Datasets:

ophycare

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chatdoctor-dataset

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Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it? For the time being, please suggest some precautionary antibiotics for my relief. ### Response: Hello, Welcome to Sadiq forum. I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. ### Response: Hello, Wellcome to Sadiq. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other Sadiq. So, most of the people take not just cocaine but a combination of

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am currently on the Yaz contraceptive pill. I skipped my sugar pills for around four months and had a breakthrough period this month. I had my period last week, but I still have some residual brown discharge for about a week now. Additionally, I had sex a few days ago and bled during it. Nothing hurts or is sore, I just want to know how long I am going to have the brown discharge and if I should be worried or if I should do anything about it? ### Response: Hello. The brown discharge should be temporary. I would recommend you have a period for the next couple of months and not skip the placebo pills temporarily to get back on track. If you have not missed any pills, pregnancy is very unlikely, but I would recommend a pregnancy test for added reassurance. If you have not had a recent test for STDs, like gonorrhea or chlamydia, I would also get tested for those, as these infections may have no symptoms and can cause spotting or bleeding after intercourse. If the problem continues, and no other cause can be found, you can consider changing to a different pill. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My son aged 13 years has got his left eye -11 and right with -8. I am now very worried what good precautions should I take with him. Can you suggest me what should I do? ### Response: Hello, Welcome to Sadiq forum. I have gone through what you have mentioned and understand your anxiety about your son\s eyesight. - 11D and - 8D are high myopic powers and the chances are that the power may progress as your son is still young. My advice to you is: 1. Avoid reading or holding objects very near to the eye. This will cause myopia to progress faster and will worsen the condition. 2. Every six monthly visits or follow up visits as per doctors advise. Since the myopia is of a high degree, there will be excessive stretching and degeneration of the structures of the eyeball. This can cause problems such as retinal detachment. Regular follow-ups help us in picking up changes faster and in preventing such complications as retinal detachment. 3. Ask your son to regularly self-check his vision. This is done by closing each eye one at a time and observing how a particular object or letter looks. In case he is able to pick up any change or Sadiq. 4. Urgently visit your doctor in case of a sudden

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. ### Response: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection.I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test. ### Response: Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone\s window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I need advice after my second CT chest result. Six months back, I went for a CT scan because I have got chest pain which suddenly comes and goes and I wanted to go for a check-up. The CT showed a right-sided nodule measuring 3 mm and was advised to RPT interval scan in six months. I have done the second CT, the previous nodule is still there and they found another one.In the LLL, a 4 mm nodule is representative of an intrapulmonary lymph node. No suspicious lung lesion. Tiny 3 mm RLL nodule noted. No enlarged lymph nodes. Mild thymic hyperplasia. The partly visualized upper abdominal viscera appear unremarkable. No aggressive bony lesion. They said I do not need to do anything which is strange because there are two nodes now and the second one was not there six months ago. Do I need some kind of medicine therapy to clear my lung from this node or do I need to check if it is growing or not after one year? ### Response: Hi. According to guidelines when there is a single nodule in the lung of size less than 3 mm we ask to follow up in six months for repeat CT. In the repeat CT, if we find any enlargement of the nodule or any new developments we usually ask for a biopsy of the existing nodule. That is how we practice. So, I think you should repeat your CT after six months and if the size increases, you should get a biopsy done.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? ### Response: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone with Sadiq.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. ### Response: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two Sadiq. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways.3. As it was only two Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Some mornings during the week I get a quick flash of numbness over my left temple. It is never at night or during the day. It can happen more than once sometimes. If I move, roll over, or get up, I can make it stop. It does not hurt and is very fast. What does this sound like? ### Response: Hello. I understand your concern and would explain that your symptoms are not typical of any neurological disorders. The emotional stress may trigger this numbness as it could be related to a muscle spasm in this region. Waking up is a kind of stress for the body as we pass from total rest during sleep to an active morning. Anyway, I do not think that you need to perform any tests as it does not indicate anything serious. So just relax and try not to think about it. For more information consult a neurologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My last USG report showed intrauterine pregnancy with 8 mm gestation sac, no fetal and yolk sac. Last week I had brown discharge with mild lower abdominal pain and was prescribed Susten 200 mg (oral). Now, I am feeling the pain frequently in the right lower abdomen with mild bleeding and pain. It is less when I lie on bed. What to do? ### Response: Hello, Welcome to Sadiq forum. I have read through your question and understand your concerns. I think it is threatened abortion. You should take bed rest along with tablet Susten 200 mg twice daily (Progesterone) for two weeks and Mbryosafe sachet once daily (L-arginine). I think it will help you and give you better prognosis. Ultrasound is required after two weeks for evaluation.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I'm 40 & I've had glandular fever, shingles, influenza and have an autoimmune condition (Hashimoto's disease). I believe I may be more vulnerable than the average person my age to get Coronavirus, due to my weakened immune system? Should I be self isolating? I am ok to do so ### Response: Hello! Thank you for reaching out I understand. Bases on the available data, those who are 60 above, and with medical condition such as hypertension, cardiovascular disease and diabetes are the most vulnerable population. Thyroid disease and any other autommine condition is not known to be associated with increased risk of viral infections in general, nor is there an association between these disease and severity of the viral infection However, if you mild symptoms of cough and fever, I would still recommend that you do self quarantine and monitoring. I would still recommend that you wash your hands regularly with alcohol, soap and water and practice social distancing. I hope i wa able to answer your concern. Is there anything else I can help you with?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from 100 to 104. I was tested for hemochromatosis and results are negative. My doctors keep telling me that we will just watch my ferritin level and I have bloodwork done every six months. I was diagnosed with fibromyalgia last year. I am looking for some answers and some help. ### Response: Hello. Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehy Sadiq. If you are having repeated blood transfusion history then provide history regarding that. I suggest you investigate with transferrin saturation as well next time when you investigate for ferritin. Do not worry about high serum ferritin as all other related parameters are also within range. If ferritin constantly remains elevated than phlebotomy can be done to decrease the ferritin level. Once transferrin saturation investigation has been done, provide history regarding that. Take care. For more information consult a hematologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have had a fishy odor down there since I was in elementary school. I was not sexually active at all either. Just a couple years ago I realized I might have something called bacterial vaginosis. I went to the doctor for it a couple years ago and got prescribed Metronidazole and it did nothing for me. Ever since then I have not really gone to the doctor about it again. I am worried because I have read that BV left untreated can make you infertile. How common is it that this could happen? And do you have any tips for me? ### Response: Hello. Yes, you have heard right that if vaginal infections are left untreated they may lead to PID and infertility. It is a serious issue which must be dealt with promptly and appropriately. Bacterial vaginosis leads to change in vaginal flora and pH which results in fishy odor and discharge. Metronidazole is the recommended treatment for it but as you say it has not affected you then I would suggest that you must not neglect it and get yourself fully checked by having vaginal swabs tested and getting exact diagnosis and treatment. Secondly, hygiene is of very much importance with regards to vaginal discharge. Some tips are as below: Keep the vaginal area clean and wash with plain water as much as possible. Avoid any cosmetic products over the vaginal area and wear cotton rich undergarments.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,My body is getting severe itching after taking a bath or while sweating. Initially, it used to happen only in winter 4 to 5 years back and then gradually started in rainy days also. Now in summer also while sweating. It is so irritating like that I am going to be mad. I have stopped using soap and also took Clonafit 0.25 mg and Betonix- 10 prescribed by a dermatologist but there is no improvement. Please help me out of this. ### Response: Hello, Welcome to Sadiq forum. 1. It looks like you are suffering from aquagenic pruritus. 2. Take the tablet I am prescribing and show me again after 15 days. 3. Get the investigation mentioned below done. Aquagenic pruritus. CBC. Aquagenic pruritus. Aquagenic pruritus. 1. Tablet Teczine-M (Monteleukast and Levocetirizine) 10 mg bd for 15 days.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 25-year-old male. I do not have any medical history. Been always healthy. For the past 3 months, I have been experiencing this facial tightness which comes pretty often throughout the day with different intensity. The facial tension usually comes half an hour after I leave the bed. The tightness on my face happens to be on both sides of my face but usually more intense on the right. At times, I can feel it from my neck all the way up to my face. As of recent, I have been feeling this slight burning sensation on my chest to my shoulders as well. Prior to this facial tightness, I have been suffering from this burning feeling on the centre of my chest for about a month. It was my first time experiencing heartburn and I thought it was heart related. Went for X-rays and echo heart ultrasound. Everything came out fine. I have a healthy heart. What made the burning chest sensation go away temporarily is lying down, eating, exercising and drinking alcohol. And the weird part is the same thing helps me relieve my facial tightness temporarily is the same thing as that for the burning chest sensation; lying down, eating, exercising and drinking alcohol.Since having this facial tightness, I have paid numerous visits to different doctors, even the neuro-specialist and they all said it was anxiety. The doctors did facial senses test where they take a piece of fine cotton to touch different parts of my face. I had to close my eyes and tell them where the spot is. I have no troubles at all. I did blood test. It came out normal. They told me I do not need to do any scans and that it was merely anxiety and it will go off by itself. I convinced myself that I had anxiety because of the one month heartburn ordeal that I was suffering from. Even though the facial tightness was there, I tried my utmost best to ignore it. I do not think that I have any anxiety in me now as I try not to think of the weird tightness sensation. However, it has been 3 whole months and now I am getting alarmed and worried that it is still here and with newer sensations as I described above. In all honesty, I do feel that the intensity of the facial tension as compared to I first experienced it, is less. However, it is always there even as when I am typing this. I do not see any physical change on my body. Not sure if it is neuro damage. I am worried sick.Hope I can get some form of advice and diagnosis. ### Response: Hello. I read carefully your question and would agree with your Doctor on the fact that all your symptoms are suggestive of anxiety. The fact that your symptoms are relieved by lying down, alcohol or physical activity is another argument in favour of anxiety. Anyways, before coming to this conclusion, I would recommend checking vitamin D plasma levels for possible deficiency and blood pressure for possible imbalances. It is also necessary performing a cervical spine X-ray study, in order to exclude any possible bulging disc in the cervical vertebral column, which could lead to burning sensation in the neck and shoulders. In the meantime, I would recommend taking magnesium supplements, to help relieve the muscle spasm.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,My mother is 75 years old. She had been treated for TB (tuberculosis) of the abdomen as her ultrasound of abdomen finding was thicken bowel loop. In general terms, it was informed about TB in her abdomen. Accordingly, medicines were given to her as per the advise of a local MD doctor. Treatment continued for three months and due to some discontinuation of medicine it relapsed and again she was diagnosed with Thicken bowel loop as per USG. Again treatment continued.However, while undergoing treatment she lost sensation in her legs and complained of losing sensation in her legs and numbness in her feet and was unable to put on slippers in her feet with difficulty in moving. She also complained that while moving she felt as if she was moving on a bed of soft cotton.Subsequent treatment by neuro experts revealed that overdose of treatment of her TB in abdomen resulted in this condition and she was diagnosed for peripheral neuropathy and was advised for biopsy for proper diagnosis. Meanwhile, she fell and hurt herself which was later on diagnosed that her spine at L3 - L4 was compressed due to felling abruptly and accordingly she was advised to take bed rest for three months. Slowly, she recovered from this condition felt pain in her back and was facing another kind of problem as she could not sit for a longer time and preferred to lay down on the bed.Finding her bad condition subsequetly, we also took consultation from other neuro experts at a prestigious institution where she was prescribed Lupivitin one tablet and Sammy one tablet.When condition persisted thereafter she was given Primosa one tablet daily, Neurox one tablet daily, Maxglobin 50 mg one tablet and Defart 6 mg.But, whenever she was given medicine her condition further aggravated. After about six months of treatment by the neuro expert, she has now been referred to the department of immunology for their advice. Meanwhile, we also took advice from a rheumatologist who diagnosed a kind of arthritis and started treating accordingly. He also started the course of Defzacort (steroid) along with other medicines. The steroid was prescribed with a decreasing dose per week from 60 mg per day to 6 mg per day.However, after taking about two months of steroid course her condition deteriorated and had severe breathlessness. Her blood sugar level also shot up and ultimately she was hospitalized and the treatment of steroid withdrawn. After 15 days of treatment at the hospital she recovered to her previous condition. But, her neuro problem of numbness in her legs and loss of sensation in legs still continues. Please help. ### Response: Hello, Welcome to Sadiq forum. I have carefully gone through the details provided by you and have short-listed the following possibilities. Isoniazid-induced peripheral neuropathy, which occurs in a few patients who are on anti-tubercular Sadiq. The specific treatment for

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am suffering from a mild cold and severe clogging of ears. I am taking Afrin spray for an hour and one pill of Sudafed. I developed a similar condition of cold and sinus infection before six months. I had severe clogging of ears. I was given Amoxicillin for five days and Prednisone 5 mg. My ENT doctor examined my ears and told me that there was no issue with the eardrum. He diagnosed it as eustachian tube issue. Please help. ### Response: Hi, Welcome to Sadiq forum. You can take Sudafed (Pseudoephe Sadiq. Take nasal spray once daily. Avoid cold spicy foods, avoid smoking and alcohol. Avoid dust and pollution. Take some steam inhalation thrice daily.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion. Is it a safe drug? Do we have to consult doctor for taking this drug? What are all the possible side effects? Is that drug 100 percent reliable? Is there any other options? Whether this drug is available without doctor\s prescription? Thank you. ### Response: Hello. First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful. 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 doctor,I have a question for my mother. My mother is 50 years old. She complains of episodic, sudden loss of weight bearing ability on the left Achilles tendon. This has resulted in two major falls, which resulted in trauma. These are present for past few months and have become more frequent in the last month. She also has pain in her knees bilaterally, which has been attributed to osteoarthritis. She also complains of hip pain associated with swelling and difficulty in standing, lying and changing sides while sleeping. There is episodic stiffness present in the shoulders, which causes some discomfort in raising arms above the shoulder level. She is taking Bisoprolol 5 mg and Amlodipine 5 mg for high BP and it is well-controlled. She has no history of any allergy. She has kidney stones and so occasional pain in the lumbar area. She used to get constipation frequently. She was hospitalized four times for normal vaginal deliveries and once for abortion. She is monogamous with her husband. She has a positive family history of hypertension in mother, CAD in father, mother and brother and uterine cancer in mother. She has a history of menorrhagia and cycles have become more irregular now. Then, diagnostic D and C was performed last year, which was normal. She will not smoke or drink. She sleeps 4 to 6 hours daily and snores at night. ### Response: Hello. I have gone through your mother\s elaborative history provided here, along with the reports attached (attachment removed to protect patient identity) with this 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: Hello doctor,A few months before, I developed a gastric issue that required treatment with PPIs. Soon into using the drugs I developed headaches, dizziness, and nausea. I changed the type of PPI three times but the symptoms persisted. The symptoms included a feeling of pressure above my right ear and behind my right eye. Later, I came off the PPIs and after using over the counter headache painkillers for three days the severity of the headaches eased. But the feeling of pressure remains to this day on the right side of the face. I often feel heavy head or even light-headed with a slight dizziness, often as if I am hung over. The symptoms come and go, but are there every day for differing periods of time. And the constant is this feeling of slight pressure on the right side of my head above the ear and extending sometimes down to the cheek and behind the right eye. ### Response: Hello. I read carefully your question and would explain that the dizziness does not seem to be related to PPI adverse effects, as it would have disappeared now. For this reason, I would recommend consulting first with an ENT specialist in order to exclude a possible inner ear disorder, which could trigger this clinical situation. It is also necessary to perform a sinus x-ray study, inflammation tests (complete blood count, PCR, ESR) and thyroid hormone levels, in order to exclude a possible thyroid gland dysfunction. If all the above tests result are normal, I would recommend consulting a neurologist for a physical exam. A brain MRI may be necessary. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I would like to ask what is the likelihood that my partner who performs oral sex on me has trench mouth or acute necrotizing ulcerative gingivitis? He has no bad breath and he was able to have normal food. Can people with trench mouth have no bad breath and is able to eat normal food? ### Response: Hello. I understand your concern. Trench mouth or acute necrotizing ulcerative gingivitis (ANUG) is a bacterial infection and is uncommon nowadays but it is highly associated with HIV infection and in kids with nutritional deficiencies. To be diagnosed with trench mouth or ANUG, symptoms like gum necrosis and ulceration, pain and bleeding (on just touching the gums) should be present. The main characteristic feature is fetid or the putrid odor which is caused due to the rotting gum tissue. And people diagnosed with ANUG has this odor, unless if they are under treatment in a very initial stage. It is certainly difficult for people with ANUG to eat a portion of normal or even less spicy food if they are not under treatment. It is treatable within a week by the usual antibiotic regimen and medicated mouth rinses. Gum infection such as this cannot occur only by fellatio. If your partner is diagnosed with immunocompromised diseases, respiratory infection, poor nutrition or has the habit of smoking, practice caution during the act. Proper protection and oral hygiene practices will prevent such infections. I hope this helps. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My son has developed anxiety symptoms about four years ago. They came completely out of the blue. He was with someone who now has heart palpitations, sweaty palms and feet, and lightheadedness sitting in the living room. We ran a battery of tests when it first happened including TSH, EKG, lung scans, blood panels, etc. and everything was normal. So we went down the path of anxiety. Four years later, the symptoms continued. As my son now has a terrible fear of doctors, we tried a home blood test to get a full thyroid panel. I have attached the results.The blood work came back normal. Low normal TSH, but low normal T4 and lower normal free T4 and free T3. There is nothing that shows an abnormality. However, his urine test showed moderately low iodine and slightly low selenium. I have read that abnormalities in these measures could cause thyroid problems. What am I wondering is if these two indicators are worth further exploration with an endocrinologist knowing that going to the doctor will cause my son a severe panic.Also, is it possible that low iodine could have been a temporary diet thing and it is masking the signs of hyperthyroidism in the blood work? He has all of the symptoms of someone with hyperthyroidism. On a side note, I am hypothyroid, my sister is hypothyroid and my two nieces had Hashimoto\s with my younger niece having thyroid cancer and got her thyroid removed at age of 22. So everyone on my side of the family has thyroid issues. We were wondering if you could please give us some guidance. Looking to see if we need to eliminate thyroid as a possible cause of his symptoms or if it is worth further pursuit. ### Response: Hello, Welcome to Sadiq forum. Based on the details and the labs attached (attachment removed to protect patient identity), it seems very unlikely that the symptoms are coming from a thyroid issue. Urine iodine is really not helpful clinically in this case. Given the family history, I would ask you to monitor TSH (thyroid-stimulating hormone) once a year but that does not explain the severity of the symptoms at all. For more information consult a diabetologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I think a spider went up to my right nostril yesterday morning and I am worried about it and frightened. Since then, my nose has been blocked and sore. ### Response: Hello, Welcome to Sadiq forum. Spider or any insect can go inside the nose, mostly come through the mouth. You are telling in the morning that means you aware of it. You might have been sneezing or blow it. The nasal block may be due to allergic mucus secretion. If you are feeling spider struck in your nostril, take clean water and inhale and bring it to mouth and spit it and see. If still worried, go to ENT doctor and check it.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My symptoms are extreme nausea, headache (mainly right posterior), and very stiff neck. I started with a severe middle ear infection on the right side. Does my MRI show any evidence of mastoiditis, meningitis or a subdural empyema? ### Response: Hi. Your MRI scan images are available and I have viewed it (attachment removed to protect patient identity). There is a mild bright abnormal signal intensity in the right mastoid area and the left side is clear. Abnormal signal in mastoiditis means brighter on T2 and contrast images. This can mean that you have a right middle ear infection which might have involved the right mastoid bone and this is known as otomastoiditis. I have enclosed a picture of the area in a red circle in the attachments below. There are no features of meningitis and subdural empyema. For more information consult a radiologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result.Is it okay to continue this? ### Response: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My mother has a tumor-like thing in her shoulder. It is like a soft pulpy thing. Right now it is small and not causing much pain. When she works too much, she feels a weight on her shoulder and a mild pain like she has lifted a weight. Is that something cancerous? ### Response: Hi, Welcome to Sadiq forum. Thank you for using this platform. It sounds like your mother has a soft pulpy growth on her shoulder, which is painless at rest but causes heaviness on exertion. Although this information gives us some idea, it is challenging for me to guess what precisely this growth is. It will be nice if your mom could have it evaluated by an orthopedic surgeon. He or she will assess whether this growth is arising from the subcutaneous fat (example - lipoma), underlying muscle or bone or joint. If there is a suspicion of bony or joint involvement, an x-ray may need to be taken. There is a rare possibility that this swelling might not be a growth, but just a manifestation of trauma or infection. I will be happy to review any pictures, x-rays or other imaging that you may have already done. Hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 18 years old. My problem is the teeth has become white for the past few years. The back portion of the teeth has become dark or black. Teeth are quite creamy. Often a bad smell spreads out from my mouth. My mother also suffers from this problem. I use whitening toothpaste but all are in vain. So, please doctor help me and give me a suggestion. ### Response: Hi. I read your query and can understand your concern. It seems like you have staining of teeth and plaque accumulation. Our mouth contains a great number of resident bacteria. Sometimes some individuals have staining bacteria which leads to physiological stains. This is not any pathology or disease. This staining often leads to plaque accumulation and bad smell from the mouth. You need professional teeth cleaning (scaling and polishing) regularly (usually every six months). Continue brushing twice daily with any toothpaste that suits you.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My 4 year old son has some kind of rashes from last week. We visited a pediatrician who suggested a dermatologist consultation. I have attached images of the rashes and the prescription. We noticed that it increases in the evenings. Every morning he wakes up with clear skin and during evenings it worsens. He had a fever for two days around the same time it started. He keeps scratching himself. The severity has reduced, but it is not completely gone. ### Response: Hello, Welcome to Sadiq forum. I have seen the images and reports (attachment removed to protect patient identity). The child\s rash is called urticaria. This is a non-specific rash which may be due to food, dust, insect bite or a viral fever. Once it starts, it persists for anywhere between 15 to 45 days and disappears completely afterward. Zempred (Methylprednisolone) and Levocet (Levocetirizine) are the right medications for this condition. There is no need to be alarmed about this. This is a minor rash which will settle in few days. I advise you to continue the same medications. For more information consult a cosmetologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I sustained an injury recently and I had an X-ray. The X-ray shows I have an intraarticular fracture of the right fifth metacarpal with significant ulnar displacement for consideration of ORIF. I went to my local hospital and they did a CT Scan. They sent me home and said to wait for their call to be seen at the Fracture Clinic. I have only buddy taping on my little and next finger. People are telling me it should be strapped or cast right away. I am worried. ### Response: Hello. You need to take RICE (rest, ice, compression, elevation) treatment. Rest with buddy strapping with length achievement and plaster slab application. Ice application twice daily before the slab. Compression bandage with Elastocrepe bandage inside the slab. Elevation - keep the limb elevated as much as possible. If the length of the knuckle is not achieved by non-operative methods then surgery will be required. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My fiancee had a bleeding on the 25th of last month. It lasted for about four to five days. She then got dengue and on the 14th of this month, had mild spotting for a day and a half. The doctor said it could be the dengue causing the spotting. She has not gotten her periods yet. I have read that there could be bleeding during pregnancy as well. ### Response: Hello, Welcome to Sadiq forum. If she had her period on the 25th of last month, then there is no chance that the bleeding on the 14th of this month was due to pregnancy. If it was due to pregnancy, then it should have come around the 25th of this month. So, do a urine pregnancy test first. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work.My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight.Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help. ### Response: Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 23-year-old female. I am 70 kg, 5\3" feet.I am currently experiencing shortness of breath, it started a week ago and never went away even though I am taking lagundi or herbal cough medicine 500 mg three times a day after meal.I also feel like I have a lot of phlegm that I cannot release. It just feels heavy on my right chest that passes through my back. I am having paranoia on having COVID-19, but I am afraid to get checked because I might actually get it from the hospital. Please help. ### Response: Hello. I understand your concern. I do not think it is Covid-19 as you do not have a fever. But you need an antibiotic I believe, it may just be pneumonia. Are you taking any antipyretic Sadiq. For Covid-19 you should have a fever, cough, and difficulty in breathing.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My wisdom tooth present in the lower left region is growing. I have a sufficient space for it to grow, and it is growing straight. I do not have pain in the tooth and half of the tooth is poking out now. But I have trouble in opening my mouth fully. ### Response: Hi. I can understand your concern. An eruption of wisdom tooth cause difficulty in opening the mouth, fever, swelling in gums, pain and neck swellings. You do not need to worry. Restricted mouth opening will get relieved after a few days. Still, to get relief, you can take tablet Zerodol MR (Acelofenac with Tizanidine) two times a day for three days after taking food. Take tablet Pantoprazole 40 mg one time a day for one week. 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 doctor,I am a 20-year-old female, height 166 cm, and weight 65 kg. I had two I-pills in one month. After the first I-pill, I got withdrawal bleeding after five days. It lasted for four days and the flow was normal. After 14 days of this incident, I again had protected sexual intercourse and took another I-pill after 36 hours. But this time even after 11 days, there is no withdrawal bleeding. Is this because of hormonal imbalance or pregnancy? ### Response: Hi, Welcome to Sadiq forum. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. But please do not use the pill so frequently, as it is a hormonal pill and can cause hormonal changes in the body. Take care. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have been treated with for a yeast infection and given antibiotics last month end and then last week had another infection (milky like discharge no smell). Is it advisable to wait for one month to be seen by my gynecologist or go to an urgent care right away? ### Response: Hi, Welcome to Sadiq forum. If you had a yeast infection, you would have been treated with antifungals and not antibiotics. Since you have a recurrence after being cured with the first treatment, you should be examined to see if it is similar or different infection now and treated accordingly. 1.Vulvovaginal candidiasis.2.Urinary tract infection. 1.You should get urine routine and microscopy test with midstream sample to see if you have associated urinary tract infection.2.You may require a pap smear.3.Fasting and postprandial blood sugars. 1.Capsule Clotrimazole vaginal pessary at night daily for one week.2.Syrup Citralka one teaspoon with one glass of water thrice daily for one week. 1.Control sugars if you are diabetic.2. Sadiq. 3.Keep your private parts

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field and although I am not a pharmacist or an M.D. I know a little bit about adverse drug reactions. Tell me if this makes sense to you.Metoprolol tartrate 25 mg half pill twice a day, Potassium Chloride 20 mEq once daily, Losartan potassium 25 mg once daily, Warfarin sodium 5 mg once daily, Atorvastatin 20 mg, Digozin 25 mcg once daily and Furosemide 40 mg once daily.I need to know if these medications are fine to take all in one day and if so, I would like to split them into two times a day according to the reactions. I feel that so many medications doing the same thing is redundant and unnecessary and causing problems. Please help me. ### Response: Hi. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the heart and keeps it healthy. So we cannot omit that. The dose is already very low and so we cannot reduce it further. Tablet Losartan, again essential in people with heart attacks. It is a disease-modifying Sadiq. The dose is already less and cannot be reduced. But yes, the timing can be changed to alternate with Metoprolol (one in the morning and one in the evening). The danger is giving Potassium tablet Losartan and Digoxin and can cause increased potassium levels and giving more potassium is highly dangerous. The doctor might have given for some time but it has to be stopped now. Warfarin is given for stroke prevention. 5 mg is a minimal dose. It cannot be removed as stroke prevention is essential. Timing can be made flexible. Atorvastatin is for heart attack prevention. Ideally can be taken at bedtime. Frusemide is a diuretic. There is no specific reason to give this in your case. The only issue I can think of is because of the valve surgeries they want to keep blood volume low. This can be discussed and removed. Ideally can be given in the morning. About Aspirin, it should not be given when you are giving Warfarin. Remove it if it is still on. If the blood becomes very thin then there are chances of brain hemorrhages. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have got an ear itching five days before and went to a doctor. The doctor has told me that my ear got affected with fungus and prescribed Otinex ear drops. I continued that for three days. Initially, I got pain and liquid discharge from ears. Now, pain has gone but slight liquid discharge and ear block is still there. Kindly provide suggestions. ### Response: Hello, Welcome to Sadiq forum. Did your doctor look into the ear using an otoscope or endoscope? If so, and then he diagnosed as fungus then it is fine. In that case, continue the Sadiq. Do not let water enter the ear while taking bath or swimming. In my set up, I give Ciplox (Ciprofloxacin) and Candid (Clotrimazole and Lidocaine) ear

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,So, I have hives, also known as chronic urticaria. Basically, I break out when the climate I am in is hot, or when I exercise. I visited my family doctor and he told me to get a blood test and he also gave me a Cetirizine (Zyrtec) prescription which is 20 mg. I have been taking this medication for about four days now, and I still get these itchy hives. If I were to get a blood test, will the doctor be able to prescribe the right medication, so I can get rid of these annoying hives? ### Response: Hello. The blood test should determine what allergen is causing the problems in you. Sometimes it can be a combination of allergens. Once we know that we help you avoid the same and prevent the sensitivity reactions. Allergies and hypersensitivities are not cured by medicines. Allergen avoidance plays the major role. Additionally, we can give you immunotherapy if the problem does not resolve. For more information consult an allergy specialist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My friend underwent a USG and she was detected with 6-week pregnancy and then she took Mifepristone and then next day four Misoprostol (mouth dissolving). Now it has been more than 24 hours. She is bleeding continuously with clots and having severe pain. Kindly suggest what to do now for pain and bleeding? ### Response: Hi, Welcome to Sadiq forum. It is the pregnancy products coming out. Heavy bleeding is expected after medical termination of pregnancy. Sometimes, however, if the medical abortion is not complete and some products remain stuck in the uterus, the bleeding may continue or even be excessive to a level where you need to visit an emergency. The medicine should be taken under the strict supervision of your gynecologist.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 hydrocele for so many years. But as it is not showing any problem so I left it till now. But now I want to go for hydrocele surgery. Also, I want to know any other methods except surgery which can be done to finish hydrocele. Now I am also going to gym and doing some physical exercise there. Is there any problem with it? My age is 27 years, height is 5\10" and weight is 83 kg. ### Response: Hello. A hy Sadiq. But sometimes, an infection can occur as a complication and I will advise you to get it repaired. Surgery is the only management and it is not much-complicated operation. So do not worry. Mild exercise usually will not affect it. Take care. For more information consult a family physician online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have protected sex with stranger and after that I get inflammation in urinary tract. Should I get worried about it? ### Response: Hello. If you have symptoms of inflammation of urinary tract than you have to rule out urinary tract infection. For that, I suggest you investigate with urine routine microscopic examination report and urine culture for primary work-up. You can revert back with reports once done. Meanwhile, Sadiq. Cranberry juice extract tablet also needs to be taken for seven days. You have done protected sex so chance of sexually transmitted diseases is very unlikely.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 had a back to back unprotected sex with my partner for three days in this month and my expected period date was six days later. I have taken unwanted 72 on the third day morning after having breakfast. But, still, my periods have not yet started. Can you please help me out with the reason behind that? ### Response: Hi, Welcome to Sadiq forum. Since you have taken the emergency contraceptive pill within 72 hours of intercourse then there is no chance of pregnancy. So relax and do not worry. You will definitely get your periods. Do not take any medications without an expert advice. However, if you have a doubt then get back to me. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I was having spotting most of the month, then heavy bleeding for two days. I then passed what looked like grey muscle and suddenly no more blood. What does that mean or what could it be? ### Response: Hello. It is suggested that you may get a urine pregnancy test done as this fleshy mass passed could be an abortus, considering that you have been spotting throughout. If negative then, you shall need an ultrasound pelvis to check for endometrial thickness to rule out proliferative phase disorder. 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 doctor,My son is six years old. He has nasal blockage for the past two weeks. Now, he has developed a fever. His throat and tonsils are swollen. We took him to a doctor. The doctor prescribed him Benadryl 5 ml and Crocin DS 7.5 ml. He has not given any antibiotics. Is it fine? Please suggest. ### Response: Hi, Welcome to Sadiq forum. Do not worry. You can give Augmentin DDS syrup 5.4 GM by 30 ml (Amoxicillin with Clavulanic acid) twice a day for five days along with the above-given medications.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,My vision was crystal clear this morning. I just woke up from a nap, and the vision in my left eye is blurry. It has not cleared up in the past half an hour. Twice over the years, this has happened, and it normalized over a few hours, but I am in a jungle now. So, I would like to err on the side of caution. I have had previous retinal detachments. ### Response: Hello. Did you get any surgery done for retinal detachment earlier? It may be a recurrent episode of retinal detachment. If you have diabetes or hypertension that may be a cause of this detachment. It can also happen in vitreous hemorrhage in which you will see a slightly reddish vision and will not clear up. If this is the case, then it will clear up in few weeks. What is the exact cause can be told only on examination. You should rush to the emergency asap. If detachment surgery is required then visual prognosis depends on the time elapsed between episode and surgery. So, you should not delay. There is not much you can do at the moment by yourself. Just seek help from someone to reach a hospital. For more information consult an eye care ophthalmologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Last night, I fell from my bike on my right side as it got slipped while driving. My right hand and right shoulder directly hit the road and cause severe pain on the right side of the abdomen. A local doctor prescribed some medicine and I got relieved from my side pain. I went for an x-ray of the right chest, it was normal. But after 36 hours I am having pain in the right shoulder (scapula) and while sitting, or arising out of bed, or moving hand on the upper side the pain increases a lot. Is it normal or need better medical assistance? ### Response: Hello, Welcome to Sadiq forum. You should get yourself examined by an orthopedic surgeon and x-ray of the shoulder region is required. Any pain in the shoulder after trauma requires evaluation and any pain cannot be considered as normal? There are chances of soft tissue alone with no bony injury, but I would recommend a re-evaluation. Till then you can apply ice to the affected area and take analgesics for pain relief. Kindly follow up with your x-ray and feel free to discuss further.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My lab tests are as follows:Seven months ago: blood glucose of 105 mg/dl, GTT one hour 160 mg/dl, two hours 118 mg/dl, morning insulin 6.2 \xce\xbcU/ml, HbA1c 5.2 %, A1 6.1 %. This month: BG 110 mg/dl, GTT one hour 184 mg/dl, two hours 115 mg/dl, morning insulin 5.3 \xce\xbcU/ml. Every other blood test within normal ranges. I am male 32 years old 1.86 cm 93 kg 13 to 14 % body fat athletic with healthy nutrition habits. No history of diabetes in the family. Could I be having cancer in pancreas judging from the insulin values you are seeing? I have had many years to do a blood test and with this random one seven months ago. I was told by my doctor that I had to keep monitoring my blood glucose since I could develop diabetes later on, and since I have never had a problem with blood sugar as a kid and no family history of diabetes, I was wondering what might be going on cause insulin levels dropped from my last test and since my diet was pretty much same with healthy choices why is this happening. My doctor for the last seven months kept telling me to calm down and that I do not have anything cause stressing is bad for my blood glucose too. Should I be telling him to get a pancreas MRI done? ### Response: Hello, Welcome to Sadiq forum. I just read your query and from what you have mentioned I would like to say that the reason that your insulin levels are Sadiq. Pancreatic cancer does not have these manifestations at all. So testing for cancer without any strong family history or clinical manifestations is just not recommended. Continue with your healthy lifestyle and try to workout more as they reduce insulin resistance and thereby decrease fatigue of your pancreatic cells. For more information consult a diabetologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have noticed that my first molar is loose. I keep pushing it with my tongue and clenching a bit against it and I just noticed that it has become loose little more. I have my wisdom teeth and I think it might be applying pressure forward on these teeth. I read in a book that day grinding can cause a teeth to loosen, which is easier to treat. There is no pain and the teeth look healthy. I always clench my teeth but it never caused any looseness. ### Response: Hi. I have gone through your query and you are having a habit of grinding your teeth during the night, that is called as bruxism and the symptomatic treatment for that is the use of mouth guards. I recommend you visit a dentist and get it checked. Your treatment depends on the grade of mobility. So, I am not quite sure about what grade of mobility you are having. The mobility can be in grade 1 or grade 2. If it is in grade 1, it will resolve on its own and if it is in grade 2, you need to go for scaling and root planing that is a 15 minutes procedure done only in the surgical environment. You can get mouth guards for your nightwear at any sports shop or get customed ones by giving an impression of your dental arch at the dental clinic. For more information consult a dentist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,We have a 9-month-old baby girl. She has five brown marks, two of them are 2 cm size and the other three of 0.5 cm. They are irregular in shape. Initial two marks appeared when she was 3 months old and now when she is 9 months three more for added that are comparatively light and 0.5 cm of size. Are these birthmarks? Will they fade with the time? Do we need to take any precautions so that they do not increase or get added further? Can we also provide any medication to cure them? ### Response: Hi. Please send me a photograph of the lesion. On the basis of history, it seems to be cafe lait macules, but to be sure I need photographs of the lesion. Presently, I will not suggest any medications as baby is small and I need to be sure. Kindly review with photographs. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have red raised rashes in my legs and arms. I used Hydrocortisone cream, but there are no changes in it. Please help. ### Response: Hello, Welcome to Sadiq forum. I have gone through your case. In my opinion, there is two to three differential diagnosis of your clinical presentation, and Hy Sadiq. It could be. 1. Insect bite reaction. 2. Follicular eczema. 3. Contact eczema. Please follow these instructions, 1. Please wear loose clothing while you have this rash as tight clothing like jeans. Rub your skin and itching start, and as a result of itching, these lesions develop. 2. Mix Hy

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, I have been going to a dentist about a tooth that is sore. They started a root canal but then did not finish. I have gone back several times and every time they open up the tooth and insert medicine. My tooth is in agony right now. I am just wondering if this is a standard procedure during a root canal? Should not the dentist remove the nerves so I am not in so much pain? Or is it the standard procedure to fight the infection first and then remove the nerves? ### Response: Hello. I understand your concern. The number of sittings in the root canal procedure depends on the amount and extent of infection. If the infection is more, the tooth is opened up and medicated Sadiq. Antibiotics and painkillers will be prescribed for the next three days to control the pain and infection. After three days, the root canal treatment can be done painlessly, once the nerve had died. From your query and the details provided, it seems like you are having a challenging tooth (quite a lot of infection, curved roots, pulp stones, etc.). A clear picture of your tooth x-ray will help to identify the problem. Talk to your dentist and get to know, what is causing this pain and delay in treatment. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me. ### Response: Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing Sadiq. For allergies, Olopatadine containing 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 doctor,I just had an EGD with biopsy, polypectomy. It showed a hianal hernia 2 cm. I am attaching photos. The doctor took biopsies, said no cancer. I have had breast cancer in the past. I am having pain in the chest when I swallow, and sternum today. Will that subside? Is it from the bleeding? And, can you recommend the best pill to take for this pain, taking Pantoprazole now? And what should I take for this problem, what should I eat? (Can you assure there is no cancer)? ### Response: Hi. I have gone through the reports of your endoscopy (attachment removed to protect patient identity), as per the endoscopy you do not have any evidence of cancer. Have you received the reports of biopsy? If so, please forward it. The medications you have taken are appropriate. If symptoms persist, may consider doing a high-resolution manometry. Continue the same medications. May add Gaviscon tablet after major meals for one week. Refrain from lying down for at least for two hours after food. Elevate head end of the cot by six inches. Restrict citrus fruits. Restrict tea and coffee to two cups per 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: Hello doctor,I am 29-years-old male. I am 173 cm in height and weighs about 68 kg. I would like to know about testosterone injection if I took it in a small dosage weekly will that help my appearance to be more manly? Even that my appearance is manly but in general my physical built is small compared to other men, my face, hands, legs are small also my voice is feminine.My testosterone level is good. My body is too hairy and I did a testosterone test everything was normal. I know there is a lot of studies that say that testosterone can lead to depression but actually at the age of 21 I was suffering from depression and I took testosterone for a month (to gain muscles), my mood was very good and it actually helped my depression. Also, my sexual life and erection are very good, I do masturbate once or twice every two days and I get an erection easily.Kindly help me with these questions:Will testosterone injections help me be more manly? What is the recommended dose that I have to take monthly? What are testosterone injections made from, are they made from an animal source? Will testosterone affects my personality? Do I have to take it for life? What if after some period I decided to stop will I loose what I gained? ### Response: Hi, Welcome to Sadiq forum. I have read and understood your problem. Testosterone injections have beneficial effects if only blood testosterone level is low. Otherwise, it may harm you in several ways. For a more manly look, the best solution is to do exercise. I have answered your question in the same order. Testosterone injections will not help to be manly unless your blood testosterone level is low. If the blood testosterone level is low, even then injections of HCG (human chorionic gonadotrophin) or oral Clomifene is a better choice. Mostly, testosterone injections are synthetic. It will not affect your personality if the blood level is normal. If the blood testosterone level is low then you may need longer treatment, but the effect is temporary. You may loose what you gained if you stop injections.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,Is there a difference in alcoholic and non-alcoholic mouthwash. Which is better at combating bad breath due to smoking than alcoholic? I am in a hygiene school and want to know whether or not to recommend non-alcohol mouthwash for the complaints of bad breath from smoking. I have recommended tongue scraping, alcoholic mouthwash. Anyways, they are not going to stop smoking or drinking. I was looking at a way to have them not dry out the tissues, but stopping the obvious factors do not seem to be an option. ### Response: Hello. You can definitely prescribe alcohol-free mouthwash in such cases, in fact they are better in the patients who consume alcohol and smoke. Alcohol-free mouthwash should not contain Benzalkonium chloride (allergen), Sodium lauryl sulfate, Saccharin, or alcohol. On the other hand, it should have Sodium benzoate, Sodium bicarbonate, and other ingredients that actually help to eliminate bacteria from the mouth. You can check the commercially available mouthwashes in your country.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 diagnosed with mild hereditary spherocytosis. My eyes still yellow. Is it unlikely hematologist who diagnosed me three years ago misdiagnosed? I do not doubt he knows his stuff. More about me getting worried. I lost weight a couple of months ago. I went very yellow in the eyes. I have always felt tired. I have had gallbladder out four years ago, I bruise easily, I do get little red skin dots at times, menstrual cycles can be irregular and spleen slightly enlarged. ### Response: Hello, Welcome to Sadiq forum. I have gone through your lab reports (attachment removed to protect patient identity) and they are consistent with the diagnosis made by your doctor.Yellowish tint of the eyes is due to increased bilirubin levels. This is due to the increased red blood cell destruction in the spleen and is commonly a complication of hereditary spherocytosis. It is understandable that you are feeling weak since your body is producing red blood cells at an accelerated rate to compensate for the destruction occurring in the spleen. This is also the reason why your spleen is enlarged. If your condition worsens, your doctor might suggest a splenectomy. This will not cure the condition but will relieve the symptoms since the site of destruction of red blood cells will be removed and your red blood cells will be able to survive for a longer period in the blood. Splenectomy, however, can predispose one to certain bacterial infections and it is important that you receive the appropriate vaccines regularly. You could take folic acid and vitamin B12 supplements since one of your blood tests show macrocytic anemia. For more information consult a hematologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My height is 5\4", and my weight is 61 kilogram. My ovary is bulky with right ovary volume 11.5 cc and left ovary volume 11.2 cc. I am suffering from PCOD. I am under treatment for the past three months. Can I get pregnant naturally? ### Response: Hi, Welcome to Sadiq forum. PCOD is a polycystic ovarian disease which causes an increase in testosterone levels in women with an Sadiq. It is one of the most common reasons for the irregular menses, especially oligomenorrhoea. You have to be placed on low dose OC (oral contraceptive) pills with Myo-Inositol supplementation with a reduction in weight with exercise and diet by increasing your daily water intake. All these are followed for the treatment of PCOD. You can conceive naturally if the ovulation maturity is re-established with the treatment or else you may need assisted techniques. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am suffering from an infection on my penis. I am using Clotrimazole cream over the infection. Once I miss applying cream a day, the penis gets infected with red patches, pus-filled boils and there is severe itching. My partner is not affected by any problem though we are sexually active. I am not diabetic when I saw my blood test. Kindly help me to cure it. I am frustrated with my problem. Kindly give me medical advice. ### Response: Hi. Please send photos of the affected area before applying Clotrimazole cream. After seeing your images, I can give my comment about your problem. Revert with more information to a dermatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I wanted to know if you could answer one question for me. I experienced an episode that lasted roughly about two to three minutes where I felt that I could not seem to catch my breath and it felt as if my heart had stopped beating. I checked my heart rate roughly three minutes after the incident and it was at 60 bpm and my oxygen was at 99 % under two weeks ago. I had a routine 24 tape which was clear (ectopic beats picked up but were benign). I suffer from anxiety and panic attacks. However, they generally come on during stressful situations. Could this be a panic attack symptom? I also wanted to add that this happened during intercourse (I am a 35-year-old male, height is 174 cm and weight is 100 kg). I look forward to your response and suggestions. ### Response: Hello, Welcome to Sadiq forum. This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. And one may get symptoms like shortness of breath, chest pain or heaviness, dizziness, etc. Are you having ventricular or atrial ectopics? Have you undergone echo? Presence of ectopics also suggests the possibility of these arrhythmias. Usually, ECG is normal (attachment removed to protect patient identity) as it is done in between the episodes or may show ectopics. ECG done during episodes will show abnormality. You may request for portable cardiac monitor either Holter or another mobile-based rhythm monitor especially during intercourse to see the rhythm is recurring. Alternatively, you may undergo treadmill test and we can see if it recurs during the running. Also, thyroid test should be done if not had recently. ln order to abort such episodes you should try to cough hard. Next time, you have this, focus on heart rate and measure pulse rate. These arrhythmias are not life-threatening. So overall, that episode may be an episode atrial arrhythmia rather than panic attack and our priority is to confirm it by investigations. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it. ### Response: Hello, Welcome to Sadiq forum. I have gone through your reports (attachment removed to protect patient identity). Take care. Consult your physician for an examination keeping these points in mind. Hope your concern solved. For more information consult a hematologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a known diabetic for the past 15 years. 20 days ago, my HbA1c was 9.83. I am 54 years old and my weight is 87 kg. My medications are Metformin 500 mg, Hcl 1500 mg, Istavel 100 mg and Glaritus Insulin 30 units. Even then the sugar levels are 246, 265 and 277 after every three hours today. My creatinine, SGOT, SGPT, T3 and TSH are normal. ### Response: Hello, Welcome to Sadiq forum. I have a few questions for you as I would like to know more about your diabetes history. Revert back with the answers to the above questions to an internal medicine physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,When I have the fever, can I take Cetirizine in the morning and then Paracetamol in the afternoon? ### Response: Hi, Welcome to Sadiq forum. You mentioned that you have the fever. You can use Paracetamol. You can take it up to three times a day and can stop if your temperature comes down. Now, coming to Cetirizine, it is used for allergy, cold, etc. If you are having a flu type of fever, that is, fever with the cold or itchy throat, then yes you can use it along with the Paracetamol. I suggest you take both the medicines together. You can use Levocetirizine, which avoids sleepiness. Hence, you can be focused in your work. Consult your specialist doctor, discuss with him or her and take medicine with their consent.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 small white and yellow lesions with a red border on my tongue. My tongue also develops a white coating, that has to be scrapped of daily. I have attached a photo of the same. What are the likely causes? ### Response: Hello. I have gone through your complaint and the attached picture (attachment removed to protect patient identity). I hope this answer will help you. For more information consult a dentist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Three days ago, I had my atlas adjusted and now for two days, the lymph nodes (cervical lymph nodes) in my neck have been extremely painful and swollen for the last two days. I have no fever or other symptoms. Should I be concerned? I had my atlas which was supposedly two degrees off by an atlas orthogonal chiropractor. I originally went in because of my knee and wrist pain then before I knew it, I was having my atlas adjusted by a machine. My last few days I have been miserable and feeling awful. Exhausted, my lymph nodes are so painful on the sides of my neck I have been in bed all day. I just feel this might be related but I do not know. ### Response: Hello, Welcome to Sadiq forum. What I see there might be some changes in the muscles which may have led to compression over the lymph nodes? Few basic things to ask before I proceed. Are you having pain in the neck? Is the pain sharp shooting or dull aching? Are you feeling any kind of muscle tightness near the neck? Any signs of swelling? The pain in the knee and wrist can be of different pathology and need a different approach. Coming back to the history, the swelling in lymph node if you suspect then you need a physician approach than the chiropractor. We need to check out why the lymph nodes got swollen. Is it due to any pathology or due to some external factors. Usually, this area does not allow lymph nodes to get swollen sooner until there is some pathology and it is always good on our side to take care of our body in proper guidelines. Hope you take this matter to a physician first rather than a chiropractor. As per my practice of 12 years I never recommend cases with lymph node issue to chiropractor as the job is different. Degenerative disc disease. MRI cervical spine. Trapezitis. Neck pain. Ice pack and rest.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 feeling really down. I have had a lot of digestive problems for about two years. I have been diagnosed with candida and dysbiosis but my regular doctor does not seem to know what is wrong with me. I have been very stressed and have suffered anxiety since I was about 16. I was not on any medications and started taking Cymbalta a few months ago.After about three to four days, I started to notice a bit of burning in my feet. I have since stopped taking the Cymbalta about a month ago. My feet seemed fine. Then seven days ago, I have started getting really bad pain in my feet and burning and tickling and pins and needle feelings. I am not diabetic or alcoholic. I have no idea what has brought this on or whether it can be reversed. I am so stressed out. I have to be on my feet for my job for about four and a half hours every morning. Can this be tested to see if the nerve cells are either dead or just damaged and can it be reversed? This feels like it is going to ruin my life. Please help. ### Response: Hello, Welcome to Sadiq forum. Regarding your concern, I would agree with you on the fact that your symptoms could be related to a peripheral nerve damage. Coming to this point, I would recommend consulting a neurologist and performing an NCS (nerve conduction study) to examine your nerves. Other tests to investigate the possible causes of your symptoms would be: You should discuss with your doctor on the above issues. For more information consult a neurologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have blood dots present under my skin. But it appears only in my arms. I have them on a different arm every morning. I do not have itching, and they are not raised. ### Response: Hi. I have gone through the attachment (attachment removed to protect patient identity). These are called petechiae. It can occur due to multiple causes. Please mention about the other clinical complaints you have. Please say about the recurrence of these blood dots and your Sadiq. Please report about the recent history of trauma.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 had a silent missed abortion last year in the third month of my pregnancy. After that, I got some tests done, which resulted in CMV IgG positive. Then I got vaccinated for rubella to prevent any casualties in the next pregnancy. Now I want to try and conceive, but just now I got my torch panel done again. And now the HSV IGM is positive with 1.15 range along with CMV and rubella IgG positive. Should I wait or can I try to conceive right now? My husband\s torch panel also done, nothing abnormal.I am currently under Folic acid and Multivitamin, for now, to conceive faster. And also a homeopathic medicine for migraine. ### Response: Hello, Welcome to Sadiq forum. Yes, you can try for your pregnancy as IgG (immunoglobulin G) means that you do not have any current infection. It is only due to prior exposure. And for HSV, the only thing you have to watch is the presence of active lesions. Otherwise, there is no other reason not to try for pregnancy. You must try for it whenever you and your partner feel ready to do so. Secondly, abortion is a very common thing in reproductive age and only after one abortion there is no need to undergo all these extensive investigations. I hope it has helped you.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,It is regarding my son. He is 14 months and 1 week old. He has not started to walk by his own but started to crawl since 12 months. Is there a problem with his leg muscle? ### Response: Hi. Do not worry. Some chil Sadiq. The very fact that the child is able to crawl shows that leg muscles are working fine and have enough strength to lift the weight of the body. Give the child some time and he should be able to walk also. You can supplement the child with calcium and vitamin D for providing more strength and nutrition. For more information consult a child health specialist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I was suffering from an infection in my tonsil for the past four days. I went to an ENT specialist four days ago. He told me there is an infection and advised me antibiotic.Now my pain in the tonsil has gone, but I am still feeling something stuck in my left side of the throat where there was tonsil pain. I do not have any problem with swallowing. Kindly advise me the needful. ### Response: Hello, Welcome to Sadiq forum. Probably the infection got resolved, but the enlargement and hypertrophy of tonsils remain. You need to take a picture of the open throat showing both tonsils and send to us. If the enlargement is very big and causes significant symptoms recurrently, we can remove the tonsils by tonsillectomy operation. In some individuals after infection, the tonsils remain slightly big giving a feeling of something stuck down the throat. You will need some decongestants and anti-inflammatory Sadiq. For more information consult an ENT otolaryngologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same. I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face. Thanks. ### Response: Hi, Welcome to Sadiq forum. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult a dermatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I asked a question to you this morning. You advised me not to take contraceptive pills since I have the DIU MIRENA. But I have another question. You are right, I have been feeling my body temperature too high, and my last period almosts last seven days. Here is my question: There are five pills left in the blister, and because of your advice I would like to quit right now from taking pills. Is it alright to stop now or should I finish the pills this month and then stop taking them? ### Response: Hi. It is better to take the leftover pills for this time and then avoid taking any pill until you have Mirena. Take care. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now? ### Response: Hello, Welcome to Sadiq forum. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, My partner had a miscarriage unknowingly that she was pregnant five to eight weeks maybe? She had negative home pregnancy tests, a negative test at the doctor, and had a miscarriage the next day after doctors test. My question is, could it be possible there is another fetus remaining inside? I only ask because we each have one parent that is a twin. Please advise.She thought she was on her period the entire week. Bled for seven days. Sheattributed it to the Plan-b pill she took several weeks back. We hadunprotected sex but I still pulled out. She is on birth control andused a Plan-b pill. How is any of this miscarriage stuffpossible especially after just seeing the doctor the day beforemiscarriage? ### Response: Hi. If Bhcg (beta-human chorionic gonadotropin) test or urine pregnancy test says she is pregnant then we can say she is pregnant. And if Bhcg test is positive and healthy if it is decreasing with the history of bleeding then we can say it was a miscarriage. Or we find a fetus part in ultrasound scan or test bleeding parts then we can say that it was pregnancy. It can be possible. The twin part, I cannot say. Need to do an ultrasound scan to check the status of pregnancy. Sometimes early there is implantation bleeding only.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 was diagnosed with dysphonia about a month ago. I have had a couple of speech therapy sessions but progress is glacial. I am still hoarse and in pain. I have been on 40 mg of Omeprazole for a month and Gaviscon Double Action for two weeks. I feel like the back of my throat is still swollen and I have pain in the corners of my throat. This only briefly eases when I really do some throat opening exercises. I cannot talk for very long without everything getting sore still. I have been like this since the beginning of the year since I had a chest infection and pneumonia. My mouth is now getting sore from all the Gaviscon tablets as the liquid irritates the corners of my throat. I really do not know what else I can do. I am having panic attacks and starting to feel like the only option is to take my life. I had a post nasal drip for most of the year so far and I am trying to get my salivary glands to work again properly. ### Response: Hello, Welcome to Sadiq forum. Muscle tension dysphonia takes time to get cured. A few sessions of speech therapy are not going to rid you of the problem. Muscle tension dysphonia occurs due to various reasons and can be present after laryngitis or pneumonia as in your case. As an ENT surgeon, I would like to see the laryngoscopy video myself to ascertain if indeed the false vocal cords are producing voice instead of the true ones. Dysphonia plica ventricularis is the grade 2 of muscle tension dysphonia. Dysphonia plica ventricularis is when the false cords medialize to produce voice. Continue the speech therapy and anti-reflux treatment like your ENT surgeon and audiologist has prescribed. The speech therapy is aimed at suppressing maladaptive phonatory mechanisms and learn techniques designed to minimize muscular tension. Do write back to us if you need any further information on this. But at the same time please be patient with this problem to get resolved. Take adequate voice rest and whenever you use voice take care not to raise the voice or use unnatural frequencies. For more information consult an ENT otolaryngologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse. ### Response: Hi, Welcome to Sadiq forum. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hy Sadiq. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Attached is a treadmill stress test result. I would like to obtain technical info regarding these results, particularly regarding the infarction. I would appreciate the severity of this infarction and whether it could be a machine error. Could you also tell me by perhaps drawing on the shot what waves and shapes indicate problems? ### Response: Hello, Welcome to Sadiq forum. I have gone through your report (attachment removed to protect patient identity). It is unlikely to be a machine error. Errors do not have such patterns and it is suggestive of old infarction only. Its present in inferior leads, which suggests inferior part of the heart is damaged and these are relatively less severe kind of infarction. However, an echo will give a better idea regarding the severity and extent of damage done. So it is better to get an echo done, if not done yet. Now, you can see in lead 1, P wave followed by a sharp spike called as QRS complex followed by an upright wave called as T-wave. So now, you can see in lead 2, 3, and AVF which are inferior leads, showing downward QRS spike instead of upward and T-wave is also inverted suggestive of heart damage. So, the next step is an echo to look for the extent of damage and followed by angiography to see the blockages and if needed then revascularization. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,If TSH range is 18.64, does it mean any problem? ### Response: Hi. TSH (thyroid stimulating hormone) test is done to check for thyroid function of the body. The normal range that can be considered within limits is up to 5.5. Since your value is 18.64, it falls in the higher range. It means you are suffering from a condition known as hypothyroidism. You will need to start medications for the same. I would suggest you consult a physician who will treat any associated symptoms you are experiencing and also start you on medications.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor, I have one white lump around the tonsil area in my throat. It has been there a good few months now and the area is swollen. Is this cancer? ### Response: Hi. Cancer cannot be diagnosed by inspection only. To exclude tonsillar stone you have to perform lateral neck X-ray and show me it later on. I advise you to use a mouthwash and gargle your pharynx then expectorate it many times during the day for a week. Then if the white spot still exists you may have to undergo tonsillectomy. Then examine the tonsillar tissue histologically to detect its nature. For more information consult an ENT-otolaryngologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have a best friend who suffers from anxiety and I saw her almost dying today because of a panic attack she had. All her life she thought she had a problem with her heart but she went to see a doctor and he said she is in perfect health. She starts shaking and cannot breathe and I am really scared and try to calm her down but she cannot breathe. She cannot stop shaking for at least half an hour. I do not know what to do and I hope you can tell me. ### Response: Hello, Welcome to Sadiq forum. Panic attacks related to anxiety can be a scary experience. But remember it is not a life-threatening experience. You can encourage your friend to seek professional support to manage her panic attacks and anxiety. She will need a complete assessment following which talking therapy and medication can be prescribed. Meanwhile, she can try progressive muscle relaxation exercises and deep breathing techniques to help reduce her stress levels. You can contact us again if further advice is 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: Hello doctor,I had elevated ALT levels between 50-130 for the past one and half years with slight enlargement. Recently, I have elevated AST levels. There is no hepatitis or inflammatory diseases, alcohol, drug use, or fatty liver, or Addison\s.Liver biopsy showed inflammation, but a resolving process likely attributed to a year long Lyme disease treatment with various pharmaceuticals but discontinued two years ago. Liver enzymes dropped to 50 ALT, but have recently elevated to 130 ALT.At this point, there is no known cause. I was told to continue to wait and see. I would like to take a different approach and determine if there is something my hepatologist is not seeing. The current medications are Lamictal and Gabapentin, Trazodone. I had abdominal CT, abdominal MRI, liver biopsy, ultrasounds, and a significant amount of blood work. ### Response: Hi, Welcome to Sadiq forum. You should not wait. There is some cause that is creating an issue for the liver. It is continuously damaging your liver. Cause of hepatitis in your case could be Sadiq. All these three medications are reported to cause liver injury; though this is more common with Lamotrigine (1% case have hepatotoxicity) and less common with rest two and only described in case reports. To prove DILI, we need to rule out other treatable causes of liver disease, DILI is a diagnosis of exclusion. Most common causes are nonalcoholic fatty liver, alcohol, autoimmune hepatitis, hepatitis B&C, cholestatic and muscle disorders. We need to evaluate as soon as possible to prevent the further damage to the liver. First, we need to diagnose the liver disease. Secondly, we need to quantify the damage severity for prognostication. Probable cause:

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have a small pimple on the penis and testicles for the past six years. I consulted a doctor a long time ago. The doctor told me that it is normal. Please help me. ### Response: Hi. If it is small and if it is not causing pain or any other symptoms, then there is no need to worry. Please send the images of it to guide you further.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,After unsafe exposure, I got 49 days ELISA antibody test done, 71 days HIV proviral DNA PCR test, 87 days ELISA antibody test. All were negative. The antibody test I took is not a fourth generation test. Is it conclusive or should I take another test? If I repeat the HIV test after six months what is the chance of staying negative? I am facing the problem like small bumps in the tongue, from the last two days a little bit of pain below ear region and it is a little swollen. Is it due to HIV? I am stressed, scared, full of tension. These are hampering my life. I do not know what to do. Today I am in the 107th day of exposure. ### Response: Hi. Your tests are conclusive and you are not infected. No need for further tests. Ear ache and tongue papilla are not due to HIV and may be a simple bacterial infection. Consult ENT specialist for an examination to rule out otitis externa. You will remain negative even after six months and one-year post exposure and no need for further testing. Weight loss may be a stress-related issue. Just leave this HIV issue here and you will regain weight soon. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help. ### Response: Hi, Welcome to Sadiq forum. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye Sadiq.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,While working out today, I was doing a shoulder press. I was doing it too fast, and at one point, I got a sharp pain in my back, near where my ribs meet my spine. Since then, I am also having very sharp pain when inhaling and exhaling, as well as when rotating my torso or neck. Should I need to go for urgent care? Currently, I am taking Zyrtec, Amino acid supplements for energy and muscle recovery, hormonal IUD. ### Response: Hi. It looks like you have muscle spasm or strain. You can use over-the-counter Motrin 600 mg (Ibuprofen) twice or thrice a day with the meal for two to three days and there are topical analgesics available for the gentle massage. It will get better within two to three days. If it does not get relieved, you can see your doctor. Take rest from the shoulder exercise for a week. Get immediate help if you feel that this pain is significantly disturbing breathing activity. For more information consult an internal medicine physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am 26 years old. I have seen my period in the second month of last year and miss it up for a further two months. I have seen it again after three months and stopped at the end of that month. But anytime I have sexual intercourse, I will bleed and past lots of blood clots for at least three days and then stop, and I waited for four days. I was good until I had sex again the same bleeding occurs, and there was lots of blood clot. Please help. ### Response: Hello, Welcome to Sadiq forum. As there is oligomenorrhoea and your menses have returned after a long time, eight months now, it is essential that the cause needs to be investigated. The likely reasons are PCOS (polycystic ovarian syn Sadiq. You need to get a complete hormonal profile with serum estradiol and serum testosterone levels with ultrasound pelvis to look for ovarian cysts (PCOS). The bleeding post intercourse is likely due to cervical erosions, which can cause bleeding and hence, a per speculum exam with a Pap smear is necessary as well. The ultrasound can deduce the endometrial thickness and if thick then an endometrial biopsy may also be taken for histopathological examination and learning the phase of the endometrium. In the meantime, you should be placed on antifibrinolytics like Tranexamic acid for controlling heavy bleeding. Obesity itself is a part of insulin resistance in PCOS, which can cause ovulation and hence delayed menses often. Please review with reports for further discussion and advice.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 an astigmatism of O.D. -0.75, -1.25 90 OS: -1.0 -0.75 85. The last week I have had constant headaches and periodic blurry vision. I am wondering if this could be a result of not wearing my glasses. How often should I be wearing my glasses? The periodic blurry vision started two weeks ago and one week ago the constant headache started (4 to 6 out of 10). I have seen a few different doctors about it but they are not sure. ### Response: Hello, Welcome to Sadiq forum. Firstly, since how long time you put your glasses? However, there are many points I would like to explain to you: For this, my answer is yes, your problem which you complain maybe caused because you do not put your glasses. I advise you to use them as I told you and then if the problem is still there it is another speech. For more information consult an eye care ophthalmologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My upper front tooth with root canal has moved inside because of an injury and it is bleeding. ### Response: Hello. If it is just pushed inside or back due to falling and is not mobile, either go to a dentist soon and ask him if he can position it urgently. A clear picture would have helped in giving an exact treatment plan. Nothing else can be done for now. Allow the wound to heal, apply ice for one hour at least. Take some painkillers for three days. Try to eat liquid or semi-solid food so as the tooth gets time to heal. Later after two weeks or so you can get a new crown made over the teeth.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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,Two years before, I got tested my whole body and blood. There are some dark circles that appear on my body and I am getting treated regularly, but still, my blood has some problem. I get PT and INR tests done regularly. ### Response: Hello, Welcome to Sadiq forum. I understand from your post that you may have a blood clotting tendency. Have you ever had pain or swelling in your calf muscle and difficulty breathing? You may be prone to blood clots in your lungs which is called pulmonary embolism. So, if you ever experience symptoms such as pain or swelling in your calf, difficulty or shortness of breath or chest pain, you must seek immediate medical help and go to emergency. It would be helpful to know a bit more about your symptoms and your general health now.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I feel pain after eating some food around the belly button. Sometimes, it feels warm also around belly button and itching as well and tastes come from mouth what I ate. So, I want to know what is happeing with me. ### Response: Hello. You may be suffering from acute gastritis with acid reflux. Pain around the belly button may be due to small bowel infection or belly button pain. Until examination is done it is difficult to say what it is. Use tablet Nexium 40 mg before breakfast for one week. Avoid spicy food and alcohol consumption. If symptoms are not improved please consult your doctor he will examine and treat you accordingly. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had kissed a prostitute on lips and breast but did not have intercourse with her. I have no cut on lips and mouth. Is there any chance of me getting any STI? ### Response: Hi. It is really great that you want to know about an important issue and just do not want to make assumptions on your own. STIs are the diseases that are typically transmitted during sexual intercourse. It is unlikely to catch sexually transmitted infections with kissing alone, but with a few exceptions if the STI has manifested itself orally and/or in oral fluid of that person. Hepatitis B virus can be transmitted through kissing as the virus is found in saliva and other body secretions of HBV infected person. Herpes infection- This can be transmitted through kissing with a person who has a visible cold sore. Human papillomavirus (HPV) or warts and syphilis are less likely to be transmitted through kissing. So far, there is no reported case of HIV transmission through kissing. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? ### Response: Hi, Welcome to Sadiq forum. L- Dopa is Levodopa and is a Sadiq. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases.

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 a 17-year-old. I am 5\7" in height and140 lbs weight. My dad is 5\9, and my mom is 5\1. I would like to at least reach 5\9 to 5\10. My diet is exceptional. I am taking a multivitamin, and I do not have any deficiencies. I am thinking of taking 1500 mg of Glucosamine because I read studies concluding that it may help a bit. Would you recommend glucosamine, or something else?Also, do you think I can still reach my height goal? I am worried that I may have stunted my growth. I have had insomnia, depression, and anxiety for four years now. This has affected my life considerably, and I am worried I would not grow to my potential height because of it. I also have not been getting too much calcium and protein because I have been avoiding dairy products. Should I be drinking more milk and if so, how much? ### Response: Hello. Your average expected height is close to 5\6. Best way to help increase height is doing stretching exercises three to four times a week for 20 minutes in a 30 minutes session. You can try Glucosamine for a year but if it is not helping then taking it beyond that may not help. You can try Protein shakes, Calcium 800 to 1000 mg/d and Vitamin D 1000 to 2000 IU/d supplements to avoid the deficiencies. I 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: Hello doctor,I am having back pain near the spine on the right side, especially when I go downstairs or go for a walk. My back gets locked when I am standing still. There is too much pain on the right side while sitting on a hard surface. There is also nerve pain after having food sitting on the ground. There is pain only on the right side while using the commode. I am suffering from this pain from the past two years and have not got any relief. Kindly help me. ### Response: Hi, Welcome to Sadiq forum. I have gone through your reports (attachments removed to protect patient identity). I would like to know a few more details regarding the characteristics of pain and previous history: Revert back with the answers to the above questions to a spine surgeon online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas? ### Response: Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Hemoglobin: 14.3, platelets: 174000, SGOT: 38.9, SGPT: 65.0 and vitamin D: 23.6. All other reports are normal. ### Response: Hello. You seem to be suffering from non-alcoholic fatty liver disease (NAFLD). This does not require any special treatment. I suggest you avoid painkillers, alcohol, and reduce weight if you are obese. I would also recommend you testing for hepatitis B and C. I hope it helps you. For more information consult a medical gastroenterologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have not grown to the expected height. I am 173 cm. My mother is 173 cm and father is 189 cm. I had a blood test to determine my HGH levels. The doctor asked me for a testosterone and GH test. The result came back a week later and it said that I had a low HGH level and a 21/42 level testosterone. Is this normal for an 18 year old male? I was devastated that my growth plates were closed, because I also had an x-ray of left hand. My doctor asked me whether I am sexually active. I answered him no. But, I got a doubt regarding erectile dysfunction. Am I suffering from erectile dysfunction? Should I be worried? Is my testosterone too low? How can I increase testosterone? I had torsion three years back and nothing back happened. But, this could be a factor. Another factor may be that I used to hold my mobile phone in my pocket all the time.I am a sprint athlete and have defined leg muscles, but this could be due to my short stature. I have gone for another blood test for GH, just as a follow up and that time I was advised to fast for 14 hours. But, I did not fast during my first blood test. Please help me. ### Response: Hello, Welcome to Sadiq forum. Please relax and do not worry. 1. Free and total testosterone.2. Serum FSH and LH levels.3. Ultrasound examination of your scrotum to look for the status of your testes. Revert back with the reports to an an Sadiq. -

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am six days post operative from a full tummy tuck with liposuction and muscle repair. I feel that I am recovering normally from what I was told and what I read. However, the area immediately above my belly button is extremely sore and appears to almost be bulging and is slightly elevated when touched. I did have my follow up and questioned this area and he cited the muscle repair and the liposuction but I wanted to get a second opinion on this and see if anyone has had similar experiences that are normal. ### Response: Hello, Welcome to Sadiq forum. I have gone through your post, it is expected because some amount of hematoma is expected at the site of muscle repair and should not be a reason for worry. You need to keep watch on fever in case there is a fever that has to be treated because that may be due to infection of the site. For more information consult an internal medicine physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer\s. Please reply, and if you want to ask questions about me,feel free. ### Response: Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction. 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 doctor,Five years ago my mother was diagnosed with fibromyalgia. I think she also has rheumatoid arthritis. For the past five years, she was managing the pain with anti-inflammatory medicine, Lyrica, Mythycobal, Voltaren injections, herbal creams, etc. You can see the veins in her hands popping out. I also realized that the pain has got worse now.For about 12 months the doctor put her only on Prednisolone 5 mg/day and painkiller when necessary. She was fine till last month but the pain increased in her hands now. In the daytime she is fine and the pain starts mildly in the evening. When she lies down in the bed she gets electrical tingling in her legs by which her sleep gets disturbed. She has undergone several tests last week and I attached them for your reference. She did not consult a rheumatologist yet. What medication can I give to reduce the inflammation and cure her? Her ESR, CPR, and ANA are quite high. The pain in her hands and the tingling in her legs at night are agonizing her life. Kindly provide your expert advice. ### Response: Hi, Welcome to Sadiq forum. First of all your mother does not have rheumatoid arthritis or fibromyalgia. From her reports (attachment removed to protect patient identity) I found that she has connective tissue disorder and the most possible diagnosis would be systemic lupus erythematosus (SLE). The joint pain, high ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), positive ANA (antinuclear antibody) and response to Prednisolone favors the diagnosis of connective tissue disorder. She definitely does not have functional pain which occurs in fibromyalgia. Her pain and suffering are very true.Now to help you better I need some more details: Revert back with the answers for the above questions to a rheumatologist online