my right tube is block and left one is partially open . i had my tb test done by menstrual blood test which was negative .now my doctor had prescribed me to go for tb treatment as he think tb to be the reason of tubal blockage .my prolactin is little high .what should i do .please suggest. ### Response: Hi, Thanks for consulting us. This is true that Tuberculosis is very common in certain parts of the world. When this involves the genital tract, subfertility may result. I don't think it would be justifiable to start ATT (anti-tuberculous treatment) without confirming the diagnosis first. I think you should take a second opinion before starting ATT, as this is not a standard practice to start treatment without lab evidence of the disease & there are better treatment options to help women with tubal blockage. Women with borderline raised prolactin do not need treatment. So, better search for a good fertility specialist in your area. Wish you good health. Best of 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: Yes,although this might be too complicated for the internet.I was diagnosed with multiple myloma innjanuary,and began chemo in February.Ive also been using Filgratsim (Neupogen) since them,and Ive seen a steady. drop in my white cell count,until the count was so low over the last two weeks that my chemo had to be withheld.Im scheduled to undergo a bone marrow biopsy in a week or two.Is there any reason this problem could come about suddenly?Thank you. ### Response: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Chemotherapeutic agents given for treatment of multiple myeloma will cause bone marrow suppression.2. Excessive suppression has led to Sadiq. 3. Bone marrow biopsy would probably show reduced cellular. 4. Major worry would any associated leukemic leukemia. That is the reason, bone marrow is necessary. Hope it helps. Any further queries, happy to help again.

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 having stomach pains for too long. I went to the doctor about a month ago and they told me I had chronic indigestion. But now, I can t have sex because my stomach pain increases and on top of that I get a bad nausea. after I eat I get the feeling of going to the restroom. After I drink water is the same thing. I lost weight because I haven t been eating all the fried foods I used too. What should I do?? ### Response: HI. Thanks for your history and query. Having loss of sex-life in addition to the problems you have explained is a serious matter. The most probable causes are :Irritable Bowel Syn Sadiq. Abdominal tuberculosis. Nonspecific Gastroenteritis. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, and CT scan of the abdomen. X-ray of the chest to see for TB or other problems.*Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Once a proper diagnosis is made, it will be easy to get a proper treatment, that will cure your problem, improve your health and sex-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: Hi my name is Dani and on behalf of my sister I wanted to ask a question about a health issue. She has a strange lump in the inside of her jaw, but you cant see it form the inside of her mouth. We think that it may be a Glandular Odontogenic Cyst, but we arent sure. Shes had for a long time, about ten or more years. We didnt know what it was and she never told my parents until recently she woke up and it was swollen. Its been swollen for several days, but she is in no pain until pressure is applied to the area where the lump is. Is there any way we could find out? We wont be able to go to the doctor until she gets back on my dads health insurance plan. Thanks for reading and thanks for your help. ### Response: Hello, first I would like to know how come u have diagnosed the lesion- as glandular photogenic cyst. Was biopsy taken. Without biopsy nothing can be confirmed about any of painless swelling in the jaw. If it is being diagnosed earlier then. The treatment plan will be surgical nucleation of the cyst along with RCT in involved teeth if required.as cyst sometimes in long course damages periapical area of teeth also. Do not postpone treatment now as already 10 yrs have been delayed and the size of lesion has been increased. More swelling indicates increased loss of bone or tissues in the region. Any cystic lesion should be surgically removed as soon as possible on diagnosis as they after long term may have potential to turn to any malignant lesion too. And regarding any kind of painless long-standing swelling of jaws diagnostic protocols are-clinical examination, FNAC, radiograph of region OPG, PA,Lat Oblique, causal, if closed to vital regions then CT Scan for knowing exact involvement of hard tissues, if soft tissue cyst is there then sonography and MRI of region along with incisional biopsy in both cases... later than per diagnosis after pathological assessment and clinical evaluation the treatment plan will be decided...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 mom is suffering from stomach upset from 20 days she has been taking medicine prescribed by doctor {fynal-oz} but still not get cured....she taking livogen z and nodan 2.g and glynase for her diabetes.....what is the probable cause of her stomach prb..i read on internet that livogen z has got some side effects like stomach prb, so is it becoz of this....?????????? ### Response: Hello, Welcome to Sadiq. Thanks for posting your query. I understand your concerns. Livogen-Z contains Ferrous Fumarate + Folic Acid. Iron content in the tablet is known to cause gastritis in some susceptible individuals. But it is quite well tolerated by many. Your mother may be suffering from an episode of gastroenteritis which has caused her these symptoms. Ask her to continue the antibiotics and complete the course of antibiotics.Also, she can take sporadic tablets twice daily. It will help her to relieve the symptoms. Hope I have answered your query. Thank 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 facingLow Platelet of 10K to 30 K out of 1.5 Lkh -- 4.0 Lkh., since April, 2012 Taking treatment from Hematalogist, CMC., Vellore, no improvement in platelet count. Let me know is there any remedy in Ayurvedic Medicine. Reply to my e-mail ID., YYYY@YYYY ### Response: Hello and welcome to Sadiq, The underlying cause of low platelets has to be known for its treatment. The platelet count can be low due to reduced production or increased destruction. Thus, more information can be given if the platelet parameters-platelet counts, BT, CT, platelet counts, PT, apt, INR, MPV and PCT are known. I am afraid that there is no ayurvedic treatment for low platelet counts. You can consult and discuss with your hematologist if you are dissatisfied with the treatment. Thanks and take care Sadiq.

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: had a period and a week later I had light red spotting..days befor my period i took a preg test and had two lines one light and another kinda dark. also had some cramping with the spotting..what could it be and i shuld went to the gyn dr had a pap and she said all looks good..it was my physcal. period started Sept. 28, ended on the 30...spotted on Oct.5 ### Response: Hallow Dear, The spotting you had on 5 Oct could be labelled as mittlesmersch which happens at the time of egg release. It is also associated with some colicky pain in the abdomen. So I would not have any concern for this spotting. However, your pregnancy test needs some attention. It was weak positive. After your normal menses, such weak positive pregnancy test is rather mystery. Such week positive pregnancy test is due to low levels of Sadiq; which happens after baby becomes non-viable, abortion or ectopic pregnancy. However, your history is suggestive of none of these conditions. Please repeat the test again after about a weeks gap. If still it is positive or weak positive, report to the Gynecologist. Hope this 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: Hello,My daughter is 17 months old. She s suffering from viral fever which spikes to 103-4 after every 4-5 he s. The blood tests reveal anemiac deficiency and spurt of cells in body. How long will it take to recover? And how long does meftal take to lower body s temperature? ### Response: Hi... Thank you for consulting in Sadiq. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Regards -

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: sir i have a pain during stool paas and also have white liquid in stool. i have this problem last one year . i am alcholic and also done masterbate daily. now i have pain in abdomanal and also loose muscle and my weight , my face isgoing black colour and also feel very lazy and weekness in body. please sir tell me the treatment thankyou. ### Response: Hi well come to Sadiq. Pain while passing stool could be due to some fissure. For loss of wt and you should get done reports like bl sugar fasting and pubs, your LFT with USG abdomen, and HIV with X-ray chest, Your CBC count etc. your masturbation has nothing to do with this. So consult your doctor and get done reports what ever he suggests. IF taking over dose of alcohol give it up your reduce what ever you can do at earliest. Thanks

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: Has taking Mucinex D been known to cause incontinence in women? I have been suffering from incontinence for a few nights now when I cough or have the urge to cough. It is more than a small leak, and causes me to wet the bed. I have had what is probably bronchitas with a bad cough for eight days now. I had been taking Mucinex DM. I have only had 2 doses of antibiotic today after going to doctor this morning. I barely mentioned the problem to the doctor because I thought it would be a temporary problem. ### Response: Hi, It is unlikely to be due to Mucinex-DM. Its common side effects include Sadiq. It is unlikely to cause urine incontinence. Based on the history you seem to have developed stress incontinence apparently caused by cough. Urinary stress incontinence occurs when an activity such as coughing, sneezing, or exercising causes a small amount of urine to leak from the urethra, which is the tube urine passes through. There is nothing to worry, it will subside once the cough subsides. Meanwhile, I advise you to

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: Greetings, i have baby girl she is 13 month and as i know she is struggling and cry every time she go for toilet, her stool is very hard some times i can see blood too. She is having this problem since she was 4 month and now she don t wanna go toilet 2-3 days. I need some help for my baby. Thank you. ### Response: Hi welcome to ChatDoctorIf I were your treating pediatrician I would like to know height and weight of your child and dietary history of your child. Most common cause of constipation in a baby is due to less dietary fibers, in that case giving a balanced diet will help. A thyroid profile is advisable if constipation persists. You need a history and examination by pediatrician to guide you regarding required tests if any. Lactulose or Filofax plus can be taken after obtaining a prescription from pediatrician. For pain during defecation Xylocaine jelly can be used to reduce pain locally. Hope I answered your query.thanks.

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 I have been with the same partner and I just got my test results back for STDs but I have the very bad itch just around the clit area so I have been treating myself for yeast for about four days now but the itch has not gone away what should I do I can t get an appointment with my doctor till August ### Response: Hi, Thanks for posting in Sadiq. Itching in the clitoris area can be due to fungal (yeast) or bacterial infection, sometimes both. You can continue the treatment for fungal infection what you are taking. In addition, take Levocetrizine 10 mg tablet once a day to control itch. Keep the area clean and hygienic by washing the area with warm water and mild antiseptic solution like Salon. You can also use V wash instead. Apply Tobramycin skin cream twice daily. Keep the area well ventilated by wearing loose undergarments, especially during night. Do not scratch the area as this will aggravate the symptoms and delays healing. Hope the information provided would be useful. Wish you quick recovery and good health. All the best.

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 severe case of bronchitis (2nd time this year and had it last year), am allergic to penicillin, have been on Z-Pack and steroids. Was getting better, but now have finished both and it is coming back. Is there an effective penicillin antibiotic out there that can help? ### Response: Thanks for your question on Sadiq. I can understand your concern. The most common cause for bronchitis is viral infection. And amongst viruses Influenza virus is the most common. You should avoid penicillin group of Sadiq. For prevention of recurrent bronchitis, it is better to take adult Pulmonary vaccines like pneumococcal and Influenza vaccines. These will prevent infection and hence episodes of bronchitis. So need of recurrent antibiotics can also be avoided. Hope I have solved your query. Wish you good health. Thanks.

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 Sir,I am Md. Khurshed Alam ,53 years old and now Iam facing high creatinine i.e. 1.4 .Pl advise for further necessary treatment. My necessaary report are furnished below.1.S.Creatinine-1.42. H.B.-11.23.S.Sodium-1414. S.Potassium-3.15. All type of Urine test shown Normal6. USG-Whole Abdomen- NormalAt present Doctor suggest to take Tab-Renolog (2-0-2)and Syrup Potkor (15-15-15ml in half glass of water after food for 5 days and stop ### Response: Hello, Thanks for choosing Sadiq for posting your query. I have gone through your question in detail. All you reports are more or less normal. Although you have slightly raised creatinine, it is not of much worry. If a person has some serious renal disease, the creatinine levels are surely at least 1.6-1.8. A 1.3 level can also be found if there is some deny Sadiq. You medications of oenology and popular are fine. Hope I am able to answer your concerns. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/

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 help me to get my 6yr old to stay asleep at night. It is my fault because i had him sleeping in my bed with me from birth til he was 5 because i was single and his dad had been physically abusive. But since he was 5 i have been trying to get him to sleep in his own bed and to stay asleep but have alot of trouble keeping him asleep he wakes like 5 to 6 times a night until i allowed him to have a tv in his room. HUGE mistake of mine now he still comes and wakes me up plus when i take him back to his bed he sneaks the tv on and watches movies all night and difts in and out of sleep. I spoke to my Doctor about this and he suggested i give him a antihistamine medicine as a sedation method but this still does not work to keep him alseep and once he gets to school he struggles to concentrate and becomes very drowsy and sluggish. Please help me i feel really guilty because if i sleep with him he does not wake up at all but he needs to sleep on his own because he is a big boy now and i have a 6 month old baby now and i am getting no sleep between both of them ### Response: DearWelcome to ChatDoctorWe understand your concerns went through your details. I think you exhausted all the options available in the books, and you learned from your experiences. I suggest you to talk to your parents or elders. They should have some expert solutions. You need to be somewhat rude to the child. You do not like it, I know. But to gain some benefit, you need to do that. Remove the TV from his room. Use the reward and punishment method. Reward him with some silly items which he likes (*not chocolates, costly items etc.) when he sleeps to a given target time. Use mild passive punishment techniques when he misbehaves and fails to keep promises. Should take time. Do not get frustrated. You will succeed. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.

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 recently been in hospital for a severe liver infection, pancritus all caused by my gallstones I knew I had. The thing is just before and even now I was taken into hospital I have a constant hunger feeling its awful Im constantly taking painkillers until I get a date for my op. Im 26 female. ### Response: Hi welcome to Sadiq .... You were having cholecystitis secondary to gall stone .... So symptomatic gall stones need surgery that is removal of gall bladder ... Until surgery done Adílio tablet can be given..... Avoid excess fatty foods .... Fried food less... Fruits taken more Hunger has no relation to gall stone problem .... Rule out diabetes by random blood sugar estimation... Take care Advise : consult surgeon for your case

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 really do not know what I have. I m 11 years old and I looked all over the web of symptoms of many illnesses. I m not sure what I do have still! Here are my symptoms right now: stomach ache, sore throat, weakness, yellow-light green mucus when I cough (I also have Asthma) runny-stuffy nose. It was terrible for me all night. The symptoms come and go. One week I d be fine and the other I m horrible. So Please doc, tell me what I have without having to but a price on my worried body. ### Response: Hii child, dont worry is there any resp distress during playing or at rest. If so u need to go to hospital it may be pneumonia. If no resp distress it may be just upper respiratory tract infection adv:take paracetamol and antibiotics(do not know organism as culture and sensitivity not done, emperical treatment cant be started as i don't know you are medical allergies} for sore throat take lozenges and for cold n cough take anti histamine{tab.cetirizine}.it may be psudomonas infection because as u r asthmatic. So pl consult u r pediatrician

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: Yes I have a 3 week old baby girl she was 2 weeks premature, when she drinks her bottle she sometimes and becoming more frequent chokes and gags, and then formula comes out her nose and mouth and she stops breathing... Causing her to panic and try screaming I pay her on back and flip her over ... But yesterday she was layn in her basinet 20 min after she had eatn and started gaging... And did the same thing... Is this something I should b worried about?... It s so bad I hv to suction her nose and mouth out and sometimes blow in her face to get her to cry and breathe. Please help ### Response: Hello, Your baby is having recurrent episodes of regurgitation, needs to handle carefully. Maintain head end elevation, burping after feeding, put baby in lateral position after feeding. Also, consult with pediatric gastroenterologist to rule out whether this regurgitation is physiological or have any surgical cause. The fluid coming out from nose needs cleaning. Hope I have answered your query. Let me know if I can assist 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: My knee is a weird shape. I am 14 years old and i am a girl. Its not painful but it looks weird when i wear tight leggings or shorts. I have over-active thyroid but it is not serious. Are my knees just naturally that shape and can i so something about it? ### Response: Hello, Since you have not provided any details about the knee position giving an exact solution is not possible. There are two possibilities either you have knocked knees(knee joint coming together) or bowed knees(knees going away from each other)In both these cases footwear changes, bracing and physical therapy will help in the treatment. If you want further help you can mail the photograph of the knees Hope you find this satisfactory thank 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: is it possible to fake stroke symptoms during the recovery period? my brother thinks i m taking too long to recover. i actually had 2 strokes within a days time as the first one was misdiagnosed and i was sent home without any treatment and subsequently had a second one. im somwhere about three yrs along at this point. and i know i m better mechanically but my head hasnt caught up to normal yet in my opinion, and at therapy the keep referring to my new normal , thats gotten a little unnerving as i still feel very odd and the memory is not right at this point, at least not as good as it used to be. im starting to get concerned that this is as good as its going to get ### Response: Hello! Welcome and thank you for asking on Sadiq! I understand your concern and would explain that recovery period after a stroke may go up to a year. Sometimes, recovery may not be complete, and the patient may have residual symptoms like limb weakness, gait difficulty, memory problems or muscle spasms. I would recommend discussing with your doctor on the possibility of taking some supplements to increase memory (Ginseng, Ginkgo Balboa, omega 3 fatty acids, etc.). A brain MRI would help examine better your brain and the number of strokes. Hope you will find this answer helpful! Kind regards,

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 lower back has always felt tight. Freshman year in college, I noticed more and more stress. 3 years later, it continues to hurt more often, and now everything always needs to be stretched. I can feel several knots... not if this is related but I also have to pop my neck a lot more. ### Response: Hi, Welcome to Sadiq. After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. I think your stress is related to it as stresses increases pain sensitivity. I think your query answered

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: yes i have been diagnosed with PVCs, they have given me a beta blocker and said it was not life threatning. but when i have them i feel like they are taking my last breath and after they have passed i am very very tired and fatigued. could it be something else wrong? ### Response: Hi welcome to Sadiq. I understand your query and concern.PVC scan be treated effectively in many cases. Mostly they are benign. All organic causes have to be ruled out by the following protocol. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Sadiq. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Avoid coffee and tea and alcohol by all means. Consult a Cardiologist for further expert management. Post your further queries if any. Thank 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: It started with really bad cramps in my lower abdomen . I thought they were menstrual cramps now everytime I use the restroom uranation or bowl it sends shooting pains into my abdomen today I woke up with a exscrutiating pain on my right side just below my ribs and on top my shoulder everytime I try to Breath and is very tender???? ### Response: Hello! Thank you for the query. Such symptoms can be caused by urinary tract infections, urinary tract stones, gall stones, diverticulitis (left abdominal side) and heart attack as well. It is advisable to have some diagnostics. You should start with abdominal ultrasound, fool blood work with liver and pancreas enzymes, urinalysis and heart ECG. These tests should tell what are you dealing with. If you find this tests negative, colonoscopy should be performed. Hope this will help. Regards.

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 Polio when I was young I m now 70 and have been going through a lot of pain in the back my right side had an operation on my back shots nothing helps when I had polio it was from the waist down and this is where all this pain is coming from I m on oxicoden for a long time and I m still going through this pain I m so tired of pain and hurting I don t know what to do and nothing seems to help I don t think any one understands this polio business it is always over looked on me. ### Response: Polio causes severe weakness of the muscle which are helpful in walking and making posture. Due to weakness of these muscles more strains develops on the spine to correct posture, and it causes pain. There may be advanced grade degenerative changes in your spine. You should start with hot fomentation of back and back strengthening exercises with help of you physiotherapist. It will give you relief from pain and may decrease dose of analgesics. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.

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 poly cystic ovaries ( sugery 4 years ago to remove 5 lb cyst) and had a pap smear 12 months ago that I just found out had precancerous cells. I am 23 y/o and had been told it was fine but PA said changes have occured and now precancerous cells are worse ( not sure what that means so looking for info. I don t have HpV as I had a vacine in high school. Symptoms:I have back pain, weight gain, nausea, cramping and fatique. I will call OBGYN in am to request an ultrsound. Do you have any suggestions ? ### Response: Poly cystic ovaries is not something that you should be worried about since they are not precancerous. As far as the PAP report is concerned, it is something that should be taken seriously since the degree of pre-cancer cells have increased. I would suggest that you undergo a colposcopic examination (in this they put a dye on your cervix and examine it carefully. Any suspicious area is biopsied). This will settle the diagnosis beyond doubt and start appropriate treatment.