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Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am currently redesigning the common nutritional label to make it more to encouraging people to make healthier decisions while grocery shopping. I would love it if you can take a few moments to answer some of my questions below as they are important to our research and final design. Please feel free to answer as many questions and at any length that is comfortable for you.
### Response: Hi. All the best for your projects. I think it will take time to teach people to understand the importance of nutrition labeling but with my experience, I can answer your questions from the way I have understood by my patients. Misconception spreads mainly through advertisement. People does not read and they want to just understand what media say. The trend of looking into calorie content is increasing mostly on our IT people. I would prefer calories from sugar, calories from fat and sodium content of product per 200 g. About calories, I think we need to teach each detail of sources of fat, sodium and potassium levels. I guess all medical professionals need to teach the importance of reading, food labeling as we can observe an increase rate of metabolic disorder. If we guide in the proper way it could be helpful, it might be in schools or some awareness programs. A small note on the ingredient used and its importance or guiding note on macro as well as micronutrient uses in points. The mantra of advertisement needs to be changed or we need to explain the concept of being healthy with the use of daily simple products. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am exclusively breastfeeding my 7 months old baby. My baby has started solids. I give her two meals and two snacks. I am planning to go back to work now. My question is how do I stop daytime breastfeeding? Should I breast pump and bottle feed her or should I start Formula?
### Response: It is better to breast pump and store the milk rather than Formula feed. The breast milk should be stored in hygienic conditions in the fridge separately from other food items. The milk need not be heated again before consumption but the bottle in which it is kept should be put in warm water (along with milk in it) so as to warm the milk. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it was coming from my neck and sent me for physiotherapy. And, she checked my ears, but there was no wax. Do I need physiotherapy? Should I get a referral and maybe go to a specialist? Should I be worried about a possible hearing loss?
### Response: If it is a true migraine headache, you will need a preventive and abortive treatment. Also, this would decide whether you need the physiotherapy or not |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I have anxiety and panic attack. I had chest pain and went to the doctor who said that EKG is normal. He prescribed me Zoloft and Buspar.
### Response: Yes, it could be due to an anxiety spectrum disorder. But do not worry as the treatment is possible. Continue with Zoloft (Sertraline) and Buspar (Buspirone). Medicines usually take around two to three weeks to start exerting the effect. Also, practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: My eyes become red and itchy whenever I visit my hometown. They remain fine when I am in the city where I work. But as soon as I visit my hometown, they become red in a day or two. I have the problem for about two to three years. There are no pollens present here, and the climate is the same in both the cities. What is the problem? How to treat it? Can you please recommend some drops?
### Response: Hi. You are suffering from seasonal allergic conjunctivitis. Although you do not have pollens or any visible allergens in your area, your eye is already sensitized previously. Allergic conjunctivitis can trigger spontaneously. Reduce the sensitivity of the eye to such allergens. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am having a sore throat condition for past one week and pain is increasing. I met a doctor at my place. She gave me Pan 40 and Vibact to eat. I am so worried about this because I smoke. Please help me. This is not cancer, right?
### Response: Hello. I went through your post and images (attachment removed to protect patient identity). You have pharyngitis, a bit severe but nothing to worry. You need to start Levofloxacin 500 and Telekast L (Levocetirizine and Monteleukast) bedtime. In addition, use Chlorhexidine mouthwash morning and evening. There is nothing to worry. It is just an infection and will settle within 72 hours. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: My husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal. He had to have a stent put in his heart and will be medicated for the rest of his life. He has been told that it is vital he eats low fat and low cholesterol diet. I cook for him and I am worried whether I feed him the wrong things. I know that meat is not good for the heart, so we limit it and always go for lean cuts, but I am confused about the difference between animal-based saturated fats and plant-based saturated fats.For example, everyone raves about the health benefits of coconut oil and coconut milk, but both are extremely high in saturated fat. I googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly, but I do not know if this is true. For someone like my husband, is all saturated fat bad? Also, is chicken really healthier meat than beef? It seems to have a high cholesterol content so I do not know if he should be eating it. Any advice would be much appreciated.He is currently Rosuvastatin, Bystolic, and Aspirin.
### Response: Hi. I understand your concern on the high-fat diet and follow the mentioned points below. Just to make it easy, we need some fat which is good and HDL (high-density lipoprotein) like almonds and walnuts are good as these are rich in omega 3 and 6 fatty acids. Similarly, the fat we have in coconut oil is different. The fat in the chicken can be removed by removing the skin, where as beef has inbuilt fat which cannot be removed easily hence we suggest to include fish and chicken avoiding beef. Considering fat, we miss out on other nutrients too, so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within 1 liter of oil only. Coconut oil is having saturated fat but it burns easily in high humidity areas. If we live in high humidity area it is better to include coconut oil to protect our joints and skin. If we leave apart from high humidity area it is better to use refined oil. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I went to the doctor for a physical on 8th. I had blood work done. I went to the ER recently because I was feeling dizzy and tingling. The doctor said I have vertigo and they were not sure of the tingling. I received my blood work from my ER visit and I compared it to my annual exam. Below are the results:Between 8th and now:RBC 5.13 5.35HGB 16.1 16.7HCT 48.5 48.5MCH 31.5 31.2NA 131 141CL 105 97Protein 8.3 8.9SGOT 41 23All other numbers were normal. Do I need to be concerned with these numbers? After my 8th appt, the doctor did prescribe 20 mg of Lipitor (generic), but I stopped taking it after two weeks. I have also had diarrhea. I currently take Synthroid 0.05 mg. My blood pressure was high at my 8th appointment. It had never been high before.
### Response: Hello. I understand your concern. You say you are having vertigo and tingling and taking Synthroid. This makes me think about thyroid issues. So, a thyroid function test should be done. Furthermore, check your blood electrolytes and run urine analysis, and check blood sugar and pressure for a complete checkup. Have your meals regularly, do not skip any. Hope this helps |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am 21 years old with acne prone skin. I have lots of acne scars and pits from popping pimples when younger. I tried benzoyl peroxide and did not work. What medical procedure can stop pimples and heal the pits and scars? I am suffering from this for the past six to seven years.
### Response: Chronic acne with resultant scarring is an indication for treatment with oral Isotretinoin besides topical antiacne preparations like Benzoyl peroxide or Clindamycin. For scarring, there are cosmetic procedures like laser resurfacing or dermabrasion. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: Three months ago, I saw a dark brown mole under my right breast. The mole does not produce any symptoms. The mole when touched is noticeable bulging, is not smooth as other moles that I have. What can it be?
### Response: Hi. It could be a normal melanocytic nevus. If there is a sudden increase in shape and size with irregular border, an increase in color or rapidly evolving, then you can go for a non-invasive technique like dermoscopy and invasive technique like skin biopsy to confirm whether it is benign or malignant. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I have left ear pain for the past 7 days and I used Ciprofloxacin drop but no relief. Please suggest me.
### Response: Hello. Pain in the ear- If external ear infection was causing pain then there would have been swelling around ear visible, which I suppose is not there. Fungal infection can also cause pain, which is usually seen in diabetic and immunocompromised which I suppose you are not. Middle ear pain is caused by acute infection without ear discharge or chronic ear disease. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: Actually, my father has just had the first attack of heart and his troponin-T test value is 1.76 ng/ml. Also, his echo test reports are showing the TR and MR results in higher. He is planning to have angiography but I do not think that he should stop there. So please guide him. I need your help. I am searching for treatment.
### Response: So basically after a heart attack, best possible treatment is angiography followed by angioplasty or bypass surgery. So he should have angiography done and further management will depend on angiography report. Till the time, he should continue medicines which will prevent development of further attack. If possible, please upload his detailed echo report so as to interpret it better. Usually, mild to moderate MR (mitral regurgitation) and TR (tricuspid regurgitation) needs just medicine, may resolve with time |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I am a 25-year-old female with no children. My husband and I have been together for six years. We have no extra-marital affairs and I am 100 % sure of that. My right labia is swollen and is very painful to touch, even a slight breeze of air causes extreme pain. The pain is similar to a sunburn. It is painful enough to make me cry. The swelling starts from my right vulva next to my vaginal canal and goes all the way to my anus. The area with the worst pain is next to my perineum. This started as a painless lump in the size of a peanut that could be palpated from within my vagina with a finger but not visible externally. This was about a week ago. Now, it is huge and painful.My labia is three times larger than its normal size and very red. There are no discharges, no foul smells, and it is not itchy. I am managing the pain with Clobetasol topical cream and Mefenamic Acid orally. The pain disappears instantly with the cream but I think it is also making the swelling bigger (steroid?). I am on my third day of Co-Amoxiclav 625 mg (twice a day every 12 hours) but I think this is what caused the swelling in the first place. Also, I tried to do a sitz bath and it only made the condition worse. Just a few hours ago, I had trouble breathing (allergy?). I have never been allergic to any medication before. Any impression or advice would be appreciated.
### Response: Hi. From the symptoms you described, it sounded like you developed Bartholin gland abscess which is an occlusion of the Bartholin gland duct and that turned to be abscess. Steroid cream is not used for treatment. You need to finish the antibiotic and continue a warm sitz bath three times a day. If you had this previously and have the abscess at the same location, it would be better to have a procedure called marsupialization. You can continue Motrin for pain. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I have a regular 30-days cycle of periods. Last month on 10th, my menses started. On 11th, I had sex and he ejaculated inside me. Yesterday was my actual next period, but it did not come yet. Shall I wait for the period or take a pregnancy test?
### Response: Hello. Wait for three more days. In case, it does not start, then do a pregnancy test. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am 40 yrs old . My digestion is always a concern for me but since last month i am having bloting , stomach cramps , stool discharge 3-4 times a day. medicine taken rifagut, actigut for 5 days , meftal spas continuous , pentaprazole - 20 days till nw . at present bloting reduced but stomach cramps , stool discharge 3-4 times a day still persisit . USG abdomain found " minimal edamatus wall ( avg 3mm) noted in sigmoid colon. " rest is ok. as per stool test macrophagus present - a few .Kindly advise
### Response: I can understand you must be very upset about your problem. Well the symptoms you mention seem to be occurring due to irritable bowels. This abdominal pain can accompany diarrhea, which is called as Irritable bowel syn |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: If I had sex on the first day of my period. Will I get pregnant?
### Response: Usually, ovulation will not occur during periods. So do not worry, there are no chances of pregnancy. But, if you have any doubt, do a urine pregnancy test after 10 days to be sure. 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: Over the past three months, I have been experiencing some penis problem. I have a consistent red rash on the front of my penis glans that can go away and come back daily. After sex or masturbation, the rash will get brighter and red, unraised dots (not itchy) will appear all over my glans and foreskin. They will usually disappear on their own within three to four days. My penis glans are also very dry and have a wrinkled look to it, and the foreskin can stick to the penis glans and have a \bandaid\ effect when retracting the foreskin down. However, by applying Vaseline twice a day I have noticed the dryness to subside, although the red rash will typically remain.I have been tested for STD\s and have had a yeast swab test all come back negative. The doctor ruled out herpes by looking at it and said it was mild balanitis (inflammation of the glans). However, I have been washing with just warm water daily (ruling out any allergic reactions to soap) and keeping the area dry. This is more an esthetic issue than functional and it is ruining my confidence with my girlfriend. Why do I always get balanitis after sex or masturbation? The symptoms seem like yeast, but my swab test was negative. Please help.
### Response: Hello. I have noted your concern. On and off rash suggest that it is some sort of a skin condition like a noninfective balanitis, if not a yeast infection. Moreover, the swab test may sometimes reveal the yeast on a repeat test so that can be considered along with a fungal culture. I also request you to kindly upload an image of the affected area so that I am able to guide you better. Regards. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: I examined my right and left ear with an endoscope camera and I have found that my right ear looks different. I have less hearing power in my right ear on comparing to my left ear and I am wondering that there is something wrong with my right ear. I am hearing some ringing sounds in my right ear for a few years now.
### Response: I have gone through the pictures given (attachment removed to protect patient identity). This is a condensation of calcium on the 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: I had my periods on 20th of the last month and yesterday I had sex but accidentally the condom broke. So, I took I-pill within two hours of having sex. And today also I had unprotected sex and after sex immediately took I-pill again approximately within one hour. Is there any chance that I will be pregnant? Right now we are not planning to have a child so I am worried. I had a normal cycle of 32 to 35 days. So I am expecting my this month period on 22nd. Could you please tell me that is there any chance to be pregnant?
### Response: There was no apparent need of taking the second I-pill. The first would have sufficed for next 72 hrs as well. |
Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 drank a lot of strawberry mojitos and they were really dark red drinks. Now, my ejaculate is in strawberry color. It was nice and white in color before the day and there are no other symptoms.
### Response: The pigments in your urine/urethra can change the color of your semen. The other possibility is blood in the semen, which again without symptoms, is not a cause for concern. I would advise you to wait for a few days. If it is due to |