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: Hello,I doubt if you know what is wrong with me. I have blots clots, was operated on left side. Blood clot was beneath collar bone. Was removed and came back again, and now I have one on my right side also. Do you have any idea what is causing this, because my doctors are baffledMarie ### Response: HI THANKS FOR POSTING YOUR QUERY ON Sadiq.GOING BY YOUR CLINICAL HISTORY IT SEEMS EVIDENT THAT YOU HAVE INHERITED BLOOD COAGULATION ABNORMALITY "-THROMBOPHILIA" EX-PROTEIN C /S DEFICIENCY, ANTIPHOSPHOLIPID ANTIBODY SYN Sadiq. THIS RISK IS QUITE SIGNIFICANT AS IT CAN CAUSE COMPLICATIONS LIKE Heart ATTACKS(MYOCARDIAL INFARCTION), STROKE , RECURRENT ABORTIONS ETC.CLOT DISSOLVING METHODS INCLUDE "EMBOLECTOMY, WHICH YOU SEEM TO HAVE UNDERGONE.RECURRENT CLOTS SUGGEST SOME INHERENT DEFECT IN YOUR BLOOD CLOTTING MECHANISMS.OTHER TREATMENTS INCLUDE PLACEMENT OF AN "IVF-INFERIOR VENACAVAL FILTER" TO PREVENT CLOTS TRAVELLING TO HEART.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 playing field hockey 2 days ago and someone hit and lifted the ball and I got hit very solidly on my leg just above my shin pad and just below and to the left of my knee. I iced and rested immediately and have been taking it easy however it is still swollen, sore and feels warm, and no bruising has come out either even with using arnica. Also while touching it lightly it has a kinda numb feeling to it and only hurts with more pressure. Am not sure what s going on or what to do? ### Response: Hi, Thanks for your query. It seems to be soft tissue injury over leg. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Sadiq. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My father has recently been diagnosed with Lung cancer, the doctor has arrange for a FNA to check his glands. I am confused as I taught this test was to check the glands at the upper part of his lung but on reading some info on the net I am lead to believe that the glands which the neddle will be inserted to are actually in the neck. is this correct? or could this test be preformed to test glands on the upper part of the lung? Thanks Lorraine ### Response: Thanks for your question on Sadiq. I can understand your situation and problem. FNAC (fine needle aspiration cytology) is a technique in which cells are aspirated through needle insertion in the mass. It is simple, easy to perform, less harmful and day care procedure. And it can be done in any mass or swelling of the body which superficial or easily accessible. Since neck is the common site for enlarged glands and swelling, FNAC is procedure of choice for diagnosis. And lung mass, if superficial and easily accessible then FNAC is also indicated and can be diagnostic. So no need to worry, get done FNAC from lung mass. It is very safe procedure.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: have a child in my neighbor who is 3 years old. Apparently, when his mom was away, he might have swallowed something, or been bitten by a cat (NO one knows what actually happened), but the lil boy has been unable to talk for over 4 days now. He has been unable to eat any food or even drink water and is on severe medication and glucose dosage to keep him going. The doctors say that he has swelling in his wind pipe/food pipe and therefore has been unable to breathe or eat properly. NO one knows what actually happened, but apparently, he also has a bruised index finger and the doctors are speculating if he was bitten by a cat or some animal. He is having severe porblems talking, breathing, eating, and has a internal swelling. The doctors had asked to do a complete MRI, which showed the swelling has not crawled up to the brain yet and therefore the parents are hopeful again. What do you suggest Doc? I will appreciate any and every input from you. ### Response: This history goes with anaphylaxis which is sever allergic reaction, possibly from a toxic substance caused by biting or sting, could be a spider or even a snake .when these substance goes to the blood stream it causes multiple tissue damage, including systemic reaction and edema, this edema or swelling appears fatal in the narrow life dependent passages, such as the wind pipe. Which causes a subglottal stenosis and therefore difficulty in breathing and talking.these effects are worn off on few days but assisted ventilation and steroids are mandatory. 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: am a 24 year old man.i have applied for migration to newzealand.on medical examination all my values exept sgpt was normal.my sgpt was 50.i am planing to take the test again by next week.can you help me by suggesting effective ways to reduce its value by that time,without affecting other values? ### Response: Hello You have mildly raised SGPT, and it is not alarming. You need few other investigations Viral markers, ultrasound of abdomen. Further investigations can be done if needed. Proper treatment depend upon findings. You may need few medicines after investigations. If all findings are within normal limit then you may only need regular check-up. Get well soon. Hope I have answered your question. 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: Hi. I fell starting t cross the street last Thursday. Twisted my left foot and broke the shoe (they were flats) and landed hard on my right knee. Knee has some fluid on it but seems to be getting better. Foot is swollen and seems to be getting worse. It is not discolored. Hurts most on top left of foot. Is this just a bad sprain or could I have broken something? ### Response: Dear patient Since you have pain and swelling on left foot after twisting injury and not getting better possibility of fracture needs to be ruled out. I would advise X-ray of left foot anteroposterior and oblique views. Visit radiology center nearby you and get it. If report shows fracture you need to consult expert orthopedic surgeon nearby you and get yourself examined. If there is no fracture diagnosis is sprain and treatment is application of crêpe bandage for 3 weeks and rest and elevation. Take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. 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 went to the dentest and behind 1 of my front teeth I had an infection and somehow my bone behind my tooth is gone.. The dentest didnt know why it happened and said he would have to pull my tooth out. Im only 26yrs old and really dont want to have one of my front teeth pulled.. i was wondering why this happend and if there is something i can do to keep my tooth? Will the bone grow back? ### Response: I would like to know if you have had any incidence of trauma previously? If not and it's an infection by itself then the reason can be the position of the tooth is such that there is constant trauma to it by your lower tooth which has lead to such a bone loss and infection, or it could be an infection of the supporting tooth structures by inadequate brushing in that region without any trauma. In either case if adequate support is remaining then the tooth can be saved though if trauma is present you will need to get tooth position correct by braces and only then any gum surgery would help. The bone won't grow back, but bone grafts can be added to support your tooth which again would depend on the condition of the tooth which can be seen by your dentist. Though if you are told that the support is such that it has to be removed then at such a young age you can go for a dental implant immediately to restore that tooth which good esthetic results which will be as good as your lost tooth. But be sure to brush right and prevent any such thing further. 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 just have a few question I think iam pregnant I had few test but they were all negative I supposed to have my periods last week but I didn t had it this morning I had bleeding normally when I get my periods the blood colour is red or dark red but this time it s brownish I don t know what s happening ### Response: HI, I read your query & understood your concern. Delayed periods/ nausea, vomiting/ sore breasts/heaviness in lower abdomen.are usual signs of pregnancy Home Pregnancy test gives reliable results when it is done after 8 days delay in menses. You seem to have done it earlier. If it is, so please repeat it at proper time, it may be +ve the scanty bleeding you had might be implantation bleeding. Even if it is - ve . Simple causes like illness, physical or psychological stress can cause delay in a solitary period. Observe how is period this time. It may be normal. But in case the same symptoms follow again, you should get examined/ investigated for finding the cause (USG lower abdomen/ CBC/hormonal assessment.including, thyroid function tests as per a gynecologist advise) followed by specific treatment. Thanks.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am a teenager and i have been feeling kind of depressed for a while, so i took some online tests and they said i have a high chance of having dysthymia. I read some articles about it and it seems to describe almost exactly how i feel. All of the stuff online says i should be getting help, but i really dont think its that big of a deal. Im not suicidal or anything, and i really dont want to make my family pay for any medicine or therapy. Its not like its totally ruining my life, im just feeling kinda down. Should i go to my school guidence counselor, or just kinda see how things play out? Our health class is doing depression screening in about a month, so if anything is really wrong they will find out and tell me what to do i guess. I just dont know if this is serious enough to make a big deal out of it. I know my parents would either think im making a big deal out of nothing or they would overreact and get super upset.Any advice? ### Response: Hi, You are a teenager, and the hormonal changes you are normally experiencing (involuntary) do play a role in your mood changes. It is perfectly normal to get those feelings: sometimes hopeful, some others hopeless. However, keep in mind that this is a transitory period due to hormonal changes. You should cheer up and enjoy your life. You have no reason to get into depression, although you might be feeling down. Go out and walk or run or swim; in other words, do some physical activity that could help you "explode" in order to get out all the negative impulses inside you. Being physically active, socialized and following a healthy diet will help you overcome your teenage mood changes:)Hope it helped!

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 an extra rib on my right side. Im a female, 16 years old 54 110lbs. I have already been to a doctor about the pain I have been feeling from it but it seems like it hurts more frequently now. Sometimes I have to apply pressure to my rib because it feels almost out of place. I have asthma but no other diseases or conditions. ### Response: Thanks for your question on Sadiq. I can understand your concern. You are having accessory rib. And this can cause chest pain and pressure. So better to apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Try all these in your day-to-day life. You will mostly improve. But if you don't improve then surgical removal of that rib is the only option. So better to first try above-mentioned nonsurgical measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My baby fell 2ft off the bed and landed on stomach. She cried but no change in behaviour. 10 hours later she vomited and had terrible gas. She did have a new cereal yesterday as well, had the influenza shot on Wednesday. Then this morning she had diarrhea. Should I take her to the ER? ### Response: Hi....whatever symptoms you are quoting are not dangerous and not related to the fall form cot. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Sadiq are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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: Iam 39years, male. Whenever iam sitting down i feel a warming kind of disturbing pain spreading out on the left hand side of the stomach. most times i cannot pinpoint the exact location. But on an occasion i feel it was spreading from my left testicle while sitting in a bus or office chair. This has not been all the time but is more frequent of recent. LHS Stomach Ultra scan reavels on two occasions that my kidney .liver. spleen and some other associated parts are okay. If standing, the pain drastically reduced but not eliminated. Also persistent back pain concentrating now at the lower left side (waist line). I have been treated for thyphoid at some times and ulcer on several occasions. I also experience erectyle dysfunction probably as a result of these and is getting worse; i dont know.. I presently have in addition sever mouth ulcer with about 5 point ulceration in my mouth and throat. I was treated with zinnat antibiotic but it didnt go. HIV test negative. Can i get help pls.. ### Response: You are taking it very seriously, but nothing wrong came out in your thorough investigations. You are not suffering from any disease, after all body is also like a machine & some minor harmless problem do occur to most of the people but they after getting investigated become free of anxiety of having anything serous to them, but you are not coming out of it. I don't advise that you forcibly try to suppress this idea of having nothing to you rather you let it come and go, do not take it seriously, take it easy, accept it as it is happening and get yourself busy in your work, suddenly without your notice you will find it is no more there now.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for ### Response: Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. 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: My 5 year old daughter was admitted with severe fever and pneumonia.Later though, it wasnt confirmed, but she became better after treating for H1N1 flu.Now she has atrial standstill.P waves are absent in her ECG.Could swine flu be the reason for it?She never had any symptoms of heart disease in the past. ### Response: Hello dear, Thank you for your contact to Sadiq. I read and understand your concern. I am Sadiq answering your concern. No, swine flu has no effect on the heart. Influenza virus of swine flu mutant has effect on the lungs only. It has no pathogenic over the heart. But pathology related to lung with heart can cause the signs related to the heart. e.g. pleural effusion can compress the heart and stop the heart from pumping. You can go for chest X-ray PA view. This will guide us for exact situation. Instead, you can go for clinical examination to the nearby doctors they can guide you regarding the pathogenic. If its effusion than aspiration and treatment for the condition can cure you. As she is not having any symptoms of the heart disease in the future. There is no need to worry because it has compromised only atria which has almost no role on the pumping of the heart, and it will be corrected soon. Please make continuous note on the heart beat. If the heart brat is compromised less than immediately visit the nearby hospital as it can be severe condition. I will be happy to answer your further concern on bit.ly/ Sadiq. Thank you, ChatDoctorInfectious diseases specialist, Sadiq.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, My name is Senada and I have a Question regarding my Father. He is 60 years old, and has type 2 diabetes, high blood pressure, high cholesterol, no gallbladder and occasional hernias, also he just got diagnosed with the beginning stages of prostate cancer.I try my best to take care of him to the best of my ability but its very hard. He also is a social drinker and smokes. We own a family restaurant and is always very stressed out. So, my question is what can I do now! I will put him on a very strict diet but, I dont know where to start with it, what to give him what not to give him and how much and how little! I have done some research and have now just become more confused. Also, what sort of supplements/vitamins should he be taking? Thank you SO VERY much for any help.Senada G. ### Response: Thanks for your question on Sadiq. I can understand your concern. He is diabetic and hypertensive, so better to avoid sweet, sweetener, rice, potato, fruits like banana, Apple etc. Also avoid high salt diet. Prepare his food in sunflower or olive oil. Both are good for diabetes and hypertension. Regarding prostate cancer, food is not an issue. But maintaining good immunity is important in cancer patients. So give him high protein diet like eggs, beans, legumes, pulses etc. Multivitamin tablet containing folic acid, niacin, riboflavin, pyridoxine, vitamin b12 etc. is also important for immunity. Zinc, selenium, vitamin C etc. are good antioxidants and helpful in immunity, so antioxidants' tablet is also recommended in his case. Hope I have solved your query. Wishing good health to your father. 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: Recent BP reading was 169/96. Dr. said could be combination of white coat nerves, taking Sudafed and otherwise overall illness (taking Biaxin + steroids for URI). That was 12 days ago -- not on any meds, still ringing in the ears and whirly sensation. Next steps? 51 y/o; 165# no high BP in family history ### Response: Dear Sir/ MadamThanks for your query.1. The relevance of single reading of BP is very low unless it has significant symptoms associated with it and attributable to it.2. There are many more factors adversely influencing the BP like Steroids, Sedated, white coat etc. We have to remove such inciting factors and take multiple readings of BP before we could decide anything about them. Only if we can not remove any of them, e consider therapy even in their presence. A consultation with your GP is the best way out to see, if you can remove these influence or not. In the meantime regular monitoring of BP is warranted. Do not ignore any symptoms. Avoid excess of salt. Do meditation. Keep optimal weight. Try to exercise daily if not forbidden otherwise. SincerelySukhvinder

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 son is 2.5 months old. When he was 1.5 months,he had accute diahherea with green loose motions along with blood and mucous. After the motion test,got to know that the reducing substance to be 1.5%. So doctor advised to switch to zero lac. Otherwise baby was on exclusive breast milk. After introducing zerolac,there is no problem as such. I read in one of the Internet pages that blood in stool is due to milk protein intolerance. Doctors says it s lactose intolerance. When I try to give him breast milk,the problem re occurred. Tried twice,with a gap of 15 days.but no luck. Is this due to milk protein intolerance or lactose? Will my baby develop resistance against this ? On breast milk he had gained weight vigorously. But now his weight gain is slow. Any alternative for zero lac. Also due to the tasteless powder,my son sometimes resists having milk. What can be done? ### Response: Hi... Greetings from Chennai. After going through your question in detail - this is my opinion and this is what I would have done if I were your treating pediatrician. Possibility -1. Cows milk protein allergy is a strong possibility as there as blood in the stool in exclusively breastfed baby. Suggestions -1. Mother should go off the cows milk products completely - including biscuits and chocolates and all products related to milk.2. Continue exclusive breastfeeding and if it is not sufficient you can opt for Zero lac.3. Cows milk protein intolerance in transient as it will go off as the kid grows up.4. Avoid all cows milk products till the kid is 1 year age.5. Mothers milk is the best for good growth of the baby. Rather than stopping mothers milk, it is best for the mother to avoid all milk products and continue breastfeeding. If you have any further queries you can approach me at the following link. You can approach me at the following link. Please find the link below.www.Sadiq .com/doctors/ 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: Okay, this is a REALLY personal, strange question, and I m not 100% positive that you can answer it for me, but I am willing to try, really need an answer here. Let me start by saying I already sought medical attention, today actually, I went to the ER and I told them (what I m about to tell you) what I was experiencing, and they literally completely ignored my problem and only investigated into vaginal discharge they discovered upon examination. I went in because last night when I was about to take a bath, I noticed a small fleshy piece hanging from my vagina (yeah, sorry this is personal, and I feel strange asking, but clearly the ER doctors thought it was nothing yet neglected to ease my mind and let me know what it was). I was not experiencing any pain (until they did the examination and am now a little soar, which is somewhat common for me after such examinations) it s just something I have never seen before and because I am approximately 3 months pregnant it REALLY freaked me out. I have been sexually active since I was about 16 years old, and I googled what I could only describe as fleshy piece of skin hanging from vagina and everyone online seems to think it s the hymen or cherry. This answer doesn t make sense to me because I obviously had multiple sexual relations, and I bled on my first time. PLEASE get back to me on this as soon as you can, I m EXTREMELY frustrated with the ER for not doing what I went it (and paid ONE HUNDRED DOLLARS for...ridiculous). I do plan on seeing an OBGYN in person, but I am currently without a job (searching) and without money and plan on applying for medicad. If you think it s best and cannot honestly for sure 100% answer my question here, I WILL go to see an OBGYN if that is your recommendation. I just want to see if I can get this taken care of without a fee. ### Response: Hallow Dear, I would not claim that I can satisfy you 100% without seeing the tissue or the hanging skin. However, I will share my opinion with you. This type of skin like looking hanging flakes can be found in fungal (yeast) infection. It causes quite an itching. They can be treated by local application of antifungal cream like Bandit. If you are willing to accept messy treatment, you may apply Gentian violet intravaginally. This treatment has to be followed by both the partners simultaneously. Shaving private parts is advised. Also till you are cured, observe sexual abstinence. If you can take a clear photograph of the hanging tissue and upload them for my review, I will have a better concept of your lesion. If you are not relieved by the antifungal treatment, you may ask me a Direct question on this forum by going to my profile. There you can write the whole problem in details and upload the pictures. I hope this satisfies you to some extent.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My boyfriend and I were outside earlier and I m not sure if something bit him or something stabbed him, but something happened&There is a bump thing on the top of his foot and he is having severe pain and swelling around it. Any ideas of what it might be or what might help? ### Response: Hi...thanks for sharing your problem here in this forum... I can understand your problem...your boyfriend got swelling with readiness and pain on the foot...if it was abruptly enlarged and there is some sting mark this must be a bite by something ...I will advise seeing the doctor...you can give him some antiallergic for time being.but he should get tat nus immunization if its trauma or bite...hope you got your 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: Hi, I am Ramesh. My mother suffered a heart attack on 01.02.11 at 23.00 hrs. She was given a blood thinning injection at around 02.00 hrs on 02.02.11. Her health started deteriorating from 03.30 hrs onwards. She suffered from ventricular tachycardia. Now she is on life support system in Mumbai, India. her condition is bad. heart rate is 100 and blood pressure is 129/51. Is there anything that can be done to revive her. please let me know urgently. Thank you. ### Response: Hello Welcome to Sadiq. Your mother sustained a heart attack, and she was given blood thinning medication to break the clot which caused the heart attack. After a heart attack, the heart muscle gets damaged. This leads to irritability of heart muscle and hence it starts producing extra beats leading to ventricular tachycardia in some patients. Also, as the heart muscle gets damaged, the pumping function of heart also decreases leading to decreased blood supply to vital organs and fluid congestion in the lungs. This decreased pumping function along with ventricular tachycardia causes complications. Patients can go on the ventilator and need medication support for LOW BP. I assume your mother is suffering from above issues and hence is in life support. She should be on two blood thinning medications, diuretics (water pill), cholesterol lowering medications (statins), anticoagulants like heparin or clean, Sadiq. The ventilatory support must be continued till she starts breathing on herself and lung congestion gets better. The other life support medications also are continued to her body responds well. The prognosis is guarded since she is requiring life support. They may also suggest an angiography and angioplasty to evaluate and treat blockages in the heart. Wishing her good health. Regards

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have a friend who can t find answers of what has been happening and his doctor told him he should of been dead by now..he doesn t know ho to turn too or talk to..he is young in his late 40 s ..I m so concerned about him and I cry so much ..he needs help . This is his plea PLEASE HELP any the nurses or Dr s on my fb my specialists have no idea going on as along heart failure this is neurological. I have had CT scans and other brain scans can t see a brain symptoms slurred speech, dazed, extreme tiredness, weakness in left side and un co-ordination, legs give way from under me, it comes on fast like a seizure then seems to subside wth is going on ??? ### Response: Hi, thanks for mentioning brief history of your friend. It is sad to hear he is not well with so many symptoms. As you mentioned the slurred speech, tiredness, weakness in left side and no coordination it is related to disturbance in the brain activity. You need to meet a neurologist and plan an MRI which will help to open some hidden answers. Your neurologist will help you with the proper medication which will be of help. Later on you can look forward with the physical therapy which will help your friend to make the muscles stronger, coordinating exercises will help improve coordination. For the slurred speech a speech therapist is of the help. I wish your friend a speedy recovery and blessings of God

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi Doctor my age is 29 years,I got married 2 years back. we are not conceving yet,Q.1 my penis is 2 inches when it is normal & when it is erected it is 4-5 inches.Q.2 my penis is little bit curve and i get little pain during inter course.Q.3 Is this the reason for my wife not conceving.Q.4 my sperm count is 35millions ### Response: As you are 29 years old, your penis size is normal, your sperm count is normal. In semen analysis other points are also important like liquidification time, active sperms, motility. As you have complained of pain during intercourse that doesn't interfere in pregnancy. For conceiving, both partner should have normal reports. Your wife should have normal tubes, ovaries. And ovaries must have ovulating. So u should do some reports of your wife like ultrasound. So consult a gynecologist and he/she will guide you properly.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 trying to conceive. Beginning in February my husband and I started trying, but I ended up getting my period 5 days early (10 dpo). I thought it might have been implantation bleeding but 4 preg tests (last at 18 dpo) they were all negative. But ever since I have felt SO bloated and have been feeling light abdominal cramping. What gives? ### Response: Hallow Dear, I hope both you have been investigated thoroughly and there is no problem in conceiving. In such situation, try to adjust your sexual intercourse on and around the day of egg release (ovulation). The egg is released 14 days prior to next menses. The egg has 24 hours life and the sperms are active for 72 hours. Hence, a period of a week is a fertile window. Intercourse during this period might be helpful to become pregnant. You can find out the day of ovulation by ovulation monitoring kits or ultrasonography ovulation monitoring. The chances of pregnancy will be maximum if you perform sexual intercourse on the day of ovulation. If you do not conceive within six months, you may report to the Gynecologist for any investigations and interventions needed.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi Doctor , My son is 22 months old and weighs 11kgs . Recently he has been coughing a lot (not dry cough) and had slight temperature last night. I called the pediatrician and he advised us to give 2.5ml of Ambrolite-D, 3 times a day . Will that be ok. What is the difference between Ambrolite S and D ? Regards, Gokul ### Response: Thanks for posting your query at Sadiq. Your son has a respiratory tract infection. Usually it is caused due to a virus and has an allergic component associated. Both Absolute D and Absolute S are safe to be given. Dose is ok. Absolute S contains aerosol, guaiphenesin and albuterol whereas Absolute D contains Cetirizine, Dextromethorphan, Pseudocode Sadiq. The actions are similar. The main difference is due to the albuterol which is a bronchodilator that helps in widening the airway tracts when there are spasms that cause wheezing. Hope that I have been able to add

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 pain in my right side of chest, above breast but pain goes down right breast and into my right side under arm. I have had lap banding (vbg) about 6 years ago and have kept the weight off. I have trouble keeping food down and have been vomiting it up to relieve some of the pain. I also have a large hernia (from the surgery), which took over 200 stitches to close. I am just wondering if I have caused some problem to my chest or throat from all the throwing up I have done. I do this at least once a day if not more. ### Response: Thanks for your question on Sadiq. I can understand your concern. Since you had banding surgery possibility of spasm of lower esophageal sphincter is more likely. This sphincter plays very important role in swallowing. If this sphincter doesn't work properly, chest pain, vomiting, pain relieved by vomiting is seen. So better to consult gastroenterologist and get done upper GI (gastrointestinal) copy with manometry (pressure monitoring). 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: sir i am suffering from blood disorder.my both leg bones r paining & hardened. i want to feel rub both legs on rough cloth after that i will get some relife.my hb level is between 6-7.my apatite is good & my body weight is 60kg.earlier it was 58.in bone marrow report dr. suspected that it may be a myleofibrosis.they gave me a steroid up 8 months that time my hemoglobin was increased up 12.if i stoped steroid hb will decreases.finally i started taking wheat grass juice know i am free from steroids.sir please sugest me wether it is a milofibrosis or what is your advice for me to get relief from bone pain & improvement of hb level. ### Response: Hello and welcome to Sadiq, In order to know whether the problem that you are suffering from is due to myelofibrosis or some other disorder, you need to get a bone marrow biopsy done. In this investigation, a piece of bone is taken out, is processed and examined to look for any abnormality or disease. I am not sure (not clear in your report) whether a bone marrow biopsy has been done or not, however, if it has been proven to be myelofibrosis on bone biopsy, you need to take treatment for myelofibrosis. Steroids are the mainstay of treatment for myelofibrosis, and thus you will need to take steroids only. Consult your hematologists for further work up. Thanks and take care Sadiq.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello Doctor, Please hep me with general information regarding MRCP result for my mother. Please advise on below areas. 1. Next step, things to look for while getting 2nd opinion based on MRCP images. 2. Some info on this disease, complexity of diagnosis (can there be multiple reason for this disease, which would be found during surgery only ?), complexity of surgery (chances of complication)3. Suggestion on best hospital for this surgery in/near Mumbai, India Report text is below.Diffuse dilatation of entire CBD is seen with maximum diameter measuring 10mm at porta. No evidence of any filling defect is seen. Intrahepatic and extrahepatic bile ducts show normal luminal signal intensity, No evidence of any calcui or stricture seen. Pancreatic dust is normal in cliber and contour. No evidence of any side branches are seen. Pancraticobiliary junction / confluence / ampullary regions are normal. Gall bladder and cystic ducts are normal.Impression : Diffuse dilatation of entire CBD s/o choledochal cyst - Type Ic ### Response: Dear friend it's a congenital condition and it's really rare to find that she has not been treated till now the cyst will need to be excised and a Y anastomosis need to be done in lay mans term she will need to get that portion of common bile duct removed and removed portion will need to be rejoined to let the flow of bile continue from the liver.it's not a very complicated surgery so say and any proficient GI surgeon or minimal invasive surgeon can perform it your local general practitioner will be able to guide you to the best options available

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 Blood clot on left leg several years ago. I had treatment. Last week I felt lump on calf on same leg. There was a little pain and tenderness and I have been elevating my leg. The swelling has gone down but lump is still noticeable. What does this mean? ### Response: Hi. Thanks for your query. Noted your history of blood clot on left leg several years ago - that is a long ago. This may not be related to the lump you have now as the lump has reduced in size. Since there is a little pain and tenderness, this is most probable inflammatory like a boil or so. Hence, take a course of an antibiotic and anti-inflammatory medicines and consult a Surgeon to get this clinically evaluated to get a proper diagnosis. Color Doppler helps a lo to get a proper diagnosis as are the blood tests.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have been haviaving twinges or something simiilar to being hooked up to the electric current after being at the chiropractor- no pain and its during normal activity behind my left breast that radiates to my back right around the bottm of my shoulder blade- again on my left side. A little concerning to me, but I am wondering if it might just be a muslce knot in my back that is spasming?? ### Response: Thanks for your question on Sadiq. I can understand your concern. Yes, possibility of muscular spasm is more. But since it is left sided chest pain associated with left shoulder and arm, better to first rule out cardiac cause for this. So get done ECG and 2d echo. If both these are normal then no need to worry about cardiac causes. Muscular spasm is likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Avoid movements causing pain. Take muscle relaxant tablet. Apply warm water pad on affected areas. Gentle massage over involved region can also be helpful. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I fell on my knee 10 days ago and it swelled up quite a bit. I can walk fine, but cant put any pressure on it. The whole lower half of my leg turned black. I went to the doctor and he took xrays and said it was fine. He said that I had a contusion in the knee that was seeping down the leg. I don t know if I landed on my ankle or not but it is swollen and bruised to the point that my whole foot doesn t have any definition anymore.... it is very very painful. Is this normal? ### Response: Hello, I have studied your case and I think that you have developed ecchymosis in the leg with swelling and due to this you are having pain and discoloration. I would recommend you to follow these steps.1. Hot water fomentation2. Compression bandage and tablet Govern if pain is there .3. Rest4. If ecchymosis increases then you need to check your blood coagulation profile as some time this can also cause increase bleeding tendency and such symptoms. I hope this answer will be helpful for you. Let me know if there is any other followup questions. 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: Im 17 i weigh 125lbs, & right now im on birth control. & well my question is ...after having sex with my partner, i dont know if its his sperm or my cum that comes in a pinkish, orangish, Brownish color... Were worried,& we want to know what can we do, help?! ### Response: Thank you for the question, and thank you for visiting our site. When you have intercourse, there is bumping of the cervix. The cervix is very prone to small amounts of bleeding. This blood, after intercourse, can make its way out as a brownish discharge. Given the strong association of this discharge with intercourse, I believe that my answer is the most likely. It is never wrong to consider a visit with an OB/GUN to perform an exam and confirm that everything is otherwise normal and that there is no concern regarding infection. I hope that this helps and good luck!

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Mass felt to right of anus -- not obstructing having bowel movement but tender to touch. Almost feels like a sore muscle. Had stomach bug with diarrhea for three days - 10 days ago - went to bathroom a lot. Felt like even tho stool was softer than normal, I still strained because I had to go so much. Have slight hemorrhoid issues but never seen dr for. Then this mass showed up. ### Response: Hi, Dear,Welcome to Sadiq. Based on the facts of your query, You seem to suffer from-Internal hemorrhoid Mass with sentinel skin tag with fissure in ANO, which seems to be tender to touch. You seem to have parotitis with false frequency. Treatment -Photocopy and Second opinion from Surgeon would fix the diagnosis of the Lump. Possibility of the Rectal Polyp needs to be ruled out.USG and Contrast Barium Enema would confirm any additional Polypoid Cold. Endoscopic resection with Biopsy, by Colonoscopies would resolve this issue. Would be by-Anal Dilation with High Ligation and Excision of the Internal Hemorrhoid Mass.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Sadiq. S. Genl-CVTS

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 diagnosed with TB (finally) after suffering for 5 months. My diagnose was late and was confirmed after Biopsy (lungs/Left). Now I am on AKT from past 14 days. I need to know, how can I track that the medicines are effective and I am getting cured: do I repeat CT in 3-4 weeks (1st LFT is normal and going to repeat it every two weeks). Can I share my PET CT and CT reports with you ? ### Response: Thanks for your question on Sadiq. In tuberculosis treatment response is a bit of delay, as it is chronic infection. Improvement in X-ray and CT THORAX will appear late. But symptomatic improvement start after 20-25 days of starting treatment. So if your symptoms likeFeverCoughLoss of appetiteWeight loss care improving, then no need to worry. Your treatment is effective and get done repeat CT after 2 months. But if your symptoms are not improving than after 1 month of treatment than get done repeat CT THORAX. And yes, you can share your reports.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My arm suddenly went numb and when I tried to move it it worked but it felt like someone else was moving it. I could only tell it moved by watching it. Then the speed slowed down and I could barely move it at all. It was cold when it hit my other hand. Then my chest started to burn and my other arm started going numb. And everything started getting farther away as the numbness crept over my entire body. I hoped it was restricted blood flow from my previous wrist surgery. Because it started with that arm. I tried hard and jerked my right shoulder around. Hoping it would jar the senses like when your foot falls asleep. I could barely feel it but that s more than I had prior so I did it again. Then I sat on the bed and everything came back to me. I am a 21 year old female and I was not drinking or doing drugs. I had just woke up and had cooked food and drink and went to my room to eat. I am also a smoker, 5 4 weighing 104. I mention because it could be of importance. Please help it scared me. It s happened before about 8 months ago but not as severe. Simply numbness and far away and watching my body move ### Response: Hi, Thanks for your query. Numbness in the arms indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. 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: I twisted my torso while reaching down to get a pot out of a cabinet and experienced a sharp pain in the lower part of my right rib cage. The pain went away quickly, but I experienced it again a couple of days later when bending. Now 8 days later my right side is very tender to the touch and it is painful to rollover while sleeping. Do you know the cause? ### Response: Hi. Your Pain is due to sudden twisting and lifting of the pot.loading external oblique muscles abruptly resulting in spasm...and pain.pain got received instantly, and sudden spasm takes times to get received. Secound spasm worsened the issue...and this is what you are experiencing currently... If I am your treating doctor then I would like you to ice up that area frequently.say once in every 2 hours possibly...slowly and gently perform twisting towards the opposite side.stretching oblique muscle.keep a pillow under my back around low back lie in top of my pillow.relax and take deep breath in and breath out...perform some cobra stretches...lying on my stomach and lift my torso up with my palms supported...ad elbows straight...hope this information will get you out of your issue.revert in case you need further clarification...

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: one months before my wife has suffered weakness & pain in left side upper stomach. On consulting MS Surgen he has suggested liver blood test. on test it is been observed that her sgpt level has raisen to 1480 & sgot 74.so doctor told that sonography has to be done. on songraphy it is mentioned that Mild hepatomegaly is seen. liver shows alterted echotexture.no focal lesion is seen.Itrahepatis venous and biliary radicalls are normal.the portal vein is normal.also report concludes that mild hepatomegaly with diffuse liver parenchymal disease. Now after 18 days preoper rest & treatment now her sgpt level is 53 & sgot 33 which is normal.Now our doctor says everything is ok & recomnded sonography after 3 months.also hepatitis A.B,C,E tests found to be negative.Pls sugest us what to do next? Patient Name:Saritha S ShanbhagAge:31height:162cmweight:70kg ### Response: Hi thanks for contacting Sadiq.... Noted you had hepatomegaly with elevated liver enzymes... But now your enzymes value lowering down....so you are improving... You could have viral hepatitis that is resolved now... Your viral markers negative, so it could be by temporary cytomegalovirus or infectious mononucleosis virus infection.... You could have simple fatty liver like condition also...Meanwhile, for few days continue with low fat diet.... Green leafy veg and fruits more. One tsp licorice with honey can be taken... Less oil in cooking ... Avoid alcohol.... Repeat sonography test after few weeks...with liver enzymes .... It will be normal.... If still liver enzymes high Sadiq. ... Hope your concern solved.... 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 was told I have a fat pad in lower right lobe of lung. I was wondering how this may affect your health? Ive had a lot of coughing and mucus in past six weeks. Have been to Dr. and was diagnosed with bronchitis. Then went to urgent care because of wheezing. They said their was no sign of pneumonia or bronchitis. But Im still coughing and short of breath at times? Im confused as to where the coughing is from and wheezing in chest? ### Response: HI, I had gone through your questions, and understand your concerns. First fat pad seen in your X-ray or CT scan is not the cause for your coughing and breathlessness. This will not cause you any complication or illness. From your history I understand that you get cough, mucus production, shortness of breath and wheezing since 6 weeks, and X-ray ruled out pneumonia. You haven't mentioned your age and whether you are/were a smoker. Also, you had any previous history of similar symptoms. 2 probabilities are 1) allergic bronchitis or asthma, if you had similar symptoms in the past or other allergic symptoms. 2) chronic bronchitis or COPD if you are above 35 and a smoker. Depends on the condition you will need treatment with nebulizers, inhalers (bronchi dilators and sometimes containing steroids) or a combination), antibiotics (if signs of infection like colored mucus, fever, raised WBC count etc.), and may be a short course of oral steroids. In both conditions there will be excess mucus production and narrowing of airways which cause wheezing. The treatment I mentioned will take care of both. You might have to continue some tablets or inhalers for long time. Hope I have answered your queries. Thanks for using Sadiq>

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor I have itchy throat and scartchy cough and I dont have any symptoms of cold like sneezing , head ache and runny or stuffed nose. But I feel like there is phlegm in my throat which neither I could spit or swallow. And one more thing,I suffer from sinusitis very often. I have 3 cough syrup in my hands 1) Dilosyn 2)Phensedyl 3) Reswas Could you please suggest me the right one among those three ### Response: Hello, NONE of the three cough syrups you have inquired about are effective for your condition. You either have allergic rhinitis or rhinosinusitis that can be established with skin prick tests or blood test (specific IGE). If allergy results are negative, then your condition is non-allergic rhinitis. You need (1) oral antihistamines like cetirizine 10 mg or Exocet 5 mg plus (2) Flumast-AZ nasal spray that is a combination of fluticasone and elastane 2 sprays/nostril twice daily. This should be taken for a minimum of 2 months (max 3 months) and then stopped to see if the effect lasts. You can always restart if symptoms return. Hope that was useful. 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: My wife just had a heart cauterization, and the Cardiologist discovered that her pulmonary Artery is ballooning. He chose not to call it an Arianism. He will be reviewing the situation with his colleagues to determine the seriousness of the defect. In 1964, she had open-heart surgery at Vanderbilt Hospital in Nashville, TN. One of the three defects corrected was removing growths from her pulmonary artery. How serious is the condition and should we seek another opinion? ### Response: HelloWelcome to Ask a Doctor service have reviewed your query, and here is my advice. If the diagnosis is not being cleared then you can go for second opinion, any symptom or condition if related with heart is said to be serious, and it has to be taken in that way only, moreover patient already has history of cardiac disease, so it is the serious condition and needs second opinion Hope I have answered your query, let me know for further assistance.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 40 year old female. For the last couple of months I have been having abdominal pain (worse on right side) pain in right hip and occasionally down right leg, nausea , very dry mouth, frequent urination , some lower back pain, bloating , tiredness and depression. I am extremely worried. All blood tests have come back as normal. ### Response: Hi, Thanks for using Sadiq, After going the available details you have abdominal pain on right side and urinary symptoms this all can happen in infection to Urinary bladder(UTI). But your blood tests are normal it is not clear what tests have been done. You should be examined by a Good Physician and get Ultrasonography of abdomen if already not done. If everything fine and your symptoms persist then even Depression may because then it will be useful to consult a Psychiatrist and take proper counselling and treatment. Hope this helps. Take care. Good Luck. Sadiq. D

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 wanted to ask about my case. my first day of cycle was 2nd of April. i had an unsafe sex with my bf on the 12th of April. he did pull out before he ejaculated tho, but as we know that precum does have live sperm as well, so around 4 hours after, i took postinor2, both tablet in once. i read in a lot of article, we supposed to feel nausea or vomiting. well, in my case, i dont feel a thing. i feel normal. too normal. this is my first time taking this tablets. is this a normal thing? do i have to worry about me getting pregnant? when do you think i will get my period again? and when am i suppose to get a pregnancy test, incase? ### Response: HelloThanks for your query. It is not necessary to experience nausea and vomiting with the pill, though it is a common side effect. Also, with the intake of emergency contraceptives, your normal period might be advanced or postponed by a week or more. You might also experience irregular spotting / bleeding anytime in between. You should take a pregnant test if you do not have your normal period 4 weeks after the episode of unprotected sex. 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 m female..i m having tb....i m taking tablets from 9 months..doc told me not to plan for baby intially...i m takinh r-cinex 600 form last 6 motns..in 1st three month i was takinh forex tables..so i want to knw can i plan for baby as 9 month is already over..i also want to knw which blood test i should do so dat i cum to k dat tb germs r reduced or no more ### Response: Thanks for your question on Sadiq. I can understand your concern. Yes, you can definitely plan for baby now. Ruined is having rifampicin and isoniazid. Both are safe in pregnancy. So no need to worry about this. There is no such blood test to determine quantity of TB germs. If you are having pulmonary TB then you should get done chest x-ray and sputum examination. If both are normal then you can definitely stop Ruined. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my father is on capd , currently facing high pluse rate is there any woory ### Response: Hi DeepWelcome to Sadiq. I guess we need a confirmation on what you are asking. Did you mean to say COPD ? If your father has COPD and high pulse rate, this needs medical attention as early as possible. If he is breathless, you should consider supplying oxygen immediately and high pulse rate can denote a respiratory distress. Please feel free to provide us further information and get a better advice. 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 diagnosed with thorasic outlet syndrome in 2011 and told that i had 2 extra cervical ribs,one on each side.was told that I did require surgery as I have the vascular type,after deciding not to have surgery because the vascular surgeon had only done the surgery 3 times before l have since suffered a mini stroke & my right arm and hand and fingers keep swelling,going completely numb I m unable to close my hand to grasp and pick things up,been to a&e on numerous,occasions when this happens to be told that I could throw a blood clot and when this happens and that this could of been what caused the mini stroke,just wondered is this true and could it happen again.many thanks ### Response: Hi sorry to know of the stroke. Kindly consult again with the surgeon who diagnosed. This condition is not so common, and you may not find a surgeon who has performed thousands of such operations.3 surgeries are good enough for a surgeons' exposure, and trust me, he is in a good position to perform on you. Stoke can happen from any cause from clot anywhere in body to clot in brain itself due to atherosclerosis. A MRI -scan of brain and thorax including shoulder out let can catch the clue consult a neurologist as wellheads

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, I am a 15 year old female and 2 days ago i have been feeling pain in my left wrist. It usually hurts the worst if i bend it any way and when i do bend it i hear popping noise, do you know what my problem is? Some people said it could be my Carpal Tunnel..is that true? ### Response: Hello, As carpal tunnel Syn Sadiq. But since you have only pain in the wrist and some popping noise I feel x-ray of the wrist will be better. As these sounds are due to the movement of the carpal bones which happens due to the weakness of the ligaments and also the flexor retinaculum tightness. Do hot water fermentation, gentle massage over the flexor retinaculum which is located at the wrist level, do simple strengthening exercises for hand, fingers and forearm muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Am 26 yrs old..name Aswathy.for the last 3 yrs meand my husband trying for pregnancy.i haz pcod problem..had done overiandrilling..after that sergey me taken the tremens like gmh 150 injuction fertigyn 5000 iu after that iui taken.The next month i get pregnant..butunfortunately that pregnancy aborted by no feetal growth and heart beet.after 3 months of abortion treetment started. Taken three rounds of iui.but not yet pregnent.So am very sad want to pregnant what will we do..Give me a right solution.Please. ### Response: HI, thanks for using Sadiq It can be very difficult when experiencing problems trying to conceive. You seem to be seeing a fertility specialist who would have suggested the hormonal injections and the GUI. It would be best to try again, using the hormones suggested by your fertility doctor. If you are not comfortable with him or her then you can consider another center in your area. Even though the first pregnancy was associated witChatDoctorplications, the second one may be successful. Wish you the best of luck

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Does a hida scan or endoscopy look at liver or pancreas? I had both done for chronic severe upper abdominal pain . Feels like I am constantly being stabbed in put of stomach , sometimes gears a little to upper right. I am belching and burping constantly also. Both tests were negative. Endoscopy showed my stomach was fine and hida scan showed nothing wrong. I have had no blood work done. I am a 30 year old female, 100 pounds. Eating causes the pain to be excruciating. It lasts for days. I just found out I am pregnant and am scared that something is wrong in my liver or pancreas. I take Zantac twice a day. GI suggested I try Questran for bile reflux. I don t know what to do anymore, ### Response: Hi and welcome to Sadiq, thank you for your query. No, these 2 procedures cant verify some liver or pancreatic diseases. You need to do ct scan or some certain laboratory findings to evaluate this. Your symptoms suggest stomach issue, but also it can be caused by bowel disorder or pregnancy. So you may need colonoscopy too. Since you are pregnant, you should not do ct scan and MRI would be better option so consult your doctor about it. Wish you good health. Regards.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: A tiny hard lump has developed under the skin at the top of my scalp.It does not hurt -- however my head itches like crazy -- so much so thatlately i have been applying anti-itch lotion to it. What kind of a doctorshould I see. I have moved and do not have a regular MD close by --I am worried because I have a sister who developed squameouscellcarcinoma in her mouth 10 years ago and it grew like crazy and shepassed away from it. But, with all the itching, hopefully mine is something less serious. I have also had a terrible fingernail problemfor a year or so that I thought was just a dry skin condition, but nownot sure. Can you lead me in the right direction. I am not one toworry about my health, however my roommate felt the lump earliertoday and said I had better have a doctor see it. Any advise isappreciated.Thanks. Pat ### Response: Hi, dairy have gone through your question. I can understand your concern. You may have some Desmond cyst, skin adnexal tumor or some other lesion. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. You should consult general surgeon first. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Sadiq. Wish you a very good health.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 thank you for your interest in helping me. I have been having an uncomfortable feeling on the left side of my head, my left arm and left leg, (feeling you have when sleep on a limb for too long). They did a CT scan, MRI and said everything is normal. The neurologist said it is not a stroke. The only thing they found is cervical spondylosis on my neck which gives me some neck discomfort. I have this feeling mostly at rest, I had pain at the back of my left shoulder went to the ER they did EKG and said it was normal. I m hypertensive on treatment with Losarta, Hydrochlorothiazied, and Potassium. The doctor recommended physiotherapy what could be wrong with me? Please I need help . ### Response: Hello! Thank you for asking on Sadiq! I am glad that your MRI have resulted normal. This means that there is no infection, stroke or tumor. So, all serious conditions are excluded. Coming to this point, I would recommend performing an EEG to exclude partial seizures. I would also recommend performing thyroid hormone levels for possible thyroid dysfunction, blood electrolytes for possible electrolyte imbalance and HbA1C for diabetes. If all these tests result normal, I would recommend continuing physical therapy. A cervical spine MRI would help exclude possible myelopathy, although your symptoms are not typical of cervical spine compression. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards,

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: phy exam Volume 3 ml color grayish white Reaction .alkaline Viscosity normal Liquefaction time 30 mts motility Prograssive 20 Non progsive 30 Non motile 50 Total count 40 Morphology Normal spermatoza 85 Abnormal spermatoza 15 Pus cell 2-4 RBC s0-2 Epithelial nill Spermatogenic cell present. Sir , pls tell me this is normal or not ? Zubair ### Response: Hi, Welcome to Sadiq, I am Sadiq The report shows normal volume, color, reaction, viscosity. Liquefaction time is also normal. Progressive sperm is mildly lower (normal>25%) but the total progressive and nonprogressive spree count is normal (normal >50% as per WHO). Total count is normal (>40million/ml as per WHO 1999). Pus cell and RBC are within normal limit. Spermatogenic cell may present normally. So, overall the report is quite normal.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 lost 55 pounds since March of this year. I weigh 228 pounds now. For the past 2 weeks, I have had heart palpitations. I started having Employee health record my BP. I have always had a normal bp of 120/80. Recently, its been low for me. For example, today it was 110/69 and my pulse was 58. I have no other symptoms/problems other than the palpitations/hesitation. My physical is scheduled for a week from today. Should I try to get in earlier to see a doctor or should I just continue monitoring my bp/pulse until next Friday? Im scared to do the wrong thing, but I dont want to panic either. Thank you for your help. ### Response: Hello and thank you for using Sadiq. I carefully read your question and understand your concern. But you should not worry, its nothing serious. As you describe, my opinion is that we are dealing with a rhythm issue. Someone can feel strong heart beats for different reasons. It may be a simple sinus tachycardia. This means that the heart is beating faster than 100 beats for minute. Its normal range in a resting condition is between 60-100 beats for minute. When it goes up you may feel a strong heart beat in your chest and a sensation like your head and body is beating too. Another reason for this sensation might be what we call an ekstrasystol.These is electrical heart impulses that generates in some parts of heart different from normal sinus rhythm. This generates that escaped beat that you feel. You have this sensation like a beat is skipping, you may experience palpitations or an anxiety sensation. This extrasistoles may happen from different reasons from simple emotional stress to other pathologies like anemia, hyperthyroidism, extreme weight change sect. So, my opinion as a cardiologist is that you have nothing to worry and you don't have reasons to precipitate your doctor appointment. If I was your treating doctor and If these symptoms are interfering your daily live I will recommend some examinations like a blood analysis to exclude anemia, the thyroid hormones, an electrocardiogram, echocardiography and of course a holder monitoring. This will help us to document and see what happens with heart rhythm. At meantime, I will recommend you to avoid coffee, caffeine products because they rise extrasistolic beats. I encourage you to have physical training because sometimes it helps in reducing extrasistoles, tachycardia, even making them disappear. Wish I was helpful. Take good care. Best regards

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have a hard lump on right side lower jaw just above where my lower teeth finish, I went to a dentist they said it was my glands, I then went to my doctor and he said it was a stone in my glands had antibiotics and still there, got refered to ent and she said she don t think it is a stone and I m currently waiting to have a ultra sound and is getting worrying now?? ### Response: Hi. Can understand your concern. As per your complaint a lump on the jaw can be due to a number of reasons and also depends upon the time duration for which they are present. A lump can be due to an infected tooth leading to pus formation near the root tips leading to formation of a lump (Dental abscess) as pus accumulates in the soft tissues. In this case treatment of the tooth either by root canal treatment or extraction can be done. It can also be due to a blocked salivary gland duct leading to back flow of saliva into the gland and appears as a swelling just below the jawline as well as in the floor of the mouth. It can also be due to inflamed lymph nodes due to infection in any part of the body and the lymph carries the infection along with it to the distant lymph nodes. It can also be cyst (jaw cyst, sebaceous cyst) or a tumor. In few long-standing cases it can be a cancerous lump too. I would suggest you to wait till the ultrasound report is given and need not to pain as the jaw lump can be most commonly due to non-cancerous causes and can be nothing serious. Treatment can be planned only after the diagnosis is confirmed. Hope your query is solved. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation. Thanks and 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 am a 52-year-old woman, 155 pounds, 5 7 , and I have several health issues, but one that remains a mystery, and that is extremely uncomfortable, is the discomfort I have in my upper abdomen when I exert myself. This is a sensation of extreme pressure in the area of my diaphragm, like I am having the wind knocked out of me, and is most extreme when I am climbing stairs or doing anything that elevates my heart rate. I can no longer do aerobic activity because of it, and I would like to be able to work my body, but this condition won t allow it. This sensation occurs right in the middle, just underneath my ribs. It feels like my stomach has been replaced with a brick--it feels weighty. I also get mildly nauseated, and it doesn t matter if I have eaten or not. It happens on an empty stomach as much as it does on a full stomach. It feels as if I ve eaten a huge meal and can t catch my breath, even if I haven t. There is also pain that I would rate anywhere between a 3 and a 6. The pain can also extend to closer to where the pancreas is, and while I have had a few cases of acute pancreatitis in the past, my blood work has not shown to be positive for it since 1996. The other mysterious thing that nobody seems to have an answer to is that I wake up in the morning with a thin lower torso, but I put a few inches on in fluid throughout the day. This is not ascites - it is all in the tissue, under the skin, surrounding my abdomen and back. This has happened every single day for the last five years, and is also worse upon exertion. High temperature can bring it on and exacerbate it too. It s so frustrating, and I have been called a hypochondriac numerous times. I was even yelled at by an ER physician when I went in with extreme PACs and a combo of bradycardia & tachycardia that wouldn t abate - something that occurs a few times a year and that makes me have to go into the ER for i.v. Lopressor. These are the things I know for sure (and I ve been tested for many, many things). I have Fibromyalgia, Osteoporosis, Ptosis (which is worse first thing in the morning but usually goes away after time), and I sometimes get these little painful blisters on my upper abdomen, under breasts, on my knees and elbows. They are red and full of liquid and very painful. They last just one or two days, and then they are little painful scabs. They flare up fairly often - usually I get them once or twice a month. Cholesterol is 240 (I ve brought it down from 283 with diet change and fish oil). I have some connective tissue issues (hypermobility and possibly Ehlers Danlos, which my daughter was diagnosed with too) and possibly Sjogren s Syndrome (Schirmer test result is 0 and I get frequent salivary gland pain and swelling, very dry mouth, and several other symptoms) although ANA tests are negative. I had a spot removed from my chest which was positive for Lupus, however, a subsequent biopsy on normal skin from the same area was negative. I also have frequent inflammation of the medial epicondyle and it s quite painful, and painful swelling in other joints. Tests for inflammation are also negative but I was diagnosed with arthritis. I have, what a couple doctors have called Myotonia, but others dispute it. When I squeeze my hand tightly for several seconds, then relax, my fingers stay gripped. They will relax over time, or I can open them with my other hand. The doctor who diagnosed it was a primary care physician, and she observed my daughter and I both showing her, and she used the little hammer and tapped on the muscle near my thumb, which caused the thumb to cramp up. However, muscle testing was negative. I get a combination of PACs, bradycardia, and tachycardia, that leaves me unable to function because I have near-syncope when it happens. I have had three major episodes in the last twelve months or so that required ER trips and i.v. Lopressor to fix it. The first time it happened that extreme was in February of 2012 and I ve had three like that since. They don t know why it happens, but I ve had heart rhythm issues for years. An ablation didn t fix it. I have frequent flare-ups that leave me unable to perform daily tasks or work on a regular basis so I have had to go on disability, which I hate. I would like to have my life back. I would also like to find a doctor who can help me figure out this mystery, which has robbed me of so much time. I can t do the things I used to do and I am kind of afraid of the daily edema, which is uncomfortable in itself. I want to find a doctor who will not look at me like I m a freak who is making it all up. I m not. Here are some pictures of the edema in my torso. You can also see pictures of the Ptosis and blisters if you go up to the top and click on the heading. WWW.WWWW.WW ### Response: Hi ma'am, Thanks for your query. I have gone through your detailed query very thoroughly. I am of the strong conviction that you are indeed suffering from MYOTONIC DYSTROPHY, since the majority of your problems fit into this condition. Furthermore, I will try to solve most of your problems, if not all. Firstly, the heaviness in the center of chest and upper abdomen with minimal exertions; swelling of the lower torso during the day, is STRONGLY suggestive of failing of the entire heart along with co-existing coronary artery disease. Investigations like 2-D Echo, stress TMT/Thallium test and coronary angiography will confirm my views. Medicines like digoxin, diuretics, low-dose alpha-beta blockers (such as carvedilol), coronary vasodilators in adequate doses and ACE inhibitors in titrated doses will certainly help you. Further, the tachycardia-bradycardia syn 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,am 28 man,I sufferd from internal fever from a year that causes me allergy in the eyes, feel high temperature without appearing in thermometer and every time I go to the doctors they give me deffrent medicines and I geting better then afte finish the treatment the fever returns. So please tell me what I have to do?...Thanks ### Response: Howell come to ChatDoctorCore temperature is main reading as long as fever is concern if this reads normal then no need to worry, the least concern about the surface temperature of skin, even if this is high, some time because of some stress one can feel malaise, and sick, but actually this is not due to some disease, but this may be functional condition, avoid the bizarre thoughts, have a nice sleep, try to keep the stress level very low, everything would be fine soon, 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 get depressed really easily and feel worthless it doesnt take much to trigger it my mum and two siblings has been diagnosed with it too ### Response: Hi. I think myself you need to find a counselor to talk your feelings out with. I don't think you sound depressed just down and out. I felt this way a couple of months ago and the best thing I ever did was seen a counselor as directed by my doctor. Most doctors prefer you to you talk then take tablets. Talking is much better than going to a GP than getting antidepressants which don't resolve the problem. You need to find someone to talk to.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi I have been having been suffering with some intermittent knee pain ever since I landed awkwardly as a goalkeeper when in a PE lesson in school I have repeatedly been to the Accident and Emergency department were I live but have repeatedly been turned away saying I have just sprained it ive had a few instances were my knee has frozen and I haven t been able to put weight on it I was just wondering if you could advise me what to do ### Response: Hello, What I can infer from the complaints you have described is that you may be having episodes of a knee. Joint locking. It happens when there is an obstruction to smooth movements of knee joint f on any soft tissue structures in the knee like a meniscus. The best method to diagnose this is to get an MRI scan of the knee joint. It will tell your physician the cause of your knee problem. Hope I have answered your query. Let me know if I can assist you further.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My husband has Cll/lymphoma for 3 years. He went thru chemo first year and has been doing ok, He had a cold for about a week and the severe sore throat has lingered. His tonsils look very red. Is this a reason for concern and should his oncologist be contacted? He is 62 yrs. ### Response: Thanks for your question on Sadiq. Chemotherapy causes immunosuppression. So if a person is on chemotherapy, he is at higher risk of infection. And Upper Respiratory Tract Infection (URI) is very common as it is the vulnerable and easily infected site. So he is having URI, post chemotherapy. Better to follow these steps. 1. Sadiq. 2. Avoid oily and spicy food. 3. Warm water gargles 5 - 6 times a day. 4. Caroline group of antibiotic. 5. Antihistamine and anti-inflammatory

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my mom has a thoracic aorta aneurysm, parkinsons, and c difficile. she has been very hoarse past weak, short of breath, and has just started complaining of lower back pain. tonight she had an episode of very slurred speech, unable to stand, barely move arms, and unable to hold eyes open. what do you think? ### Response: Hi there. As per your mothers current complaints I think she is suffering from either a side effect of some Parkinson medication which is affecting her consciousness level, or she may be having deterioration of the parkinsonism per se. All these symptoms point mainly towards decrease brain activity. I would advise you to immediately consult your neurophysician who is taking care of her Parkinson. I hope my advice has helped. Good luck

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am having an allergic reaction on parts of my face. I think it is from my limictal or this face med I take. The allergic reaction is bothering me. I keep touching and itching my face. If I put cream or other stuff on it, my face will start burning and stinging. I am gonna look for a Dermotoligist in a few days. What can I do so I will stop touching and itching my face till I find a Dermotoligist? ### Response: Thanks for writing in Sadiq. You have to avoid the cosmetic creams or other cosmetics which may cause allergy on your face. Wash your mouth three or four times in a day with water. Don't use excessive cold or hot water. Itching may be at least partially controlled with the use of low-sedating antihistamines. You can use lover, it will reduce the burning sensation of your face. Protect your face from direct sunlight and dust. Avoid traumatizing the skin by keeping fingernails short and hands clean to avoid scratching and infecting the skin. Wishing you a 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 BROTHER IN LAW IS IN GREAT PAIN AND UPON A READING OF THE SCAN REPORT, THE DOCTOR TREATING HIM HAS SAID THAT HE SUSPECTS THAT HIS LIVER MAY BE HAVING PUS CELLS. DESPITE THE MEDICINES PRESCRIBED, HE IS IN GREAT PAIN. WHAT IS THE BEST TREATMENT IN SUCH A CONDITION ? ### Response: Hi thanks for your query....first let me clarify to you that pus cells in liver suggest liver access predominantly of infectious origin....such an access is evaluated first with the help CT ABDOMEN AND ELISA IGM FOR AMOEBA ANTIGEN.LATER ITS TREATED INITIALLY WITH TAB METRONIDAZOLE 750mgm PO TID for 21 days. Generally 70 to 90 access resolve by this time...in case an access has not resolved with this therapy, then surgical Sadiq. Please consult an expert hepatologist for further queries. Thank you.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi about a week and a half ago i started getting pain on what felt like my tail bone about 4 days ago it started getting extremely painful i cant lie on my back because the pain and when i lie on my left side i can feel a lump about 2 inches long but when lying on my right side its seems to go but is still painful ### Response: Hello, I have studied your case. Due to fall on hard surface sacrum may be injured. Due to microtrauma there may be fibrosis formation. Do hot fomentation over sacrum. It will take weeks to months to subside. Use ring cushion and take site bath [sitting in lukewarm water for 10 min]Take analgesic like Nicosia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor. If not relieved with all these methods then local injection may be required. You can take this consulting your doctor. Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My husband has a large amount of blood after an erection and then passes large blood clots, which is a mix of semen and blood. Usually, it takes between 3 - 6 hours of soaking in a tub before these clots finally all come out. Hes already had surgery twice where the doctor have put gel and wire in his main artery because they found it tore. Now it is still happening and we are wondering if something might be done? ### Response: Hi and welcome to Sadiq. Thank you for your query. Most commonly, these symptoms indicate prostatitis or epididymitis sometimes, and rarely it may be signed of STD infection. You should avoid intercourse for till symptoms Persia. And Sadiq. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. I hope I have answered you query. . Kindly regards. Wish you a 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: So the left side of my neck right under my jaw hurts a little when I touch it, and when I tilt my head up. Not bad, just enough to be irritating. Also, I ve been feeling like there s a lump there, and at a certain point if I tilt my head down and to the right I actually have a little bump like when your joints crack. I can feel the bubble like sensation move and feel like a pop in my neck when I do this. I went to the doctors a few months ago with severe front neck pain when I spoke, turned my head certain ways, or swallowed, and the physician gave me some kind of muscle straining test, and with no other concerns, left it at that. Now the pain is back but not as severe with the bubble feeling, when I press on the left it s painful, but not on the right. I m not really worried, but I want to know before I go for another emergency room visit if I ve done something to my neck? ### Response: Hello, I can understand your concern. As you are feeling the lump right under your left jaw, it is possible that you have a swollen submandibular lymph node. As it might be infected, you feel pain when you touch it. This lymph node can be infected due to presence of infection in the throat or in the oral cavity. As you are also having pain while swallowing, more chances are there of throat infection and tonsillitis. In that case, you should visit an ENT specialist to have a look at your tonsils and prescribe you antibiotics if infection is present. If the ENT specialist finds everything fine with the throat, you should consult a dentist to examine your oral cavity to find focus of infection present in the oral cavity. If infection is present in mouth like tooth decay, treatment of the infection will relieve you of pain and discomfort. I hope this information helps you. Thank you for choosing Sadiq. I wish you feel 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 HAVE A LUMP ON THE LEFT OF MY GUM I DONT KNOW WHAT IT IS BUT IT HAS HAPPENED TWICE THE LAST TIME I HAD IT I HAD A TOOTH TOOK OUT BUT NOW ITS BACK BUT ON A DIFFERENT SIDE I HAVE BEEN HAVING TOOTHACHE ON THE SAME SIDE AND TWO DAYS LATER A BIG LUMP I TRY TO BUT THAT GEL CALLED THERMA GEL TO STOP THE PAIN BUT IT SLIDES OFF MY GUM ! ### Response: Hello and welcome to Sadiq forum, i would like to inform you that a lump or a swelling adjacent to a tooth occurs as a result of infection. Infection may occur following tooth decay or a periodontal problem, in order to diagnose the exact cause a thorough dental check up is advised, kindly visit a dentist soon to avoid swelling from spreading to the adjacent tissues. Thermagel will only relieve tooth sensitivity, it does not act on infections, therefore kindly see a dentist.I hope I answered your dental query, i 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: It is about my daughter. She is 30 years old. she recently experienced what the doctor called a vassal vagal. Her blood pressure spikes for no apparent reason for short periods of time. When she goes to bed she feels like her heart is fluttering. Side note my brother had two major heart attacks at age 46. My Grandfather on my Dad s side died of a heart attack and my Grandmother on Dad s side had a pace maker. My grandfather on Mom s side had heart disease. what can I say or do to get my daughter to go to a specialist? ### Response: Howell come to ChatDoctorI really appreciate your concern, vasovagal syncope cant be itself because there are many apparent reasons behind this and without that it may not be vasovagal attack and this need to be ruled out and this is only possible when patient clinically examined and history elicited, but this is self limiting because this is malaise mediated which directly related with vagus nerve, vasovagal attack causes low blood and not high blood pressure, your sister may not be having any cardiac disease, still it is advisable to get done cardiac evaluation test, in short this is nothing to worry, 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 fell off a step and my foot went off. I felt a crack across the right hand side of the foot but could walk ok, albeit with a limp. However, my ankle was also painful. That was a week go and the foot and ankle still hurt and there is still swelling lengthways on the foot. It is making my whole leg ache as well as my other leg as I put more pressure on that one. ### Response: Hello, It looks from your details that there can be a fracture at your foot bone. You should do following to have relief- -Get an x-ray of your foot done.-Consult to your doctor.-Take a mild analgesic like Advil for relief.-Meanwhile you may apply a compression bandage from below upwards from foot to leg.-Do warm fomentation to have relief from pain.-Keep your foot elevated on pillow in rest.-Do rest. Hope I have answered your query. Let me know if I can assist you further. 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, my name is Jocelyn and i am 17 years-old. Im looking for a doctors advice because my mom wont listen to me no matter what i tell her. I havent slept at all tonight because ive had this god awful stomach pains to the fact that i feel like crying. It started out with my lower back hurting for about 3 days and it still does hurt but not as bad and now i feel like i have to constantly poop and vomit. I also have really bad dizziness and I feel really weak. I recently went to the bathroom, and it still didnt help anything, and when i looked it after i wiped it looked like coffee grounds in diarrhea. Not to be gross but im actually starting to get a little nervous. Can you please help? ### Response: Hi. Thanks for an elucidated history. Yes, you have a problem-this is gastroenteritis. The dizziness is suggestive of an active infection with loss of electrolytes into the intestine (the reverse process due to infection). You need to consult a Doctor for clinical examination, blood pressure and pulse rate. You may need IV antibiotics and supportive medicines as there is vomiting also. Request your Mother to take you to ER

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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. I think im depressed or having a breakdown, been in my house for over a week and starting to feel really anxious about going outside. I have been crying for the past few hours, i feel like i cant breath or think, i dont know what to do ### Response: Hi, thank you for using Sadiq. I can understand your concern. First let your near and dear ones about your feelings. This may help you in getting back to normal. Take help of doctor preferably psychiatrist, mental status examination by psychiatrist is needed in your case for proper evaluation of your mind condition. Once diagnosed your condition will be helped by medicine like antidepressant /antianxiety as well as psychotherapy like cognitive behavioral therapy. Hope this will help you. Regards.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am a 76 year old female, always in good health,, with regular check ups, good labs, etc. Today I learned that my regular blood test showed a drop in Hemoglobin from 11.5 to7.5. I have been very tired and weak lately. My doctor has referred me to a GI specialist believing that there is internal bleeding. My mother died in 5 months from ALL. Is this a potential diagnosis? The lab tests did not indicate elevated WBCs.Thanks, (I am also an RN. ### Response: Hi, dear. I have gone through your question. I can understand your concern. Your hemoglobin is Sadiq. So this may be due to some bleeding. You may have gastrointestinal tract bleeding or may have some gynecological bleeding. So use should go for ultrasound abdomen and endoscopy if needed. Don't worry about ALL. No, any possibilities if ALL in your case. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Sadiq. Wish you a very good health.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 went to get an MRI as I was having myclonic jerks during my sleep. Here is the result of the MRI. 1.Multiple scattered punctate foci of T2/Flair hyperintensities within the subcortical white matter are more than expected for patient s age (39) but nonspecific. These may reflect sequela of migraine headaches, mild age-advanced microvascular ischemic disease if the the patient has known vascular risk factors, or remote infectious/inflammatory etiology. 2. Left Choroial fissure cyst 1.5 x .8 x .7cm is an incidental finding of no clinical significance 3. Otherwise unremarkable Brain MRI Should i be concern with the 2 findings as I am still having issues with the myclonic jerks during my sleep ### Response: Hi there, Thank you for writing to us. You are most likely having what is called as hypnotic jerks. These are a form of myoclonic jerks that happen when one is asleep. This is something that is normal and nothing to worry about a great deal. In fact this is something that is very common, and even I experience them myself. The findings that you are having on your MRI is not something that concerns me and this should not be causing you the myoclonic jerks by any stretch of the imagination.Therefore, I would recommend that you should just relax as there is nothing a great deal to worry about. Kindest Regards.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: "i have a bump it hurts and wheni applied pressure on it some puss came out. it is locolized over a broken baby tooth. i have had one before. both times when they had started my dentist said that he would not fill them because they are baby teeth. it hurts ### Response: Thanks for using Sadiq. Read your query. In your query you have not mentioned your age. If all your permanent teeth are erupted, you have to get the baby tooth removed. The pus and pain suggests an abscess formation in relation to the tooth which has to be removed. If the permanent are not erupted, then you can go for lumpectomy to save the tooth till the permanent tooth erupts. Antibiotics on advice from the dentist is to be taken. Do salt water gargling. Hope this was helpful. Thanks and 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 been detected with Grade 3 Fatty infiltration of liver . I would like to know the following: 1. What are the causes of fatty liver? 2. What are the external symptoms of fatty liver ? 3. What does Fatty liver grade 3 lead to ? 4. Is there any cure for the disease ? 5. What is the line of medication ? 6. Is there any dos & donts ? ### Response: Hello USG findings indicate fatty changes in liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc. I suggest investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients. You should try to lose your weight as you are overweight. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You may need some medicines after full investigations. It may take 6-8 months to reverse the findings. You should be active in your daily life. You should avoid red meat and high fat milk products. Cook food in olive or canola oil. You should also avoid fried and junk food. Take a lot of fruits and vegetables and increase your physical activity in the form of walking and exercise. 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: Hi, I have a brother who is currently incarcerated. When I went to visit him today, he told me about a lump on his chest. He also told me that the doctor there was giving him medication but was telling him the wrong name of the medicine. I was just wondering, arent they suppose to do some type of exam on him to determine what it is before they just give him medication for it. The reason I ask this is because he told me that they said it was nothing that they could do. So I was wondering if they were suppose to diagnose him with something before just giving him medication? ### Response: Welcome to Sadiq. 1. The history is a bit inadequate, as you have not described the lump and its location on the chest, however I will try to explain to you the possible causes.2. The most possible cause could be infective etiology, hair follicular infection with collection within - which needs antibiotic in early UN complicated condition, where late and complicated needs excision.3. Other possible cause will be lipomas which needs to monitored unless until symptomatic where excised.4.Finally, bone lesions arise on the chest wall, and hernias. Which need to examine and do needful treatment.5. An ultrasound scan will help in the assessment of the nature of the lump, its source and extensions.6. Suggest to get examined and diagnosed and treated appropriately.7. Probably the doctor would have visually able to make out the type of lump he is dealing so started treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.Sadiq .com/doctors/ 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 Dad 61 yrs old is had a back pain complains so after and MRI the result is L5/S1 DISC - posterial protrusion indenting the thecal sac and impinging on the traversing roots at the lateral recess; mild bony canal narrowing is present. L4/5 Disc - Diffuse posterior budge with annular tear indenting the thecal sac and touching the traversing roots at the lateral recess. L3/4 Disc - Posterior central protrusion indenting the thecal sac and impinging on the traversing roots at the lateral recess. Whole spine survey: c3/4 and c5/6 discs - posterior protrusion indenting the thecal sac and cord . no cord edema seen. - is surgergy necessary for this? ### Response: Hello, Welcome to Sadiq. I am Sadiq Psychiatry from India. I have read your question carefully and understood it. Furthermore, I can understand your concern. Furthermore, I will try my best to answer your query. The condition you are mentioning here is called prolapse intervertebral disc with neuronal compromise. I will make you understand this disease. Our vertebral column is a bony structure which is made up of many bones called vertebrae. Vertebral column is hollow towards posterior side to accommodate spinal cord. In between two vertebrae there is a cartilaginous disc which is a main part of vertebral joint. Sometimes due to wear and tear or injury to vertebra, an intervertebral disc gets prolapsed and bulges posteriorly. If this prolapse is severe then this disc may impinge upon the spinal cord and emerging spinal nerves roots. This condition is dangerous as it may cause paralysis of lower portion of body. In your fathers' case it is more complicated due to multiple levels of involvement at both cervical (neck) and lumbar region. Sooner or later surgery may be required. I suggest you to follow the advice of his treating neurosurgeon who may advise correctly the right time of surgery according to functional capacity of your father. I wish your father a better 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: Hi, I just had a tooth extracted, bottom molar (#19) and it was about 13 hours ago. I am still feeling numbness, but that is not the biggest concern because it is slowly going away. I have always had trouble clotting and the oral surgeon put collagen in this time to help it clot? Im not sure what that all means. Anyhow, it bled for hours, even though I was using gauze properly for 30-40 minute periods. Finally, all blood stopped. However, I dont think I have a clot. I have seen clots before and this doesnt look like my many other extractions. I shined a flashlight on it and it is brown, white and flat. There is no hole in the extraction site, but its not a clot either. Should I go back to the oral surgeon tomorrow or should I wait two days. I am just wondering if he can do something as to form a clot. I have trigeminal neuralgia and dental visits are so terrifying to me, but pain is worse. I have taken abided by all advise from office. I only drank cold drinks and NOT from a straw. I have only had cold pudding, jello and a mashed up banana today. I have not spit, rinsed or brushed my teeth. Any words of wisdom?? I feel like crying. Pain in any part of my mouth will trigger my Trigeminal Neuralgia. ### Response: Hello, Welcome Thanks for consulting Sadiq, I have gone through your query, as you have mentioned that you have undergone extraction of wisdom tooth don't worry much, if you feel like bleeding or foul smell from extraction socket, then you consult your dentist immediately, As you said that you have said that are not brushing your teeth after 24 hours of extractions you can Do warm saline gargle two - three times a day, do mouthwash twice daily, to maintain good oral hygiene, Hope this will 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: my boyfriend went to the dentist because his tooth cracked, the dentist said it wasnt a root canal so they cleaned it and then put a grown on it, the grown felt loose so he went back and they did some more things to the tooth and then put another grown on it, he wont get his perm. grown till 5/6/2014. ever since he left the dentist on 4/18/2014 he has had this horrible pain he says he feels like the nerve. they said it shouldnt be hurting so he is going back tomorrow, i feel like they dont know what they are doing, every time he goes there for help they just add more pain. is this normal to have this pain while having a temp. grown on the tooth or is something wrong? please help ### Response: Hello, thank you for consulting with Sadiq. Actually when a tooth is fractured horizontally, and the fractured line goes between crown and root of teeth then you should go for root canal treatment of tooth. But if the fracture of tooth is vertical, or it is below the root level or in between root, then you should go for removal of tooth. Because in these fractures no fillings or crown is helpful. So better you should go for removal of his tooth. 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: Hi,My name is Jon. You can consider me as a health freak since the start of this year. The reason being is that I just had an episode of high cholesterol, including stressful situations in office, therefore experiencing heart palpitation, nausea, sweaty hands and hard of breathing.Thank God, I had a change of mindset (coz i dont wanna die) and had to eat proper foods (mainly vegetables, fish, no dairy products,and lots of fruits) and exercise. After 3 months, things got back to normal, except the feeling of anxiety. I thought then its an blood ph imbalance, so i ate more fruits, but to no avail. Ive had my insides/abdomens checked (ultrasound),all are normal, had my liver and kidneys checked, results are normal,had my triglycerides and cholesterol checked, normal,except for LDL (.5 units lower than the lowest in range, i think its caused by lots of jogging). There was this time wherein i physically felt as if the anxiety just turned off without any reason at all, and it lasted for 2.5 weeks, then it turned on again. I hate this feeling. It feels like there s an impending doom, therefore causing me to have sleepless nights. I dont know what kind of doctor do i have to go to, hematologist? endoctrinologist? nutritionist? can you please guide me on this?Jon ### Response: Hello! Welcome and thank you for asking on Sadiq! I passed carefully through your question and would explain that your symptoms seem to be related to anxiety. Low cholesterol levels can contribute in sleep disturbances and in anxiety too. Coming to this point, I would recommend consulting with a specialist of this field (psychotherapist or psychiatrist), who can help you to deal with your anxiety professionally. Yoga and meditation can help too. I would also encourage you to continue on your healthy diet and your daily physical activity. Hope you will find this answer helpful! Kind regards,

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: From last two weeks,I have body full itching and swelling on face and legs especially during night times. the symptoms slowly develop from evening and severe at night.i am taking medicine for allergy everyday night . this itching lead to rashes on whole body and it disappears by morning.why this allegy came and why it is persisting??? please help ### Response: Can you think of changing any soap oil cream or shampooHave you introduced any medicine for fever cold pain or multivitamin these can cause thylakoid Using mustard coconut walnut groundnut almonds soda oilcan apply olive and can use olive for cooking the housekeep temperature between 25 to 35 degree of room temperature can take Basting 10 MGM plus Atari 10 mg at night for 3 week can apply fluticasone and histocalaminedo for 3 weeks till you find answer l

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: is letsi tab helps in concieving baby soon.i want to get pregnant soon dr prescribe me letsi2.5mg tab. my age is 25yrs, wt-51kg,i had d n c on oct 15 now i am trying to concieve my reports are normal.after intercourse sperm comes out from me is it means i am not concieving.plz help me ### Response: Hi, I think it is normal for the semen to come out of vagina after contact. This will not prevent pregnancy, because sperms can swim up into the uterus even if it is in contact with your vagina for few minutes. Lie down after contact for 10 to 15 minutes. Lets tablets help in the growth of your follicles and induce ovulation. So, it increases the chance of pregnancy. You can track your ovulation by repeated ultrasound or ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 doctor said that one of my fallopian tubes is bent but last time he checked it, he said he straightened it but said it would stay straight for only about months until it goes back to being bent again. this was a year ago when he made it straight and is been over 6 months now. me and my husband have been trying to get pregnant and I was not able to conceive even though I was told I have good quality eggs and I am fertile. We tried now with insemination for the first time and it hasnt worked. what could be the problem? please help ### Response: Hi, It is not clear from your history what your doctor meant when he said he straightened your fallopian tube, if there were any adhesions which were lased. There are several factors which are responsible for failure to conceive, and tubal factor is one of the most important. I would suggest a proper evaluation by an infertility specialist. You need to test for tubal patency and tubal motility. If nothing can be done, IVF is the ideal solution. Without tubal propulsion of the ovum, insemination is not going to help any better. 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: hi iv just discoverd a bump at the back of my mouth on my gum next to my my tooth and when i poked it really bad smelling puss came out its the same sort of smell my breth had when i had a throte infecion once im not sure what it is? im 20 and have had teeth out in the past and braces and this week i have been to the dentist she said i had a cavity but that was on a different tooth and iv only found this bump a second ago feels like an ulser but really smells ### Response: Dear friend. Thanks for sharing your concern. The bump at the back of your mouth could be due to periodontal pocket, an abscess that contains bacteria and pus in it.Also, due to presence of braces many a time it is difficult to maintain hygiene and results in decay.Therefore, in my view you must seek your dentist help in this regard and get the suitable treatment done. The earlier, the better it is, in case of gum problems and tooth decay. Hope it helps. Thanks. 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: So lately, ive been having problems on my vuvla/anus , were its itchy till it burns and my skin starts to peel, and it hurts when i touch it. It feels like my skin teared in some places, and sometimes it feels really itchy, and now i feel a lump near my perineum? ### Response: Welcome to ChatDoctorPerineal itching can be due to vaginal infection or worm infestation and may suggest diabetes. The lump which you are feeling may be perianal abscess. You should see your surgeon the earliest possible because pus/abscess needs urgent Sadiq. If there is no formed abscess antibiotics will help. Also, gynecologist opinion to rule out vaginal infection is needed. Tab Albendazole 400 mg single dose empty stomach is sufficient for worry infestation. 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 can only walk short distances and then I become very short winded. I was told that I have High blood pressure in my lungs and wonder if this could be the cause, or is it because I am overweight? What are the treatment for high blood pressure in the lungs? I really want my life back. ### Response: Thanks for your question on Sadiq. I can understand your situation and problem. High blood pressure in lungs is known as pulmonary hypertension (PHT). And It can be the cause for shortness of breath after walking. There are many causes for PHT. The common ones are1. Primary or idiopathic (without known cause)2. Secondary to pulmonary causes.3. Secondary to cardiac causes.4. Rarely storage disease. Most common causes are secondary to pulmonary and cardiac causes. So get done1. PUT (pulmonary function test)2. Chest x-ray and CT thorax.3. 2d echos better to consult doctor and discuss all these. You first need to identify the cause for your PHT and then start treatment accordingly. As treatment is different for various causes.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 19 month old got what I thought were mosquito bites yesterday afternoon. After about 2-3 hours they got very enlarged, irregular shaped and swollen through the night and this afternoon they are very red, raised and blotchy and oozing a yellowish pus. Should I be concerned and take her to a doctor. No fever, no strange behavior and it doesn t seem to hurt or itch. ### Response: Welcome to the ChatDoctorI completely understand your concerns but don't worry. Many a time our body releases histamines in response to some insect bites which leads to such type of reactions. You may take the following measures to help her:1. Apply lactocalamine lotion on the lesions. It will be soothing.2. Start her on an antihistamine such as Spy Ben Sadiq. 3. In case the condition worsens, steroids and a

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi , 3 weeks ago ; i have alittle pain when touching near my left rib cage and below the breast area. The pain is now gone , but when i stretch my arm high ; theres pain for the 2nd week. Now , being the 3rd week ; not much pain. However , i could feel that theres this vein or muscle im not sure; probably from beneath my left nipple attached to my left rib which seems to be stretched when i lift my arm ; and i could feel it. Theres no vein on the other side of my rib. When i tend to press and pull the vein ; theres pain. Can i know whats going on ? Thanks. ### Response: Thanks for your question on Sadiq. I can understand your concern. Your symptoms are characteristic of muscular spasm and muscular pain. So apply warm water pad on affected. Take painkiller and muscle relaxant Sadiq. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Don't worry, you will be alright with all these in 2 weeks. 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 am 8 weeks pregnant and I have started spotting. It is light and pinkish red in color. I have a uterine septum as well. I had an ultra sound this past Friday and she said everything looked ok. Should I go to the ER or can I wait to see my Dr. tomorrow? ### Response: Hi, Sadiq. I welcome you to Sadiq VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Any kind of spotting or bleeding during pregnancy needs close attention. You should be cautious about it, but need not panic. I will suggest you to take bed rest. Use of vitamin C tablets, capsule GAEC CVP will be of help. Also, Use of Tab Austen SR 200 mg 2 times a day for a week is advisable. You can repeat USG if necessary, also Injection Sadiq 5000 II. U can be taken once a week till 14 weeks of pregnancy. Please continue with B 12 Folic acid as before. Do not worry. Be cool, calm.relaxed. I hope this answer helps you. 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, I believe I recently came down with the flu as it started suddenly with a sore throat and body aches through the upper back and neck . Spent yesterday with a mild fever and lots of coughing. I am an asthmatic so the added inflammation in my bronchial passageways is less than pleasant to say the least. Today I feel like I am on the up&up and the cough is no longer producing white sputum , but when I cough hard there is a metallic-type taste in my mouth. I figured it s normal since I spent the better part of 48 hours, day and night, hacking my lungs out. Anyway, is this normal or something to be concerned about? Thanks so much! -Jonathon ### Response: Hi, Viral fevers are known to be debilitating and sap a persons' energy quickly. They manifest as anything from colds, to cough, to fever, to gastric disturbance and body aches. Altered taste in the mouth, or in your case, metallic taste is one of the symptoms of a viral infection because a virus can affect your sense of taste. Also, since you are an asthmatic, it is also possible that this added infection has caused you to breathe predominantly from your mouth making it Sadiq. Deny

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My son is six years old. He has got heat boils all over his face. But now he has got a boil on left side of eyelide and below the eye and there is swelling below both the eyes. Is it curable by medicines or shall I consult a surgeon for the same. please advice ### Response: Hi...by what you quote I feel that it could be a pyoderma of the face, and it is curable with medicines. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Sadiq are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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: Hi Doctor, My couisin who is a male child of 16 years has been diagnosed with depression . He tends to act violent whenever attack strikes him. His Visa interview date is been schedule in July month itself, and he has been diagnosed positive for depression last month only. I just want to confirm that is any cure is available for depression patients .Moreover , is it safe for us to send him out of India away from family for studies??? Many thanks for your help ### Response: HI Srivastava.sneha88. THANKS FOR YOUR QUESTION. IT IS A CASE OF AGITATED DEPRESSION OR BIPOLAR DISORDER WITH CURRENT PHASE DEPRESSION.OK.WHATEVER THE DIAGNOSIS Maybe IT CAN BE TOTALLY CURABLE BY PROPER MEDICATION AND IF NEEDED BY COGNITIVE Behavior THERAPY.BUT Sadiq. IF YOU ASK MY OPINION THEN I TELL YOU DON'T ALLOW HIM TO GO OUTSIDE IN NEXT 6 MONTHS WITHIN THAT HE WILL BE CONTROLLED BY MEDICATION THEN YOU CAN SEND HIM OUTSIDE.DON'T HESITATE DEPRESSION PATIENT DOING VERY WELL IN THEIR ACADEMIC AND PROFESSIONAL LIFE ONLY THEY NEED SOME FAMILY SUPPORT. 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 Kid 2years 6 months old is having fever thats goes up to 104 F and then goes down on giving fever tables (calpol) and antibiotic(Adventis). He is also showing red rashes all over his legs and hands since morning . Can you please advise what it could be? ### Response: Hi dear, I understand your concerns sudden onset high grade fever along with rash is most likely a viral illness. If he does not have any other symptoms, is playful when fever comes down, and taking feeds, just give him paracetamol 3-4 times a day. Let him take rest and Sadiq. If the rash is itchy, apply calamine lotion over there 2-3 times a day. If bothersome, I used to give antihistamines like HY

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 liver function test all parameter normal except pt -79 ,ot-120 , usg says mild fatty liver ... taken atorva -5mg for last 3 years .. drinks very less... sugar recently little higher , started med and now for last 15 days under control....age -48 height 177 cm wt. 77kg ### Response: Hi thanks for contacting Sadiq... Noted you have fatty liver that is stenosis in which fat accumulate in hepatocytes. It is reversible condition. It will take few months for complete clearance.... For that follow below advise..... Take low fat diet. Use very less oil in cooking and use only sunflower like good oil. Regular exercise need. Refine food avoided.... Fruits more... In lunch and dinner take salad of carrot, spinach, cucumber etc.... Avoid alcohol... Non veg, pizza, meat, cheese etc. like trans fat food avoided.... Udiliv tablet can be taken.... 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: hi my 10 week old daughter has been on asthavent for the past 5 days. she has also been taking an antibiotioc cefaclor oral suspension and adco prednisolone once a day. The dr prscribed these as she had a bad chest cold that bordered on asthma. we also nebulise her three times a day.unfortunately i have contracted the flu and baby seems to be getting sick again. i was wanting to know if we could give her ponstan syrup for babies .... can this be used for coughs and colds. her nose is quite runny now ...PLEASE ADVISE ### Response: Hi, As per your statement you are taking treatment for your 10-week-old daughter for Bronchial asthma - that means your child has respiratory infection associated with cold and bronchial spasm (difficulty in breathing). It is a common phenomenon. As you are suffering from flu and your child has recurrent attack it is better to consult a pediatrician for further management. She may need change of antibiotic. Bronchi dilator can be given till difficulty in breathing (asthma) stops. Regarding prednisolone, it has to be given in tapering dose and that too with the advice of the Sadiq. Constant may take care of fever associated body pain. Regarding your child a review by the pediatrician and simultaneous treatment for you by a physician is a must. Keep away from the child for betterment of both of you. 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 m a woman who s 37 years old for the past 8 month I have experience sharp pains under my left boob . I been to the hospital had my heart check and was told it s ok , my family doctor said it was a floating rib then 1 month later it changed to gurd I was given medication that done nothing for me . I went back and was told it was my gallbladder so I rushed to the hospital only to find out my gallbladder was perfect and nothing was wrong didn t even have gallstones , today I woke feeling in pain like I was having a heart attack rushed into the hospital only to be told to give a pee sample , the sample came back their was blood in my pee . And once again to go see my family doctor what is the cause of my chest pain it feels like it s heart attack ? ### Response: Thanks for your question on Sadiq. I can understand your concern. No need to worry about heart attack because your heart related reports are normal. You are having blood in urine. So possibility of kidney infection or stone is more. In both these conditions, pain and blood in urine are present. So better to get done ultrasound examination of abdomen to rule out kidney related problems. Of this is also normal than no need to worry about any major diseases. Your chest pain is mostly due to musculoskeletal cause, may be due to floating rib. So apply warm water pad on affected areas. Start painkiller and muscle relaxant Sadiq. Avoid movements causing pain and strenuous exercise. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi..I take ovralg to get my periods..I have son 4.5 year old through IUI and now I want another child and I m still taking ovralg...do I nees to go through the same process again or is there any chance I can conceive naturally...will 14 th day formula apply on me as I read that first day of ur last count 14 day if you will do then can get pregnant as i get my periods through ovral g so will this work for .please assist ### Response: Hello.thanks for trusting the Sadiq doctors for your health related queries. I guess your concern is about.remedy for getting pregnant...right.well.there are plenty of remedies in the present world. One of them u have already tried during your first baby.right.as u told that, you are taking overall, it's given for regularization of menses. Once periods will regular, chances of getting pregnancy is increased.that's why your treating doctor prescribed u.lastly want to say that, YES.there are chances of getting pregnant with natural formula, as u know 14th day formula. It is also called fertile period(it is from 10th to 16th day of cycle) during this period chances of getting pregnant is high. Because on the 14th day ovulation occurs(follicle rupture n ovum comes out), so that we doctor advice to do coitus from 2 days before n after this 14th day, so that sperm can fertilize the ovum n pregnancy will happen. With the above discussion u can try out my suggestions-1. DON'T WORRY.RELAX, u can get pregnancy with natural methods. There is chances.2. Once your menses will regular, chances of getting pregnancy will increase spontaneously. So regularize the menses then try the 14th day formula.3. If u r in hurry then visit to nearby infertility specialist.he/she can help u out. 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: Er...for some reason, Im scared of my own heartbeat. Ever since I learned about it in detail in biomedical science class. The fact that its there, pulsating, moving around a bunch of BLOOD, I just cant stand to feel my own pulse. Hearts gross me out, just,.....ewwww! ### Response: Hello and welcome to Sadiq. Thanks for your query. I understand that you are quite distressed by your recent problem. From the description of your symptoms, it appears that you are suffering from an Anxiety Disorder. Since this is causing you so much of distress, I would suggest that you seek professional help. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Treatment will involve counselling and in some cases, medication can also be helpful. 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: my first blood work (when i had a cold) came back that my sgot (ast) was high (50) and my alt (sgpt) 111 was also high, so I went and got some more blood work done and now it say that my sgot is 16 and sgpt is 36. so Im not sure why the difference. Also my HBsAG confirmation is positive abnormal but my HBsAg screen indicated negative... what does this mean, Im very confused.Thank you ### Response: HelloThanks for asking query on Sadiq. Transient elevation of transaminase (GOT/SGPT) during an episode of cold could be secondary to a viral illness or tablets you might have taken for cold. But point of concern is Bag confirmatory test being positive, it needs evaluation like HBV DNA level, E antigen and Ultrasound of abdomen. You need to meet your gastroenterologist/physician for further evaluation.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 weeks pregnant. I had a runny nose and sore throat last Friday. The sore throat went away, but my nose completely clogged for 5 days. I took a benadryl but it is still clogged. I used Afrin once, but it is still clogged to the point where I havent tasted food for 5 days and I can barely get any mucous out when I blow it. ### Response: Hi. Welcome to Sadiq . I have gone through your query and can understand your concerns. As per your complaint it seems that you have upper respiratory tract infection also known as Common cold that is viral infection and as you are pregnant you can take only limited medications.Also, viral infection is self limiting and resolves within a day. You can take antibiotics like Amoxicillin to prevent secondary bacterial infection. Take Tylenol for pain. Do warm saline gargles, steam inhalations, saline nasal irrigation and use a humidifier in your room to breathe moist air, and it will soothe the nose and throat. You can take plenty of warm fluids and take sufficient rest. Do warm compresses over the chest and around the nose.avoid chilled and spicy foods. Hope this information helps. Thanks and 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 fell backwards and hit the corner of the tail gate of the truck when I landed I gashed my back and landed on my wrist and back. Back is becoming bruised and really sore, and wrist is sore? Do you think it s just bruising or do I need to get xrays done. ### Response: Hello dear, The symptoms as mentioned in your post are due to the impact as well as accumulation of fluid & blood (Hematoma). Symptomatic relief is obtained by analgesics preparations (like Diclofenac + Serratiopeptidase), ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, restriction of movements, discoloration, etc...then it will be better to consult your Doctor. An X-ray of the wrist joint will be needed to rule out any bone fracture or soft tissue injury. Till then, maintain adequate HY Sadiq. There is no need to worry, you will be fine. Wishing you a good health. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: A hard area under the skin just developed. It is where the bum cheek attaches to the leg.its above the vagina and under the anus,off to the side. It hurts.it is about an inch long and halph an inch thick. You cant see it, you can just feel it is hard. ### Response: Hi. Thanks for your query. Noted the history and understood your concerns. The lump under the skin that can be felt at the spot you have explained looks to be due to a boil or an infected cyst. Rare possibility of a Fistula-in-ano should be born in mind. I would advise you the following in such a situation:Consult a General Surgeon for a proper examination, per-rectal examination to know the proper diagnosis. Get started on an antibiotic, anti-inflammatory medication and see the results. Take rest as it is on pressure point. Get operated if advised so by your Surgeon.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: For the last 5 days I have been experiencing strange, irregular heart beats. My heart beat will increase then do this like studder and then one big thump that I can feel up high in my chest/throat and then goes back to normal. It occurs at different times through out the day and can last up to 10 minutes at a time. ### Response: Thanks for your question on Sadiq. I can understand your concern. By your history and description, possibility arrhythmia is more. Arrhythmia is irregular heart beats due to defect in conduction system of heart. And it causes similar symptoms you are having. So better to consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hour continuous monitoring of ECG). On the basis of these reports, type of arrhythmia can be identified and so appropriate anti arrhythmia Sadiq. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.