Datasets:

ophycare

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chatdoctor-dataset

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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 done the sonography it says liver is normal in size and shows generalised increased echogenicity of parenchyma all other reports are normal and i also dont consume alchol and usually take veg diet i am an indian national plz suggest what does it mean and what is the cure of it ### Response: Hi thanks for asking question. Noted increased echogenicity of liver parenchymal. The possibility could be non-alcoholic fatty liver by obesity like causes. It could be by hepatitis and sometime cirrhosis like cause. Here you need is to do liver function tests. According to which treatment can be guided. Sometimes increased echogenicity could be by glycogen storage disease or hemochromatosis like condition. If you have symptoms and no cause clear then biopsy can be taken. If liver function test abnormal then just follow few instructions like....-Avoid trans fat-fruits and green leafy veg-Avoid refined food-regular exercise-Avoid smoking-omega 3 fatty acid oil helpful like olive or sunflower like oil-Avoid cheese, meat, butter, chips etc. Repeat USG and liver function test after approx. Month and after following above measures. I hope your concern has solved. 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: dear sir i am 28 years old i usally feel chest pain and i gone through with all the medical checkup ECG, 2D, TMT, Xray, Lipid Profile,all reports are absolutely correct doctor told me that its anxiety disorder he prescribed me free mood,clona 50,and olsar 20 still i am facing same problem kindly tell me what should i do ### Response: Hello will definitely help you best possible way, but I need more information for better assessment of the condition. Since how long you have this problem? Exact site and intensity of paid you feel pain on touching (tenderness)In my opinion you should take ibuprofen 1 tablet thrice daily for 5 days with tablet redividing 1 5th center daily. Hot fomentation or hot packs will definitely help please feel free to ask for more assistance I will.be happy to help you 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: ive done my own msu and have +3 leukocytes still ive done the test a couple of times over the last two months ive also had lower abdo pain like period pains but all the time. also ive found when i need the loo thats it ive got to got then or theres embaressing problems. ### Response: Hi ! Good evening. I am Sadiq answering your query. From the history and the urine test, it seems to be a urinary tract infection (UTI). If I were your doctor, I would advise you for a culture and sensitivity test of urine and prescribe you with the appropriate antibiotic for a prompt relief of your symptoms. Also, I would get you assessed by a gynecologist to rule out the chances of an undetected PID (pelvic inflammatory disease). 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. I wish 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: Yes im having severe tooth decay and last night my front upper tooth just snaped of leaving 25% of the tooth still there.All of my problems with my teeth are my upper teeth. In 2008 Ifound out I had a rare kind of spinal cancer,I dont no the name of it rite of but they did sugery on my lower T4 and T5 disk to try and remove the cancerus tumor.They were able to remove 94% of the tumor.Now my question is can the drugs ive been on for the last five years, that include methadone, ozycodone, steriods, valume,testosterone,and there are others that have been tried that I cant rember but the ones listed above ive been on four years.Dr. befor I started taking the drugs listed above I had no problems with my teeth other than some cavaties from my youth, now i ve lost five molaes plus one front tooth and all the rest of my teeth up top are in some degree of decay,my medicade said that if the cause of my teeth problems stem from my health problems,and the drugs used to treat my condition,thay said I could get help from my insurance to fix the problem,I would love your insite into my question thank you very much for your time. ### Response: THANKS FOR YOUR QUERY, I HAVE GONE THROUGH YOUR QUESTION, The decayed front teeth can be restored with root canal treatment and capping if sufficient tooth structure and bone support is there. The missing teeth can be replaced with prosthesis...since you are telling you had cancer, and you are treated for it, you have not mentioned radiotherapy....if you have taken radiotherapy then it can cause reduced salivary flow which causes radiation induced caries....so consult an oral physician and get it treated as early as possible, because once the tooth structure is lost then it can't be restored. The Sadiq. .I hope my answer will help you.with 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 50 yrs, female,mother of one son 22 yrs old, thinly built. having low grade intermittent fever for last about six month- finally diagnosed with megaloblastic anemia. All other tests are normal; Urine, Blood C&S, Chest PA view, Hepatic profile, haemogram. I have about 1.5 inch enlarged soft-farm liver. I am on injectable methylecpbalamine and tablet also. Had one course of norfloxanine. I am still having low grade intermittent fever in the morning & hepatomegaly. ### Response: Hi thanks for asking question. Noted you have Pyrex since long duration. Rule out tuberculosis if you have cough by sputum culture. Typhoid also rule out by blood culture. Investigate for HIV as it can lead prolong fever with diarrhea... Sometime malaria and leukemic leukemia might be because that may not be detected in blood examination. Do bone marrow aspiration for it . If you have certain metabolic disease like gout that can lead prolong fever. Thyrotoxicosis also can lead prolong fever. So do thyroid profile for it. If you have history of head injury or excess heat exposure then also fever can occur.Meanwhile, complete vitamin B 12 injection. First rule out these causes and still fever present with your detailed physical examination and history further work up will be done. 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 i m ranjeet 29 yrs married suffering fm renal failure . i m dialysis for last 10 months. my sister came 2 donate her kidney but she failed the test now i donot have matching blood broup in my family. i m looking for non related transplant. pls guide me abt hospital where non related transplant happen cost and document require. pls guide me.thxs ### Response: Hi. Because of many unethical procedures govt has laid strict guidelines in choosing donor for kidney donation. And each state has different protocols followed. As for as I know unrelated transplant is done in few places in Kerala and Tamil Nadu. But it as to be unequivocally proved that kidney donation is only by altruistic purpose. Cost of procedure varies from hospital to hospital. Approximately it will cost you anywhere between 3lac to 10 lac. For documents, once you chose the hospital, they will guide 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: I had a frozen blastocyst embryo transfer 2 days ago, the evening of the transfer I started getting stomach cramps and have had diarreah on and off since. Is this normal? I m still suffering from cramps. Is it due to my medication? And can this effect the success of acheiving pregnancy? ### Response: Hi, How are you doing ? When something is kept in uterus, your uterus will keep trying to push out. So that could be the cramps. All the hormone medications you are on are to suppress the uterus & make it quiet. These hormones have a side effect of diarrhea too. But this can also due to your anxiety(anybody can have this pain & diarrhea)This could also be any indigestion or infection or Food poisoning. So if you feel It's to do with any infection, meet a doctor & have antibiotics & support. If not, relax & try to cool your mind. Your doctor need to be informed you don't feel good. May need to increase the dose of hormonal support.Don't worry, this will not affect your future pregnancy chances or this embryo. Hope I have clarified your query. Do write back if anymore queries the best 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 14 year old daughter. She just had a strange issue. She said she hiccuped, felt chest pain, then couldn t breathe and was sitting down. She said she was essentially paralyzed, probably by fear, and then she slid down her desk and on the floor. She has a bump on her eyebrow, cheek, and a chipped tooth. What could have caused this. ### Response: Thanks for your question on Sadiq. I can understand your concern. By your history and description, possibility of Psychiatric illness like anxiety disorder is more. But better to rule heart and lung related diseases first. So get done ECG and 2d echo to rule out heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung diseases. If all these are normal then possibility of anxiety disorder is more. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic Sadiq. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. 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 lots of problems. I always suffer from various illness every now and then i.e. bowel irritability , coldness, weakness, over or less sleep,depression, anxiety, almost no- sex- drive, nervousness together with frequent urination and bowel etc. which doctor should I consult with? NB: Few problems were found with hormone and I took medicine for that but no improvement. ### Response: Hello...... Thanks for your query. I understand your concern with a myriad of symptoms in various body systems. However, many of your symptoms seem to have a psychogenic origin i.e. either depressive/anxiety-related. Hence, I would suggest you undergo a thorough psychiatric evaluation first and foremost. For your information "irritable bowel syn Sadiq. Hope you found the information useful. 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 sir, last week i did my endoscopy and my result was pylokit(positive), therefore doctor advice me to take h.pylokit medicine for 10 or 14 days and should take that medicine before food. is that correct? please suggest. my email id is YYYY@YYYY ### Response: Hi, Pylokit should be taken before food. Pylori Kit is a combination of three medicines: Two antibiotics (Tinidazole & Azithromycin) and a proton pump inhibitor (PPI) which reduces the amount of acid in the stomach. To ensure adequate absorption from the gut and better efficacy, the kit should be taken on an empty stomach before food. 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, I am 24 year old male. I have a problem of frequent urination. Everyday I go to restroom 12-15 times. I drink 5-6 glasses of water everyday. Most of time Im afraid to drink more water thinking that might lead to even more frequent trip to the restroom. Is it normal to urinate that frequently? Thanks so much in advance. ### Response: Hey. Welcome to Sadiq. Well, urinating 12-15 times a day is definitely not normal. In my opinion you should get few tests done like RANDOM BLOOD SUGAR levels, COMPLETE URINE EXAMINATION. If your Random blood sugar levels are elevated, then confirm it by getting FASTING BLOOD SUGAR and PPBS tests done to rule out Diabetes. And Sadiq. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take care. 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: In experience a lot of pressure on lower right quad. I feel like a ballon has been inflated on that side causing pressure to go down to my vagina. It feels like a contraction the way that side hardens up. I woke up with a headache and feeling very dizzy too ### Response: Hi. This may be due to :Swelling of the terminal part of the Small intestine giving obstruction of the small intestine-this gives you the typical feeling. One has to rule out the diagnosis of Tuberculosis/ Crowns and such things which cause thickening of this part of the intestines. I would advise :ColonoscopyEnteroclysis under fluoroscopy guidanceUltrasonography and Gynecological examination to Rule out Prolapse of the uterus with systole and enterocyte. The treatment will depend upon the final diagnosis.

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. L K Shankdhar,I came to know i am diabetic since last 1 year .. before that my reports were okay. Now i am 48 years old .. height 5.6 Fts .. weight 63.4 Kgs.I had high blood pressure problems 3.5 years back(i was in a depression period those days) .. now since 1.5 years it is okay. I switch to whisky(previous i use to take rum) with water since 1.5 years .. I take 360 mls in a week. I quit smoking exactly 3 years back( since 14/02/2012)My diabetics levels are around 220 after fasting & around 280 after meals.Is whisky intake okay for me ?Please reply ..Thanks & regards,Ravi PillayMobile: 0000 YYYY@YYYY ### Response: Hello Ravi whiskey intake is not OK for you since you are diabetic having high cholesterol and high blood pressure with previous history of smoking and presently alcohol you are at the high risk of heart attacking my opinion you should visit a planetologist for prescription of medicines for diabetes continue with medicines for BP and high cholesterol complete abstinence of alcohol is required in your Caesar with regular physical exercises and diet control of 1800 cathode this answers your question you can ask me the direst question I will happily answer you 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 am a male 71 years old.I have developed sever medium sized cyst type knots under my scalp on the back of my head in my hair line. they are somewhat painful and are seeming to get large. This started about a week ago and is getting worse by the day? ### Response: Hello, Welcome to Sadiq, A cyst is a sac that is filled with a fluid or semi-fluid material. Cysts develop in various places in the body, and it also arises from scalp. The most common types of cyst that occur under the skin surface of the scalp are epidermis and polar cysts. These cysts used to be called sebaceous cysts. An epidermis cyst is a cyst where the cyst sac forms from cells that normally occur on the top layer of the skin. A polar cyst is a cyst where the cyst sac forms from cells similar to those that are in the bottom of hair follicles. The cyst can be easily removed by a simple operation under local anesthetic. 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: Hello, My two year and two month old son has just started sticking his tongue out all the time and drooling. He also is pulling his lips back(upper and lower)as he sticks his tongue out. I know he is teething. Is this normal behavior? I am concerned because it looks strange. Thanks, Brian ### Response: Hello Brian, I can understand your concern. As your son is starting erupt teeth, he might be producing excessive saliva as a bodies response to a new development in mouth. This is completely normal and nothing to worry about. As the mouth will grow with advancing age of the kid and more teeth will start to develop, you will not find excessive saliva and Sadiq. You can clean the excess saliva with a thin cotton cloth time to time with little pressure so that rashes do not appear with repeatedly rubbing cloth over the area. Sticking tongue out is also a response to developing new teeth and growing tongue size, which will stop eventually. I hope this information helps you. Thank you for choosing Sadiq. Take care. 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: my brother who is 72 has leukemia AML. He is undergoing decitabine treatment. His platelet count right now is 31and has even dropped lower. He has already needed a few platelet transfusions. How can it be increased naturally? We have lots of papaya trees in our country. Will taking juice from 2 papaya leaves really help? How often to drink each day? Before or after meals? What other natural foods can he take to help?Thank you ### Response: HAI, As to increase the platelet count Papaya leave will help. Take in daily as you doing it. Yet now there is no study conclude how much to take (quantity). But studies shows improvement in platelets after taking Papaya leaves. Taking in empty stomach will absorb effectively. I also advise taking Grapes(wash properly before taking), pomegranate,dates, fig to support the production of platelet. Thank you hope I answered your query

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 gf pregnant 5 weeks ....... where can we go for her abortion........... a place where it will be safe and our privacy will be maintained...... can she take abortion pills to terminate pregnancy......... is it safe...... can u suggest some gynocologist who can suppervise her on this... we stay in bangalore.... so please suggest some clinics here ### Response: Hallow Dear, At five weeks of gestational period, you can definitely terminate the pregnancy safely and successfully by medicines. Tab. Mifepristone 200 mg followed by Tab. Bisoprolol 800 microgm 24-48 hours later are very effective in terminating pregnancy up to 9 weeks duration. These medicines are very successful no doubt; however, if occasionally they fail, they have ill effects on the development of the baby. Hence, if these medicines fail to effect abortion, the decision should not be reverted to the continuation of pregnancy. In such event, the pregnancy should be terminated by evacuation of the uterus. At this stage, uterus can be aspirated by Kármán cannula and MVA syringe to effect and complete the abortion. These medicines are not over the counter medicines and should be obtained only by Obstetricians prescription and taken under supervision. It is advisable to report to the Obstetrician 7 days after taking the medicines irrespective of the success or failure of the medicines. I always feel it safer to get the ultrasonography done after 7 days to confirm the completeness of the abortion. I hope you get the message and proceed for the termination of pregnancy only with the help of an Obstetrician.

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 cavity on 8 teeth 4 years back. Then i consulted a dentist and filled my teeth witChatDoctorent and white color filling material ( i dont know that may be amalgum ). At that time, i had deep and spread black color cavities on the upper side of my teeth. Temporarily they filled with material. But i dont know about this. What is cavity ?? all my teeth get afftected by this. how to permanently remove from my teeth ?? is it correct what i have filled with my teeth ?? is it a temporary solution ?? I wish to bring back my teeth without cavity. what to do ?? ### Response: Hi, Once the cavity is formed, it is not possible to bring back the teeth without cavity as you expect. All you can do is prevent formation of caries in remaining teeth by- -Maintaining good oral hygine-proper brushing (early morning&before going to bed),(after sticky food like chocolates, sweets, ) - Diet with calcium & vitamins.(Milk, salads,fruits etc.). Treatment of should start earliest. -Temporary filling, cement filling, silver filling are the steps of filling.(the silver/amalgam filling is permanent.-Deep caries can be treated by Root canal treatment. After the treatment you have to be careful by proper brushing. Also visit your dentist every 6 month have regular check up. .- Mind it -Badly Infected caries teeth may need extraction. 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: Hello I am a 41yr old woman. Suffering from pain in left knee since last 7-8 mnths. Got an xray done. which shows ligament inflamation. Doing exercises as per my doctor suggested. My queries are what all exercises i can do which wont affect my knee, like cycling, swimming or any other cardio. I have always been a gym enthusiast. Because of no exercise feeling very low and putting on lot of wt. ### Response: Hi Dear, Welcome to Sadiq. Understanding your concern. As per your query you have inflated knee. Well there can be many reasons for symptoms you mention in query like damaged Menisci, tendinitis, osteoarthritis, gout, bursitis, bakers cyst or Chen Sadiq. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order certain tests like CT scan, MRI and physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory and recommend physical therapy. Doctor may also recommend exercises according to your condition after proper diagnosis. Doctor may also recommend surgery in severe damage or to repair the meniscus. For now apply warm compresses, take proper rest, do not message and take ibuprofen or acetaminophen for pain. You can also apply anti-inflammatory and analgesic cream like Volta. Do not exercise of your own without the advice of expert. Hope your concern has been resolved. Get Well Soon. 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: Dear SirI am being treated, for last two months, for minor Hyper tension which is at initial stage ( now at 120/80 some times 110/70). My GP prescribed me REPACE 25 mg after food at dinner. For my Hemoglobin ( 12.8) I am taking HOMOCHECK Tab (Folic acid, pyridoxine, cynocobalamin). Would you please explain in what manner these medicines will work for me while controlling the BP and raise the Hemoglobin. Is it possible to discontinue the REPACE tab after a period of time say 2 or 3 months.thank youGovindIndia ### Response: Hello Gov ind, I have gone through your question. Repace will control your blood pressure. BP medicine once started should be continued life long. However you have no family history of hypertension, if you are not over weight and smoker and if you can maintain healthy lifestyle then take a chance to stop it after 6 months with close watch on BP If it goes up then accept it for life long. Your low hemoglobin may not be related to BP unless there is some kidney problem. So after one month of iron and vitamins if hemoglobin does not rise it needs separate work up. My best wishes 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 I had a fasting blood test and today I got a letter saying that I had to have another one in a month for comparison but it does say what. I went to the doctor because I was feeling tied all the time and I had a shape pain going from my right groin to my kidney what do you think could of shown up and should they of told me on the letter Thank you for your time sam ### Response: Hello Angel, Thanks for posting, Well I do not personally understand why your test results should be hidden from you and only ask to be redone after 1 month. Fasting blood tests could be done when testing for sugar, cholesterol, uric acid and other diet dependent tests. It is mostly done for glycemic (to determine if diabetic or not). If you had groin pain radiating to the kidneys, I personally would have requested for a urinalysis, abdominal scan (especially looking at the kidneys + bladders + ureters etc.). Usually when results are asked to be done after it is for a confirmation of a test conducted earlier. Usually after a while if a test value was high or positive, after a while it could normalize or become negative. Surely that is why they ask to do it again after a month. 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 wake up to horrible, back pain every day for a couple of years now. It feels like the middle of the back in the lungs. It s hard to breath and feels like my lungs can t expand without the pain. I end up waking up and staying up very early and I am now feeling a lack of sleep everyday. I suffer with acid reflux been on omeprazole very long term with known side effects now, so I recently stopped taking the pills and now drink a few swallows of probiotic Kefir which helps more then the pills. The pain in the back (Lungs) goes away once I am up and about an hour or so after getting up. A CT scan with contrast showed clear lungs. ### Response: Hello dear, thanks for your question on Sadiq. I can understand your situation and problem. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. Since your CT thorax is normal, no need to worry much for pulmonary causes. You are having mostly HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning chest pain in center of back. You need to follow these lifestyle modifications along with Sadiq. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking, if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright.

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 10 years old and has been complaining of an aching feeling and soreness around his pectorals. This has been happening for a while now and we can not think of anything he may have done to injure himself. He is generally a fit, athletic (he is a gymnast) young boy. Many thanks Alexis ### Response: Hellowelcome to ChatDoctoryour son is gymnast, so soreness may be due to severe and strenuous physical activity with faulty techniques or may be due to exercise after a long time. Follow these simple rules1. Do regular and continuous physical activity without breaking days2. Use vitamin C rich fruits which will reduce recent and future sore and aches.3. In diet, takes pulses and eggs for protein and also take plenty of fluids, will prevent deny Sadiq. Apply ice at the aching part, will reduce inflammation and also do massage from physiotherapist or experts5. Rest the affected part for a day and apply heat on other day6. If severe pain, use paracetamol or broken but no aspirin thanks for contacting and have a healthy life ahead...

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 25/M feeling terrible chest pain in addition to chrohns disease, high cholestrol,high BP Doctor diagnosed me to be of Vitamin D3 Deficient. Please suggest is this terrible chest pain is only due to Vitamin D3 deficiency(less than 4). Even I am being administered 60000IU / week for 6 months. I have taken 3 doses upto now but there is no relief in chest pain ### Response: Thanks for your question on Sadiq. I can understand your concern. No, vitamin D3 deficiency can not cause this kind of severe chest pain. Most common symptom of vitamin D 3 deficiencies is bilateral lower limb pain. And after 3 doses of vitamin D 3 you are still having chest pain, so in my opinion we should search for other cause for your chest pain. Better to get done ECG, 2d echo and chest x-ray. If all these are normal then no need to worry about heart or lung related diseases. Apply warm water pad on affected areas. Take simple painkiller and muscle relaxant Sadiq. Wear rib belt. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

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 felt a lump at the top of my stomache about a week ago. I have had severe nausea for 3 days with vomiting today. I have only eaten a slice of dry toast and drank about 20 oz of Sprite over the past 3 days. I called my pcp on Fri last week, but could not get in till tomorrow, Wed. ### Response: Hi, understood your query facts. With a lump on top of your stomach with 1 week history, if you have 3 days nausea/omitting, You should consult your ER Surgeon and get hospitalized for further treatment, as things are serious. You seem to have-Obstructed Epigastric Herniation wait for your PCP till tomorrow. Keep Nil By Mouth. Get the USG of the lump in stomach. If it's not reducible, Surgeon would plan emergency Hernia repair for reduction of the obstructed Epigastric Hernial Contents. This reply would help you to plan treatment with your ER Surgeon urgently and immediately. Keep updated and Contact with a Followup Premium question to ME if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Sadiq. S. Genl-CVT

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 using this Valparin 200ml syrup for fitz complaint. My son is very speed in all his activities but some times he was fell in like unconsious. After long sleep he got up and normal with tired. Is this any indication of any side effect please help me. ### Response: Hello, Valarie is used to control your sons seizures. If he's still falling unconscious his fits are not controlled. He may sleep more with Valarie but becoming unconscious is not a side effect. Please contact his doctor, he may need a change in the dose or an additional medicine. Do get back to me if you have further questions. Hope I have answered your query. Let me know if I can assist you further. 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: Hello, I am 23 years old healthy male and I am unmarried. I am doing bodybuilding for the past 1 year. 6 months a ago I felt pain in my left testicle and the very next day I went to the Urologist . He examined my testicles physically and then advised me to have a scrotal ultrasound . An early varicocles on the left side was found in ultrasound. He advised my to wait and see if the pain still exist then a surgery have to be done to correct it. I waited for 4 months and fortunately the pain has gone but there is another problem occurred and that is when I urinate, I feel pain on the right of my testicle. I feel pain only when my bladder is full and after I urinate. Again I went to the same Urologist and told him the situation. He ask me to do two test: Urine and UTI . I did both tests. Urine test was ok and in the UTI test, my bladder wall was found thick due to infection or inflammation. As per my reports, I undergo some antibiotic treatment for 1 week. The problem has gone now, no pain on either of the testicles. After two months of my above mentioned tests, I have been advised by the doctor to have a semen analysis . and the report is as follows: Volume: 4 ML Colour: Grayish White Viscosity: Normal Reaction: ALKALINE Liquifacation Time: 30 Mins Normal Forms: 70% - Oval Forms Abnormal Forms: 30% Pus Cells: 6-8 / hpf Sperm Agglutination - Present MOTILITY: Active after 1/2 hours: 30% Sluggish after 1/2 hours: 40% Non-Motile after 1/2 hours: 30% The doctor saw this report and said Your report is good but it is still advisable to have a surgery to treat varicoceles, Puss cells are there but no need to have another antibiotic treatment cos you already had it once to UTI infection Need your advice here. ### Response: Ok. Great description of your problem. Do you have any problem presently? What is the total sperm count per ml in the report - I did not find it here, Your sperm report is near normal. I don't think you need any treatment at all - no medicines and no surgery. There is no need for Varicocele surgery if it does not cause any problems like a low sperm count which I cannot establish in absence of absolute count. Feel free to let us know and will guide you further. Take care and relax.

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 done my root canal treatment 2 months back but today morning its started paining there. What may be the reason? ### Response: Hi,First you need to discern that, is your tooth hurting or is it the gum around the tooth that is causing pain. Many a time in root canal treated and capped teeth food gets lodged in between the cap and gums causing mild infection in the area causing pain and discomfort. If it is the gum then you just need to do warm saline rinses3-4 times/day, use a good mouthwash and take a mild painkiller if required. The pain will be relieved in a day or two. If you are sure it is the tooth that is hurting then you need to visit your dentist who will take a X-ray and determine if you need a repeat root canal, if not then he may give you a course of an antibiotic and an anti inflammatory painkiller to remove whatever little infection caused it. 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 had the new implant put in my arm end of may and did not have a period till september and then i have only had a couple and its been very light for a couple of days. but i have a interest in new foods and i am slowely putting on weight but i am trying to lose it. i get a sick feeling every day but have not been sick. do u think i am pregant or is it just the implant? thank u ### Response: Hello what, and I hope I can help you today. The contraceptive implant is actually one of the most effective birth control methods available, and has a lower failure rate than even sterilization. Unfortunately, it is also very common to have irregular bleeding, mood changes, food cravings, and weight gain as a side effect of the hormones in the implant. So just in case, I would perform a urine pregnancy test to make sure that you are not pregnant, however the most likely explanation for your symptoms is general side effects from the hormones in the implant. Most people eventually stop menstruating completely with the implant and have minimal hormonal changes, but this may take 6 to 9 months to develop. I hope I was able to adequately answer your question today, and that my advice was helpful. 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 am 39 I have had shortness of breath fatigue and discomfort under my right rib, i am a smoker from the age of 13, i get a metal like taste in the back of my throat, it feels like my lung is blocked sometimes. I have had two chest x rays. I have coughed up blood, but i dont know if that is caused by coughing hard. I have had blood tests etc, possible CFS but i dont know why it feels heavy in my right rib area, i havent lost weight as such, but i dont have an appetite. I constantly worry about lung cancer, and still smoke (stupid i know)i have a constant fuzzy head, i do have a lot of stress and have for a while, i know i need to stop smoking and reduce stress ### Response: Thanks for your question on Sadiq. I can understand your concern. Since you are a active smoker, possibility of bronchitis is more likely. Bronchitis (inflammation of airways) can cause cough, breathlessness, hemoptysis (blood in sputum) and chest pain. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Smoking cessation is must so enroll in dead diction center. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

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: All of a sudden last night I got sharp chest pain under my right breast, I went to bed and woke up and its still there.The pain in my chest is mild until I breathe in and the deeper the breath The worse it gets and it radiates to my head with a deep breath as well. I am a healthy 23 yr old female I exercise regularly and eat healthy ### Response: Hi thanks for contacting Sadiq... Noted you have chest pain while breathing . Here no other symptoms present...... But still chest x-ray done to rule out for any resp cause if present....like bronchitis... Auscultation and resp physical examination done and accordingly investigated.... If chest pain with sweating also present then ECG done for rule out cardiac cause if suspected... Here if no resp and cardiac cause present then it simply seems to be musculoskeletal pain by heavy exercise... Analgesic can be taken... Avoid strenuous activity.... Hot pad can be applied... 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 15yr old female and earlier on this year i was diagnosed with hsp and already was on thyroxine now i also am on movicol, calcium and vitamin d. My doctor said hsp can cause kidney problems and since the hsp i have had 5 urine infections and had urine tested at every appointment i have had and since hsp there has always been blood in it.I also have a lump on left side of tummy, and occasional pain in my flanksnot gaining weight and constantly tired, even though i get really tired sometimes it takes me up to 5 hours to get to sleep at night. ### Response: Hello. Abdominal pain, joint pain and kidney problems are frequent in HSP. The presence of protein and blood in urine is common in patients with HSP. If a patient with HSP have lump in abdomen, with pain in flank is necessary to do an abdomen ultrasound to rule out renal mass. Please, go to your doctor as soon as possible to request an abdominal ultrasound. I wish you good health.(In case the answer would have been useful please indicate this)

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 a rash that started on the tops of my legs but has spread to the tops of my arms, belly and neck. It looks a bit like a heat rash, very raised and itchy, spreading fast. The only thing I can think of changing is that I went out for an italian on Friday night, could I be allergic to something from there? ### Response: Hi, You have itchy rash on whole body. The lesions may be elevated and discrete. I think probably you have lichen ultimatum.... also known as popular urticaria. It is a hypersensitive skin reaction to insect bite.... You consult dermatologist for right diagnosis and perfect treatment. Antihistamines like levocetirizine and steroids in tampering dose might improve the disease. Apply mild steroid cream on the lesions. You may be alright after few weeks. I hope you got my answer. 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: Hello, I have this long straight rash on the ride side (buttcrack) and ive looked myself and it worries me. Its long and straight, it looks as though the hair that was around it is gone and it is bright red. I have tried non-itch powders and when it makes contact with the rash it burns and its very painful. I am very concerned about it and would very much like a few suggestions as to what it might be. Thank you ### Response: Hi ! Good evening. I am Sadiq answering your query. Your symptoms of itching and pain at the site may be heralding the appearance of a colonial infection/sinus, which occurs due to entrapped penetration of the broken hairs in that area and giving rise to a foreign body reaction and inflammation of the tissue. This may lead to a colonial abscess, which might require surgical Sadiq. If the above is excluded, then it could be some kind of fungal infection, with super added bacterial infection, which might be causing your pain apart from itching. Exact diagnosis is possible only after excluding the colonial sinus which can be done only with physical examination of the area. Therefore, I would advise you to consult a general surgeon/family physician, and discuss with him on the proper management after a complete physical examination. 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: Hello Dr.Prasad- I ame 33 yr old Female 80kgs, have severe cracks on tongue for quite some time. Whenever I have Becelac capsules, it diminishes but doesnt go away. I cannot have anything spicy now as it burns the open cracks. My father also has same symptoms. ### Response: Hello, thank you for consulting with Sadiq. The cracks on tongue which you are mentioning can be because of fissure tongue, as it is common condition occur in 30% of people. But burning is not so common. To get relief you have to start with some antioxidants and an anesthetic mouthwash. Till you start with medications you can also apply McCoppin gel on the tongue 3 times a day. Hope it 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: sir i have dust allergy, due to which i get continous snezing and flow frm the nose when the climate is cold,even i face the breathing problem. i m faceing this problem frm last 2yrs i have met 3 docotrs who gave me a medicines which is just a temporary relief for just a couple of days,i heard DR.A.MAHADEVAIAH is super in this case,so i request you to suggest a rite doctor to whome should i contact. ### Response: Hello. Thank you for asking at Sadiq. I went through your history and would like to make you suggestions as follows:1. When you have symptoms of allergies, I would suggest you to take montelukast and antihistamines like levocetirizine for temporary relief.2. For treatment of the allergy, I would suggest you allergy testing which will help you to identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing results, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms on long term basis.4. In addition to above, I would also suggest you regular breathing exercises and healthy nutrition (adequate green leafy vegetables, fruits, sprouts, etc.) which will improve your lung capacity and immunity respectively.5. In general, please try to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. In my opinion, you should consult an Allergist-Immunologist. Should you have any further query, 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: What is the rhinovirus? For one week I have had light bleedin from my nose when I blow and what look and feel like soft scabs make it hard to breathe. My sinus do not seem to be stopped up, it is just that my nose is so full of these soft scabs it is hard to breathe. I use the NeilMed sinus rinse twice a day and it gives relief for a few hours. Could this be rhinovirus I recently heard about? Is my connection with rhino with nose correct? ### Response: Dear Friend. Welcome to Sadiq. I am Sadiq. I have read your query in detail. Furthermore, I understand your concern. Rhinovirus would like to produce all routine symptoms of Viral Infection like:1. Fever2. Running Nose you are having bleeding from nose, you should consult your doctor to evaluate for local cause if any, and get platelet count done. This is my best opinion for you based on available details. If you any have further queried, please ask me. Stay HealthyChatDoctor, MD

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 cold like symptoms;running nose, sneezing, and minor sore throat. What over-the-counter medication do you recommed that are pills ? ### Response: Hi. Your symptoms are suggestive of upper respiratory infection, or simple flu... You need paracetamol and antihistamines. These are available as minaret tablets or solo cold tablets. You may use them once a day or twice a day. Apart from these medications, warm salt water gargles or chlorhexidine mouth gargles is recommended thrice a day. If you develop fever, you need antibiotics along with these medications. It is equally important that you take care of your HY Sadiq. . See a doctor for a better care and advise.

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 vivek and I am writing from India. i just want to know about the drawbacks of using Asthalin, as I am suffering from breathing problem for the last couple of years. Actually I came to know from my friends that prolonged using of same medicine will hamper my life and there are some negative impact . So if you could suggest me some tips or other alternative medicines or treatment to survive from the current situation that would be more helpful to me. So hope you understand the situation and do the needful. ### Response: Hello dear, thanks for your question on Sadiq. In my opinion you should first consult pulmonologist and get done 1. Chest x ray2. PUT (pulmonary function test)To rule out asthma and bronchitis. And inhaled treatment is best for asthma and bronchitis. But the Sadiq. Stalin is having albuterol. It is short-acting beta 2 agonists. Its Action lasts for of 2-3 hours. So short term relief is there. Newer inhaled bronchodilators like long acting beta 2 agonist(LAB) with inhaled corticosteroid (ICS) are preferred now. Their action last for 10-12 hours. So twice daily dosing is needed. They are more effective and less toxic than Stalin. So they should be started in your case. Better to consult pulmonologist and diagnose yourself first. Then start appropriate treatment.Don't worry, you will be alright.

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 dull achy pain in my abdomen. I went to the hospital and they told me i am having contractions but not in labor, but i feel like something is wrong. The pain is happening too often and i cannot get comfortable at all. They did a test that said i would not be having the baby for at least the next two weeks, but i dont know what to do to make this better ### Response: Hi, thanks for using Sadiq The pain may be due to Braxton hicks contractions. These are contractions that are felt before labor, they are the bodies of preparing for labor to occur. They start in the 3rd trimester of pregnancy in most women though in some cases they can start before-in the second trimester. These contractions can last from 30 to 60 seconds. There is no treatment indicated for Braxton hicks, but some women find that changing their positions and making sure that they are well HY 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: Hiya I ve had really bad knee pain all my life since I was a child and always been told it s growing pain my brother also suffers with the same thing and he gets told the same and my little boys also complain about there knees hurting too it gets so bad sometime I can t move and I m just stuck I can t go to the toilet get dressed or anything I m just stuck and I was wondering if you had any idea as to what it could be I m 19 years old but have a very high pain threshold Thank Louise ### Response: Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. 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: Hi my boyfriend has a lump under the skin on his right side below the rib cage. You can only feel it when you press quite firmly , he has had it for over a year now and only causes occasional discomfort. He has been to the doctors and they are unsure of what this may be and he has to wait 2 weeks fr a blood test and maybe a scan. They said it could have something to do with sorosis in his bones other than that they dont have any idea what it may be (it is not attached or near his ribcage) do you have any suggestions as to what this may be? He is 17, male and doesn t smoke or drink. Thanks. ### Response: Hi.thanks for your queryPsoriasis is not likely in the case you mention. Psoriasis is a common skin condition where the skin lesions are red with silver-white patches called scales. It does not present like a lump under the skin and has no relation with bone, except for the condition called Psoriasis arthropathy which is an arthritis developing in some people having psoriasis. It involves joints of the body like upper extremities especially the hands, small joints of the feet, hips, knees, and ankles. I think that the only way you confirm the diagnosis is the scan that you are doing. So please do the investigations to be guided into the appropriate management. Hope this is helpful. 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 was wondering what this pain under my left armpit was. I feel heat like hot surges under my armpit when I take a deep breath it is more intense. I have some issues with my neck in the c4-5-6 area from arthritic changes , so i don t know if this is nerve damage or something more scarier? what do you think I should do? ### Response: Hi, Thanks for your query. All your symptoms are suggestive of Cervical disc disease with radiculopathy (pressure on nerve roots). An MRI scan of the cervical spine diagnoses the condition. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Sadiq. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. 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: Hi, I have started using Noriday as a contraceptive from 2 months but this time after having very heavy periods for about 5 days i have started bleeding again after 1 week. its been 3 days and i am still bleeding heavy.What could be the cause of it ? plus i think i am estrogen dominant is Noriday making be more? Should i ask my doctor to give me progesterone therapy to balance my hormone. I am loosing so much of my hair , gaining weight too and most of the time very tired. any advice would help. thanks ### Response: Hi, Your symptoms suggest you are facing the side effects of the hormone medication. You should definitely take the help of your consultant and see if any other additional supplements are needed or if you can change the medication. Usually, adjustments take 2-3 months after initiation of hormone treatment and once settled, are usually on track for whatever time used. You may need coagulation and blood profile, hepatic function tests, hormone assays and a sonogram to help you further. 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: Im currently taking 45 mg Remeron, started 25 mg lamotrigine 5 days ago and am weaning off lexipro frl 20 to 10 mg. Am terribly depressed with anxiety. Lamotrigine makes me nauseous. Can I stay on the lexipro at 20 mg for awhile to see if depression and anxiety improve? ### Response: Hello, Thanks for choosing Sadiq for posting your query. I have gone through your question in detail and I can understand what you are going through. You are already on high dose Cameron and started Aborigine 5 days ago. You may stay at 20 mg of Escitalopram for a few days but with this combination there is an increased risk of serotonin syn Sadiq. If while titrating the dose you may stay at 20 but meanwhile after some time, it would be preferable to stay only on Cameron and Aborigine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further about the same query, 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: i went to swimming in a pool, where i drunk that water while jumping and swimming.. from the next day the cough started slowly.. then it became frequent cough i have consulted 4 doctors.. finally the continious cough is stopped.. now doctor said that i have breathing problem (veeze) i feel my breathing has little trouble... actual problem is if i do cough i feel like i am not able to breath for few seconds.. i think something get stuck and getting released after few seconds.. is it any problem in lungs??? ### Response: Hello welcome to the Sadiq Your work up done as follows.... 1. Auscultation 2.CBC 3.chest x-ray 4.pulmonary function test if needed after Auscultation 5.sputum examination if x-ray suspicious If needed after above work up than suitable antibiotic course should be prescribed If x-ray shows consolidation than sputum culture done to choose antibiotic course For productive cough expectorant syrup can be prescribed like Aerosol Take one tsp turmeric powder with hot milk daily Take care Hope this will help you Consult pulmonologist for examination and discuss all these

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 35 f on celexa for anxiety. did have random chests pain before meds now only once and a great while i get them. NOW, I am suddenly getting random pauses or a skip in my heart beat? 55 beats, pause, 10 beats, pause, 9 beats, pause 35 beats, pause, thats where I stopped counting to come on here and ask why! I am scarred! should I get my meds upped? I have been good on celexa for 11 mons and now all of a suddan this! ### Response: Hello! Welcome and thank you for asking on Sadiq! I passed carefully through your question and would explain that Elena can lead to QT prolongation and cardiac arrhythmia as a possible adverse effect. For this reason, I would recommend consulting with your attending physician and performing a resting ECG to investigate for this disorder. Some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels) are needed to exclude other metabolic causes that may trigger this clinical scenario. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. If cardiac arrhythmia or prolonged QT interval in ECG is detected, you may need to stop taking Elena. You should discuss with your doctor on the above issues. 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: HI Doctors..Im female 26 from mumbai, India.I have done my MRI of lumbo-sacral Spine,Conclusion:1-Minimal changes of lumbar spondylosis.2-Generalized posterior annular bulge of the D12-L1 disc.3-No fracture of left tranverse process of L2.I had 10 sittings of Physiotherapy 15days ago. But there is no improvement in back pain.please suggest any home remedy, precautions and excercises. ### Response: Dear patient First I would like to know why MRI was done? Was it for back trauma or long term back pain? All MRI findings are compatible with normal life. Try these measures on long term basis 1. Avoid heavy weight lifting 2. Avoid forward bending 3. Avoid travelling on rough roads 4. Practice ergonomics while on job and home 5. Sadiq. Take tab vitamin d3 60000 unit weekly for 4 weeks.7. Take foods rich in calcium 8. Avoid smoking and alcohol. Exercise required 1. Back extension and back strengthening exercises 2. Abdomen strengthening exercise 3. Practice yoga if possible. Some medication helpful are tab diclofenac plus thiocolchicoside combination twice a day.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi there I have been taking the combined contraceptive pill and two days before I was due to stop them for my pill free week I had the runs just after I had took the pill, I also had the runs half hour later and about three hours after that. I was worried so didnt have my pill free week and continued to take the next pack. I now am due for my pill free week in several days, I have noticed my boobs have been quite sore I have had sex regularly whilst I have been on the pill the last five weeks. Do u think I could be pregnant that the pill lost its effectiveness because of the runs? ### Response: Hi, Thanks for the query. Usually diarrhea won't affect the efficacy of the pills. But vomiting immediately after intake of pill can affect the efficacy. As you took two packs of pills without break, that may be the reason for delayed periods. If there is any history of missing the pill, there is possibility of pregnancy. So if you want, go for pregnancy test once. If the test comes negative, possibly you will get with Sadiq. If you do not get with

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my 16 month son has been teething as of late and my wife has him out of province on vacation. She called me today and said he has had a high fever and is eating little and drinking little. He also hasnt been sleeping well. She has tried a few teething medicines but nothing has been working. Do you have any recommendatons ### Response: Hello, I can understand your concern. A very thick pad of gum sometimes causes troubled and late teething as teeth cannot break through the gum due to thickness of gum and causes pressure over gum making them inflamed. If little part of tooth has erupted, it may cause food impaction in the gum surrounding the tooth causing infection. In such case, child can have fever and other problems that you have described. Based on the weight of your kid, you should give him Amoxicillin Suspension (Kiddo) in the dose of 2.5 mg/kg/day three times a day. Cronin syrup (Paracetamol) can also be given in the same dose three times a day. If you had mentioned the weight of your kid, I could tell you the exact dose to be given. Continue these medicines for 10 days. After your wife and son returns, it will be better to consult a dentist for examination of oral cavity regarding this problem and to prevent future such episodes. I hope this information helps you. Thank you for choosing Sadiq. I wish your son feels better soon. 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 bumped my shin today (trying to be funny) and it hurt and I immediately hit a good sized bump that hurt. I put ice on it for a good 45 min and took 4 Advil and the swelling went down by tonight it has come back up some and is throbbing. Any advice?Thank you. ### Response: Hi there, thanks for your question at Sadiq A bump or bruise on the shin would usually take around a week or two days to resolve. Rest, Ice and bandage application over first 2 to 3 days accelerate this process of healing and reduce the amount of pain and swelling. I suggest you to continue the same. I would suggest you tense your physician if you have pain on standing or walking, the swelling doesn't subside by a week, or you are on blood thinners. Otherwise, you will be better in a weeks time. Hope this helps. All the best. 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 very sharp pain in my left arm when I cough and my left arm has a tight squeeze from my elbow and up like if a blood pressure pad is warp around my arm and it can last anywhere from 10 sec. to 2 or 3 minutes and my right arm is the same way but lighter pain. ### Response: Hello, I read carefully your query and understand your concern. Based on the fact that the arm pain seem to be related to the cough, it can due to a muscle strain. I suggest using an anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest doing gentle stretching exercises of the arm for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind 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: Hi I am Manjula I got married 3 years earlier I had one abortionBut after thet I didnot concieve atallI have Thyroid I am taking tablet Thronorm Tablet 50mcgI had Laproscopic operation Doctor told that There is no problem Will I get conceived ? ### Response: Hi Manual, Thanks for writing to Sadiq. Yes you will conceive soon. Don't worry. First thing is you should be stress-free. I would suggest you to get your thyroid profile done before starting other treatment. If it is less or more you can get your dosage changed by your doctor. Also get your husband semen analysis done. So that if treatment needed it can be done simultaneously. Apart from that I would suggest you to undergo follicular study. In this you will come to know you are ovulating or not and time of ovulation. It is better to start with ovulation inducing Sadiq. You can discuss with you doctor. 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 have severe abdominal pain, back pain, nausea, and just feel bad. I have hardly ate in 3 days and gained 3 pounds.-- Went to the ER and scan showed air pocket--how do I get rid of it?? I have had 12 surgeries for female issues and have scar tissue so not sure if this could be an issue too. ### Response: Hi. 12 surgeries can have its own complications. There can be adhesions and intestinal obstructions causing these problems. I would advise you to go for clinical examination by your Surgeon and tests likes standing x-ray abdomen (which you must have by this time-air pockets as you mentioned), ultrasonography and as thought necessary by hi./her. Many times I can be co-incidental finding of another problem like pancreatitis or so.

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, im a 21 yo female with a bmi of 23 who has just been discharged from hospital with a diagnosis of Acalculous Cholecystitis, with a meeting with a consultant 6 weeks away I am wondering what diet i should follow if any and what foods should i definatly avoid? ### Response: Hello, I hope you are well, it is important to mention that this type of disease is rare, mainly related in critical patients in a septic or ischemic situation, elderly or immunocompromised patients with poor prognosis. The differential diagnosis is with a calculus cholecystitis, right pyelonephritis, right basal pneumonia, peptic ulcer disease with or without perforation, acute pancreatitis, etc. I comment this because you do not have risk factors for it, so you should consider a second opinion in your diagnosis.

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 14 months old boy has been suffering from fever for the last few days. Blood test revealed high ESR of 32 mm/hour and low haemoglobin of 7.7 g/dl. At the same time CRP is 12.0 mg/l. Is it problematic or life threatening. He is having small pimple kind of allergy all around his body after temperature came down. Please assist me what to do? Regards, Nasimul ### Response: Hi, thank you for choosing Sadiq. Your child is most probably having a viral erythematous fever, just observe him for a few days till he recovers completely. Just show him to a pediatrician as we can differentiate between allergic rash or some other kind of serious rash. And also he is anemic for which he will require treatment after he recovers from the viral fever. Hope this has helped you. Wishing your child a speedy recovery. Your vote of thanks is appreciated, Good luck, 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: Someone I know has an 18 day old baby. Yesterday morning she woke up to breast feed him. She was sitting on the couch and fell asleep while still feeding. When she woke up the baby was cold, not breathing and had blood coming from his ears, nose and mouth. Currently he is in ICU and isn t doing well at all. Could this be intentional or is there a medical reason this could happen? Could this be Shaken Baby Syndrome? ### Response: Hi, It is quite unlikely for a medical condition to cause the said symptoms all of a sudden in a previously well baby. There are blood disorders that rarely can cause spontaneous bleeding from nose and mouth, but bleeding from ear is not expected here, and this strongly suggests a traumatic cause. The only possible cause for bleeding from ear, nose and mouth is a significant head injury with skull base fracture. Head injury or significant bleeding can cause apnea and cold skin. The treating doctor will discuss more details, as this needs to be interpreted on a background of examination findings, blood investigations and brain imaging. 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: Hi I am 22 weeks pregnant with my third baby. I have been having uncontrollable itching for the past two weeks, there is no rash associated with it, until I start scratching so hard it causes one or my skin to bleed. My Dr. did a Liver enzyme test and my ALC was 59, and my bile acid was 12, she said that it is normal, but everything I have read says you can have ICP with anything above 10 Bile acid ### Response: Hi there,Homeostasis of pregnancy could be the cause of your itching. Did you have similar complaints in the later weeks of the previous pregnancies too? Itching without rash, almost normal liver enzyme levels and slightly raised bile acids, no other identified cause for itching definitely point towards Homeostasis of pregnancy. You need to consider tests to rule out hepatitis infection. The itching will increase with time, you will need symptoms relief with local application of creams such as calamine lotion and menthol and if itching increases Ursodeoxycholic acid can be considered, it decreases bile acid levels and receives itching. Also consider vitamin K supplementation after 36 weeks. Rarely Obstetric homeostasis can cause still birth, so fetal monitoring could be considered. Some women prefer to deliver after 37 weeks if the itching increases. You will need to do regular liver function tests and bile acid levels. Hope this helps. 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: Iam a 26 year old female experiencing severe headaches at the back of my head.An MRI brain scan was done and it shows that the theres are Ischemic areas involving the bilateral frontal lobe and posterior periventricular white matter. What could be the cause of this and Can this be corrected ### Response: Hello, Human brain is a complicated structure and having changes in the white or the gray matter is little complicated. Sometimes brain tissues take its own call to decide the modifications. It may be pathological issue, work related issue, infection etc. We need to correlate the MRI scan along with the clinical symptoms to come to a conclusion. Based on which the treatment can be initiated by medical intervention. As there are ischemic changes there must be a lack of blood supply yo the particular parts or the brain and why this happened is not known without any clinical and lab test. Visiting a neurologist should help you to get some precise medication based on the diagnosis. Hope I have answered your query. Let me know if I can assist you further. 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,I got married in November 2012. I was pregnant at December start. I got abortion in January through pills medications. Everything went well. I also went for the follow up and I wasnt pregnant.Now, that everything is settled down. We are trying to conceive for months but could not.My periods are normal. My husband is no taking me to doctor. I really wanna know what could be wrong? ### Response: Hello, Your present condition is secondary infertility. Some basic investigation is advisable like husband semen analysis, pelvic USG, complete hormone assay, ovarian follicular study, test for tubal blockage etc. For proper guidance, you need to consult with gynecologist. Do unprotected sex around ovulation time to maximize the chance of pregnancy. Use ovulation prediction kit to predict ovulation time in mid-cycle. Take healthy diet with folic acid supplements, control body wt by regular exercise, avoid stress, maintain genital hygiene and take sound sleep. Hope it 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: Hi sir, My name is Mahesh Molakere. The Closest-s cream has been written me for psoriasis but i went so many medical shops but i didnt get so now am came across Lobate cream. Just i wanna know about whether lobate is useful for psoriasis or not..Please kindly provide me solution. Thanku sir. ### Response: Hi, Mahesh, I can understand your concern with treatment of psoriasis. But, you should know few things for psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. There may be genetic tendency. It may be precipitated or exacerbated by few factors like Sadiq. .etc. You want to know about local applications. You are trying to find out combined ointment of steroid and salicylic acid. Both the

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: 37 years old male, non smoke or drink. Experiencing numbness in both feet. Went to my general doctor and did blood work with all results being normal. Numbness going on for a week now....pins and needles feeling. Have been prescribed 75mg of lyrica but no relief yet. Any suggestions? I m not diabetic either. ### Response: HiT hanks for your query and welcome. You have mentioned numbness in both your feet since 1 week. Numbness in the lower limbs can be due to multiple causes : compression of nerves in lower back, localized nerve entrapment, systemic neurological cause, metabolic disorder or any vascular issue. Do you have any pain in the lower back region? Is numbness also associated with any weakness of paresthesia as well?does walking increase your symptoms? Do you take medicines for any disease or any previous long term medication ? Also can you kindly send me your recent blood investigations so that I can have a look and let you know on what needs to be done. For complete evaluation, we may need :MRI Spine NCV and EMG lower lifeblood tests to find out any particular cause. Now you have mentioned that you have been prescribed Tab Lyrics 75 mg which you can continue along with Tab Terrorize OD which will provide you essential minerals and vitamins which will act as neuroregenerators You can also start with Physio and a modality called as TENS is useful for neuropathic symptoms Kindly let me know if you need any further information Thanks & 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: hi ,my grandmother(75 years) is suffering from 3rd stage cancer on lip and in throat.Her wound has become infected with worms probably maggots..can maggot therapy be used to help remove the maggots?is there any other method?please help .she is in a lot of pain ### Response: Hi, Thanks for writing in. Cancer of the lip should be treated depending on the treatment response after initial chemotherapy and radiation therapy. As the cancer is stage 3 therefore the tumor is large. Nodes should be searched for in the neck region. The presence of nodes makes is possibly stage 4. In this case there is a need to first give chemotherapy as that can make the node to decrease in size and then surgery might be possible. Some doctors also recommend radiation after chemotherapy to shrink the tumor and then make it operable. First the maggots causing infection need to be treated with medications and the cancer area to be kept clean. For the proper staging, both CT scan and pathology reports are to be assessed in detail. The chances of five year survival in head and neck cancer is better than other cancers with proper treatment and follow up. Five year survival for stage 3 lip cancer is 35 percent and is better than most other cancers. Please do not worry.

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 doctor, during his first 5 years our child often had throat infection & Azithral 100 has been the medicine suggested by the doctor which got him cured. We as parents now know what to look for if he has a temperature. He is now close to 7 years & body weight is ~34 kgs. For the last 2 days he has a throat infection & we re just wondering if we should shift to Azithral 200/250 syrup / suspension and halving it at 2 times per day ? Thanks .. ### Response: Hi, Thanks for writing to Sadiq. Hi Throat infection may be one of the reason for fever, But it's not the only reason for fever. It's advisable in greater interest of your child not to start treatment by yourselves without proper assessment of child. Please give on fever medicine Paracetamol at 15 mg/kg every 6 hours if fear present, give cough medicine like some over the counter syrup for cough, observe for fever trend and if it's continuous for more than 2 days please visit your pediatrician. Irrational use of antibiotics may be harmful for your baby. Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion

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 bump on the bottom of my foot. It s on the pad of it and it s been there for a few weeks. At first it was sore to walk on, and then it was only a dull ache if I were to touch it. Now there are five more similar bumps in the same general area. Each one is yellow-ish in color except the first, it s darker. I was curious, so I started picking at it (probably not the smartest thing to do), and there are these bits of black, I think it s skin, sticking up. I tried to pull a few out and it led to some minor bleeding. Do you know what this is? Or if there s any way to make these bumps go away? ### Response: Hi ! Good afternoon. I am Sadiq answering your query. With your history, it seems that you have got multiple plantar warts with secondary infection due to the pin pricking you did on these. The first advice for you is not to fiddle with these things anymore, and vaccinate yourself against Tetanus if not done so far. Next you must take appointment with a skin specialist (Dermatologist) or a General surgeon and get these examined by him at the earliest possible to have a definitive diagnosis and to rule out any other graver conditions, following which proper treatment could be instituted. 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: I went to an urgent care on 10/01/14 and they told me that I had bronchitis. They gave me a prescription for prednisone, albuterol, guaiatussin, and azithromycin. It has been 6 days now and my cough is a lot better but I have been running a fever of 100.something everyday still. Also, I have this burning sensations on my skin in multiple spots, mainly my back and arms? Just wondering if this is normal or if I need to return to see a doctor. ### Response: Thanks for your question on Sadiq. In my opinion prednisone should be stopped now. And you can take inhaled steroid rather than oral prednisone. And diagnosis of bronchitis needs PFT (Pulmonary Function Test). So consult pulmonologist and get done PFT. Oral steroids have many side effects and your skin lesions can be due to this only. And oral steroids have specific indications in bronchitis. Not everyone should be given. So better to consult pulmonologist and start inhaled steroids.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my father age 83 suffered from harpies in June 2011. The harpies was on head and behind ear one side. He has consulted the Neurologist and take medicine. Still he has headache and at night he feel some sound in his ear which disturb his sleep. can you please advice me on this matter ### Response: Hello dear, Thank you for your contact to Sadiq. I read and understand your concern. I am Sadiq answering your concern. Opioid analgesics can help solve your problem. Pain due to herpes and that is also to late is very serious problem. It will not solve with routine analgesics. This analgesics won't be available with OTC it requires a Doctors prescription. You should also take acyclovir which take care of herpes, erosion forte for neurological problems. Please take good sleep and do not take stress. These parameters can affect the headaches. Please wear black glasses as it is also helpful in headache. Please maintain good hygiene as this alone can take care of many things same as active Sadiq. I will be happy to answer your further concern on 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: years ago I noticed heart palpitations which led to panis attacks because they scared me 30 years later dealing with them ive noticed a link to them.the question is I believe the main trigger is in the garden vegetables from the store.I know this sounds a little bit reaching but I told my wife to lay off the frozen vegetables and they have decreased dramatically could there be a link or could it be the pesticides causing the to re-surface.ive tried to live with them for years and wished they woulg go away.yes its true anxiety and palptations are related but why would they dramatically increase.ive also notice when my blood pressure is a little higher than normal I dont have palpitations at all.so why would my blood pressure being around normal cause me to have them and being a little higher not have them.why would eating vegetables cause me to have them alot.its hard to find a medium area but since ive laid off the vegetables its bearable.ive tried everything humanlly possible.I guess if I never felt my heart beating would probably cure me.I also use to be a track runner in school years ago long distance runner is it possible that the excessive running triggered them?just searching for answers thank you. ### Response: Hello, I passed carefully through your question and would explain that your symptoms could be related to indigestion or gastroesophageal reflux. A panic disorder cannot be excluded either. I don't think that pesticides can give this sudden reaction. In fact, they may lead to nausea, diarrhea as more common adverse effects, but the heart is usually affected later. Anyway, I would also recommend performing some other tests to investigate for the possible causes: - thyroid hormone levels for possible thyroid gland dysfunction- a fibrogastroscopy for possible reflux-blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help investigate your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. 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 dr,today is my 15th day and follicle is 30*27 (left) , 14*16 (right) on 12th day i had Sadiq 2000iu injuction but not ruptured yet . is any chance of concieving this month ? my dr didn t prescribed any medicine after ssing this ? will any medicine help to rupture within 16-17 of cycle ### Response: Hi, Thanks for the query under Sadiq platform. I understand your concern. You have been already given Sadiq injection for follicular rupture. ON an average rupture is achieved by 24-36 hours of injection. As your follicle has grown sufficiently. Giving second dose in the same cycle is not advocated. You will be observed till 16- 18 days for probable rupture. There is no chance of conception without follicular rupture & discharge mature ovum in tubes/ abdomen. So, better luck next time. IN the next cycle you would be given altered dosage of Sadiq for better results. 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: Hello, my 4 years old doughter had for 1 day a stuffed nose and running eyes...since this morning she started caughing and her nose started to run. She is cauching pretty bad and her breathing is heavy...she doesn t have fever, her mucus is white and she has a good apetite. Please tell me if she needs an antibiotic and if she does which one do you recomend. Thank you! ### Response: Hi, I am Sadiq. Decision to start antibiotics is taken by proper examination and history of patient and can not be generalized. Absence of fever and good appetite are against possibility of missing anything serious. But she needs an exam to rule out possibility of bacterial throat infection and congestion in chest. 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 questionsTake 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, for the past couple of nights my chest area ha really ached. My rib area aches and the ribs halfway down the rib cage hurt to touch. Also I thought I was getting indegastion but what felt like my heart just had a massive pain go through it. Like someone was squeezing it. It only lasted for a couple of seconds - I have had this feeling before but felt it was time to find out whats going on. Also noticed tony veins on my rib area earlier - dont know if its related. ### Response: Thanks for your question on Sadiq. I can understand your concern. In my opinion, you should definitely rule out heart diseases first because your chest pain is on left sided and more in night. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can be the cause. So avoid movements causing. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

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 ve had bronchitis for 2 weeks. Very wheezy and coughing up yellow mucus. This is the 7th time I ve had bronchitis this year. I now have terrible sharp pain on left side of chest which seems to wrap around to my left shoulder blade. ICould this be pneumonia? I do not have a fever, just completely exhausted. ### Response: Hi, Dear,Thanks for your query to Sadiq. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Chronic bronchitis with Pleuritic pain in left chest-wrapping around left shoulder blade. This pain is from chronic bronchitis with clogged up terminal alveolar groups, causing pleural inflammation from infection. X-ray chest may show few dense shadows with thickened pleura-which indicates edematous thickened inflamed pleura. In your case as the cough is with productive yellow mucus, indicating enough infection of air track. Possibility of Pneumonia, accompanying by this is more and needs to be kept under watch, by closed observation. But the afebrile body, with this yellow mucus indicates recovering Bronchitis with pleuritic pain in left chest laterally and in back near left shoulder blades. Pneumonia would be indicated by high fever with chills which is not there in your case. Exhastion is from chronic infection with deny Sadiq. Possibility TB Bronchitis with Pleuritic pain is to be kept in mind. For this to find out-AFB sputum / PCR tests of yellow mucus to find out TB antigen of live/ dead bacteria/ IGRA-blood test to detect hidden subclinical TB. Exhaustion may indicate TB infection with no fever/ or mild fever. Course of Augmenting duo(Amoxicillin with clavulanic acid) may differentiate NON-TB cause, if it responds to this course for 10 days time. Supporting it with high protein bland diet with plenty of fluids / vitamins would recoup you soon from this condition. Hope this would help you to plan further treatment from your doctors there. Welcome for any further query in this regard. Good 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. Im Sally, 53 years old. I experience slight pain at the upper right quadrant of my abdomen, have sgpt of 142, and experience heartburn. Ultrasound showed I have moderate fatty liver infiltration. Sgpt gone down to 68 after taking ursofalk for a month. Did not continue medication. Am still having slight pain in my abdomen, sometimes extending at the back. What could this be? What should I do? Pls. help. Thanks. ### Response: For your heartburn have you taken antacids for the required period. Fatty infiltration of liver is deposition of fat in liver cells and would suggest you to moderate your lipid intake as much as possible and do some exercises to reduce the fat as well. Continue ursofalk based on your doctors' advice which shall also help in reducing your fat in liver. Also, you may ask your doctor whether you need an endoscopy.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My mother has primary peritoneal cancer . She was diagnosed at Stage IIIC almost two weeks ago. Today, her legs are swollen from her thighs through her calf on each leg. Do we need to get her back in to see her Oncologist? Does this mean it is moving into stage IV? She has been constipated also for 3 days and we were told to watch for that. ### Response: This could mean a number of things, and you definitely need to see your oncologist. It could be because of the disease in the abdomen pressing on the veins of the legs leading to edema. The constipation could also be due to the disease pressing on the rectum and colon (large bowel). However, the swelling in the legs could also be due to blood clotting in the veins of the legs particularly if it's painful. This is a serious life-threatening condition and needs immediate hospitalization and treatment. You have not mentioned the treatment that you are taking for the cancer. If that has not been started I suggest you do it at the earliest so the disease related problems subside. The treatment for stage AIIC primary peritoneal cancer is chemotherapy (injections for cancer)

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have really bad pain in my gums and there is splits along the bottom of them an sort of white soft tissue at the top..i was treated for gingivitus before but this has litrelly came this bad in the last week..i have calvepen 666mg tablets here,but very few left..what should i do to ease the pain and try heal my gums? ### Response: Hello he gone through your query. You may had gingivitis with periodontal pocket formation.is your gum bleeding also.I recommend you to visit a dentist and get a thorough scaling(cleaning) of teeth and gums done. Meanwhile take ofloxacin ornidazole tab it'll help reduce the inflammation. Rinse your moth thrice with a God mouthwash. If pain is more painkiller CN be taken. Maintain a God oral hygiene. Hope this ans helpsRegards

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! The right side og my tongue and actually mouth hurt a lot. I first thought it was because I was about to Get a new tooth (even though Im nearly 20). I have felt thus for there day and it only gets worse. Now I even have excessive salvation and I Cant swolloe properly. What is wrong with me? ### Response: Thanks for your query, I have gone through your query. The pain in the tongue could be because of the ulcer secondary to trauma or herpes infection. Pain can also arise from the wisdom tooth. Consult your oral physician and get yourself examined completely and take radiograph of the wisdom tooth to rule out any pathology. meanwhile you can take topical anesthetic and analgesic like Anabel gel. I hope my answer will help you. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello I have had these hard bone-like bumps on the end of my tailbone. I have had them for about 8 to 9 years now and at first they were moveable and painless so i thought nothing of them, but now they seem to be really sore and no longer move causing pain from sitting and walking. It started about two days ago and I have yet to see a doctor. Has anyone experience something similar to this? ### Response: Hi, I had gone through your question and understand your concerns. See as per your complaint your pain is in acute condition or exacerbated due to some injury or posture, as you mentioned pain in tailbone may due to constant pressure over the last bone due to improper sitting and lying habits, this is known as coccydynea (pain in tailbone) see you need to take rest ultimate option is prevented weight-bearing over that part, lying down in side is good. See your physiotherapist and take ultrasound treatment for 15 days continuously twice a day. Which subsides your pain and inflammation. don't apply heating modality to pain full part. Apply ice and analgesic cream while sleeping. I hope you have satisfied with this answer.

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 Steve, Im 29 years old, i dont smoke, i exercise regularly and I drink moderately. I have found two lumps on my left leg, a small pea size hard movable lump on my shin with no pain swelling or discolouration. The second lump on my quad is between my leg and hamstring, halfway up my thigh, it is not movable about one and half centimteres in size, appears to be part of the muscle and again no swelling, discolouration or pain. What can they be? ### Response: Hi, Good Evening. Thanks for the query to Sadiq. I studied it in depth and I understood your health concerns.-Causes -for lumps on leg and shin and thigh-1- Mostly it appears to be -Lipoma-fibroma ? Sebaceous Cysts at these sites-as they are painless.2-Surgeons consultation would fix the diagnosis -who would treat it by Excision Biopsy.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Sadiq with more queries till you are satisfied. Have a Good Day...!! Sadiq. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.

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 doctor i am 24 years old female with good health.Suddenly i have developed lymphnodes at both the armpits and is about 1cm in size,mobile,red and painfull.i have consulted my family doctor and she has prescribed me 2 antibiotics,but it am afraid to take the antibiotics without proper diagnosis.i feel very upset regarding this issue.Please help me with what are clinical tests which has to be done for this. ### Response: Hi, It seems that you might be having some infection in surrounding parts like arms, neck, breasts, chest producing enlarged tender axillary lymph nodes. There is no problem going for one short course of antibiotic medicine. If problem persisted after treatment then you might require, Through breasts examination manually by GAEC, Complete blood checking for any bacterial infection.If you require Mammography. Ok and 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 27 years old and with a 5 yr old kid, I am having Thyroid (8+) and a mild PCOD and i am taking thyroid Tablets (100 mg) anf taking treatement for it.. and i am having Asthma Problem and Using Inhaler as my surrounding is covered with total dust Pollution.. Give me some Permanent Solution for these Problems ### Response: Hello. Thank you for asking at Sadiq. I went through your history and would like to make following suggestions to you:1. Were I treating you, in addition to inhalers, I would add regular montelukast in your treatment.2? I would suggest you allergy testing which may help you identify the substances you may be allergic to and also to know the measures to avoid them.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.4. I would also suggest you regular breathing exercises and a healthy diet which will improve your lung capacity and immunity in a long run. Hope above suggestions will be helpful to you. Should you have any further query, 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: I am a 66 year old male who is in relatively good health. following kidney stone surgery to break them up and a subsequent stent for 1 month, I have developed knots in the back of both calves, both ham strings, and both deltoids. The pain has become quite debilitating and is made worse by sitting, especially in the car. The best way to describe the pain is like a lactic acid build up after strenuous exercise. I do have a factor five blood clotting disorder that I have never had any effects from previously. Would appreciate any help as I am grasping at straws! ### Response: Hi.thanks for the opportunity to help you. From your description it looks to me like thrombophlebitis of the veins in the calf, hamstrings and buttocks. This has happened as a result of prolonged immobilization due to kidney stone surgery and stent insertion for 1 month and as you have factored 5 deficiency you have tendency for hypercoagulability leading to clotting of blood. Thus stasis due to prolonged bed rest, old age and factor 5 deficiency leading to hypercoagulability and clot formation can lead to thrombophlebitis. However we should rule out DVT which is a life-threatening condition in which there is formation of thrombus in deep veins.this thrombus can dislodge and block pulmonary vessels leading to pulmonary embolism and death. Though from your description it doesn't look like DVT.kindly visit a surgeon and get a venous Doppler of lower limbs and get a coagulation profile, genogram, Radioactive,I125 fibrinogen study done. If it shows thrombophlebitis, oral antibiotics, thrombophobe ointment for l/a and t.choral forte 1-1-1x5 days can be taken .if however DVT is diagnosed by Doppler of venous systems in. Low molecular weight heparin followed by warfarin as per surgeons advise. If surgery is required. These methods to be considered in case of fixed thrombus.in case of free thrombus fibrinolysins, thrombectomy using forty catheter or IOC filter can be used. Surgical options are:-1)Palma operation for tibiofemoral thrombosis2) May hung operation for popliteal thrombosis.t.saffron 500 mg 1-0-1x3 months to reduce viscosity of blood and congestion of veins can be use prophylactically in cases of both thrombophlebitis or DVT.hope the consultation was beneficial 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,iam 23 years old..i have been doing (gym) heavy weight exercises since two months.three days back i incresaed the weights in the gym for doing exercises as usual,one more thing i started aerobics also since 5 days.So three days back i did my aerobic and then gym and after that within 15 minutes i took power horse,then after coming home almost after an hour took bath and i boiled eggs in which by mistake too much salt felt.so i thought the egg shell would prevent it from penetrating in the egg.gradually after two hours my heart heart started beating fast and its been three days i havent seen any change..its still beating fast.i went to the docter,the docter told me that its 159 BP ..i was so shocked.she said no need to worry but just dring as much as water as i can...please docs here .please guide me.what should i do..should i take steam bath and swimming or should i go to gym for removing the access salts in body....please suggest me ### Response: The information regarding your readings is incomplete. I am not sure whether 159 is your pulse rate or blood pressure (BP). In either case, I would suggest you to be retained your calmness. A single ingestion of high dose salt does not cause any harm in most of the cases. Your body does have a mechanism to get rid of excess salt. Please follow the instructions given by your consultant. Sadiq. Have a regular blood pressure and pulse rate measurements till you are normal. Stay calm and relaxed buddy. You will be normal in a few days. Hope the above information 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: hello sir my uncle is 50 yrs old and is suffering from cancer for last 1 and half......we took treatment in tata hosiptal in mumbai but now they say nothing is possible at this stage.....he was operated twice...for the first time the report wher negative and second time it turned out to be positive .......what should we do.......should we go for homeopathic treatment......can u please suggets some good homeopathic doctors in mumbai for cancer treatment...... ### Response: Hi, dairy have gone through your question. I can understand your concern. Treatment of cancer depends on type and stage of cancer. In late stage surgery is not possible so radiotherapy and chemotherapy can be used. For homeopathy treatment also type of cancer is required. So please tell me which type of cancer your uncle have, so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Sadiq. Thanks for using Sadiq. Wish you a very 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 26 year ols son got married in November He ws diagnosed with ADD in 2nd grade His Sr year of high school he did not medicate and got straight As He now has a carpenters apprenticeship He and his new wife are having problems she says he soes not listen or is easily distracted when she is speaking to him and thinks it is something she is doing wrong or he just dosent care. he came to us tonight very upset I asked him if he explained to his ADD to his wife he admitted he has avoided this subject with her I would like a good informational site for her to go to to help how to communicate better with him ### Response: Hello and welcome to Sadiq. Thanks for your query. I appreciate your concern for your son and his wife. In my opinion it is always better to let the partner know about the persons' health problems so that they will be able to understand them better and offer the necessary support. The following websites have reliable information about ADHD - useful for both persons with the disorder and their carers:http://rcpsych.ac.uk/healthadvice/problemsdisorders/adhdinadults.aspxhttp://www.chadd.org/Understanding-ADHD.aspxhttp://www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder/Pages/Introduction.aspxIt would also be a good idea for both your son and his wife to meet a psychiatrist, so that the issues of concern can be discussed and sorted out. Wish you 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 was prescribed Tamaflu - two tablets for five days. I have taken it for two days and my husband through area the box today. And yes, today our garbage was picked up. Are there any problems with not taking the entire five days of tablets? Patricia ### Response: Hello, I think that you've been prescribed Tami flu because of a Flu, so I answer for that case. If you are not immunosuppressed (due to an illness or a medication) or under chemo/radiotherapy, I think that you could stay without taking the rest of the therapy. Moreover, you have to consider how do you feel: if you feel that your health is improving, (not fever, cough, headache) this is a good sign, and maybe you can stay without the therapy. 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 im cheerymeel from philippines, i just want to ask questions regarding with the condition of my mother who is diagnosed with endometrial cancer probably stage 2, our doctor told us to undergo my mom with chemotherapy before she proceed a surgical operation. is it right to undergo chemotherapy before she proceed with thw surgical operations? ### Response: I am sorry to say that this is not the right treatment protocol for endometrial cancer. Normally, the first step in the treatment of endometrial cancer is surgery. If this we remove the uterus, both tubes, both ovaries, bilateral pelvic nodes and take a number of samples from various parts of the abdomen. We also take washings from the abdomen surface and send it for cytology testing. This is called a staging laparotomy as this not only is part of the treatment, it also gives the exact stage of the cancer. Depending on the final stage that comes after surgery, she may require postoperative radiotherapy. There is nor role of chemotherapy in endometrial cancer except in the last stage for palliation. You can visit nccn.org and see for yourself. I suggest you change your oncologist.

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...I did not receive any training on how to lift heavy objects safely. I was only asked to sign training documents. I injured my back after I have carried box with vouchers on 3 Jan 2011. I was asked by my GM to carry full box with vouchers. I have point it out that the box was too heavy however my GM did not replay on that so I have decided to carry it anyway.I went to my GP on 5 Jan. Doctor said that I am suffering with back pain (Sciatica , sciatic nerve pain) cause of heavy lifting and I have been told to take rest for a week. Also I have been told by the doctor to make a new appointment for next week on 12/01/11. On 12th I was told by my GP to stay off sick and my next appointment was on 19/01/11 and other on 26/01/11 when I was told to stay off sick for one month more and given repeated prescribed medications. 5/01/2011: 112 Co-Codamol 30/500MG Tablets-TWO to be taken FOUR times a days. 15 Diazepam 2MG Tablets-ONE to be taken THREE times a day. 26/01/2011: 112 Co-Codamol 30/500MG Tablets-TWO to be taken FOUR times a days. 21 Diazepam 2MG Tablets-ONE to be taken THREE times a day. I have been suffering from burning/aching sensation and shooting pain, like electricity from my lower back, down the buttocks and into both of the legs, all the way down to my calves and feet. And I feel weak and have burn like fire, numbness, tingling in my leg and feet. Also I have a cracking hip &knee &foot, back and neck pain. In addition to my prescribed medications I have been using heated pad and continue light exercises at home that has been advised by my GP. I am awaiting Physiotherapy appointment as well. I have swollen ankles and calves; I can not walk or sit. I would like to know if I injured my bones and/or soft tissiues. And when I will be healhy again?I need your specialist advice.Thanks and Regards, ### Response: Dear patient Considering your case there is high possibility of disc prolapse with nerve roots compression which is leading to shooting pain in both legs. So you need to go for MRI of lumbosacral spine with screening of whole spine. MRI gives detail information of discs and nerve roots and final in confirming diagnosis. So visit radiology center nearby you and get it done. Continue your medications tail report is done. Need to consult expert spine surgeon with MRI report.

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 a 21 yr old young woman and I have bronchitis, my doctor said. Each time I get cold or fever, I have symptoms like temperature rise, running nose, throat pain etc. These symptoms reduce and are eventually cured. But when cough starts, it doesn t reduce as fast as the other symptoms. If antibiotics are not used, then the cough can last upto a month or so before its completely gone. Doctor says I have bronchitis which is causing this. When I told him about my problem, he prescribed glemont F for three weeks. Is that the solution for my problem? What can I do to prevent this kind of long lasting cough again? ### Response: Thanks for your question on Sadiq. I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines. Lemont is oral bronchodilators and having side effects so better to start inhaled bronchodilators. So consult pulmonologist and discuss all these and start appropriate treatment.

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 there my name is Alison and Im 36 years old,I have been to see my GP and he is referring me to a breast clinic for screening. I have found a lump on the wall of my breast beside my arm pit. Also I have had a sore neck and throat and severe bloatin gof the tummy. Im very scared as I have twins aged 7 years and worried that I had IVF to conceive them? Can you offer any advice as to what the doctors at the hospital will do? Thanks very much. ### Response: Hello,1. Lump in the breast wall, axillary region (armpit region), neck region lump, and throat infection seems two causes.2. Once it could be lymph nodal enlargement because of the infection or inflammation in the throat.3. Second is breast infective causes also cause lymph node enlargement.4. If you are my patient, after examination, I would have asked for an ultrasound breast and axillary region and neck - to characterize breast lesion and lymph nodes. If necessary fine needle aspiration cytology (FNAC) and do what is necessary treatment.5. I don't think It's something to do with IVF.6. They will mostly do what I have said. So start investigating good luck. 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: I am a 29 year old man and i have been mastubating since my teen age.I have been mastubating excessive over the last many years.Frequency ranges from 2 times a day to as many as 5-6 times in a day.Does too much of mastubation cause testical cancer?.If i stop mastubating the way i used to would it affect my health in anyway? ### Response: Hi, Thanks for writing in. Too much masturbation will not cause cancer but can cause other physical and mental problems. Excessive masturbation around 5 to 6 times a day can get addictive and cause you loss of concentration in doing your regular activities and prevent you from doing your job and study. The appropriate masturbation frequency is 2 to 3 times a week and not more than once in a day. Frequent masturbation also causes depletion of sperm and erectile dysfunction as it affects the mental health. You can do other activities like listening to music, talking to friends and reading a book when you get masturbation thoughts. This will help you to control masturbation. There is no need to stop masturbation completely as it is a normal behavior when done within limits. Please do not worry.

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: Hijust wanted to ask a question about my 5 yr old son, he was playing in the garden with a broom (running) he was trying to help tidy up, and the broom hit a step and bashed in to his belly right where his belly button is he has some discomfort and has a red mark there can this cause any damage as i know the belly is a delicate area.thanks Emma ### Response: Welcome to ChatDoctorHello, the pain and redness may be due to the direct impact of the broom, since the location is belly button there may not be much damage to the organs, you need to visit a pea Sadiq. Some rest is advised2.light digestible food should be given3.watch for increase in pain, redness in the area, coughing blood, blood in stools you have to rush your child to emergency room 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: My left arm, below elbow and top side, goes numb when i am sitting. after i stand up and wait basically as long as i had been sitting, my arm feels normal again. i usually wake up with either a stiff neck or my arm is asleep but returns to normal quicker than it takes to return to normal after sitting. i try sitting all different ways, rest my arm all different ways but nothing works. i have never had any injuries, i am a 28 year old female. ### Response: Hi, thanks for giving me an opportunity to assist you. You need to try strengthening your triceps and trapezius muscle. Try doing static neck strengthening exercises as well.it could be a nerve entrapment in your cervical region. By doing regular strengthening exercises you will get rid of these issues. I have seen several patients with same complaint, and they almost get better by performing regular exercise. If you are a heavy computer worker, kindly take breaks in between your work. As both gets fatigue by static position. Hope I answered your question. I wish you a speedy recovery and a smiling face again. God bless 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: i think i rubbed my penis raw on one side from my girlfriends underwear. My penis is kind of pink, and blotchy... now just a few spots are dried up skin on my left side only. I have no pain, or symptoms or tingling. just weird to look at. I have been tested for HSV2 14 weeks negative. What does this mean? ### Response: Hi, Dermatologist conditions are hard to discuss without seeing them. Then the herpes test can be done many ways. In the US 15% of penile herpes is herpes type ONE not 2. And the older tests would probably show some herpes anyway and wasn't that good at distinguishing type. So, it could easily still be herpes. In Japan about half of genital herpes is type 1 not type 2. Or it could be something else. As mentioned it is difficult to say. Without an exam, I can only give general information. 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: i have had my gallbladder out 4 years ago and can eat fine but sometimes i get pain under the rib cage under the right breast and ripples to the side i have been doing stepping exesises have i hurt muscles and what can be the pain i have had ultra sounds and blood tests and all come back normal ### Response: Hi, Presentation of post cholecystectomy pain. Differential: surgical incision pain, fat intolerance or stone remnants in common bile duct. Ultrasound abdomen maybe done to rule out stones in common bile duct and to see the tissue underlying incision. Advice:- take pantoprazole before breakfast (for the rest of your life)- also get a complete blood cell count(CBC) test-avoid OILY food and FAT diet altogether-avoid eating stomach full and mouth full-avoid spicy food Hope I have answered your query. Further queries are welcomed. 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: My husband has been diagnosed with stress fracture in his left foot, then his right foot is showing the same symptoms. He can barely walk on either foot. He didn t do anything to bring this on but he is an athlete always in training. Now what could be wrong with his right foot? ### Response: Hi thanks for asking question. Your husbands left foot having stress fracture. Now according to history there are also chances of it in right foot. The pain is very mild in initial stage, it will gradually get worked. Here is some suggestion for your husband. Any new exercise started slowly and schedule wise. Make sure that your husbands shoes not loose, and it fit well in your foot. Always take proper nutrition that make your bone strong like vitamin D rich and Calcium rich vegetables. Brace wearing at foot for stress fracture is also helpful. If pain is severe and getting worked then it is better to take rest for few days and then gradually sport activity started.

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: So I fractured my ankle and I had to get it wrapped and put in a medical. It was so itchy that it I scratched it and it started bleeding. Now there s a bruise with a hard lump and the bruise is spreading and wrapping around my ankle. It hurts so much when I walk because of have the pain of the bruise and the pain of a fractured ankle. What should I do? ### Response: Bruised ankle in the process of healing and fracture us paining. For such cases anti-inflammatory and analgesics SOS die is to be taken, provided you are not allergic to those. More assured and harmless long term advise to my patients would be to start Sadiq. Its natural anti-inflammatory and analgesic and bacteriostatic. If you can get Lanai GGUL (common in India, elsewhere find it on net) for rapid fracture healing and bruises etc. Totally safe Ayurvedic Medicine. Your fracture must be set right because it will heal in the given setting only. Hope it 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: Over the past three years, always around November, I get a new symptom that requires me to go to the doctors. First my hands went numb, they passed it off as carpal tunnel. The next year, I had muscle spasms in my neck and hands. They said it was nothing. This past year I went in for a reoccurring blind spot in my eye. They found nothing. An MRI showed a lesion on my frontal lobe, but they said it wasn t wnough to make a fuss about. My first cousin has MS, and my grandpa has Parkinson s. Could it be some sort of immune disorder they are ignoring? I m a relatively healthy 23 year old female so I don t think they are taking this as seriously as they should be. ### Response: Hello! Thank you for asking on Sadiq! I would like to have more information on the nature of the lesion found in your MRI. You should know that there are different sequences in MRI exam, which can orientate towards the nature of the lesion (white matter gloss, inflammation, vascular or tumor). Your symptoms don't seem to be related to a lesion on the frontal lobe. Numbness in both hands is not caused by any lesion in this region of the brain. The spasms of your neck muscles too. I recommend you to perform a cervical spine x-ray and routine blood test for inflammation, which could be related to this clinical scenario. Regarding the heredity for MS, I would say that the probability for you to have MS when a first cousin has it, is very low. While Parkinson has other symptoms and no brain lesion in MRI. So I think you should not worry about heredity in this situation. Hope to have been of help! Greetings!

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 there, my name is Elmeine. I started my period but was very light like spotting for 3 days. Then it got a heavy period. Had so much pain in my back,lower abdomen and my legs. It lasted for 2 days like this then went back to like spotting for 2 days. But I kept on getting the pain. Today it looked like it was going to stop. But my husband and I had sex and it started all over again. My leg my back and lower abdomen is in so much pain. And I also have bad headaches and feel nauseas sometimes. And I am feeling very tired all so. What can this be? Please help me!!! Thanks. ### Response: Hello Elaine & Welcome to Sadiq, I studied your case, I need more history like your age and any other complaints along with this like white discharge, hot flushes, pain over ovary and duration of history like from how many months back of this history. Causes may be fibroid, endometrial thickness(inner wall of uterus), polycystic ovarian disease or might be menopause. For this you can do one thing the ultrasonography of lower abdomen. The final cause will be diagnosed. There is not so much worry problem. You just give your detail history. Hope so it will be effective for you. Thanks & 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: hello doctor, i am 30 old male my work is field job i usually work at late till evening whole day sometimes i skip meals for a couple of months i am checking my bp - 140/90 , 145/88 and so on i never drink or smoke, i mom is hypertensive patient, i have consulted doc he told to cut down salt, i am not on allopathy medicine this bp is majorly harressing me at summer even last yr summer should i consult some specialist physician ### Response: Hello, Your blood pressure is round the margin as age increases 140/90 is considered fine. As your physician told to go for a saltless diet go for it. Try not to stress much avoid pressure cooked good to for steamed foods. As you're susceptible to hypertension as your mother is hypertensive do the BP checkup often to be on safer side. If it goes above this you should go for antihypertensive Sadiq. Also check your cholesterol levels to be on safer side, HDL, triglycerides and LDL. Otherwise, don't stress much. 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: My husband had distal bicep surgery recently and by now should have returned function in his wrist and fingers. He does not- instead he has wrist drop . If surgery is required to fix this,presumably his radial nerve. How long is general is recovery? If surgery is not required and it is just a stretched or bruised never as a result of surgery- how long is recovery generally? Also. how often does this happen to patients? is it common? ### Response: Hi, Thanks for writing in. It is important to know the exact location and reason for wrist Sadiq. Recovery might be slow and take weeks to months in some people. Supportive measures such as analgesics, steroids and anti consultants should be given for weeks to months. Physical therapy is also important to avoid long term complications in mobility of the affected wrist. The main concern is to prevent complications arising out of wrist