text
stringlengths 504
12k
|
|---|
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello, I have been trying to conceive but since it was unsucessful for about a year went to a doctor and had done sonography tests in the month of january 2013 and my gynaecologist said i am having PCOS and prescribed to me Oosure tablets for a course of 6 months which I am still taking and then to take Clomipure for five days between day 3 - day 7 for four months. If these medicines do not help me conceive within the next four months what is the next step? I also have occasional pain on my left lower pelvis area which sonography suggested a small cyst but it keeps coming and going every cycle but yet it is very painful. ### Response: Hello, I would be happy to help you with your question. You are on the right course with closed. I agree that after 4 months, re-evaluation should occur. Given your cyclic pelvic pain, this might include a laparoscopy to evaluate the pelvis for endometriosis and patency of the tubes. If this workup was normal, then the next step would be a fertility clinic and possible GUI. I hope that this helps. If you have more questions, please click on "ASK ME A QUESTION" link above to directly ask me a 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: sir i don t know wats the problem inside me i cant able to control my thoughts something is controlling inside me i don t know wats it is,i cant able to sleep at nights many times i tried to commit suicide but still i am alive i don t know wat to do.i am having full of negative thoughts and imagination thoughts.pls suggest wat give me peace? 22,4.6,38 m ### Response: Hi, I went through your query and can understand your distress. From what you have mentioned, you seemingly are suffering from depression which explains your negative thoughts and even suicidality. Since you have already attempted to harm yourself, I would suggest that you should seek a psychiatric consultation without any further delay. You should also talk with you family members regarding your symptoms. In case of depression, treatment with anti-depressants like venlafaxine or Escitalopram would be highly effective. In your case, the treatment should be started as soon as possible. I hope that you found the answer helpful. Best wishes. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My truck driving husband, 67 yrs old has been having trouble with his lower back like he has for yrs. The last few days hes feeling weak, achy all over and cant seem to get enough sleep. Hasnt been in contact with anyone sick lately. He also runs a low grade fever and gets chills to the point that he just shivers all over. What do you think might be going on? It isnt easy getting in to see a Dr. out here on the road. ### Response: Hi, Welcome to Sadiq. Dear most probably your husband is suffering from lumber root compression which might be due to posture, or disc prolapse along which some medical cause for fever. Please have a MRI of lumber sacral spine and screening of whole spine get done. ESR, CRP, CBC, malaria optimal test, dengue test should be done to diagnose the cause of fever. Hot fomentation, and physiotherapy can help. Avoid forward bending and lifting heavy weight. Take analgesics, anti pyre tics, antibiotics, calcium and muscle relaxants, start physiotherapy. Visit physician for fever. Hope your query get answered. Welcome for further queries. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi there, I was circumcised almost 9month ago but till today I m having swelling at circumcision scar,I asked my dr. why it isn t gone he said You got stiches infection and it will take a year and it happens to 1 in 1000 patients Now that hospital is closed n I m worry pls assist me.... ### Response: Hi, does it cause pain or severe swelling? Have the sutures come out completely? Sometimes retained sutures can lead to such problems. If yes you should show it to another Surgeon and get it removed. You could also ask us a Direct or a Specialist query and send us a photo so that we can advise you whether it would require removal or can be managed without any active treatment. 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 there, I have been on Microlite pill for nearly 2 years. Last month my period came one week early ( still had a week left to take it and I did) . Whilst this month it has arrived with 9 more pill days to take. Is this normal, do I need to change pill? ### Response: Hello, When there is some hormonal imbalance then you may have early or delayed periods even if you are on Microliter. Yes, you can get clinically assessed & examined by a gone. Other medical conditions like thyroid issues, PCs, anemia, cervical cyst, fibroid, polyps, etc. can be detected & treated at the earliest. You can change your BC pills if you so desire. Hope I have answered your query. Let me know if I can assist you further. Take care Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have been told I have COPD. I have been having problems for 2 months. I am now having trouble coughing until I throw up, I am on Advair , Albuterol, Sinus medicine, and Muscus relief. Is there anything that will stop this coughing. My broncial tubes are very sore. ### Response: Thanks for your question on Sadiq. I can understand your situation and problem. But COPD (Chronic Obstructive Pulmonary Disease) is a disease in which due to airway inflammation, sputum production is continuous. If infection is there then sputum production is more. So antibiotic may be needed in your case. I also advise you to enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. This will help you in clearing your secretions easily. You can also try bucolic and expectorant like N acetyl cysteine (NAC), Aerosol and guifenacine. Zince all these are prescribed 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 24 years of old and recently I got a problem in the back spinal cord and it pains in the middle of the back/lower back in the evening and in the morning when I gets up from the bed. I do sleep on a normal bed which is not too hard or soft. But recently when I have done an x- ray of a spine, I got a review written disc reduction space by l5-S1. And there is a light pain. I do get cold often for which I m taking homeopatChatDoctoredicines. But it is have some connection with spine and I do sometimes stitching of clothes. Or is it related to that, and it puts pressure on spinal cord. Or some sitting posture. Please do guide me. ### Response: Hi, L5-S1 space reduction is an incidental finding but the pain you are experiencing in the back is probably due to ACUTE LS STRAIN.(due to your nature of job. Sitting for prolonged period for quite some time causes spasm of para spinal muscles which causes the pain). TREATMENT:1) LS corset (belt) to be used when you are stitching clothes.2) LOW BACK exercises to be done about twice a day.3) Victorian gel for local applicaton4) hot water fomentation This will take care of your problem. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi I had a asthma attack in 2009 which lead me being put into a induced coma from that I developed multi organ failure hypertension septieemia mrsa meningitis and was only given a hour to live the special ist doctor was called in and my lugs was given a adrenaline bath as as last result and it started to work 3 months hospital staff and myself battled for my life and I m here to tell the tail but I ve had on going problems 1st pres was dignosed on going severe head catches left side weakness severe lower back pin forgetfulness lack of concentration hip pain shoulder pain bad eye sight depression stress anxiety tiered all the time and arthritis plus more recently I had a operation on my right knee and they had problems bringing out of the anesthetic due to having a asthma attack while I was on the operating table do you think that I might be allergic to the anesthetic ### Response: THESIS CAN BE E Can't TELL EXACTLY WHAT COULD CAUSE YOU THIS BECAUSE YOU HAVE MULLIGAN PROBLEMS AND ANYTHING CAN CONTRIBUTE TO THAT YOUR MEDICINES ANTIBIOTICS AND VITAMINS PARACETAMOL DEITY SUPPLEMENTS ALL CAN BE RESPONSIBLE FOR IT OR THE MEDICINES OF Anesthesia MAY BE SO WE Can't SINGLE OUT ONE THING HERERO CAN GET TESTS DONE FOR MEDICINES GROUP YOU ARE ALLERGIC TO SO THAT YOU MAY BE ON SAFE MEDICINES TO WHICH DO NOT REACT |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello: I am a 61 year old woman, 5 6 , 148 pounds. I have been taking 10mg Lipitor for about 3 years. I m very worried about the diabetes risk as well as the possible link between tendon/ligament damage..I have been dealing with Plantar Fascitiis (painful heels) for 18 months & recently diagnosed with tarsal tunnel in both feet. I have been a very active person until recently due to the foot ailments getting worse. Do you feel the Lipitor has a link to my feet concerns? ### Response: Hi I am Sadiq. . In my opinion Lipitor could cause spasms in your musculoskeletal system and that may vary from person to person but with your past history of plantar fasciitis I think it definitely have link with your tarsal spasms. Lipitor side effects include arthralgia, diarrhea, and nasopharyngitis. Other side effects include: urinary tract infection, insomnia, limb pain, muscle spasm, musculoskeletal pain, myalgic, and nausea. See below for a comprehensive list of adverse effects. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi I have a boyfriend who have leukemia for for ten years now, hes 28 years old. We are committed to each other.I am scared that its genetic, so hows severe or 1%can the kids inherit the disease?I am worry, that I might not enjoy my motherhood if we get kids. And for how long will my boyfriend lives from now on (life expectancy)? ### Response: Thanks for your question on Sadiq. I can understand your situation and problem. Yes, you are right about leukemia inheritance. Leukemia s are inherited in nature. The possibility of inheritance is depending on type of leukemia. B cell leukemia have high inheritance then T cell leukemia. So please reply me the type of leukemia he is having. And with modern medicine, prognosis of leukemia s are good. Life expectancy is usually up to 40-50 years if regular follow up with oncologist is done. And inheritance in child is up to 5%. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 three fully impacted and one partially impacted wisdom teeth removed a week ago. I had an enormous amount of swelling and pain for five days. I still cannot eat solid foods without pain and my jaw cant open very wide. Ive got really bad breath despite swishing warm salt water every time i eat and brushing gently my front molars and teeth and swishing chlorohexadine 2x a day. Yesterday, i found a flap of gum hanging on the top left side and my mouth keeps making so much saliva that my tongue is getting sites on the side from me swallowing so much. Is all of this normal? Should i be worried? When will i be able to eat solid foods again? ### Response: Hi, Thanks for asking query on Sadiq. In addition to what you are doing:you may take choral forte tablets one tablet 3 times daily to reduce pain and inflammation. Take vitamin C tablets 500 mg i tablet daily. You may take an antibiotic like erythromycin 500 mg one tablet 3 times daily to prevent infection. Within 4-5 days you will be able to eat normally. Hope this answer will serve your purpose. Please feel free to ask any more queries if required. Take care Sadiq. V. Subrahmanyam MD; DCC. Associate professor of pediatrics, AIMS. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 blood type is O+ and I was married previous and my pervious husband also was O+. I was pregnant for several times and I never get sick though out my previous pregnancies. After I got divorce I got remarried for a new husband and his blood type A+ and we decide to have a new baby then after I get pregnant I became very sick, I was having high fever, vomiting a lot, and tireless which I never had this symptoms before. My question is since my new husband and I have different blood type is that the cose of my sickness? ### Response: Hi, No a different blood group should not cause you to have such symptoms. A different blood of a new husband could probably give you a slightly increased chance of high blood pressure, and pre-eclampsia in the later part of pregnancy. Fever, vomiting and tiredness, could be an infection unrelated to pregnancy. You should see a physician and get blood test to check for infections and take medicines for fever and the other symptoms. Do discuss the safety of medicine during pregnancy before taking them. Hope this helps. Regards. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Could you help please. I have had a blood test carried out this morning as a further continuing blood test plan which was required as the result of a sudden viral failure (caused by a reaction to antibiotics). This occurred seven weeks ago. My eGFR was 4 six weeks ago is now 33. Other values such as Creatine are approaching normal. My GP is impressed with my recovery and results in the main are trending towards the normal range and he has taken me off Dialysis. I have had repeated blood tests every 2 days during dialysis, and now weekly since 12-06-2017. However my platelet count is today 138 x 10^9 /L. (Normal range is 150-400). This was 160 on 12/06/2017 and 167 on 19-06-2017? Is this serious and what can I do to assist returning to the prior OK values? This is a rapid drop - maybe the lab test today are faulty? Possible solution is wait a week for the next test? Please advise. ### Response: Platelet count of 138000/CMM, is not at all a serious issue. It may be transient Sadiq. There is no need to take any active measures to increase it to more than 150000/CMM. It is best to repeat a platelet count after 1 week. But if you have any bleeding complaints don't wait for long. Get the platelet count done urgently. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi,I am 25 year old i am trying to concive last 7-8 month my husband test normal then doc. say me follicur study then on 14th day doctor say ovaculation is the my reports good or bad? can i conciving this time? but this time only one time sexwith us. ### Response: Yes your report is normal since follicular study on 14th day showed ovulation. The sperm lives up to 3-5 days in the female genital tract. The lifespan of ovum is 24 hours. So if you have had sex within 5 days before the date of ovulation or on the day of ovulation you can conceive this time. To increase your chances of conception you need to have healthy lifestyle i.e. stop smoking if you are a smoker. Should not Sadiq. Your BMI should be around 25. If it is more you need to reduce weight. One more important thing is you should have regular intercourse 2-3 times/ week. If you don't conceive in 3-4 months time period consult your doctor and get the fallopian tube patency test done. If you have any further queries feel free to ask me. 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: For several months now, I have experienced excessive mucus drip in the back of my throat, yet cannot expectorate it. My throat is sore and the middle of my tongue has a raised ridge that appears to be white. Also, I experience some difficulty swallowing when the mucus is flowing. I have a history of allergies, but this is new. I also have asthma that is under control. Over the counter medications for allergies have not given me relief. I have considered food allergies and have limited the mucus producing food products such as dairy products, but still daily I am swallowing mucus and cannot cough it out. Please advise. Thank you. ### Response: Hello dear, The symptoms as mentioned in your post suggest that you might be having Pharyngitis & Allergic tracheo-bronchitis. Management includes:1. Gargle with warm salt water to relieve throat pain.2. Analgesics like paracetamol3. Antihistamine preparations like Allegra can be taken for symptomatic relief.4. Montelukast preparations, which is used as a maintenance therapy.5. Maintain adequate HY Sadiq. 6. Also make sure that you are well protected from cold, dust & other allergens. If symptoms still persist...it will be better to consult an ENT specialist. Wish you a speedy recovery. Take care. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but im scared b/c i know my body & i usually dont just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but dont know if thats from the diabetes symptoms or not. Im scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but im scared b/c i usually have to work much harder to lose weight ### Response: Hello, Thanks for the query. I have gone through the details given and do understand your concern. However, there is no mention blood glucose level (fasting or PP) and HbA1c%, so there is no way to know whether diabetes is well controlled or not. Secondly no mention Sadiq. Persons with diabetes do lose weight at times fairly rapidly, particularly when it is uncontrolled with high blood glucose. That causes excess glucose loss through urine as well as increased frequency of toilet visits including getting up at night. In a well controlled diabetic FBG should be If blood glucose is not well controlled eating well can actually lead to more of glucose loss through urine. So my suggestion is please check your fasting, PP glucose levels and HbA1c% and try to bring those in the above recommended range. Then weight reduction will stop. Strict blood glucose control is the remedy. 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: just wondering what t oexspect next he is loosing the use of his body functions and very week he is forgetting who we are and has gone down hill rapidly in the last weekhe is 56 and has been fighting throat cancer for 2yrshe weighs maybe 100 and is 510 ### Response: Thanks for your question on Sadiq. I can understand his condition and problem. His symptoms like forgetfulness, weakness, loosing body functions etc. suggest possibility of brain metastasis. Throat cancer is mostly squamous cell carcinoma. And it can spread to brain in some cases. So we need to rule out brain metastasis in his case. Get done MRI brain first to rule out brain metastasis. If MRI is normal then following are the possible causes. 1. Electrolyte disturbance 2. Acute psychosis etc. So first get done MRI brain to rule out brain metastasis and then consult psychiatrist. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My daughter is 23 year old. Finished college and just starting to work in her field. She was in an accident 2 i/2 months ago where she hit her face on the steering wheel of her car. The CT scan showed nothing. But she now is having small seizures like spells. Mostly when she is stressed out. Just feeling like she is zoned out and not able to focus. She did not have these spells before the accident. She had a MRI and they say that it could be gray matter heterotopia. Can these be treated with medicine, will she be able to drive?. ### Response: Hi, Thank you for posting your query. I have noted your daughters symptoms and MRI brain findings. The accident was incidental and is not the cause of her heterosocial or seizures. The seizures can be explained by the MRI finding of heterosocial. The treatment is medical in most people with this condition. Anti-epielptic Sadiq. Only if the seizures remain uncontrolled, surgery may be required in a few people. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hello doctor, i have been chewing rajniganda from past three years say about 3 medium packets a day,but since a year i have been addicted to it with the addition hera-panna (sweet pan powder) and i eat a packet less a day but i still have it everyday and cant live without it, how do i stop it and what are the effects of this habit on my health physically and mentally ?please advice to the best.thank you. ### Response: Hello, Thanks for choosing Sadiq for posting your query. I have gone through your question in detail and I can understand what you are going through. Stoping it will require some cognitive changes and behavioral modifications. Consider visiting a psychologist for the same. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello, I have a dear friend who has been diagonised with colon cancer & mets liver cancer . They could not remove tumor from colon. She is not eating, very large stomache, in pain, thirsty all the time, restless & now today feet are swollen & so are her legs. The doctors are not giving much information. She was diagonised a week ago! How long may she have left? Is it weeks or months? Thank you ### Response: Hello, Welcome to Sadiq. I am sorry to hear that. The life expectancy in a stage 4 colon cancer patient can be quite variable. It depends on the aggressiveness of the tumor and the psychological status of the patient. All what you can do is being around her for providing support. Make her feel that she is not going through this alone. Besides, encourage her to eat more. Regards Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Im a 48 1/2 yr old female experiencing dull pain at the right side belly button which feels worse about 30 minutes after eating. I feel almost all the time. I moticed it about 6 weeks ago but feels worse now. My right ovary was removed 7 years ago during a complete hysterectomy, although the left ovary remains. I went to a doctor who took an abdominal x-ray and blood work and found that my appendix looked normal, and no elevated white blood cell count, although he did find a renal stone that has since passed. I had my last colonoscopy 3 years ago with only a non-cancerous polyp found in the rectum. Im very concered, to the point of not eating. Can you help me, please? Thank you. ### Response: Hi, If your appendix was fine and no elevated white blood cell count, then, the pain you are experiencing might be related to: - stones/crystal in kidney/ureters - urogenital infection- colitis suggest to run further tests including: - abdominal ultrasound-urine analysis-vaginal swab testing and pap smear-repeat colonoscopy- do fecal occult blood testing to further evaluate your condition. Depending on the test results, the most appropriate treatment will be prescribed. Meanwhile, I advise to:- often eat and small portions-avoid gas-forming foods (beans, cabbage, etc)- do not lay down immediately after eating- 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 , My boy friend of one year went through a divorce 2 years ago. My question is his ex wife is continually telling people in the local community she wants to destroy him . He pays child support , is a successful buisness owner and has a big heart and is very generous. I believe his wife has a condition. She always lies , uses the kids as leverage and always seems to create some kind of drama and involving therapist, filing untrue claims . And my boyfriend is always defendind himself. It seems she is always trying to get attention on false accusations. Im trying to remember the name of this condition When an individual is always creating lie, drama, and trying to get attention from professional sources. Thank You. Miss C. ### Response: Hello You have mentioned that she always tells lie, uses kids as leverage, has attention seeking behavior, projecting mistakes on others. She has habit of false accusations and her behavior is Sadiq. See such type of symptoms can be observed in any healthy individual but if they start affecting personal and social life of person then there is need to consult a Psychiatrist. She might be having some personality disorder especially histrionic personality disorder or borderline personality disorder. But to label a person with Personality Disorder a detailed evaluation by a psychiatrist is needed. If possible then consult a Psychiatrist for expert opinion. 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 wife is in the end stage of severe copd and emphysema had pcemaker put in 2 weeks ago back in hosptial cant breath at all bp is 90 over 52 when she moves around heartrate 140 oxgen drops to78 putting fluids in iv to raise bp but its not helping none hiw much time you think she got left ### Response: Thanks for your question on Sadiq. I can understand your wives situation and problem. COPD (chronic obstructive Pulmonary disease) is progressive Pulmonary disease. In late stages oxygenation function of lung is decreased. So this causes right sided heart failure and cor pulmonale. Right sided heart failure is the cause for her hypotension. Right sided heart failure in COPD patient carries poor prognosis. She needs diuretics and cardiac isotropic Sadiq. Excess fluid will harm her. So ask your doctor to rule out heart failure by 2d echo and discuss diuretics and cardiac isotropic |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 waking up in the middle of the night sweating so much i am drenching my sheets. however, when i wake up i am shivering and freezing cold and find it hard to get back to sleep because of how cold i am. i have been previously diagnosed with depression, anxiety, and narcolepsy. ### Response: Hi, As I can figure it out here, you have been diagnosed with narcolepsy and your major concern regarding excessive sweating at night. Sweating in night can be possibly due to heightened sympathetic activity during sleep. Which is normal and should not be a reason for worry, it may be a bit distressful at times. Here I would need to know if there are an Associated nightmares or bad Sadiq. Besides an associated anxiety may predispose to excessive sweating. During sleep our thermoregulatory mechanisms are not working, that is the reason why one may find himself cold at night. I would suggest you to discuss your issues with the treating psychiatrist, as It does indicate that the underlying sleep problem is not being managed adequately. An addition of small dose of beta blocker and long acting benzodiazepine, can be discussed with the treating psychiatrist. Welcome for further suggestions. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I had an MRI scan of my brain last night at 6:30. This morning I woke up and both eyes close to the nose bridge have sunk in. It is very obvious. Is this something I should be concerned with? I am currently under the care of a neurologist and was diagnosed with temporal arteritis . I have been taking prednisone since August. Currently, I am only taking 10 mg. a day. ### Response: Hi, Thank you for posting your query. We need to examine the eye movements in all directions. If the eye does not move to any side, then you should see your neurologist as early as possible. However, if the eye movements are good and normal, then you may wait. These symptoms are not related to temporal arthritis. Please get back if you require any additional information. Best wishes, Sadiq. Ly/ |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi. i am trying for a baby since 2 years and i am suffering from polycystic ovary and is it possible to become pregnant and for this i want to meet good gynaecologist. can you suggest some gynaecologist in bangalore. my email address is YYYY@YYYY . ### Response: Hi, For polycystic ovary problem regular gynecologist follow up should be done. Lose weight if obese. Lifestyle modification done for that regular exercise beneficial. To support the ovarian function and to decrease insulin resistance metformin can be prescribed. Contraception pill helpful in regularizing period If conception still can't occur and to induce ovulation and to induce fertility pulsatile provide or camphene Sadiq. After all attempt if conception cant occur than assisted reproductive techniques has to be used. With keeping this answer in mind consult gynecologist or infertility specialist nearby for examination and further work up plan accordingly. Hope your concern solved. 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 mom had a heart attack in 2010. Angiography suggested no blockages. In 2011 she had a stroke, after medical care she was fine. Till Feb 2012 everything was fine. From March 2012 her food intake dropped and she complained of her stomach is full. Doctor said her liver is affected and we have to do water tapping. From March till October she has underwent 4 water tapping sittings. Now doctor is saying due to low heart pumping her liver is damage almost 80-85%. I need to know if there are any chances of improvement in her condition? How may times water tapping can be done? Is it harmful to patient? ### Response: Hi thanks for asking question. Noted you have heart problem and because of less function of heart liver not getting enough blood. By liver affection hypoalbuminemia present and secondary sodium and water retention edema occurring... After consulting doctor diuretic can be given for it. Protein supplement might be needed. You had done therapeutic paracentesis for fluid removal. If done under aseptic precaution less side effects... But yes as it us intervention procedure bleeding, infection, injury to other organ etc...side effect can be there.... Supportive care given. If any complication occurs immediately consult to er... 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 developed c-diff after hospitalization. Now I have it again after taking amoxicillin for a sinus and bronchitis infection. Will I ever be able to get shed of this stuff or is it something I will deal with every time I take antibiotics? Is there a vaccine for it? ### Response: Hello understand your concerns need to ask you certain questions first. What treatment you took previously for c.difficile infection? What exactly are the symptoms you are experiencing now? C.difficile infection are generally treated by Sadiq. If it is just diarrhea, it may be a mild infection, it will resolve by discontinuing antibiotics which you are already taking for other health ailment. Probiotics can be used to aid regrowth of normal intestinal flora. If symptoms persists beyond 2 days after stopping antibiotics, then a course of metro is given as mentioned above. If you have already done with this course and here is recurrence with diarrhea, fever,abdominal pain, a second line treatment with vancomycin |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 healthy 48 year old female. two weeks ago I noticed a lump in my throat (sono study indicates nodules and FNBiopsy indicates benign). A few days later a routine mammo shows a density and further studies were done (results pending). Now, a cyst (on my scalp) that I have had for years is inflammed (doctor lanced it and prescribed an antiobiotic). And to top things off I have a cold...is there something else my doctor should be considering since I have had this sudden eruption of cysts (that is assuming the breast is a cyst) ### Response: Hi, Its by coincidence that you have these lumps in throat/breast/scalp which turned out to be cystic and there is no prima facie connection between these all lumps with you. Each has its own existence and different reasoning and would need different treatment in case any complication develops in them. As in the scalp cyst- as it got infected lately, it has to be Sadiq. The ambiguity and worry about the treatment would be resolved and for this I would suggest Second Opinion from your Surgeon, who would investigate and would plan proper treatment for each of it. This reply is for to help you to plan treatment for each of the lumps in throat /breast. Hope this reply would help you to relieve worries you have. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 concerned about my daughter-in-law who has had stomach pain for about 10 days to 2 weeks and has lost 10 pounds without trying to. She has none to spare. Shes nursing a 7-month-old baby and cant take medications. The pain is causing her to be really weak and tired. I took her to the emergency room today but the results were inconclusive and they sent her home. Shes finding it hard to function. ### Response: Respected Mam/ Thanks for your query. The information provided by you is too little to ascertain a conclusive cause of pain abdomen. Moreover, any pain abdomen requires a diligent examination. However, I would like to Sadiq. This in combination with pain abdomen can be a significant illness. I would request you to consult a good gastroenterologist for this on priority. SincerelySukhvinder Singh |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 up at night gasping for air and coughing. I was prescribed Reswas previously by one doctor for night coughing. When the symptoms reduced, i discontinued it. But this week i got a viral fever and this same problem started again. I haven t slept for last 2 days.. its getting worse.. I m confused if this is asthma or bronchitis .. whenever i get into sleep im getting up coughing.. Please help.. ### Response: Hi, Welcome to ChatDoctorYour having post viral bronchospasm more so in night hence consult a Chest physician and if bronchospasm is confirmed and there are signs of infection then a prescription based antibiotics, bronchodialtors in inhalation and if need is there short course of oral corticosteroid will help him greatly. After viral infection sometimes bronchospasm is there, and it may not occur for very long time a din asthma recurrence is there with exposure to allergen and seasonal. Take care Good Luck |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi Doctor. Am from Bangalore. My father was suffereing from viral fever. Took him to hospital when we did blood check-up first time platelet count was 175000. Nw it is 126000So, I want to know, is this very dangerous or what?What should be the treatment now.On what level the dengue is? please helpS ### Response: Dear Friend. Welcome to Sadiq. I am Sadiq. I have read your query in detail. Furthermore, I understand your concern. Platelet count can get low in any Viral Fever. Dengue is also a type of Viral fever. There is no value of platelet count that can define a dengue fever. You should keep a watch on his platelet count and if he develops any bleeding, he should be Transfused platelets. However, it is unlikely that he would develop bleeding at this platelet count. Get his:1. Dengue NS1 and IgM2. Malaria Antibody. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 20 year old female. Ive been having pain in my right shoulder and neck when I breath in, cough or yarn for the past two days now. When I lay down my side begins to hurt making the pain on a scale to 1 - 10 with 10 being the worst, my pain is a 10. ### Response: If It's 10, you should not ignore it. It may not be simple myalgic or say muscular pain. Some kind of cervical vertebral problem due to reduction in intervertebral gaps, osteophytes (not found in young generally), other pressure on nerve emanating from cervical region could be the cause. Painkiller is not answer. Management be planned once we have x Ray reports of c/spine. Cervical collar support, traction, physio, Yoga etc. may be 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, may I answer your health queries right now ? Please type your query here... Hi I just had a culture take from some sores( pseudomonas.) I have had the sores for approximately a year. Every antibiotic known to man was tried. 3 months ago I began feeling very short of breath,like my cardiovascular capacity has only an 1/8 capaccity. An echo cardio was done the ejection fraction was 24 dialated left ventriccal,a catheter was installed finging the ejection fraction is actually 19. I from Schenectady Ny, where is the best hospital for this treatment. Thank You Shane 518-346-1790 ### Response: Hello, How old are you? Since when you're suffering from this condition? Pseudocodes Infection is multi- Sadiq. Heart failure or anemia or poor immunity status also may present like this. Pseudocodes treated with Cefoperazone and Sulbactam, Piperacillin Tazobactam or Reopened or Eminem etc. For heart failure, you may have to get it done angiography with stenting. Please consult your Cardiologist he will examine and treat you accordingly. 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: Iam having a question.......i want 2 concieve,on wat days after my periods we can try..........can u plz tell me in detail wat days we can try fr concieving......... ### Response: Hello Welcome to Sadiq forum14 days before due date of next cycle i.e, date of ovulation Sperm have fertilizing power up to 48 hours once they have entered the female vagina, to achieve pregnancy intercourse must be done on the days when woman feels sensation of slipperiness at the vaginal opening and the mucus has a stretchy, clear appearance of egg-white, or when the sensation of slipperiness is present and little or no mucus is seen at the vulva. Life span of ova after release is between 12 -48 hours. Wish you good healthDisclaimer |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: 5y/o female c/o on & off left side chest pain That is not reproducible on palpatation. She also has red raised pustule rash (about 6 now) under left arm. Hx healthy 38wk full term vag Delvery. Minor heart murmer Vac up to date. On & off cold sx and productive thick green mucus Cough for 1mo without fever or fatigue. 2wk trip to the Phillipines 1.5 weeks ago. ### Response: Welcome to the ChatDoctorI have gone through your question. The most likely reasons for the complaints of your daughter are musculoskeletal pain, lung or pleural infection or neurological pains. Don't worry as they can be easily managed once the diagnosis is established. I would recommend you to visit a pediatrician for complete examination. A chest x Ray will be useful to check the lung condition. Many a times pneumonia and lung abscess can lead to such presentation and can be picked up on chest x Rays. Antibiotics will be useful if a chest infection is found on evaluation. Else, give her symptomatic treatment such as acetaminophen or ibuprofen for pain relief. Hopefully this will be helpful. I would be happy to help you in any further questions. 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 5 year old is in kindergarden likes her teacher likes her peers been to doctor been to counslor but cant get her to stop in class we were punishing her standing in corner making her stand instead of sit taking away resecc then the couslor said no not to punish her to reward her for not doing it in public but nothing is working we have sent extra work for her to do cause once she is done what she is doing she starts again i have sent her favorite books pic of her family im pulling my hair out please give me some advice ### Response: Hi, Hiccups are common in newborns. Don't worry they are just due to swallowing of air while feeding. After every feed take the baby on shoulder and pat on back till she burps. Another thing while hiccups you can just breastfeed or give her pacifier it will do. If then also not reducing with decreased feeding then take her to pediatrician to get evaluated. 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: Good evening, my son is 4 yrs and 4 months and has a high fever with sever headache, he crys out and says his head is very sore inside....I have given him a Voltaren Suppositorie 12,5 mg twice in the last 6 hours and he is still sick, should I go to the local Hospital? ### Response: Hello dear. I would like to have a detailed history regarding your children symptoms. Is there also history of vomiting?? If yes please urgently go to the hospital and get him examined in detail by an expert pediatrician.IN the absence of vomiting, one can think of sinusitis or simple viral flu. Give him Paracetamol 250 mg/5ml (3 ml 4-6 hourly for fever and a good anti histamine like levocetrizine 5 ml at night along with steam inhalation preferably at night before bedtime. Get him examined by a pediatrician if it didn't settle with these medications. Hope it will help. Wishing your child 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 have a rash on my right forearm that is in a circular shape red and has a tiny pin hole on one part of the circle at first it sting like it was skin cancer bit when I scratched it a circle appeared? not sure if it is a ring worm or not had a similar thing 6 months ago on shoulder two days ago had itchy bottom can u help or suggest any treatments? ### Response: Hello, Thanks for the query, You might have developed fungal infection. Your description matches with that. Usually fungal infections are itchy and recurrent. Please get a KOH mount done, This can confirm the fungal etiology. Treatment can be with oral antifungals as well as with topical antifungals. Treatment must be continued for at least a month to prevent recurrence. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.Sadiq .com/doctors/ Sadiq. 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 dad is 66 and diagnosed with labyrinthitis 10 days ago. He has been resting in bed as advised by GP and dizziness has improved a little. He is still sometimes sick after a drink but not too bad. The thing is he s lost his appetite totally and hasn t had any proper food for over a week. He has tried a little bit but has struggled to eat. Should I be worried and is it a matter of time? ### Response: Hi welcome to Sadiq forum. Thanks for calling Sadiq. Forum. Your father aged 66 yrs, had laberinthitis 10 days ago, With bed rest he has improved, but he lost appetite. Laberinthitis is an inflammation of the internal ear, causing dizziness and vomiting sensation, which may be felt as loss of appetite. I advise you to consult an E.N.T.surgeon for diagnosis and treatment. You may need to have an M.R.I. besides other routine tests for confirmation. There are medicines for dizziness, like interline, and betahistine to overcome the dizzy less and vomiting sensation, and hence loss of appetite temporarily, till the infection of labyrinth is cured. Wishing for a quick and complete recovery. 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 chiari malformation have had 2 decompression surgeries. I also have a neck and back fusion. i always feel dizzy always in pain my whole body hurts and every joiny evrrything cracks and this is post neck fusion everything is so sensitve to touch also. lastley i am having erection problems all the time and itis embarrassing. i either am horny cant get it up or hard enough. or in the middle of intercourse i loose erection and i am very horny. not sure what is wrong ### Response: Hi, Thank you for posting your query. Spinal cord does carry nerve fibers for erection and ejaculation. So, if there are significant damage to the cervical cod, losing erection is a possibility. However, since you are getting erection (though not sustained), it could be related to psychological factors, stress, etc. A clinical examination would be helpful. Please get back if you require any additional information. Best wishes, Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have been running a fever for the last couple of days and am feeling better today but i woke up this morning with what looks to be acne all over my face but it also is on my arms. (I wash my face twice a day with acne cleanser followed by a toner and then i spot treat zits with benzoil peroxide ) I havnt been introduced to any new foods or products like shampoo bodywash or anything of that sort. They don t itch or bother me in any way other than my self esteem. Just wondering if there is a diagnosis. ### Response: Hello! Thanks for writing to Sadiq. As you were already having fever it seems that the rash you have developed can be due to fever due to some viral illness. Fever which is viral in origin, can be related with rashes all over the body. Acne does not cause such acute eruption of generalized rash. Possibilities that can be considered are rash with fever could be due to: -Dengue fever -scarlet fever, -measles, -other viral exanthems need supportive treatment with paracetamol for fever and antihistamines for itching and to decrease rash. It will subside gradually in 5-6 days. Rash can also occur due to the 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 husband just had a vasectomy reversal 4 months ago. He took a sample of his sperm to the doctor. The doctor told him that he had a rare sperm count. What does this means for me??? Would he be able to get me pregnant? Can he do anything to increase his sperm count??? ### Response: Hi welcome to Sadiq. I have gone through your question. Your husband underwent reversal of vasectomy 4 months back and now has rare sperm count is matter of concern. You can go sperm Sadiq. To increase sperm count there are many medicines / hormones but I would not advise because you had reversal of vasectomy. Hope I have answered your question. Would be happy to help 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: I am a 57 year old female. I have lumbar spinal stenosis. I have been living with chronic low back pain since 1978. In 2008 I had bladder repair surgery. One month later after the surgery I started getting shortness of breath. It started all of a sudden. Could this be from the chronic debilitating back pain. ### Response: Hi Welcome to Sadiq After going through your query I concluded that you are getting shortness of breath and chronic backache. These two problems are independent. Shortness of breath is unrelated to chronic backache. It may be due to many causes such as heart disease and anemia and many more. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My name is XXXX. I am 20 years old and have a honeycomb pattern all over my arms and upper thigh... They are like red blotches without the center. This has been happening more and more. They do not hurt or itch . They are not raised on my skin at all. It was just a small patch on my leg but the more this comes back the farther it spreads. I get dizzy and really tired whenever they appear. I cannot afford a doctor yet and am starting to worry. ### Response: Hi, After reading your history it appears that you urticaria or hives. This is common problem, and we see so many of cases in normal population. So do not worry about it. There are so many of the aggravating factor and in yourself including day to day factors of environment. You can take loratadine or levocetrizine or fexofenadine daily. You can apply calamine lotion over the affected area. Stay away from hot and humid climate and wear cotton clothes. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 riends fathers ct scan show septal thickening of medial basal segment of right lower lobe with ground glass opacities found due to adjoining vertebral osteophytes and conclusion says degenerative disease of spine with lamellated calculus in gallbladder so can u please tell wat is degeneration n wat problems can it cause ### Response: Hello Thanks for writing to Sadiq Degenerative disease of spine are changes in the spine due to aging. It is in the form of osteophytes, disc prolapse etc. Aging causes chronic stress to structures, so there are some changes in the spine. Mostly it doesn't causes any problem. If at all it is causing problems, treatment is available in the form of physiotherapy, surgery etc. Besides this, there is septal thickening in medial basal segment of right lower lobe of lung along with ground glass opacities in parenchymal of lungs. There is also Gall bladder calculus. Get well soon. Take Care Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My mom is 80. diagnosed with copd. quit smoking 10+ years ago. on oxygen as needed. wakes up at 3 to 5 am to let CAT out then can t go back to sleep because she can t breath. No cough, congestion. lacking umph and energy more and more. just complains can t fill lungs when awakened, loss of energy to do usual activities plus walks. Should she see heart doctor or regular doctor? ### Response: Hello! You should know that chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs and the symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. Other signs and symptoms of COPD may include shortness of breath, especially during physical activities and lack of energy as your mother has. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions. So, what I suggest for your mother is to meet first a pulmonologist and heart doctor to exclude above-mentioned diseases. I hope my answer help you. I wish your mother 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: I have had a fall aprox. 1 month ago . My leg still has a huge lump on it justto the outside of my shin and I have a strip on my shin with no feeling. I went for treatment and they said they usually use ultrasound to treat this, but I had cancer 4 years ago so they wont do this treat ment . What else can I do? ### Response: Hi and welcome to Sadiq. Thanks for the query. I think that there was some misunderstanding. If this was lump caused by fall then it should be managed properly no matter if you are oncologic patient or not. If this is lump which is related to your cancer and doctors consider that there is no benefit of treatment, then this is something else. Ib every case you should do ultrasound and biopsy, apply cold compresses on it and take proper analgesia. 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: hi! im 26 and i have 3 maintenance medicine like colcichine, hypace and purinase. for the first time after a very long time of taking laboratory exam my sgpt level raise to 50mg and the normal is up to 35 this is the first time that my sgpt got over 35. do i need to worry? or this is just the cause of my food intake? i ate a lot of pork and rice that cause to gain weight. what should i do now? is it harmful even thou my sgpt got 50mg for the first time? tnx! ### Response: Thank you for posting your query. Lab results reveal hepatitis.GOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell. These enzymes play an important role in the metabolic processes. An increase in the level of these enzymes reflect an INJURY to the Liver. Medically, the condition is known as Hepatitis. Hepatitis maybe caused by- Virus (A, B, C, D, E) - one of the most common causes - 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 .. Plz help me out, I am very worried and confused also. As we dont know about the pregnancy I had chest X-ray during very early stage of pregnancy.Let me share the sequences wise details with you which were happened with me.1. My period date is 4th March2. Me & my husband stopped planning from 12th March because we need baby3. From 18th march I had fever & go to hospital for treatment. Doctor suggest for blood test , so we go for it and its detected typhoid. Doctor has given some anti-typhoid medicine. After 2 day again I had fever, so doctor suggested that I should be admit in hospital for 2-3 day for monitoring the fever.4. I was admitted on 1st of april, since last 15-20 day I had chest pain and told to doctor about the pain, he suggested we should go for chest X-ray for further medicine treatment. We told doctor about our planning so he said before X-ray we go for UPT. So we did it, but its negative. So on 2nd april in morning I had chest x-Ray.5. I discharged from hospital from 3rd of april,but from 4th of april I had strong stomach pain due to medicine, as I dont suit the allopatChatDoctoredicine. I had problem during latrine even I couldnt sit properly.6. I was waiting for my period, So on 6th april morning, we fixed the appointment with gynecologist. Again we go for UPT but its negative.7. After 2-3 day I feel relax but worried about the period, so we go for UPT at home on 12th april evening and this time we get the positive result.8. So early in the morning we fixed the appointment with the gynecologist. Share each and everything with her. Had sonography. She said nothing to worry everything will be fine because x-ray was done in very early stage of pregnancy i.e. at the time of fertilization. Doctor has stated the treatment.9. I was discussed the matter with 2-3 doctor and pathologist, they also said nothing to worry. But I want to know your expert opinion in this regards. Is there any problem of my unborn baby, on its health etcplz help me out ### Response: Thank you for trusting us with your query.I'll try to explain with numbers so that you can understand about the various magnitudes. Strength of radiation of Imaging studies like X-Ray, CTS are measure in RADS.usually an exposure of 10 rads will cause harm.1 RAD= 1000 mill rashest X-Ray is approximately 60 mill rads. As you see, It is highly unlikely that your baby will be affected. What's more is that having a. X-ray even before you know you are pregnant has lesser risk. Relax and be assured that your baby is fine. In the future, X-rays should be avoided but if your doctor d coded you absolutely need them, it is better to get it done with adequate precautions' no to minimize the risk to your baby. Hope Ive reassured you and if you have further query let us know. Congratulations.wish you both the best of health. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I had my gallbladder removed LC and was sent home 2 days later even thou I had a huge pain in my chest and belly about 24 after surgery. They talked about going back to have another look but nothing happened. 5 days later an ambulance had to take me to hospital in excruciating pain where I endeduction up with surgery for internal bleeding. 2.4lts of blood and bile was drained over 6 days. They also did a 3rd surgery the day after the second to cut the opening of the bile duct or something. What went so wrong? 3 surgeries in a week and Im still in pain 3 weeks from the last one. ### Response: Hi and welcome to Sadiq. Thank you for your query. There was obviously common bile duct injury which is known complication, but in your case there was also internal bleeding which is sometimes fatal in such situations. These 3 surgeries were necessary and saved your life and there will be prolonged recovery for sure. SO be patient for 2-3 more weeks and do frequent ultrasound check-ups. 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: how long does a patient live ater being diagnosed with stage 3 stomach cancer with treatment. the patient is a 79 year old male that is diabetic and has bad hear and some type of blood disorder . We just would like some general time frame. It is my father in law and he refuses any type of treatment. Thanks so much for your help ### Response: Hi, Stage III lung cancer can also be subdivided according to TNM classification. Your father is diabetic and having some blood disorder. I do not know what type of blood disorder it is even then he can be treated with chemotherapy and radiation and if surgery is possible he may have 3 year survival up to 80%. If his medical condition does not suit such radical treatment oral chemotherapy can also be tried. Consult with your oncologist. Take care. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi , I am aamir, i have premature ejaculation and erectile dysfunction. if i take medicine, then my blood pressure is very high .i have (hypertension )patient.Dear dr i use papaverine inj in penis some time .the result is good.please advice me what can i do. thanks Aamir ### Response: Hi, Are you using any blood pressure medication because some medicine has this as side effects, if yes then you should discuss with doctor and get it changed. Also have you tried tab Sildenafil 50 mg 1 hour prior to sex, if not you can try this instead of injection. If you are depressed or under stress then try to get rid of it. Also avoid cycling if you doing it. Also, you should do regular exercises. Hope I have answered your query. Let me know if I can assist you further. Sagar Made |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hello doctor,i am female 25 years,i have problem,when i am sleeping,about to be in deep sleep,suddenly my breathing stop,and due to this my heart beat increases and i wake up,it happens daily,evening time acidity is the problem, so please guide me,as i am not getting proper treatment, ### Response: Hello, Thank you for asking at Sadiq. I went through your history and would like to make suggestions for you as follows:1. I would like to know more about your symptoms like whether you have recurring nose allergies, nose obstruction, sinus symptoms, stress, etc. From your given history, I would think of 3 possibilities:a. It may be obstructive sleep apnea, usually due to nose obstruction due to allergic rhinitis, sinusitis, etc. or some other obstruction in upper respiratory airway. In that case, I would suggest you to get examined by a ENT specialist who will examine your nose from inside and may identify the cause.b. It may be gastroesophageal reflux causing choking at night. As you have acidity, this is also a possible cause. In that case, I would suggest you to take an antacid like sanitizing daily before meals for at least 4 weeks.c. It may be night terrors, especially if stress is a problem for you. In that case, relaxation and consulting a psychologist may help you. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Sadiq. Wish you the best of the health ahead. Thank you & Regards. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello, my husband has an enlarged liver with inflamed tissue and many, many fatty cysts. His gall bladder was removed and was very diseased. His body had walled it off. He also recently had a biopsy of his prostate and that tissue is inflamed. He has a lot of digestive trouble too. His SED rate is 3 times the normal rate. Any ideas? ### Response: Hi, Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese- "recheck liver enzymes after 12 to 24 weeks" and/or ultrasound. Any further questions are welcome. Hope I have answered your concern. 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: Diagnosed smallcelllungcancer, March15,2011.3 rds chemo.Hospitalize 2am after lastchemo.Collapsed lung.Diagnosed ARDSTumor has shrunk7 wks icuVented/trach/peg tubeKnot on left upper arm(mid to outside)Waiting to be biopsies at this moment.Possibilities of bone metastases? ### Response: Hi, dairy have gone through your question. I can understand your concern. You have small cell cancer of lung. In can lead to osteophytic lesion in bone. You have high chance of bone metastasis. Wait for your biopsy results and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Sadiq. Wish you a very good health. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 very tiny parasite in my feet and body around my breast, under and around my arm pits. my hands with my hands and feet there is a tingling burning sensation ,,,,,and I have tried everything...even my lab shows a false negative .....I feel them moving around in my body ### Response: Hi, I am sorry for the situation you are going through. Feeling like having very tiny parasite in your feet, body, under and around your arm pits might be due to infectious skin parasites like mites, lice or even worms. Further evaluation by dermatologist is recommended especially if you are also having skin lesions. As you are reporting to have tingling and burning sensation in your hands and feet, then, they are related to neurological problems. Further examination by neurologist is advised together with running MRI of spinal cord to rule out related damages. For the moment, I can only advise to keep a good personal hygiene and get further consultations. All the best! Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my 2 year old son has reddish palm and soles,when he was an infant he had jaundiced skin for and was prescribed ursofolk and vita k by the doctor after a weeks of taking meds the jaundice went away and he seems to be perfectly fine and eating,playing and sleeping well.. hes turning 2 this january but ive noticed that his palms and sole are really blotchy red than other kids.. Does it means liver disease? Please Help;( ### Response: Hi and welcome to Sadiq. Thank you for the query. This is not usual sign of liver disease and I don't think you need to be concerned. It can be signed of increased blood flow through palms or some mild skin irritation. Also, some child Sadiq. More problematic may be if palms become pale and cold. So if you want you can check his liver enzymes and do ultrasound but I don't think this is necessary at this point. 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: my both toe is like senseless( numbness) ,there is very little feeling on it , why ?advise for medication, i am living in u.k. here is cold weather , my fingers of hands always stiff and vey hard to twist it , what is the reason and advise for medication .Thanks for this service. ### Response: Hello, As having no sensation in the toe is need to be checked out for any signs of blood supply. As due to cold this may be one of the reasons and keeping yourself warm will be good. Also, if the numbness isn't going away then I suspect it to be spinal nerve entrapment. This may be due to para spinal muscle spasm. Doing hot water fermentation to the lower back and simple core stability exercise should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi, i was recently diagnosed with gallstones. they didnt take my gallbladder because of my risk of an infection, since ie been home from the hospital, i have pain on the right side, i keep burping all day and then hiccuping. also im having trouble swolling things. it keeps getting stuck. is it my gallbladder ### Response: Hello Your findings suggests calculus in gall bladder with hiccup. Hiccup and burping is a temporary stage and patient generally doesn't require any treatment. Some patient may need combination of proton pump inhibitor(like pantoprazole 40 mg)and risperidone for burping. You may need chlopromazine for hiccup. You need definitive treatment of gall bladder calculus i, e surgical removal of gall bladder(Cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Operation can be done after control if infection. You may need antibiotics for infection. Get well soon. Take Care Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, I always get back pain whenever i stand more than 5 mins, as soon as i lay down and wake up, while sitting in the floor and always during periods. The spinal cord jush above my butt is paining. I am female and 24 yrs and married. I have this problem for past 14 years. What problem for me? ### Response: Hi, Welcome to Sadiq. After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises, NURSING GOLD ONCE DAILY and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation (On DK 60K weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: My 1.5 yrs old son was born with bilateral hydronephrosis. His non functioning kidney was removed at age of 3 months. DJ stenting was done with solitary functioning kindey. He is having UTIs almost every 45 days. recent scans show gross hydronephrosis. GFR has dropped to 21. what all tests i need to conduct to ascertain whether he can undergo a kidney transplant or not.I donot ahve a living related donar available to me .what should I do? ### Response: Hello, as you have not specified which country or state you are from it will be difficult for me to advise properly. But I can suggest you to talk to your treating nephrologist about your concern about need of kidney transplantation. If at all he feels the need for it, they will introduce you to the kidney transplant association in your country which will ask and run all the tests needed for it. You can also find and contact them by searching on internet about the same. Or you can tell me your country and state, I may help you get some more information on the same. 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 best friend has lower right abdominal pain . She has had a total hysterectomy . You can visually see that her lower right abdomen is swollen and gets bigger and hurts more by the end of day. She went to local ER friday and they said CAT scan was normal, blood work was normal with the exception of her liver enzymes being slightly elevated. She has had continued pain all weekend and this morning she started complaining about pain in her tailbone. It hurts so bad she can barely sit and it hurts when she stands. She doesn t have a regular family physician. She always went to OB/GYN for everything lol She had a partial hysterectomy and was left with one ovary until it caused problems and was removed this past November. Should I take her back to the ER and see what other tests or should we wait and just try to get her in to see a family physician? Thank you ### Response: Hello! According to your friends' surgery history there is a probability of post-surgery adhesions. Especially she has had two of it. Adhesions may cause partial intestines' obstruction (called jubilees) which can reveal with intermittent abdominal pain. If your friend has also constipation, diarrheas or both associated with abdominal pain and flatulence, nausea and this symptoms may come and go, jubilees is very probable. Lower right abdominal pain is also characteristic for appendicitis (what has to be always ruled out!), right urinary tract infections/stones. Backbone diseases can also show up with symptoms mentioned by you but (backbone MRI may be required if all abdominal diseases are ruled out). To rule out intestines obstruction abdomen X-ray is necessary (abdomen CT might not visualize it). Blood tests need to be repeated as white blood count and CRP may elevate after few days of disease appearance. This tests may be negative on the beginning of pathologic process. Urine tests should be done as well. Take care |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have pain on the back part of my right leg it feels like someone is stretching my vein like a rubber band, I have been putting ice and taking advil and rubbing ben gay on it works for a little while then the pain starts all over again. do you know what else I can do? ### Response: Hello Leg pain can be due to electrolyte imbalance. Take plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. Add tab methylcobal 1500 once day. You may need MRI if not relieved. 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: I had surgery in my belly to repair a blood vessel after it burst going to my pancreious, and the also took my gull bladder out, I got cut from chest to my groine, and on my right side about mid way down,from front to my back about 12in long it has been three years and still suffering bad pain in my belly area I have tried just about all pain killers don t seem to work, can you help me? ### Response: Hi, I have gone through your question. As u written if you still in pain after this surgery, that means some of the areas are not completely healed yet. You can go for some moist heat therapy, either u can use Site bath (Hip bath, it will cover whole abdomen) or go for full body steam bath. These general body heat therapy will increase blood supply to your surgical areas and pain will improve. With this u should start some breathing and static abdomen strengthening exercise to strengthen you abdominal muscle. I hope you will try this and get improvement. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 came home yesterday and began to vomit, anything he ate he vomit. He feels very dizzy and I took his blood pressure and it was 178/98. He slept thru the night, but this morning after he had a tea he began vomiting again. He says nothing hurts in his stomach area. He just feels very weak and has a light headache. Please help! ### Response: Hello there I read through your question and can understand your concern. It seems to me that your husbands symptoms are due to sudden increase in BP. Is he on any antihypertensive s? I would suggest you to get his BP regularly checked and if it is consistently on the higher side he needs to be put on antihypertensive s after proper evaluation. For now, I would suggest you to give him a proton pump inhibitor like omeprazole and an antiemetic like risperidone to control his vomiting. I hope that answers your question. If you have any further questions please feel free to write. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: resently dignosis with peptic ulcers (severe gastritis) with positive h. pylori, had severe bad uti with blood in urine month before. alaskan native mother of four minor boys in rural alaska, medicaid is helpful however many tests and question take as long as the results. to see what and why the causes of swelling in legs and functions of mucsles. RA may a have lead in swelling however ortho doc mention they dont and why. blodd works still look intresting enought to repeat follow ups. peraphs not enough information to the cause and the reason. COMPLICATED for me to reason the question and ask and to understand. please i wish i knew a way i could manage this painful eating disorder? ### Response: Hi welcome to Sadiq forum. Thanks for calling Sadiq. Forum. Recently diagnosed with peptic ulcer, with positive H pylori. Had severe UTI. One month before, swelling of the feet. First treatment should be given for pain abdomen, swelling of feet, and urinary tract infection, as these two are confirmed, swelling of feet is treated symptomatically and then investigated. The causes of swelling of feet is anemia, hypoprotinaemia, kidney infection, heart problem etc. I advise you to consult a physician for diagnosis and treatment for swelling. Wishing for a quick and complete recovery. 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 am suspected to have a closed or block falopian tube because of infection.the doctor has check me and my husband and everythings are ok but i can not still get pregnant the doctor has said i should go for and operation for my falopian tube to be open so that i can get pregnant please i donot want to do operation . is there no other option ### Response: Traditionally Fallopian tubal surgery (tuboplasty) was used to restore patency to the tubes and thus possibly normal function. However, in most situations today, in vitro fertilization is used to overcome tubal infertility as it is more cost-effective, less invasive, and results are immediate. With IVF, after stimulation of ovarian follicles, egg cells are removed via a sonographic directed vaginal puncture into the ovary, these eggs are fertilized outside the body, and the resultant embryo placed transcervically into the uterus; - the tubes are bypassed in this process. So if getting pregnant is your main goal, I would say this is a pretty decent option for you. Hope it helps |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi i am 27 yr old, i have missused my gents when i was studied 10 standard, now it become very samller than others. I wanna get marry now, but i am worrying wether i can do sex with partner or not. Actually when i am in romance mood the size of nipple up to 4.5 inches, if normal it is too small ie 2.5 inches. I want to take treatment to increase or improve the size of nipple. Can i have any treatment? ### Response: Dear, We understand your concerns went through your details. Please understand, there are no medicines available to increase the size of your penis. There are many false advertisements, but all are fake. Even a 2-inch penis can satisfy any woman across the world because, women pleasure nerve endings are available only up to 2 inches within their vagina. You have an erect penis length of 4.5 inch. That is more than enough. You don't have to worry about your after marriage sexual life due to this fact. You should also understand, masturbation cannot cause any sexual problems. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. Take care. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: please help me, When I press my breast water comes from it, I did homonal profile and it was seen that my prolactine level is high, I was giving bromocriptine for 2 months to take and I repeated the test, this time the prolactine level has gone up again. please what is the cause? ### Response: Hello, I understand your concern. I am Sadiq, infectious diseases specialist, answering your query. In my opinion there must be some kind of tumors producing prolactin production in your body. Prolactin us the hormone which is responsible for the secretion of milk in mother. Since you have not given birth to baby such hormone causes watery discharge in you. I advise you should be thoroughly examined by your physician. Also, radiological evaluation is important role in detecting the tumor site. Radical therapy like excision of tumors or control through Sadiq. I will be happy to answer your further concern, you can ask me on bit.ly/ |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi my name is lucy, and I m 19 years old.I ve been sick since monday morning. I visited my family doctor Tuesday afternoon and it turns out I have a virus and a chest infection. I ve been taking my pills 3 times a day everyday till today. I feel like I m getting worse. ### Response: Thanks for your question on Sadiq. In my opinion you should consult pulmonologist and get done chest x-ray to rule out chest infection. Since you are on antibiotics but not improving, lower respiratory tract infection (LETI) should be ruled out in your case. And LETI is very common after viral upper Respiratory tract infection (URI). So get done chest x-ray. Ifon x-ray, infiltration or consolidation is present then get done sputum culture and sensitivity to guide antibiotic therapy. So consult pulmonologist and discuss all these. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have had a pain on my left side in the lower back region....frequent urination and bowel movements...this am I awoke with excruciating pain. The ER ruled out kidney stones BUT did not know what it could be. I am taking RX to control pain. Pain is manageable right now .. I am 64...do not drink or smoke Do not take medication Normal weight Healthy diet ### Response: HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be related to lumbar spondylosis or sacroiliac joint arthritis. A physical examination by an orthopedic will give clue for this. An X-ray followed by MRI if needed will confirm the condition. Local corticosteroid injection will give pain relief in case of sacroiliac joint arthritis. NSAIDs like Nimusulide for short term will help in relieving symptoms. Muscle strengthening exercises and physiotherapy will help in case of long-standing pain. Hope this may help you. Let me know if anything is not clear. 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: When I get extremely carsick, my hands will get tingly and contract. I can t open them as if they are paralyzed (looks like I have Dupuytren s Contracture) and when the carsickness is going away, my hands shake so bad and my fingers tremble uncontrollably. Is the hand paralysis normal for severe carsickness? ### Response: Hi, In my opinion that could be only over stress of muscles that is cured by relaxation, muscle relaxants, and physiotherapy. But if it is Dupuytren Contracture, it typically progresses slowly, over years. The condition usually begins as a thickening of the skin on the palm of your hand. As it progresses, the skin on your palm might appear puckered or dimpled. A firm lump of tissue can form on your palm. This lump might be sensitive to the touch but usually isn't painful. In later stages of Dupuytrens contracture, cords of tissue form under the skin on your palm and can extend up to your fingers. As these cords tighten, your fingers might be pulled toward your palm, sometimes severely. The ring finger and pinky are most commonly affected, though the middle finger also can be involved. Only rarely are the thumb and index finger affected. Dupuytrens contracture can occur in both hands, though one hand is usually affected more severely. The main or exact cause are still under researches till now. So I would recommend relaxing your Sadiq. That would be the best choice for you. Hope the above information helps. Any further clarifications feel free to ask. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I had miscarriage last year,after that i couldnt become pregnant,my doctor told me that my womb is upside down that i should always lie face down after sex so as to get pregnant.but since then ive seen nothing,im even spotting now.pls what do i do. ### Response: Hello, I have gone through your query and understood the concern. From your description, I understand that you have a introverted uterus. This is not the sole reason for the abortion because successful pregnancies are seen in many cases. The cause of the miscarriage should be known; if a postmortem or histopathological assessment of the products was done, that would benefit a lot. Your tubal patency, hormone levels and ovulation status should be normal. After intercourse, you have to wait for at least 30 minutes lying on your stomach for proper ascent of the sperm. Hope this helps. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I m extremely concerned about my two yr old..She s had uti after uti for the past four months. She currently has another including red swollen eyes..I m not sure if this is the right place to ask but I need answers please help my email is YYYY@YYYY ### Response: Urinary tract infections (Otis) are quite commonly seen in child Sadiq. Most often multiple episodes could be due to unrelated infections. But anatomical abbe rations often predispose to Otis and need to be excluded. A DMS scan will help in finding it out. Swelling of the eyes could be due to lack of proteins in the blood. It could arise if the child is not feeding well. But a more important condition related to protein loss could be a condition called nephrotic syn |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 fizzing in the left side of my head...I have had one sinus infection after the other and found out I also have allergies. There is pain in my left eye...I always seem to have my left nostril clogged...I have used different meds, allergy, sinus spray, etc. but it keeps coming back....I have tinnitis, but this other fizzing is driving me crazy.Can there be something other than just allergies or sunusitis? ### Response: Healthier is a fizzing on the left side, left side nasal blockage, heaviness or pain in the left eye. These symptoms may be due to these reasons, these include.1 Nasal septum deviation on left side. Diagnosis can be confirmed by X-ray of nose of the effected part. As this is a classical feature of nasal bone deviation that it causes blockage of nose, and fizzing sound .2 Acute bacterial rhinosinusitis (AIRS). Symptoms includes, nasal congestion, facial pressure and or pain (if unilateral & focussed on one sinus as may be on LEFT SIDE in your case) , post nasal Sadiq. 3 Allergic bronchitis (maybe early stage of asthmatic allergic bronchitis) . Diagnosis can be confirmed by physical as well clinical examination. Deal as mentioned above. Good luck. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Im 32 years old i have pcos and iam not ovulating, i had my serum hormones tested, E2 pmol/L <136, PROG nmol/L <1.5. ! this is very low, there was a reference intervals for post menopausal? I would like to have kids do you think this will be possible, i have just started taking metform ### Response: Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. Hope I have answered your question. Regards Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have had pain in my right face for about a month...My family doctor and my neurologis are treating me for trigminal neuralgia and gave me carbamzamine and yesterday prednisone..This morning I worke up and there is a bumpe un the gum above the right tooth..This is were the most pain has been and on the toohth and then in the face..I never had the bump...Who do I see? family docotr, neurologist(who treats me for MS) or the dentist? ### Response: Hi. Welcome to Sadiq. I read your query. What kind of bump it is? A boil, ulcer or some solid mass? Most probably this correlates with gum access due to tooth infection. Is the corresponding or nearby tooth carious? I suggest you go to a dentist and get an x-ray done of that area. There could be periapical infection leading to periapical abscess or sinus. This pain can radiate upwards towards head or ear or downwards towards lower jaw and can be mistaken as Trigeminal neuralgia. This would be confirmed only after you visit a dentist. Hope the answer helps. 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 son complained of headaches...took him to his doc about a week ago-says well give him a strong antibiotic for a sinus infection and some medicine for allergies, if it doesnt get better in a month he needs m.r.i. he vomitted once about 6 days ago we held back on the antibiotic had an ok appetite but not his normal self, tired and a little distracted. yesterday he starts having diarrhea, stomach pains, and the same complaints of a headache. Last night he vommited multiple times and diarrhea. managed to make it through the whole day without vommitting drank some and ate some soup. thought we were clear..he just vommitted again seems to vommit at night, he had a fever earlier and stomach pains, I have been feeding him ice chips to keep him somewhat hydrated planning to take him to doctor tomorrow any clue whats happening? ### Response: HI, thanks for using Sadiq Sinus infection can be associated with headaches, but they would normally be additional symptoms such as nasal congestion, runny nose, post nasal Sadiq. Some of these are usually present. Vomiting and diarrhea are commonly due to infection of the gastrointestinal tract. This can be viral or bacterial, headache can occur. You should continue with the ice chips though using a fluid with electrolytes would be better to give him back both. e.g. mediate or another oral rely |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Age : 24,Weight : 50Height : 5ft 7 inchesMedical History : Have had jaundice when I was 21 year old. Current Problem : I get a fever every evening. This has been happening since 4-5 months now. I feel tired and irritated. Also been getting viral fever on and off. Please suggest what do I do? ### Response: Hello, Welcome to Sadiq. I understand your problem. Fever in every evening can be due to number of reasons like tuberculosis, urinary infection, certain viral, bacterial or fungal infection, hyperthyroidism, malignancy, etc. Here, it is very important to find out the cause. You should undergo following investigations:Complete blood count with ESR, Urine routine and microscopic examination, Stool routine and microscopic examination, Thyroid profile: T3,T4, Ashtray of chest if you have any breathing problem or cough of long duration, Please consult a GP around you to get this tests done. Please let me know the results of this investigation and further course of action may be decided. Hope this will be helpful. Take care. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: severe back pain I am having.on left side just above buttocks area..I am doing and sitting job 10 hours daily... when moving to a standing position..has stiffness for sometime and then it get releases...on lying down no pain.....pain is on the left side need your advice ### Response: Hi, thanks for using ChatDoctorin my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. When getting up from bed always take a lateral position first then hang your legs down and then get up. When working, maintain a good posture of your back. Add a lumbar support cushion to you chair. Do not strain your self or over exert. . U can also apply some good anti inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strangling exercise daily. Start will 10 mins twice a day to 20 mins twice a day and walk for 30-40 mins a day alt east. I am sure you will be fine in 2 weeks |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, I recently had surgery that involved opening up my Belly Button and now about 6 months later I have a scar there. It has been really hot the last couple of days and I looked in a mirror today and saw this Cylender Like red bumb (that is not big at all) inside my bellybutton. I can not tell if it is sitting just on my belly button but when I move my bellybutton around it appears to be leading into my bellybutton Like Into my stomach through my belly button. I have no idea what caused this or what it is. Should I be alarmed? ### Response: Cellophane You for contacting Sadiq. There could be two possibilities in your case. First, bacterial infection of the belly button area. Second, incisional hernia. For first case, clean the area with spirit and apply poly fax plus ointment thrice a day for a week. For second, you need to visit hospital where doctors will confirm it by examining it. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi, I have a 22 month old weighs approx 13 kilos and about 88 cm tall, and has been getting excessive saliva the past few days. The saliva will run out of her mouth down her cheek...She does not feel uncomfortable or whingy about the excess saliva.could this be a stage of growth or just a process? ### Response: Hello, I can understand your concern. As your daughter is 22 months old, she might be teething right now. When new teeth erupt in the oral cavity, tongue repeatedly touches the newly erupted tooth and that causes production of excess saliva. This is just a temporary phase. As all the teeth will erupt into the oral cavity, and she will get used to teeth in mouth, the excess salivation and Sadiq. It does not require any treatment. I hope this information helps you. Thank you for choosing Sadiq. Take care. Best, |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have a small bump that I didnt notice until today. I have no idea how I got it. Its located inside my urethra. Ive been looking for any pictures that could at least put Name on my symptoms. But I had no luck. Its iterating a little. Both the fact I cant find out what this bump is. And the bump. its very sensative too. I tried examenating it with my finger and the moment I put any pressure on the bump it bled. So any thoughts? (So just incase Im still getting tested for any stds) ### Response: Welcome to Sadiq. 1. It could be an infective etiology, can be present infection or followed by some previous infection. 2. So as I can think of there is a lesion at the tip of urethra (as anything internally one can not see in to it)3. This case if you are my patient I would have examined and ask for an RGU - retrograde arthrogram which will delineate the urethra in whole length and shows as a filling defect if there is any lesion / narrowing of the path.4. And if required treating doctor after examination might clear the swell in if possible and followed by a course of antibiotics.5. Suggest you to get an appointment and KET it gets examined and needful treatment. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Is their an option to have a cage put into or around c2-c6, to restore strength and endurance. I am 44, horse accident caused fusion and now Spondylosis and Cevicalgia withpoor discs as well. I m going ok on a pacing of daily activities and medicine. Healing may be better if it s possible, while younger. ? I m going to talk to my Dr sometime soon. Others that have broken back, do cages. So ? Thank you for any ideas. ### Response: Hi, I have gone through your medical history carefully and am sorry for the accident and post-consequences you got. The very first thing in such cases is to evaluate current damages in the vertebral spine and chest cage and how do they impact the spinal cord and other vital organs nearby. Depending on the findings, it will be decided the best treatment option. It is true that the younger the patient is, the greater the chances to recovery and come back to normal activities. However, the type of damage also matters. Please do follow with orthopedist and neurologist for further evaluations. All the best! Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have been having stomach problems and so far I have taken an ultra sound, ct scan and a hydroscan all thinking this could be a gallbladder issue, but so far its not...could the problem have been the swallowing of a fish bone 4 days before the symptoms began? and would all these tests have found the bone by now, since I am just remembering about it now. ### Response: Hi, Welcome to Sadiq. I have read your query and understand your concern. Yes the pain could be due to the fish bone, if it has struck in the abdomen, or have caused an injury during the passage, as by now it should have got digested by the stomach enzymes. Fish bone will not be seen in these test, it will need an endoscopy. I would suggest that you take a PPI tablet like pantoprazole or omeprazole for 2-3 days, if the pain improves you need to continue it for a week or so till the injury heals. If it doesn't then go for an endoscopy. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have problem wih my gall bladder. I have checked and Ultrasound that shown I have implamation gall bladder. Many time I feel pain the stomach right side. I also very easy to get tired when doing exercise or activity. And easy to get headache and spinning. When I visited internist, they gave me very high antibiotic and anti acid. I feel not good if taking antibiotic all the time.... I need something make me better and can do activity more.. ### Response: Hi and welcome to Sadiq. Thank you for your query. I am Sadiq, I understand your concerns and I will try to help you as much as I can. Yes, this is probably so-called cholecystitis and this is inflammation of gallbladder due to stones in it. You should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Surgery is recommended in this case and if you don't want it now then you need to change your dietary habits first. You need to avoid fried food, carbonated Sadiq. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbladder stones are ruled out. I hope I have answered you query. If you have any further questions you can contact us in every time. 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: I have a question concerning my mother. She is traveling by car to me with my grandmother today and while she was driving the car her limbs started shaking uncontrollably to where she could barely pull the car over. She also is having pain in her knee and is now feeling sick to her stomach. She did take some ibprofin a little bit ago and is seeming a little better as time goes on. but we want to know if we should take her to the ER or just a regular doctor because my grandmother says it looked like she was having a seizure. and while shaking she said her eyes were watering excesssively. ### Response: Hello, If your grandmother witnessed whole body shaking while your mother was handling the car and your mother was unable to respond to any questions or comments by any of the passengers while she was pulling the vehicle over then, this could be an indication that she may have lapsed in her state of alertness for a moment and that could certainly constitute an incidental seizure of the brain. On the other hand, if your mother was simply in a lot of pain but has perfect recollection of the situation including any conversations that people were having with her including questions they were asking her while she was pulling over then, she may have simply been in severe pain. If this were the case then, taking her to her doctor first may be satisfactory in a few days. In any case, I would not allow her to Sadiq. Take Care! |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, I have a lump about the size of pea right beside the base of my penis, it is completly under the skin and has shown no signs of coming through the the skin like a pimple would. I am a 19 year old male, 5 foot 10 and 170 pounds, with an athletic build. I hope that is enough information, if I m missing anything, please let me know. ### Response: Hello and become to Sadiq. I have read your question and can understand your concerns. For how long this lump is there.? Is it decreasing or increasing in size.? Does it increase in size while coughing.? Do you have fever.? Do you diabetes.? If I were your treating physician I would have ruled out sebaceous cyst by skin pinch and fluctuation test. This cyst arises due to blockage of sebaceous glands duct which secretes sebum. Sebum lubricates the hair. It is common in this area.it is treated by excision surgically. Other possibilities areMycetoma which is fungal infection caused by actinomyces.it is treated by antifungals such as ketoconazole or fluconazole. Inguinal hernia can also cause lump in this area which is diagnosed clinically by cough impulse, and ring occlusion test. Thanks. Hope the answer is helpfulness asking us at Sadiq. Regards |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, my mum has a persistent cough after having relatively serious cold/flu like symptoms last week. She was light headed and in bed for several days. She is a smoker who recently had her thyroid out ( small amount of cancer at the centre) and last night at a work function someone mentioned to her that he cough sounded like lung spurs caused by peumonia. Apparently this person had suffered something similar with this diagnosis. My mum insists she is starting to feel better but I am concerned that she needs to visit a Dr which she keeps avoiding. What are lung spurs and could these synptoms indicate she has something more than a cold/flu? She is 62 years old, a little overweight but not majorly and she has a golf ball sized growth on the rhs of her neck. Apparently it is benign, but it was tested a long time ago and appears to me to keep growing. she was meant to have it removed through surgery at the start of the year but has avoided that too. Thanks. ### Response: Spurs, by medical definition is a short pointed growth or process on a part of the body. With your moms case, it could be calcium deposits, accumulating causing this process. Calcium deposits are small accumulations of calcium, which can accumulate anywhere in your body. These create bone spurs, kidney and gall stones, and, in the shoulder, tendonitis. Many calcium deposits don't require medical treatment (they can even be reabsorbed right back into your body). In the lungs, however, they can be a sign that you have a serious underlying condition that is causing them to form. While calcium deposits in the lung are usually benign (non-cancerous), they can become malignant. Calcium deposits should be monitored both to prevent cancer, and because many of the conditions that cause calcification are also serious. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 chest congestion for the past one week . I was being treated with Erythromycin.Now the infection seems to be better, however after a week of clear phlegm, I notice that my phlegm seems to be tiinged with slight trace of blood. What is the reason for this? ### Response: HI welcome to the Sadiq You are having chest congestion and presentation is not much serious like fever and dyspnea Hence pneumonia consolidation seems less likely You are having bronchitis and in it blood tinged sputum can be present Excess coughing also can lead blood in sputum by irritation... Maintain oral hygiene as sometime gum bleeding might be the cause Complete the course of prescribed antibiotic and decongestant Chest x-ray digital in PA view can be done here If no improvement than sputum cytology and further suitable work up needed To Take care Consult pulmonologist for examination with keeping all this in mind |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Three weeks ago a metal rail hit my shins (both legs same spot). They are both painful, red and swollen & have a knot at the point of impact, however the right leg is worse and now it hurts to walk on it and the swelling has spread to my right ankle. My mom was hit in the same spot (we were standing next to each other), however after a little bruise her legs are fine. What could this be? ### Response: Hello, The symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Naproxen to relieve the pain. I also suggest using cold compresses and a light bandage to treat the inflammation. The symptoms should go away on it own. Meanwhile, I suggest returning and avoid activities that can trigger the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Sadiq. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am suffering from a severe itchy rash which in some areas is taking the form of bruises. I have had the rash for a month and it continues to spread. My family doctor put me on a steroid and when I was finished with steroid the rash spread more. It s covering mt stomach, arms, legs, neck and back, and itches like crazy. Today I am feeling nausea and have diarrhea . At this time I m taking Zyrtec and Benedryl which I have to take every 3 hours to help with the itch. Please help. Thank you YYYY@YYYY ### Response: The steroids effected your digestive systemic fact it was misdiagnosed scabies is likely accordingly take anti-allergic fexofenadin BD apply lotion or scabies at night for 7-10 night according to response in moving wash and oil clothes and bed materials before using it against morning can use ointment for controlling itching due to scabies you may require for 4-6 wk take basting 10 mg OD for 3-4 wk to control itch |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my right side of the cheek is swollen a bit, i have a broken tooth underneath the swelling . i m working to get my status number and health number to see the dentist . I don t know if they will help me with the problem. it doesn t hurt as much today and the swelling went down a little. I m concerned it will get worst if i dont do anything about it. what can i do today to take care of it? ### Response: Infected broken tooth can lead to pain and soreness of cheeks and jaws. Constant cheek irritation by broken tooth can also cause pain and tenderness. If tooth is broken, then you need treatment for your broken tooth. If nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necroses, then root canal treatment followed by dental crown is required for the tooth. If tooth is badly mutilated, then post and core procedure is required after root canal therapy. If broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. Only pain meds will be of little help. Hot compresses are not indicated as they will aggravate the swelling. You can do warm saline rinses to reduce the swelling. You need to get treatment done for infected tooth. If you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. You can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. By the time you visit your dentist, you can avoid eating from side of broken tooth. You can also apply travel for some relief. Maintain good oral hygiene to avoid any secondary infections |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hi im 24 weeks pregnant and i use to smoke before i knew i was pregnant..i havent smoked since i found out but im suffering from withdraw an i need 2 just smoke one time...how much will that effect my baby...this would b the first time me smoking since i ve been pregnant ### Response: HI, I understand your concern. Smoking in pregnancy is hazardous to both mother & child. Smoking in first 3 months increases chances of fetal abnormalities, specially heart problem. Smoking in early months of pregnancy carries risk of placental complications, abortion, premature deliver, low birth weight, future obesity, future smoking addiction. Mother also is exposed to pregnancy induced hypertension after smoking in pregnancy followed by further complications like toxemia of pregnancy. * Its good that you have totally quit smoking at present. You need not start it again to satisfy uncontrollable urge to do so. Trey self-control/ counseling/ chewing clove/ beetle nut as an alternative. DO NOT start smoking again. - AS you had smoked in early months, it's better to assess babies status as far congenital defects with investigations like 3D USG scan & follow doctors advise as far as its management is concerned. Thanks. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I have a history of pulmonary emboli and dvt in dec 2010 and a history of 3 abdominal surgeries, all with infection. I am in desperate need of a knee replacement. How high of a risk am I? I am 66 years old. no hx. of stroke or cardiac problems. My poor health is mostly related to arthritis OA and fibromyalgia. I have very limted movement and even that is very painful. ### Response: Hi, thank you for giving me an opportunity to assess you.First I should be thankful to you for providing me a brief history of your illness. You need to focus on some small exercises to get strength in your muscles. The risk of TKR is not big and 99% of the times successful. Still I will recommend you to undergo a physical therapy session for some days before undergoing a surgery. As the physical therapist will help you to regain strength in the muscles which later post surgery will recover faster. Kindly focus on doing more of static quads, hams, atm, SLR and core strengthening. The body works as a unit. So please focus on strengthening the muscles on both sides of the body which will help you the best outcome for knee replacement. I wish you a speedy recovery. Thank you |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am 65 and have been diagnosed with stage 4 follicullar lymphoma. it has spread fast and is causing plural enfusions in my left lung. i have had bypass surgery 8 yrs ago and only have one kidney. however i am in good physical shape, What is my prognosis? ### Response: Hi, Thanks for writing in. I hope you are under required treatment for follicular lymphoma. Follicular lymphoma prognosis varies with the risk factors. The high risk factors are age above 60 years, stage III or IV disease, more than 4 groups of lymph nodes involved, blood hemoglobin less than 12 gram/ DL and raised serum LDH level. As you have at least 2 of the above therefore you are under intermediate risk. At intermediate risk, patients with follicular lymphoma under treatment might have 78 percent survival at 5 years and 51 percent survival at 10 years. Follicular lymphoma is a slow growing type of lymphoma which responds very well to treatment, but can rarely be cured. Despite the fact that it cannot be cured, the prognosis is generally very good, and the median survival is about 8-15 years in many people who have it. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: a small lump has formed near my anus region, though its not visible but it can be felt when pressure is exerted when passing stool and has to be manually pushed inside, i am just 24 years old and due to crazy working hours i eat out daily, is it an external hemorrhoid ??? ### Response: Hi, Dear,Thanks for the query to Sadiq. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Intero-External piles. Treatment would be-by High Ligation Excision by heamorrhoidectomy by your ER Surgeon. Consult Er Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Sadiq and be comfortable to resolve your health issues. Welcome for any more query in this regard to Sadiq. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Sadiq. N. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 ...due to childhood habits now my dick is not properly stand and sperm also come fast..with in ten fifteen shake ...kindly provide me better solution so that i can help my family ............thanks doctor pls help me pls and provide me better solution ### Response: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of premature ejaculation. Please note that premature ejaculation is due to anxiety and not due to any organic cause. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. If you are married Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. 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: ALLERGY - Respiratory . Hello, my uncle (65 yrs) has been having sinusitis for the past 30 years. About 6 months ago, he had a new consisting with a bit of cough + phlegm building on his throat . So far, the meds that my uncle was prescribed until now wereAerius / Telfast / Clarinese / Xyzal. Recently, he was given ampules for own injections (daily) just in case his allergy got worse. The doctor that prescribed didn t want to let us know the meds ingredients. So far, after getting the injections, my uncle s allergy was getting better. But we re curious WHY the doctor didn t want tell us about the meds. Our question, is there such thing as INJECTION medicine intended for allergy purpose? Also.. recently, my uncle was prescribed with another meds -- Singulair, on top of those meds above + the injection meds. Please advise. ### Response: Hi welcome to Sadiq. Yes there is an emergency injection that can be taken subcutaneously in an emergency and is sometimes handed over to patients for use in an emergency. Rest of your medications are for asthma and allergy. His doctor has probably not told him details of the injection because it may unnecessarily create anxiety if he reads about it. I am sure his doctor would have told him how to use the injection and what to expect. If he is a specialist, I am sure he knows what he is doing, and you must trust him. Regards |