Datasets:

ophycare

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icliniq-dataset

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Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a query on heavy periods since three weeks ### Response: hello did you miss periods before that or is there any chance of pregnancy if yes then it may be due to incomplete abortion if there is no such chance and you never had this before then it may be due to many reasons for which you will need blood tests hb tc dc platelets pt bt ct tsh and ultrasound of pelvis please give details revert with more information to 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: i have been given hepatitis b blood test that showed the hbsag negative and the hepatitis b core antibody image as positive i am currently getting labs done for hepatitis b surf ab quant hbsag screen hepatitis b virus profile and panel i am getting conflicting information on websites and from healthcare professionals that hepatitis b does not ever leave the body but i also read that of the people who get it cleared the disease from the body my question is what is the real answer can i beat the virus and remove it from my body completely leaving only antibodies ### Response: hello you have positive hbv core igm which means one of the following do you have any symptoms of active hepatitis like jaundice or painful liver i strongly recommend that you perform the whole hepatitis b tests and provide me with the results in order to reach the accurate diagnosis for more information consult a general 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: i have had a feeling like something had been at the back of my left side of the throat for a few days i do not know what it is tonsils are not inflamed throat a bit dry and does not hurt to swallow ### Response: one of the reasons for your symptoms is anxiety which you told globus hystericus is a feeling of something like a lump in throat which can not be swallowed or swallowed and reappears tonsils usually are asymptomatic unless very large and obstruct throat are inflamed causing severe pain if your throat is red or you run a fever then chances of inflammation are more alternatively you may send a picture of your throat so that i may see any visible inflammation or tonsils

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: how to use a product called contractubex i bought it but for some reason it does not come with usage instructions how do i use this product but combining it with spf i would like to know how to use it for a fresh surgical scar can someone please tell me how to use it with spf that is how to combine spf for a surgical scar because contractubex does not come with instructions on how to use it mixing it with spf i had surgery on right cheek to remove the black birthmark ### Response: contractubex extractum cepae heparin allantoin is a topical medication of scars apply this gel to the scar in the morning and night after washing your face and you have to massage the gel over scar with clockwise and anticlockwise wise rotatory movements for to minutes once all the gel is absorbed then you can apply sunscreen spf on top of it for the full face use the sunscreen every four hours because sunscreen protects skin from uv rays for four hours once applied you need to apply repeatedly every four hours for maximum benefit 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: just a few minutes before i was trying to reach my forehead with my left arm and just after that i think my nerve got stretched in the neck i am in extreme pain and i am not able to turn my neck to left when my neck is on right it feels little fine i can not do anything with this pain please help me ### Response: hi i have understood your concern about pain in the neck region do not panic this is called acute muscles spasm of neck muscles you need to apply ice over neck muscles where you feel pain see to that does not apply hot water over that area otherwise the pain will increase you can take physiotherapy treatment in the form of tens and ultrasound therapy which will give you an immediate relief for more information consult a physiotherapist 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: i am years old my sickness started with a slight fever tuesday night then wednesday i got a higher temperature of then thursday night rashes appeared i went to a local doctor friday morning as my fever reach degrees c they gave me a fast drip to lower my temperature then saturday morning my temperature went down to but i still have few rashes then i started feeling my swollen joint hands and feet pain now i already took a bath as my temperature is c i am just worried about my swollen feet and hands and the pain is troublingi am currently takin biogesic paracetamol ### Response: has this happened before or is it the first time can you describe the rashes or better a photo of it is it itchy is it generalized or located in specific areas blanching flat or elevated regarding the swelling of the hands and feet is it the first time does taking paracetamol help with the pain is it swollen or just painful and which joints are specifically affected the wrist or joints along with the fingers what about feet and ankle what did the cbc complete blood test reveal

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have been suffering from pain on the right side of my abdomen from the past three days it pains more when i press my abdomen the pain is not very severe and it comes and goes i thought it is a gastric pain so i took medicines for it but it did not help me get rid of the pain what to do now ### Response: these are a few things we worry about in that particular area i hope it helps thank you 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: from the last three years i have severe foot pain the doctor told me it is because of plantar fasciitis i took four cortisone injections and i wear special boots but i did not get any relief so i took an mri and i am attaching my mri reports with this query what do the results of my mri mean i currently take levoxyl and paxil please help ### Response: hello i have seen the mri report attachment removed to protect patient identity take care hope your concern is solved consult an orthopedic surgeon for examination and discuss your treatment plan take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am having a lot of clotting bigger than quarter size back to back filling my tampon or pad in less than an hour i am not on any medications and there is no bad medical history ### Response: if this is the first time that you are experiencing excessive bleeding and clots are being passed then you can opt for antifibrinolytics for controlling the bleeding presently you can choose for an ultrasound pelvis once the bleeding stops to look for an organic cause a single episode can be more likely to be due to stressinduced hormonal imbalances you may maintain a menstrual calendar for the next three months and see if the pattern persists if it does you may be required to be placed on oral contraceptive pills for at least three months to control such menorrhagic episodes

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 issues while doing intercourse please help ### Response: hi explain your problem in detail so that i can understand the problem and can provide you with an effective solution for the same 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: i am a male i am a vegetarian i pursue an active lifestyle i do not smoke or drink i am a long distance endurance marathon runner i also strength train three days a week and run two days a week i got my sugar test thyroid profile and vitamin d levels checked yesterday i am attaching the detailed reports summary as followsblood glucose f mgdlblood glucose pp mgdlurine sugar both in f and pp not thyroid profile ngml ugdl tshclia uiumlvitamin d hydroxycholecalciferol ngmlfrom the reference ranges things seem to be fine i just wanted to check with you for any precautions or preventive measures to be taken thanks ### Response: hello everything is perfect except vitamin d level which seems to be on the borderline and for which i suggest taking cholecalciferol granules once weekly for one or two months hope it helps regards for more information consult a general practitioner 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: i am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem she has been constantly relying on antihypertensive drugs from the past five years and the situation is aggravating day by day moreover she claims of facing high pulse rate and is positively confirmed by ecg currently she consumes a combination of cilnidipine and metoprolol and also other allied drugs in an emergency ### Response: helio nocturnal nighttime hypertension is a complication of primary secondary hypertension it can lead to some cardiovascular complications i usually treat my patients in this situation with potassium supplements and advice that they avoid any sodium diet i advise her to see a cardiologist for proper evaluation to know the best management possible in her case i wish her a quick recovery

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 recently had unprotected sex with a guy twice in an interval of three days after the first time there was a lot of pain but had a regular whitish discharge second time i started having this brownish or yellowish discharge and i have taken the photo of the discharge i am not sure what it is neither of us have stds i am quite scared of being pregnant i do not remember when i had my last period is this discharge normal please help me ### Response: the brownish discharge seems to be due to rupture of your hymen generally if you have sex for the first time in case of a virgin then the hymen gets partly withered or at times does not however during repeated acts of intercourse there are fair enough chances that it ruptures and maybe that is the cause of brownish discharge after the second time however we will wait and watch as there is no such matter of concern if it happens again then please do visit a nearby gynecologist and get an internal check done coming to the pregnancy point if you do not remember your periods date then at least get a urine pregnancy test done after one month and wait for the results if the result is negative then repeat the test after a week

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 sister is having a craniotomy operation mri before surgery and postsurgery are attached biopsy report is also attached so kindly help me to understand the biopsy report current medications are encorate chrono mg twice daily thyronorm mg current problems are weight loss severe hair fall less appetite weakness not able to eat or smell nonveg items no hunger ### Response: hi the biopsy report and mri findings are suggesting astrocytoma which is kind of cancerous brain tumor post operation mri is showing that the tumor is not fully removed in surgery that usually happens in these kinds of tumors because it is sometimes not possible to remove the whole tumor please consult with a good radiation oncologist to decide radiotherapy if not yet given hair loss is because of encorate restoring the symptoms should be taken seriously and a repeat mri should be considered after consulting with the neurosurgeon

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my mother is suffering from a left femoral neck fracture is there any other treatment other than surgery please suggest ### Response: i have gone through the attachment attachment removed to protect patient identity the age of the patient is years at this age and with this fracture there is more harm in not doing surgery as compared to doing surgery such patients can develop respiratory difficulties bed sore and infection due to immobilization hemiarthroplasty is a good option at this age but in some conditions a total hip replacement would be ideal but it is decided after seeing the patient for more information consult an orthopaedician and traumatologist 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: my fiancee and i are not known hiv positive but we have had unprotected anal sex ten times so far can we be infected with hiv ### Response: hi if you both do not have hiv human immunodeficiency virus then from where can hiv come hope your query is answered but if you still have any other query please revert best wishes for more information consult an hiv aids specialist 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: just two days ago i found out i was about weeks pregnant and it has been about weeks since my last menstrual period unfortunately with labor day being this weekend i have been unable to see my regular obgyn but i did go to the er to confirm the pregnancy days ago so my blood results came back with an hcg of and the doctor said i am right around weeksso here is my question i have been stressing out badly due to the fact i have been on lorazepam mg every night for anxiety and pd for the last years as well as percocet mg as needed for back pain i have been taking both of the medications during my pregnancy when i had no idea i was pregnant since finding out i have tried tapering on both medications the percocet is making me sweat and very agitated and when i tried to cut down on the lorazepam i was shaking and almost hallucinating and delusion i also tried not taking the lorazepam at all and woke up crying shaking and sweating i want to be off both these medicines but i am worried more about the lorazepam as it is a class d pregnancy drug i have read about the terrible problems this causes for infants i am so scared that i am considering abortion i do not want to be a terrible mother before i even give birth i have been having bad panic attacks over this and can not seem to relax as the complications of these medicines are always on my mind any advice at all would be very much appreciated ### Response: ideally we advise avoidance of this medicine during and even before till weeks pregnancy to avoid congenital malformations you have tried leaving reducing it but your 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: i have a roll or lump of fat under my left breast on the top of the ribcage it comes down from my chest it kind of fills the gap from under the breast to the ribs it is not hard does not hurt nor is it sore it is just squishy and soft like normal fat is it possible to get fat on just one side of the body like that ### Response: the description you gave indicates likely two possibilities it may be a simple lipoma that is just accumulation of fat cells and the other possibility is fibroadenoma that is relatively firm in consistency and freely mobile both are nonpainful and benign conditions but i would advise you to get an appointment with either gynecologist or general surgery doctor just get it examined if they feel they can order an ultrasound of breast or needle biopsy although i am pretty sure that is not needed a mammogram is not a good option for you as due to age 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: i am years old female i have high blood pressure problem from the last one month silent bp and my kidneys are damaging beacuse of this and my platelet count is lakhs these are continuously increasing from the last eight months that is lakhs lakhs lakhs and now lakhs my legs and foot pain are increasing day by day please reply as soon as possible ### Response: hello the hypertension is multisystemic disease and can affect many organs in our body including kidney as well so hypertension need to be controlled with medication kindly attach your kidney reports so that i can look how much damages have occured your platelet count is very much high you have to rule out essential thrombocythemia for that i suggest you consult nearby hematologist for detailed evaluation take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my months old daughter has scratched herself near her clitoris and i was wondering what is the best action to take or remedy is please advice ### Response: this application to be repeated thrice a day and it should heal in next hours also it is important that she does not scratch again over it and hence a befitting diaper or small lower can be worn

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 not satisfied with dental bonding done on the front left tooth enamel was removed to make room for the composite resin and the enamel is now too thin and feels sharp to the tongues touch because of this shape and feel is not consistent with the natural front right tooth is there any way to fix this want to be as conservative as possible to avoid further damage ### Response: hi according to your query i believe it will be easy to solve that problem you have just a little bit of enamel sharpness or roughness can usually come from a previous bonded composite filling done especially at anterior teeth so at that time you should go to a cosmetic dentist or expert he will do for you abrasive smoothness by composite finishing burs to get the same consistency and then you will feel comfortable or he will go for changing the old filling to get a new one do not be afraid about further damage of your teeth a doctor can do what is must to do for you to restore the aesthetics and function of your tooth it would be good if you could attach an image of your tooth here to get further details of your question take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i had sex with a condom but it tore in the middle of the act but the guy did not ejaculate i took unwanted within hours i experienced withdrawal bleeding a week later that was quite normal like a period and lasted for four days i took upt which was negative can i still be pregnant ### Response: since you have taken an emergency pill within hours of intercourse there is no chance of pregnancy so relax and do not worry there is no chance of pregnancy however if you have a doubt then get back to me 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: dear doctormy age is years i had a surgery three months ago open myomectomy posterior wall cm subserosal cm with right endometriotic cyst cm now taking novelon shall i try for a baby now ### Response: hi as it is close to three months from the time you had surgery you can start trying for a pregnancy now please take folic acid mg daily also please meet the doctor who did the surgery for you to check whether healing is complete consult an obstetrician and gynaecologist online for queries regarding conception

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 eye power is only but now it has increased to i think it is due to the side effects of perinorm tablets which i was taking before six months i am currently taking homeopathic medicines to remove my glass please suggest to me how to get rid of spectacles ### Response: as you grow in height and built similarly your eye size changes so as your glass number usually myopia minus number starts at years of age and keep on changing till years your glasses number is small keep using glasses and visit your doctor once in six months or once in a year for any change in glasses once the number stops changing and get stable then you can get rid of glasses with laser surgery that is very simple but for that you number should be stable and should not be changing so you might need to wait till that age no need to take any medication change in number is just like your change in height and your shoe size do not worry do not take unnecessary medicines

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: is it safe to take chymoral forte once daily for three days in pregnancy ### Response: hi chymorol forte trypsinchymotrypsin does not have very much research data in pregnancy but it should be avoided in pregnancy as it could be fibrinolytic it is an antiinflammatory used to treat pain and inflammation and to have a speedy recovery it can give side effects as well as vomiting stomach ache eye bloating eye swelling nausea allergic reactions loss of appetite etc in normal ladies without pregnancy longterm use is not recommended in pregnancy it is better to avoid actually as its side effects could be different in person to person for more information consult an obstetrician and gynaecologist 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: i have lots of anxiety issues i have taken deanxit in the past then i stopped it for a year i started taking it back again six months ago i have a long flight to take soon i have a fear of flying can i take one pill of valium mg while taking the deanxit so that i can sleep on the plane i am taking femostan conti concor for heart palpitations ### Response: according to your history it seems that you are having generalized anxiety yes you can take valium diazepam for symptomatic relief it will help you to get proper sleep in long duration deanxit melitracen with flupenthixol is a good tablet to deal with anxiety symptoms i would also advise you take a few psychotherapy sessions later to deal with your problem without medications for more information consult a psychiatrist 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: i am having black spots on the tongue what might be the cause for it ### Response: black spots on the tongue might be due to avoid colored foods brush twice daily and clean your tongue with a tongue cleaner avoid harsh scraping of the tongue while cleaning to prevent damage to the taste buds kindly give a detailed history of the duration of the spots exact location and family history for more help

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my daughter aged years has a urine infection we have done a urine culture as well as regular analysis and found that there is an infection she has this problem from a long time she has a bad habit of holding her urine for a long time until she can hold it no more ### Response: hello once this episode resolves she needs an ultrasound kub kidney ureters and bladder with pvr postvoid residual urine test and micturating cystourethrogram mcu a renal nuclear scan may be required depending upon the result of these investigations for more information consult a urologist 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: i need to know about cardiac dysfunction i was told it was found on venous doppler looking at dvt what all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction that is all i was left with until the cardiologist consult ### Response: these blood clots can often dislodge and go through the right heart to block the pulmonary artery this condition is known as pulmonary embolism and can cause right ventricular cardiac dysfunction pulmonary embolism is a critical medical condition and needs to be treated promptly with anticoagulant and diuretics i see you are on a diuretics and you are overweight please inform about your findings of lower limb venous doppler and also do some tests i am suggesting promptly and inform 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: i am a year old my doctor said that i have an umbilical herniaeither open surgery or laparoscopy which would be the best after which surgery can i lift heavy weightsi am a sports person and a bodybuilder please suggest ### Response: if your cardiovascular status that is heart and lung functions are fine then you can go for laparoscopic surgery that is cosmetically better and less invasive the scar will be much bigger in open so chances of scar rupture and dehiscence are higher in open the possibility of strenuous exercise in the future will be less with open surgery however whenever you go for laparoscopy surgery the consent for open surgery is always taken

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 cavities in the front two teeth i have kept putting off seeing the dentist because of a high profile busy job i have an upcoming appointment but am worried about a possible infection to the bone if this is the case would i have severe pain and swelling ### Response: hello well not every cavity reaches the bone for infection either pain or sensitivity is there just consult your dentist and do as he says wish you good health and happiness keep me updated with the improvements 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: what are some common causes of one sided si joint pain that comes and goes im and just had a baby naturally months ago back pain started at months postpartum ### Response: there are various causes of si joint pain which range from considering your history it appears more likely due to pregnancy and incorrect posture it is imperative to know if you are able to fold your legs any pain in bending forward or backward any issue in walking mild si joint pains can get relieved with exercises severe may require si joint injections please let me know if something else is required with regards

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: earlier this year approximately five months ago i was diagnosed with ulnar nerve entrapment at the right elbow sadly i declined rapidly and lost all my hypotheaner and some of my lumbericals in a matter of six weeks i was operated on exactly weeks ago where i had a decompression of the ulnar nerve and an anterior interosseous nerve transfer to the motor component of the ulnar nerve so that the nerve axons would reach my hand quicker i still have no improvement and i wanted to ask if it is possible to transfer muscle to fill in the hand and will this protect my nerves in the hand would it be too soon to be considering this operation ### Response: your query is genuine and i am extremely sorry to learn about your problems to answer let me explain to you how a nerve grows it takes one month of latency and later nerve grows at mm per day even though the nerve might reach your muscle for bulk to improve it takes another few months for one to determine if the nerve signals have improved you can get an electromyography to see for any improvement decompression will improve sensation very fast and then power but for muscle bulk it usually takes a while for muscle transfer to be suitable in case you have any form of weakness and never to fill up a cosmetic defect such as hypothenar flatness for that one can consider fat grafting if the bulk does not improve after six months i would advise you to wait as it usually takes longer than weeks if you want to see and have proof of progress go for emg no muscle transfer as per my advise for now if you are not having any weakness for more information consult a plastic 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: i am undergoing the fifth cycle of chemotherapy for my left breast for the past five months i am undergoing this treatment prior to chemotherapy i was taking ayurvedic medicine for the same problem i took the medicine for about eight months but it did not have any benefit at that time i was not aware of the exact problem i was advised to remove the breast completely but by the gods grace i was referred to a doctor in oncology the surgery has not been performed they started with chemotherapy till now i have completed five cycles still how many cycles are needed for me will rest be given to me after the cycles i am unable to eat swallow or drink i have lost my appetite i have vomiting motions are happening from when i start eating my regular diet i am feeling very depressed and demotivated i have lost hope from the past five months my left breast is healing and dressing is done over it the skin is removed over a part my breast looks flat as if it is removed there is itching over the breast are there any chances for the regrowth of my breast if yes how many months will it take if it does not regrow what is the alternative for that ### Response: from your description i fear that you have metastatic breast cancer usually the surgery is done after four cycles of chemotherapy for locally advanced breast cancer as you have undergone five cycles you must be on palliative chemotherapy to control the disease usually it is reassessed at every three cycles to know the response and treatment is based on it which may include a change in the type of chemotherapy hormonal therapy etc you may require toilet mastectomy at some stage for your ulceration of the breast or it may be controlled with radiotherapy these decisions are made by your oncologist and kindly ask him or her in detail i am answering this based on your description i can better answer if all reports are presented revert back with the reports to a surgical oncologist 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: my daughter is years old now she is speaking only to words she is not talking like other children please tell me if she has any kind of disorder i have been to the doctor once and he told nothing to worry after years only they can speak but my elder daughter spoke when she was years old i am so worried about her please tell me what to do her birth weight is and now she is around i think ### Response: hello i got your concern based on the above history my comments are i think she can listen and understand but there is a problem with expression her weight is low according to age so give her more energy rich food to gain weight take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my year old daughter has been suffering from vomitings and loose motions since two days she had a fever of about the day before yesterday our doctor advised her to take oflox oz and sporolac ds she has had five doses of oflox oz till nowthe fever has gone and the number of motions has also reduced though still watery but she is not eating anything her appetite is lost and even if she eats a little she complains of nausea though she is not throwing up i am giving her emeset for nausea is this a normal stomach infection ### Response: it looks like she had a bad gastroenteritis she is recovering continue both these medicines for at least five days can add tablet pantocid mg pantoprazole daily once for five days emeset ondansetron can be taken as needed for nausea consult her specialist doctor discuss with him or her and start taking the medicines with their consent her appetite will slowly improve over few days 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: my front tooth got chipped away before two days i am so nervous about it how to recover my tooth ### Response: i can understand your concern it depends upon the vitality of the tooth if your tooth is vital and if there is no associated pain then it can be restored with a simple composite filling in case if there is a loss of vitality you can treat it by a root canal treatment please mention whether you have pain or sensitivity towards hot cold or sweet substances if you want to save the tooth immediately it is best to do restoration in the tooth please answer the question so that i can provide you a better possible treatment plan and prognosis

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my son hit his mouth on the bathtub while playing when he was months old causing both top front teeth to be pushed up into his gums they came back down and the dentist said they were fine now he is years old one of the teeth is ready to fall and his dentist wants to pull out the other front tooth with a strong root he says it is best if they both come out at the same time but did not explain further is pulling an absolutely good tooth the best option i am attaching the xrays of the teeth ### Response: hi i have seen the xrays that you have attached to the complaint attachment removed to protect patient identity thank 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: i suffered from terrible anxiety and ocd that seems to come and go over time my mother had exactly the same disorder like myself she was diagnosed with an under active thyroid and autoimmune thyroid issue on taking medication to sort her levels she has been free from the mental health problemsi recently started getting the issue again and took a thyroid function blood test all levels were within range but my was slightly elevated at pmol l i would love an expert opinion on if periodic level increases could be causing the anxiety depression and ocd issues i am currently on sertraline mg coupled with my mother s exact issue and cure i am not sure what these results could mean what should my next step be and could this elevated cause my anxiety to start ### Response: i just read your query and from what you have mentioned it appears that you have subclinical hyperthyroidism and the here does not seem to be high enough to be causing the symptoms that you have mentioned so rest assured on that front as of now this condition does not need any treatment as of now this condition just needs regular follow up thyroid function tests every six weeks to three months you must consult your psychiatrist for your anxiety and ocd obsessive compulsive disorder issues you can also benefit from avoiding caffeinated beverages and alcohol if at all so as regards the thyroid function test just keep repeating it regularly 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: my teeth are black it looks like it is in the starting stage of tooth decay i do not want to lose any teeth please advise ### Response: hi black spots on the teeth are indicative of initial stages of teeth decay but you need not worry since this stage is repairable there are no chances of losing your teeth at this stage for healthier teeth and to prevent tooth decay try to follow these suggestions if there is any food lodgement in the tooth associated with the color change it should be treated as early as possible because decay might spread deeper leading to a toothache take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i experienced a rash after an allergic reaction that spans from my chest neck and face i removed the allergen from my diet and was prescribed elidel to help clear the rash however i experienced over the course of two to three days white patches which look as there is absolutely no pigment present in these areas will hypopigmentation from the use of elidel fade i was prescribed elidel for the first time for a rash on my face i am pale but these are extremely white patches reminiscent of acne scars but being completely flat is this likely to be permanent will it likely fade if it may fade how long would this likely take what are my potential treatment options no major injury to the sites was noticed aside from the generalized rash that was being treated ### Response: if the patch is secondary to the use of elidel pimecrolimus fade cream then it is temporary within two or three months gradually it will subside right now do not use anything else on the face except for sunscreen and moisturizer if it does not subside even after three months then you can go for the treatment in treatment there are medicines available which helps in repigmentation of the skin but right now do not apply any medicines let it heal on its own postinflammatory hypopigmentation sunscreen and moisturizer one month

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: hii am a female my sugar level before three months was fasting mgdl postprandial mgdl and after having medication the test done a few days back showed fasting mgdl postprandial mgdl triglycerides and vldl cholesterol also the blood pressure is mmhgi am taking the following medicationsglycomet gp one tablet in the morning and one tablet in the evening dailygalvus one tablet in the morning dailytricinod one tablet morning dailycilamet xl one tablet evening dailyneurokind lc one tablet afternoon dailyecosprin av one tablet evening dailytrika one tablet evening dailyin the past i was on met xl one tablet in the morning daily met xl one tablet in the evening daily stamlo one tablet in the morning daily ecosprin av one tablet evening daily and gemer one tablet morning dailycurrently my blood pressure is high and feeling heavy on in one side the of head and weak kindly suggest whether the medicine given above are correct and whether i can continue with the same or not ### Response: your sugar is well controlled in fact you need to decrease the dose of glycomet gp glimipiride and metformin to glycomet gp major problem is that you have accelerated bloodstream pressure you have mildly increased triglycerides for this you can increase exercise daily or you may add tablet fenofibrate 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: i have a fever for almost three days the first day it was not a high temperature i had difficulty swallowing and i had a sore throat today the fever is celsius i had tonsillitis three times before and i have been prescribed coamoxiclav dequadin and strepsils please help ### Response: i went through your post you are already on antibiotics it would be better to get a throat swab done and a cbc complete blood count i suggest you change the antibiotic to levofloxacin mg once a day consult your specialist doctor discuss with him or her and with their consent take the medicines 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: i am years old and i have an embarrassing problem with my penis the opening of my penis from where the urine comes out is not at the tip and it is slightly lower i am still a virgin will it be a problem for my sex life is it a major problem ### Response: hello good that you have come out with your issue if there is a cosmetic concern then you may get it corrected but i can comment on the overall scenario only after looking at the picture revert with more information to a urologist 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: about a year ago i started with tingling symptoms on the face which was most consistent but also arms legs and torso those are more intermittent on both sides of the body at time was low started taking it after a couple of months symptoms better also i had regular neuro examination and normal mri of the head and cervical spineafter a few months i stopped levels up then a few months after the same symptoms again and low again started back on symptoms went away in a couple of months last month it started signs yet but still on it is very high so symptoms not due to that had another head mri was normal my cervical mri did show moderate to severe changes throughout of narrowing of foraminal in all areas to also flattening of ventral cord through i am anxious about it being multiple sclerosis ### Response: if your neuro exam and mri brain and cervical spine are mostly normal i believe that the symptoms may not be an indication of something serious however if the tingling persists please get the following tests done serum vitamin to know if your supplements have worked serum vitamin nerve conduction studies to check the conduction in nerves i suspect all the tests will come out to be normal

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my first baby is healthy and my blood group is a positive and my wifes blood group is b negative now my wife is again pregnant and has completed weeks of pregnancy she has developed antibodies and the latest ict with titer test results show last week we also did sonography and that did not have any impact on the babynow the doctor suggests giving some steroids in this week which will help to develop the babys lungs faster to prevent any complication is it safe if my babys blood group is also negative then are there any possibilities for antibodies to develop in my wife or does the babys blood group does not matter at all should i go ahead with nipt to find the babys blood group ### Response: hello since your blood groups are negative there is nothing to worry about yes you can go ahead with injection for babies they are safe you need not go for a test to detect your babys blood group as it is not an issue 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: i am a year old male who is a competitive athlete i do not have any structural or plumbing heart issues i have been diagnosed with wpw accidentally and i am waiting for an ablation in days i am mostly asymptomatic and i never had any extremely rapid heart rates my resting heart rate is actually in the however i do sometimes get palpitations and every once in awhile get a run of to in a row the ep i saw in the hospital prescribed me flecainide mg twice daily i saw another ep who was a much older guy as a second opinion he seems to think i do not need the flecainide and maybe not even the ablation i do not agree with him on the ablation due to recent medical studies on wpw and how ablation is recommended even for asymptomatic patients especially athletesmy question is regarding flecainide i have not had any palpitations since i began taking it a few days ago but i want to make sure this drug is not putting me at risk for creating a dangerous rhythm reading case studies and medical journals it seems there is some risk i have not been known to go into af and besides palpitations i am asymptomatic with wpw do you think flecainide at this dosage is safe and reasonable for the next two weeks until my ablation ### Response: hi i can present as palpitation but the timing can not be predicted regarding flecainide i do not think you need to continue for next two weeks but your cardiologist who will perform this surgery is the best judge to advise you whether he wants to continue it prophylactically or not 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: i have depression for the last years i just want to know what depakin are because my old psychiatrist gave me that medicine and i did not use it it is about months now but i do not feel good these days i just feel depressed ### Response: depakin sodium valproate is used as a mood stabilizer medication and is effective in treating people with mood disorders including depression bipolar affective disorder etc it is also used in other conditions like seizure disorder migraine etc if you are having ongoing depressive symptoms kindly review with your psychiatrist for assessing the nature and severity of symptoms following which your medication can be optimized also psychological therapy can be helpful

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 mother of two months and months old i am currently breastfeeding the younger one i have a problem with my right breast which makes me doubt if it is something related to cancer nowadays it is getting really dry and there appear cracks on my nipple i used avalon nipple cream but from yesterday my breast has shrunk and my nipples too there are a few lumps on my nipple as well even though i apply cream it is not getting relieved it is getting worse day by day ### Response: hello i do not think it is related to anything serious issue so it is better to avoid feeding the baby from the affected breast for three or four days and keep it clean all the time if it did not improve then better to consult your gp they may prescribe antibiotics for more information consult a medical oncologist 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: we are a newly married couple and had sex two days back without any prevention from pregnancy could you please suggest any prevention tablet which can prevent the pregnancy after sex without any side effects ### Response: if you wish for emergency contraception then you can opt for an emergency contraceptive pill like ipill or unwanted single dose which is to be taken within hours post intercourse to prevent any unplanned pregnancy the most common side effect which this pill has is delayed next to cycles and often mild headache and lower abdominal pain due to its progesterone effects however this can be controlled by increasing water intake also until 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: i am years old female i have an abscess in my tooth for over a year now i am getting it infected for the second time now the previous infection was before six months it is present at the bottom of one of my lower molars it hurts me a lot how long will it take to spread throughout the body ### Response: hi there is a less chance to have the infection spreading to the whole body but sometimes it happens when the swelling gets increased and when the fever becomes uncontrollable for two to three days there is a chance to have a cystic lesion due to the chronic infection you can treat it either by doing a root canal or get it removed as soon as possible during the meantime take augmentin amoxycillin with clavulanic acid twice daily for five days it will eradicate your infection at this stage and it prevents further spread

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 fever of to over past seven days right testicle swollen for the past five days and left testicle swollen for the past four days on iv antibiotics cravit and doribax which replaced rochephin creactive test above the doctors still can not identify the cause any thoughts or recommendations i have got ultrasounds but just shows increased blood no abscesses ### Response: you are suffering from bilateral epididymoorchitis infection of the testis you need to rule out any obstruction in your urine tract which might cause this do you have any difficulty in passing urine or any problem with urine flow get done with uroflowmery test which will rule out any urinary obstruction if everything is fine then it is spontaneous and will resolve on its own

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my daughter had braces for four years but her midline is off and she has a gummy smile her bite is fine but her teeth are not properly aligned and she does not have bone on her left side her orthodontist referred her to a maxillofacial surgeon who says she needs her upper jaw broken and rotated clockwise and slightly up to compensate for the lack of bone and her bottom jaw also has to be broken and rotated clockwise it would all then be held by plates and screws my biggest concern is that she is a beautiful girl and he says that her face will not change at all is that true with this kind of procedure ### Response: the procedure which you mentioned is called as orthognathic surgery which is done if there is a skeletal malrelation between the two jaws which can not be corrected by orthodontics alone the procedure usually improves the aesthetics of the face and is predictable the expected outcome can be seen by preparing mock up models before undergoing the procedure in this procedure the portion of the jaw is fractured to rotate in the desired direction and fixed using using plates and screws

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 year old female yesterday doctors have checked my blood i am visiting a hospital frequently as i have iron deficiency anemia the thing i am scared about is my doctor asked me why my ferritin has not increased just the opposite it has decreased from to after three months of taking iron supplements my other iron levels are at which has increased considering those references but that was probably because i did not use the medicine correctly i was only taking mg a day another thing i am worried about is my lymphocytes kind of got increased in my blood the reference is to and the other one is my neutrophils kind of decreased too and the reference was between to the last week i had a viral infection as both my parents were sick is it why my levels got high my wbc is and rbc is my hemoglobin is also increasing actually last time i checked it was and now it is still low but it was good to see that it was increasing my thrombocyte levels got higher again unfortunately the first time i was told that i was anemic my thrombocyte levels were on then in my second blood test after using iron supplements correctly it decreased to and yesterday when i checked it increased to reference is to was also told that i have an infection in my urinary system and he gave me antibiotics honestly i have been always getting suspected about it since my anemia has started should i be worried about my condition or is it normal ### Response: hello in viral infection lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes platelet can be high in iron deficiency anemia it is not a matter of worry just now you can provide your reports to guide you further your hemoglobin level is mildly low and you should be given a good ironcontaining medication like ferrous ascorbate brand name orofer that contains mg elemental iron it should be taken without break for the prescribed duration the underlying cause for iron deficiency anemia also should be ruled out like bleeding parasites infestation etc repeat your cbc after a few days 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: i am years old and i have multiple symptoms including nervousness anxiety and weight loss these symptoms are troubling me a lot i experience extreme nervousness even when i do not have any emotional struggles i have a feeling of having a fast heartbeat at the age of my blood report showed me a result of subclinical hyperthyroidism i have done breast surgery due to my health concern i always have my blood tested for thyroidbefore eight months i also had done a holter monitor which showed my heart palpitations on my final blood test my thyroid results came normal but still i have the symptoms i am trying for a baby but i heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy do i need to consult an endocrinologist soon do these fluctuations are common in hyperthyroidism ### Response: hi i have gone through the query it appears that you have had subclinical hyperthyroidism this condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism if you plan for pregnancy then it is necessary to have a constant followup with an endocrinologist before and during pregnancy yes fluctuations in thyroid function test are common take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have red bumps which are nonitchy and keep on spreading also i am attaching the picture for your reference please explain me ### Response: hi i have read your query and examined your picture attachment removed to protect patient identity with that much of the descriptions i can say it may be allergic contact dermatitis or insect bite hypersensitivity or urticarial vasculitis i suggest you to use lacto calamine lotion local application twice daily and one tablet levocetirizine once daily for five days consult your specialist doctor discuss with him or her and take the medicine with their consent revert back with the answers to the above questions 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: on my left eye on the corner nearest my nose on the sclera there is a tiny clear bubble i have has this for years and it does not bother me on the conjunctiva it appears also a little puffy but i have noticed on the lacrimal caruncle there seems to be a red little spot my eyes are always dry and i suffer from allergies is this of any concern or is it associated with dry eyesallergies ### Response: hello i have seen the image attachment removed to protect patient identity the clear bubble is kind of retention cyst which is completely harmless only trouble if it causes red eye or heaviness while eye movements which you are not havingsecondly i have seen your spot at the nasal angle but do not worry red spot does not seem to be connected to a cyst so they are not related to each other i suggest the following medicines wear goggles in dust areas do not rub your eyes 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: what is hmd hereditary macular degeneration and what is the maximum possible impact of this disease in future on a person can this disease make one blind ### Response: hmd hereditary macular degeneration is a broad term given to a group of diseases that mainly affect the retina by deposition of some kind of material in between the retinal layers these are genetic diseases though i have not seen anybody going completely blind with hmd it can affect the visual acuity to a great extent the visual loss starts gradually and can get severe in the next to years or so the patient becomes disable up to the age of years approximately right now there is no intervention possible for this disease 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: i am male my weight is kg and height is feet inches what is a skipping pulse is it blockage in the heart or not my test reports is as follows cholesterol triglycerides hdl ldl vldl nonhdl cholesterol lipoprotein a hscrp sugar fasting and bp mostly ### Response: i recommend performing an ambulatory hours ecg electrocardiogram monitoring to investigate for any cardiac arrhythmia i would also recommend performing complete blood count and blood electrolytes for any possible imbalance which could trigger ectopic heartbeats regarding your blood lipid profile i would recommend trying to modify your diet avoid fatty food or sugar and take a lot of omega fatty acids fish fish oil olive oil walnuts etc i would also recommend taking a statin considering your blood lipid profile atorvastatin mg daily for a month would help improve your blood lipid profile hope to have been helpful if you have any other questions please do not hesitate to ask me again 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: can you please go through the master health checkup reports results and advise me of any abnormalities deviations and any detailed follow up that i should take upi can note vitamin deficiency can you please prescribe any medication for this otherwise i am feeling healthy and normal and it was just a routine preventive test ### Response: hello i have gone through your reports attachment removed to protect patient identity i have noted the following abnormalities rest of your reports are fine so overall there are minor derangements which i mentioned above for more information consult a general 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: i have been diagnosed hypothyroid i am currently taking wp thyroid i have taken armour and naturethyroid they all make me sick to my stomach i tried adding generic and it made my symptoms worse that is hair loss cold hands and feet weight gain fatigue gerd and constipation would a synthetic and be better for me such as tirosint and cytomel ### Response: hello i just read your query and from what you have mentioned it appears that you have hypothyroidism hope you revert with your thyroid function test results good luck revert with more information to an endocrinologist 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: i had been taking trazodone mg and luvox for depression my doctor prescribed prednisone mg two tablets daily for days for a cough however since taking prednisone my insomnia had worsened dramatically i stopped taking prednisone after days but my insomnia had not improved is insomnia a permanent side effect of prednisone ### Response: hello it is a wellknown fact that prednisone causes insomnia but it is not permanent it may take a few days to return to a normal sleep pattern as the sleep cycle is disturbed try to follow good sleep hygiene if still unable to sleep after a few days then sleep promoting natural medicine like melatonin can be tried or any other medication to restore your sleep pattern can be used after discussing it with your psychiatrist insomnia is not a permanent side effect of prednisone i hope your concern is answered

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male a month ago i had a heart stroke and underwent angio for blood clotting thrombus my cbc report at that time shows a platelet count at lakhs i received calr exon mutation analysis report today it reads calr exon mutation is detected by pcr amplification of exon of calr followed by sequencing of coding and junctional region of the exon the sequence is compared with the reference sequence for the analysis of mutations hematologist prescribed me anagrelide mg do i have to worry can it be cured by medication ### Response: you have very high levels of platelets which are called primary thrombocytosis or essential thrombocytosis which was confirmed by calr gene mutation test this condition will results in either clots or sometimes bleeding in any part of the body there are few treatment options available to control the disease anagrelide is one of them which is supposed to be taken along with aspirin please consult a hematologist who will monitor the condition and give you treatment

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am having frequent urination and feeling extremely thirsty especially during the night after dinner and before bed while i am sleeping i get up just once to urinate sometimes not at all do you think i have diabetes i got my blood sugar checked and it came out as perfectly normal normal range is for fasting i think it is highly unlikely i am going to get diabetes in less than two years after the last checkup but i wanted to confirm since my family has a history of this illness and that is scaring me a bit i am a male with asthma and acid refluxi am currently on montelukast advair and omeprazole ### Response: i can understand your concern according to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed you have a family history of dm and you have a history of acid reflux and asthma according to your description your present sufferings can occurr in some situations like di diabetes insipidus nephrogenic diabetes uti urinary tract infection kidney stones cystitis hypercalcemia etc you should undergo fasting blood sugar test after breakfast test usg of wa urine routine serum electrolytes serum calcium water deprivation test etc at first we should find out the causes which are responsible for your present sufferings and then treat them accordingly

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: suddenly my right eye got smaller than my left eye for a few seconds seconds and then it came back to normal it has happened a few times now why is this ### Response: i have gone through the picture attachment removed to protect patient identity as per your age and as it is occurring for the first time i want answers to the following questions revert back as soon as possible 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: hii am getting white hair from last years and the number has increased in the last months is this the effect of water kindly suggest the medicine for this problem ### Response: hi if your parents also had premature graying of hair then yours is hereditary genetically inherited you can start tablet paba once a day for months this will prevent further greying of hair take care revert back to a dermatologist online after months

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 scar revision surgery is not healing well and it seems worse than last week please see the attached picture involuntary frowning causes lines to run through the scar can this be causing problems is it worth taping my forehead so i can not make frown lines is it worth getting a botox to stop frowning till i am healed i am using a vitamin c and silicone scar cream to attempt better removal of hyperpigmentation is this a problem i can not tell if it is this or the creasing making it worse i am starting to get very depressed about this scar revision it was bad enough getting mugged and getting this wound now it is not healing even after a scar revision surgery thanks ### Response: thanks for the query i have seen the attached picture attachment removed to protect patient identity for more information consult a plastic 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: i had my tooth checked up last year and the doctor told me to go for an opg as he was planning for a root canal therapy but due to severe negligence and work i could not do that it is almost a year now and tonight i am having a painful time please tell me whether there is a chance of spread of infection please help my infected tooth is the right first molar of the lower jaw ### Response: as per your history and associated symptoms it looks like you have now acute pulpitis leading to acute apical periodontitis that means because of open pulp chamber it is now infected you need to take antibiotics and analgesics for this one in case you do not have any medical allergic or any other systemic condition i suggest also visit a dentist again and get it checked if there are any chances of rct to save this tooth as soon as possible 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: my back tooth has developed a deep cavity within a few months now i have a pain in that tooth which got worse this morning my cheek and throat have a sore and they are swollen it became a deep cavity when my filling fell out ### Response: hi i can understand your concern as per your history and symptoms it seems to be acute apical periodontitis that means that you have an infection in that tooth and the associated area for immediate management and recovery take the following medications take tablet augmentin mg amoxycillin with clavulanic acid twice daily for five days and tablet lyser d diclofenac with serratiopeptidase twice daily for three 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: i am years old a few days ago i had a toothache on my molar teeth and have mobility when touched i have a big hole in that tooth from my childhood i guess the black circle is the vein of the tooth i could not afford to get an implant tooth i had pain in that tooth a year back and then now is it possible to cure with rebuilding this tooth instead of removing it here is the picture for your reference ### Response: hi long term curious untreated decay check for the amount of mobility whether it is sideways or up and down chronic pulpitis with periodontitis root canal periodontal scaling follow up with the xray to a dentist 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: i have pcod and i am planning to conceive i am under macfolate and metformin tablets for the past seven months i have regular periods for the past six months this month on the day i missed my period after two days when i checked for pregnancy i got a negative result again after seven days i got a negative result after checking for pregnancy i am getting mucus discharge in small amounts it does not have any foul odor am i pregnant why is it showing negative ### Response: hi you may repeat the test in a week to rule out pregnancy or you can do a serum beta hcg test if the hcg levels are less than miuml then you are not pregnant the reasons are anovulatory cycles seen in pcod or you should get a semen analysis done once for your partner

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 and my wisdom teeth started developing from more than six months i get sudden occasion pains it is more like pulsating the pain feels so bad and it makes my whole jaw ache i can not even eat for one to two days properly the pains are so sharp and i can see my wisdom teeth coming out like a halfway through it is so painful what should i do ### Response: i understand your concern the wisdom tooth usually has abnormal size shape and erupting pattern which can lead to the inflammation of the surrounding soft tissue or gums this is known as pericoronitis and often involves difficulty in chewing cheek bites and ulcers the most straightforward line of treatment is to go for extraction since you have given enough time for eruption now its better not to wait using topical anesthetic gel to apply on gums and lukewarm saline gargle may help you temporarily ease your symptoms i hope it 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: my mother has a lump on her breast she underwent a biopsy in the biopsy report it came as benign another test showed that she has stage breast cancer she has no symptoms and the doctor advised us for a mastectomy the doctor recommended us to do some tests such as blood count breast xray and ultrasound the results came normal there is no mass lesion present and there is no metastasis seen is there any confirmatory test available to find breast cancer ### Response: hi i can understand your concern the only way to confirm breast cancer is through a tissue biopsy it is better to repeat a biopsy there are other investigations like a mammogram ct scan and tumor markers which can help to detect breast cancer take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my mother is facing water discharge from her eyes with water there is also some thick semiliquid discharge from sides these symptoms are also accompanied by some heaviness in the eyes i believe this is contagious as one another family member of mine is facing the same issues ### Response: hello your mother is most probably suffering from infective conjunctivitis probably bacterial you should consult an ophthalmologist for the same most important is that it should not spread to others it spreads from person to person by take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i play games on my laptop for hours a day and after a few hours my eyes become little blurry especially my left eye it is not that i can not see a thing but i can not see clearly either as compared to my right eye i can see fully clear when it is about to cm from my eye letters but it became blurry when the distance increases right eye is pretty fine but left eyes are not proper as right so what kind of medication do i need ### Response: if you having blurring of vision in one or both eyes first thing to do is get your eyes checked for refractive error you might need glasses and glasses will solve your problem people who sit in front of screens have a greater risk of having

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 raynauds phenomenon and cutaneous vasculitis i am concerned about a rash on my finger that is red with a small darker dot in the center the rash does not itch or hurt the tissue is soft ### Response: with your description it seems like a target lesion which is seen in erythema multiforme erythema multiforme is a hypersensitivity skin reaction due to underlying infections some medications systemic diseases and autoimmune disorders or it could be purpura blood leak underneath the skin i am very sorry i can not make a precise diagnosis unless i see the clinical picture i would like to know few more details i would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions 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: i have pain in one of the gums near one of the upper teeth when after eating or having something hot or cold i feel sensitive and after that i get pain for some time but the pain goes away automatically i have gone to one of the dentists and she suggested me to get a root canal treatment done but i feel that the pulp or tissue of that tooth is not yet damaged and can be recovered without doing a root canal i am attaching a picture of my tooth kindly suggest me whether the root canal is needed for this or i can save my tooth using some other methods ### Response: hello if you have pain after eating cold or hot it mostly means that the nerves inside are infected it has to be root canal treated if you are so sure that it can be saved and want to try something else ask a dentist to just clean the cavity and fill it with a temporary filling then wait for or weeks and check if there is pain if you do not have any pain then get it permanently filled take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am a male with a history of closed globe injury in the right eye years ago at that time my vision in the right eye was hand movements only and i was diagnosed with a macular injury three months later my vision slowly improved to however my right eye started to deviate exotropia and i started experiencing diplopia my main problem is diplopia i have used prisms but of no use when i try to focus on an image i have severe diplopia the diplopia disappears when i try to correct the squint at present i am doing higher studies and the diplopia is really bothering me will doing a squint surgery be of any use is there anything that i can try ### Response: hello diplopia is occurring definitely due to squinting because in this the image which is formed will be defocussed it has occurred secondary to the trauma the only remedy is to correct it by surgery if it would have been due to other causes which were intrinsic to the eye then the chances would have been to correct by glasses but still i would suggest you get to check whether the diplopia is due to the squint only and even after surgery your vision will not recover however the diplopia can be relieved 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: i have a lower wisdom tooth that has been infected chronically for well over a year i also have an upper molar that is broken decayed and has been like this for years the wisdom tooth oozes green pus if you apply pressure with a cotton swab the decayed tooth is mildly painful i saw my dentist a few days ago who did not seem overly concerned she slightly cleaned the gums around the wisdom tooth and prescribed me cephalexin and sent me on my way i have been taking cephalexin for a few days and yet the tooth is still oozing my throat is red and irritated the gums inflamed and there is no swelling in the mouth also my nostril on that side is tender and painful i am severely worried about the infection spreading to either my heart or my brain in fact i read an article a few days ago about a year old who died from a tooth infection spreadingi do not have a fever i have mild nausea it is tender on that side of my jaw the dentist had said the next thing she could give me was clindamycin but i have a fear of the side effects of that medicine i already have heart problems and mild stomach issues i have read that clindamycin can cause severe gastrointestinal problems and arrhythmias she also suggested zithromax but i have had heart palpitations while on that medication as well i am having the teeth removed by an oral surgeon in two weeks but am afraid of dying from infection before then what are my options what is the best course of action are there other antibiotics for this am i dying from the infection already any of your advice or help is appreciated my other possibly relevant health history is as follows i have high blood pressure tachycardia high cholesterol and mild pvcs i had a mrsa infection in my arm years ago i have many strep throat infections every year and frequent sinus issues also i would like to mention that when i took smoothed cephalexin capsule with a sip of water i got a random salty taste in my mouth ### Response: i have read your complaint and the relevant details please do not panic relating this to death maintain good oral hygiene for this two weeks revert after a week of extraction to 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: i have pain in my upper wisdom teeth for the past one year i had visited a dentist for a checkup he did xray of my teeth and told me that food stuck between molar teeth and wisdom teeth is causing pain so he advised me to remove wisdom teeth and filling process but i am scared that upper teeth have a connection with brain and eyes so the process of teeth removal can harm my eyes and brain please advise me what i can do if i do not remove my teeth then what will be its side effect ### Response: hi i have gone through your question i can understand your concern this is a misconception that there is a direct connection between wisdom teeth to brain and eyes there is no such relationship between the two wisdom teeth are vestigial and do not function if your other teeth are in good position if you get it removed there will be no problem to your eyes or brain let me know if there is severe pain or swelling so that i can prescribe medication for same take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i have a positive widal test and liver function test showed a high eosinophil count anything eaten gets vomited out intense weakness and fatigue please help ### Response: hi you are having typhoid infection of the gastrointestinal tract for that it is advisable to take soft and bland diet more like banana mashed potato khichadi etc avoid heavy fatty food intake take fruit juices more you should take to days course of antibiotics to kill typhoid bacilli

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 infection of the scrotal hair at the hair root there is some white bump please suggest medicine for the problem ### Response: hello well i did not get any photos from your side so i can just assume what it can be as you said it has white bump it could be folliculitis it contains pus which can get ruptured

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my mother is years old and she had thyroid sometime in the past there are no signs of it from the last one year however she has these bulging eyes all the time but she can perfectly see everything with her spectacles i do not really know what happened to her the other day she was watching her favorite tv show and all of sudden her right eye popped out of her eye socket and she started shouting it was such a scary and frightening situation where i and my dad did not know what to do and out of nowhere my dad suddenly pushed her eye with a little pressure and the eye was back in its position as usual my mom experienced severe pain after this incident when she was rushed to an ophthalmologist the doctor had no clue about the reason for her eye pop out however i advised her to go through a few medical tests and the results are yet to come meantime i just want to understand why this happened to her and will this happen regularly and what is the treatment needed to prevent this from happening again i just do not want to think of any situation where she is alone in the home and the same happens to her i just want her to be completely cured from this one please help me with my query ### Response: from your question it is not mentioned if it is hypo or hyperthyroid but the symptoms suggest it would be hyperthyroidism or graves disease i hope your mother is on medication otherwise the condition might worsen the condition occurs due to overgrowth of tissues around the eyeball which occurs in this disease it is not reversible but you can consult an oculoplasty clinic where a surgical decompression can be done these are complications of the thyroid disease it would have not developed if diagnosed earlier tsh thyroid stimulating hormone and antithyroid antibodies

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: recently i had a blood test for mmr measles mumps rubella and the report that i got am not able to interpret could you please see if the report is fine will i require a vaccination dose for the same i had the vaccination in childhood is it harmful to have the vaccination more than oncei had a rheumatic heart surgery four years ago aortic valve replacement currently i am on betaloc mg ecosprin mg and warfarin mg ### Response: hi i have checked the attached reports attachment removed to protect patient identity the results for measles and mumps show high antibodies which mean immunity is either due to past infection or vaccination as for rubella the level of antibodies is low which means that you are prone to rubella infection rubella vaccine dose is required there is no harm if you repeat the vaccine for more information consult an internal medicine 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: my son is having a lot of trouble sleeping he snores every night and tosses and turns and has trouble breathing through his nose his doctor says he has enlarged tonsils and adenoids i think he has obstructed sleep apnea because i hear him gasping for air sometimeswe did a sleep study and the night of the sleep study he slept well but every night at home he has a lot of trouble sleeping he wakes up a lot talks in his sleep has nightmares and i think he has sleep apnea because i hear him gasping for air sometimesthe doctor said we could try flonaise to help him but we read that flonaise can stunt a child s growth the doctor said he could grow into his tonsils and i also heard that years old is very young for tonsil surgerymy questions are how worried should i be about his troubled seeping i am not getting any sleep lately because i listen to him all night is it dangerous to let him go on trying to sleep and have so much trouble breathing each night with possible sleep apnea please help i am very concerned ### Response: if symptoms are too severe we can go for tonsil and adenoid surgery now also flonase is a steroid and it does not affect growth as it will be administered inside the nostril and will have the action only there there will not be any systemic or bloodstream absorption how much worried you should be about his tonsil and sleep apnea problem are change in facial features producing adenoid facies irritability of kid he can not hear properly due to adenoids blocking ear tubes ear discharge reduced development of speech do not get worried just because of the snoring and sleep apnea give him nasal steroids and antihistaminic syrup like zyrtec or allegra syrup of appropriate dosage in some cases we even give oral steroid syrup it does not cause any stunting the way you have understood once you exhaust the above medical treatment option and find no or not much benefit we can discuss about the surgery your doctor is right in giving the medicines flonase etc that is the protocol we can follow the same here the decision to operate may vary with different surgeon take a pediatrician opinion as well do revert back to me if you need more support

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 premature ejaculation problem i got married five months back initially two months back i was able to do intercourse well but now before the start of the intercourse i am getting the ejaculation we are planning for a child now but i am much worried my height is cm and weight is kg ### Response: hi i can understand your situation premature ejaculation is not a disease of the body and it is seen in almost all men at some point it occurs because of your tension and anxiety about performing sex or previous bad sexual experiences medicines can be taken initially to reduce your anxiety if you are married or having regular sex practicing exercises to strengthen the muscles which help in ejaculation and retraining penis to ejaculate late would be a permanent solution rather than medicine no permanent cure with allopathy ayurveda or any system it happens because of so many factors like as follows you have been training your penis to ejaculate early all these days you will be very anxious about losing the erection and will hurry up for intercourse glans of the penis may be very sensitive the desire may be too much you can try tablet duralast mg two hours before sex only till you get confidence

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my daughter is years months old she had a heavy cold and cough last week due to which she got a temperature of so i gave her calpol next day morning similar range so i again continued the medicine and visited the doctor he said continue fever doses irrespective of whether there is or not for three days post which the same day and next day she had no fever but again suddenly she got and till night it went to and did not reduce at all till we visited the doctor next day he asked us to take blood urine reports are prescribed antibiotic augmentin and continued to calpol and sos meftal syrup as he sighted bacterial infection now she is taking antibiotic four doses plus paracetomol but fever keeps coming back so by yesterday night gave her meftal post which her fever came down should i continue meftal syrup irrespective of fever level along with calpol and antibiotic as to control the fever levels i am worried why the fever keeps coming back the same level even though now four doses of antibiotic are completed ### Response: the symptoms seem secondary to upper respiratory tract infection fever sometimes takes time to settle and may take up to a week if cough and fever continue beyond days then get a chest xray done to rule out pneumonia meftal mefenamic acid needs to be given only if fever is not controlled with paracetamol if there is no fever or mild fever no need to give meftal i would suggest waiting for one day and then getting a chest xray done 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: i started my period days back and it ended a week later today five days after it ended i had some brown discharge this was about hours ago and this is gon na sound really weird but when i was in the shower hours later i stuck my finger up there and when i pulled my finger out there was a lot of blood and discharge and it smells terrible is this normal to have this much discharge so close to my past period ### Response: hello the presence of smell and bleeding with discharge after your menses have stopped indicates a possibility of cervicitis with bacterial vaginosis infection if you are sexually active then the chances of contracting infection are higher you shall require a per speculum examination by your gynecologist to rule out cervical erosions take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: my wife took unwanted eight days back and she got her periods after five days the bleeding is not normal and her period was not due please help ### Response: hi unwanted is a high dose of progesterone hormone which is the same hormone produced in the body in the second half of period after ovulation this pill will suddenly increase the thickness of the inner lining of the uterus making it unfavorable for a possible pregnancy to implant hope i have clarified your query do write back

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: before days i had protected sex with a parttime sex worker and freaked out after the incident i am worried about any possible infection that could happen i did a antigen test the results are antigen on fourth sixth ninth twelfth fifteenth nineteenth am upset about the increase in count please advise i have done pcr rna after days for hiv and it is not of detected status and hiv elisa on the nineteenth day which was also nonreactive kindly advise ### Response: hi yes the titer of is increased but still it is below the threshold value of being positive also your pcr rna done after two weeks is also negative your hiv and hiv tests done on the nineteenth day is also negative it indicates that you do not have any infection but it is too early to say with certainty so you need to repeat the fourth generation hiv test after weeks of possible exposure so till that you need not worry excessively as the investigation done till to date indicates that most probably you do not have an infection for more information consult a sexologist 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: i have a son and a daughter my height is and wife is i am extremely worried about my children height as we are short my daughter is now years months old and have kg weight and inches tall she had seizure thrice and taking some sodium liquid medicine for the past three years my son is year old and kg weights and inches tall i want to know what would be the appropriate height of my children as per current status is there anything i can do to increase their height i want my daughter to be tall and son to be ft tall will giving protein powder make any difference kindly do the needful ### Response: i understand your concern i will try to sort it out for you we can add some calcium supplements revert back with the answer to the above questions to 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: seven years ago i ruptured my right eardrum i recently went to my doctor because i lost some of my hearing and i have been having pains in my right ear my doctor told me that the ear drum healed but there is a lot of scarring on it why is my eardrum hurting if it is improved ### Response: it is a skinlike structure and it heals like a skin that is cut heals in your case you had a perforation in 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 have an anal fissure internal hemorrhoid srus and constipation one year ago i was suffering from a hard stool that was difficult to pass i went to a gastroenterologist who did a colonoscopy and found that i had an anal fissure and internal hemorrhoid he prescribed sitcom forte eldicet velgut and pankreoflat he also gave me sucralcoat ano cream however every night i was in too much pain so early this year i decided to consult an ayurveda doctor who gave me some kashayams and tablets however my pain did not subside i used to evacuate the stools using my fingers that eliminated the stools but there was so much mucus released and extreme pain after motion two months ago i went to a gp who gave me some antibiotics and painkillers for five days during this time i was always sleepy i took leave from work and was always tired and fatigued earlier this month i went to another gi specialist who did a sigmoidoscopy and said that it is srus he said that i should not finger evacuate the stools and gave me liquid paraffin and lox cream now my current situation is that it has been three days and i am very constipated and fatigued the pain has subsided a little however i am not passing stools as i used to before after i drink water or eat something i get a vomiting sensation i get anxiety and panic attacks as i am scared about my condition and do not know which doctor i should consult and what i should do is this condition serious and lifelong will i ever be cured please advise on the correct medications allopathy or ayurveda lifestyle changes and other things to take care ### Response: hello i have gone through the files uploaded by you attachment removed to protect patient identity hope your queries have been cleared good luck for more information consult a medical gastroenterologist 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: the stomach blossoms without food even in the morning it is felt more in the upper part of the stomach ### Response: you can have a gas problem due to functional indigestion i suggest you take gelusil mps like syrup before bedtime for one week it is advisable to take rabeprazole like antacid for the week also if there is no improvement than usg abdomen scan should be done for further workup meanwhile avoid gas forming foods like cabbage cauliflower etc i hope i have answered your question let me know if i can assist you further

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i am getting a cardiac cath this morning i am currently on suboxone mg in am and in pm when i asked what they will be using to sedate they said fentanyl and versed i asked for profol but got no answer i spoke to a male nurse not an anesthesiologist if the fenytal overrides the sub will i be in withdraw also are there safety issues combining these medicines should i cancel this procedure ### Response: hi usually for cardiac procedure anesthesiologist will prefer fentanyl than propofol because fentanyl is opioid and it causes good pain relief and sedation and there is a high probability of heart stability and the chances of losing your breath and consciousness with fentanyl is very less but still you will be made to sleep and remain painfree propofol causes deep sleep you may lose your complete consciousness you may lose your breathing and go to mechanical ventilation so it is always good to go head with fentanyl and versed

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 unprotected sex on day of my cycle and had an ipill a day later again i had sex in a gap of three days after the intake of tablet i am really worried if i should take the pill again this was a terrible mistake please help ### Response: i am assuming that you have regular monthly periods in that case it is the time where you are going to ovulate so it is an unsafe period to have sex and if you have once unprotected sex and have taken ipill emergency contraceptive pill once then why to make mistake for the second time because ipill in itself is not effective even if taken once there is no study about two times taken ipill it works with two mechanisms first of all it will delay ovulation and second it brings bleeding so if pregnancy happens it resists implantation in your case if i believe that ovulation is delayed while you have taken the tablet then it is good if you have taken the tablet for the second time then the ovulation is more delayed and period will be somewhat late with more chance of avoiding pregnancy the second thing is that with ipill your period cycle can become irregular the chance of that increases more if you have taken two times because it is a chemical hormone which is produced in your body to maintain your regular cycle and when you take it from outside it can disturb your normal cycle if you do not want pregnancy in the first place then either use condom or other method as preferred by you both after discussing with your doctor ipill is an emergency contraceptive and not a regular contraceptive pill that you can take as and when required it should be taken when fear of failure of normal contraception is more so make the thing clear about whether you want pregnancy or not and go for a solution which helps you in future

Below is an instruction that describes a task, paired with an input that provides further context. Write a 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 an year old female my height is cm and weight is kg i have had headaches and pain in the eyes for the last two days my nose has been blocked for about a week now and every time i blow my nose my head hurts a lot it also hurts when i shake my head ### Response: hello i went through your query i believe you are suffering from sinusitis i suggest you consult an ent ear nose and throat specialist who will recommend an xray of the paranasal sinuses you can use xylometazoline nasal take care

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: i would like to know if my hypothyroidism can be cured without taking the synthetic hormones through ayurveda only in the allopathic approach the hormone needs to be taken for the rest of ones life and i am a bit scared of it it is possible i may also be diabetic and will need to treat this as well can these conditions be successfully dealt with through ayurvedic treatments alone ### Response: i just read your query and saw all your reports attachment removed to protect patient identity i hope you are satisfied with my answer for more information consult an ayurveda 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: i have an important query about the contraceptive pill on the my girlfriend started her period it is now the so i believe she is in her ovulation phase since her period stopped she has begun for the very first time taking the combined contraceptive pill consistently at am every morning she took the pill yesterday morning last night on the of march we had unprotected sex we thought one night without condoms would be fine however this morning she was in a rush and forgot to take her pill for today it is pm now and i have a few urgent questionsshould she take the morning after pillhow effective will the morning after pill be in protecting from pregnancyhow much will the pills previously taken lower the risk of pregnancygiven her current stage of ovulation what is the risk of her becoming pregnant the period of time between the missed pill at am this morning and the time that she will take the morningafter pill around pmdo you recommend taking today s pill today if she is also taking the morning after pill todayis there anything else we can do now to minimize the riskshould we be worriedthank you ### Response: hello a morningafter pill is different from the regular oral contraceptive pills do you mean to say the daily pill or an additional morningafter pill i need clarity on this if you mean the regular pill do not use the phrase morningafter pill as that means an emergency pill used only once or twice depending on the doseif you meant the regular pills which seems so from your history she need not have to worry if the delay in taking the pill has not been more than hours it is fine to have taken it a few hours late as long as she has not skipped the pill that day there is no need to take an additional pill if she has not missed the days pill if the pills were started a week before the intercourse and she has taken them daily and not missed a single pill the effectiveness in preventing a pregnancy is about percent there is nothing to worry as of now and let her continue taking the pills as usual at the regular time hope i have answered your doubts 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: i am taking paxidep daily from last one and half year as prescribed by the doctor it cures my uncontrolled thought and panic attacks now sometime i feel shocks in my head i also want to know that is there any side effect of this medicine after long time use ### Response: paxidepcr mg tablet is a medicine that belongs to the selective serotonin reuptake inhibitors ssri group it is used for the treatment of depression obsessivecompulsive disorder ocd panic disorder and other anxiety disorders there are many side effects for these medicines including suicidal thoughts irregular heartbeat shaking of hands etc but shocks inside the head is not a common side effect you should talk to your psychiatrist regarding this and get the medicine changed if there is a need