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Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request.
### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am currently redesigning the common nutritional label to make it more to encouraging people to make healthier decisions while grocery shopping i would love it if you can take a few moments to answer some of my questions below as they are important to our research and final design please feel free to answer as many questions and at any length that is comfortable for youwhat do you think is the most common and most damaging misconception people have when it comes to purchasing food in the supermarket do you think that people focus too much on calorie counting and not enough on eating healthy foods if you can include only three things in a nutritional label what would you choose in your experience what do people mostly focus on when studying nutritional labels calories fats or sodium what do you think they should be focusing on the mostin your opinion how can people make more educated decisions when grocery shopping do you think the nutritional label is enough to rely on if you were to design a completely new nutritional label how would you make it easier to understand or read than the previous five examples of nutritional labels do you have any suggestionsof the many food trends that constantly spring up should the average consumer believe any slogan slapped across the packaging of food products what are some telltale signs to be aware ofthank you so much for taking the time to answer my question you are helping in more ways than you might think
### Response: hi all the best for your projects i think it will take time to teach people to understand the importance of nutrition labeling but with my experience i can answer your questions from the way i have understood by my patients misconception spreads mainly through advertisement people does not read and they want to just understand what media say the trend of looking into calorie content is increasing mostly on our it people i would prefer calories from sugar calories from fat and sodium content of product per g about calories i think we need to teach each detail of sources of fat sodium and potassium levels i guess all medical professionals need to teach the importance of reading food labeling as we can observe an increase rate of metabolic disorder if we guide in the proper way it could be helpful it might be in schools or some awareness programs a small note on the ingredient used and its importance or guiding note on macro as well as micronutrient uses in points the mantra of advertisement needs to be changed or we need to explain the concept of being healthy with the use of daily simple products |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am exclusively breastfeeding my months old baby my baby has started solids i give her two meals and two snacks i am planning to go back to work now my question is how do i stop daytime breastfeeding should i breast pump and bottle feed her or should i start formula
### Response: it is better to breast pump and store the milk rather than formula feed the breast milk should be stored in hygienic conditions in the fridge separately from other food items the milk need not be heated again before consumption but the bottle in which it is kept should be put in warm water along with milk in it so as to warm the milk |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am a year old female i have always suffered from migraines recently it seems like it has been getting worse last year i gave birth to my son vaginally now when i lay on my abdomen or even turn my head i notice a heartbeat sound in my ear my nurse practitioner thought it was coming from my neck and sent me for physiotherapy and she checked my ears but there was no wax do i need physiotherapy should i get a referral and maybe go to a specialist should i be worried about a possible hearing loss
### Response: if it is a true migraine headache you will need a preventive and abortive treatment also this would decide whether you need the physiotherapy or not for more information consult an internal medicine physician online |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i have anxiety and panic attack i had chest pain and went to the doctor who said that ekg is normal he prescribed me zoloft and buspar
### Response: yes it could be due to an anxiety spectrum disorder but do not worry as the treatment is possible continue with zoloft sertraline and buspar buspirone medicines usually take around two to three weeks to start exerting the effect also practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety for more information consult a psychiatrist online |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: my eyes become red and itchy whenever i visit my hometown they remain fine when i am in the city where i work but as soon as i visit my hometown they become red in a day or two i have the problem for about two to three years there are no pollens present here and the climate is the same in both the cities what is the problem how to treat it can you please recommend some drops
### Response: hi you are suffering from seasonal allergic conjunctivitis although you do not have pollens or any visible allergens in your area your eye is already sensitized previously allergic conjunctivitis can trigger spontaneously reduce the sensitivity of the eye to such allergens |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am having a sore throat condition for past one week and pain is increasing i met a doctor at my place she gave me pan and vibact to eat i am so worried about this because i smoke please help me this is not cancer right
### Response: hello i went through your post and images attachment removed to protect patient identity you have pharyngitis a bit severe but nothing to worry you need to start levofloxacin and telekast l levocetirizine and monteleukast bedtime in addition use chlorhexidine mouthwash morning and evening there is nothing to worry it is just an infection and will settle within hours take care |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: my husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal he had to have a stent put in his heart and will be medicated for the rest of his life he has been told that it is vital he eats low fat and low cholesterol diet i cook for him and i am worried whether i feed him the wrong things i know that meat is not good for the heart so we limit it and always go for lean cuts but i am confused about the difference between animalbased saturated fats and plantbased saturated fatsfor example everyone raves about the health benefits of coconut oil and coconut milk but both are extremely high in saturated fat i googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly but i do not know if this is true for someone like my husband is all saturated fat bad also is chicken really healthier meat than beef it seems to have a high cholesterol content so i do not know if he should be eating it any advice would be much appreciatedhe is currently rosuvastatin bystolic and aspirin
### Response: hi i understand your concern on the highfat diet and follow the mentioned points below just to make it easy we need some fat which is good and hdl highdensity lipoprotein like almonds and walnuts are good as these are rich in omega and fatty acids similarly the fat we have in coconut oil is different the fat in the chicken can be removed by removing the skin where as beef has inbuilt fat which can not be removed easily hence we suggest to include fish and chicken avoiding beef considering fat we miss out on other nutrients too so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within liter of oil only coconut oil is having saturated fat but it burns easily in high humidity areas if we live in high humidity area it is better to include coconut oil to protect our joints and skin if we leave apart from high humidity area it is better to use refined oil |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i went to the doctor for a physical on i had blood work done i went to the er recently because i was feeling dizzy and tingling the doctor said i have vertigo and they were not sure of the tingling i received my blood work from my er visit and i compared it to my annual exam below are the resultsbetween and nowrbc other numbers were normal do i need to be concerned with these numbers after my appt the doctor did prescribe mg of lipitor generic but i stopped taking it after two weeks i have also had diarrhea i currently take synthroid mg my blood pressure was high at my appointment it had never been high before
### Response: hello i understand your concern you say you are having vertigo and tingling and taking synthroid this makes me think about thyroid issues so a thyroid function test should be done furthermore check your blood electrolytes and run urine analysis and check blood sugar and pressure for a complete checkup have your meals regularly do not skip any hope this helps for more information consult a general medicine physician online |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am years old with acne prone skin i have lots of acne scars and pits from popping pimples when younger i tried benzoyl peroxide and did not work what medical procedure can stop pimples and heal the pits and scars i am suffering from this for the past six to seven years
### Response: chronic acne with resultant scarring is an indication for treatment with oral isotretinoin besides topical antiacne preparations like benzoyl peroxide or clindamycin for scarring there are cosmetic procedures like laser resurfacing or dermabrasion |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: three months ago i saw a dark brown mole under my right breast the mole does not produce any symptoms the mole when touched is noticeable bulging is not smooth as other moles that i have what can it be
### Response: hi it could be a normal melanocytic nevus if there is a sudden increase in shape and size with irregular border an increase in color or rapidly evolving then you can go for a noninvasive technique like dermoscopy and invasive technique like skin biopsy to confirm whether it is benign or malignant |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i have left ear pain for the past days and i used ciprofloxacin drop but no relief please suggest me
### Response: hello pain in the ear if external ear infection was causing pain then there would have been swelling around ear visible which i suppose is not there fungal infection can also cause pain which is usually seen in diabetic and immunocompromised which i suppose you are not middle ear pain is caused by acute infection without ear discharge or chronic ear disease acute inflammation without discharge means your take care |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: actually my father has just had the first attack of heart and his troponint test value is ngml also his echo test reports are showing the tr and mr results in higher he is planning to have angiography but i do not think that he should stop there so please guide him i need your help i am searching for treatment
### Response: so basically after a heart attack best possible treatment is angiography followed by angioplasty or bypass surgery so he should have angiography done and further management will depend on angiography report till the time he should continue medicines which will prevent development of further attack if possible please upload his detailed echo report so as to interpret it better usually mild to moderate mr mitral regurgitation and tr tricuspid regurgitation needs just medicine may resolve with time for more information consult a cardiologist online |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i am a female with no children my husband and i have been together for six years we have no extramarital affairs and i am sure of that my right labia is swollen and is very painful to touch even a slight breeze of air causes extreme pain the pain is similar to a sunburn it is painful enough to make me cry the swelling starts from my right vulva next to my vaginal canal and goes all the way to my anus the area with the worst pain is next to my perineum this started as a painless lump in the size of a peanut that could be palpated from within my vagina with a finger but not visible externally this was about a week ago now it is huge and painfulmy labia is three times larger than its normal size and very red there are no discharges no foul smells and it is not itchy i am managing the pain with clobetasol topical cream and mefenamic acid orally the pain disappears instantly with the cream but i think it is also making the swelling bigger steroid i am on my third day of coamoxiclav mg twice a day every hours but i think this is what caused the swelling in the first place also i tried to do a sitz bath and it only made the condition worse just a few hours ago i had trouble breathing allergy i have never been allergic to any medication before any impression or advice would be appreciated
### Response: hi from the symptoms you described it sounded like you developed bartholin gland abscess which is an occlusion of the bartholin gland duct and that turned to be abscess steroid cream is not used for treatment you need to finish the antibiotic and continue a warm sitz bath three times a day if you had this previously and have the abscess at the same location it would be better to have a procedure called marsupialization you can continue motrin for pain |
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### Input: i have a regular cycle of periods last month on my menses started on i had sex and he ejaculated inside me yesterday was my actual next period but it did not come yet shall i wait for the period or take a pregnancy test
### Response: hello wait for three more days in case it does not start then do a pregnancy test for more information consult an obstetrician and gynaecologist online take care |
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### Input: i am yrs old my digestion is always a concern for me but since last month i am having bloting stomach cramps stool discharge times a day medicine taken rifagut actigut for days meftal spas continuous pentaprazole days till nw at present bloting reduced but stomach cramps stool discharge times a day still persisit usg abdomain found minimal edamatus wall avg noted in sigmoid colon rest is ok as per stool test macrophagus present a few kindly advise
### Response: i can understand you must be very upset about your problem well the symptoms you mention seem to be occurring due to irritable bowels this abdominal pain can accompany diarrhea which is called as irritable bowel syn |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: if i had sex on the first day of my period will i get pregnant
### Response: usually ovulation will not occur during periods so do not worry there are no chances of pregnancy but if you have any doubt do a urine pregnancy test after days to be sure consult an obstetrician and gynaecologist online |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: over the past three months i have been experiencing some penis problem i have a consistent red rash on the front of my penis glans that can go away and come back daily after sex or masturbation the rash will get brighter and red unraised dots not itchy will appear all over my glans and foreskin they will usually disappear on their own within three to four days my penis glans are also very dry and have a wrinkled look to it and the foreskin can stick to the penis glans and have a bandaid effect when retracting the foreskin down however by applying vaseline twice a day i have noticed the dryness to subside although the red rash will typically remaini have been tested for stds and have had a yeast swab test all come back negative the doctor ruled out herpes by looking at it and said it was mild balanitis inflammation of the glans however i have been washing with just warm water daily ruling out any allergic reactions to soap and keeping the area dry this is more an esthetic issue than functional and it is ruining my confidence with my girlfriend why do i always get balanitis after sex or masturbation the symptoms seem like yeast but my swab test was negative please help
### Response: hello i have noted your concern on and off rash suggest that it is some sort of a skin condition like a noninfective balanitis if not a yeast infection moreover the swab test may sometimes reveal the yeast on a repeat test so that can be considered along with a fungal culture i also request you to kindly upload an image of the affected area so that i am able to guide you better regards for more information consult a dermatologist online take care |
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### Input: i examined my right and left ear with an endoscope camera and i have found that my right ear looks different i have less hearing power in my right ear on comparing to my left ear and i am wondering that there is something wrong with my right ear i am hearing some ringing sounds in my right ear for a few years now
### Response: i have gone through the pictures given attachment removed to protect patient identity this is a condensation of calcium on the ear |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i had my periods on of the last month and yesterday i had sex but accidentally the condom broke so i took ipill within two hours of having sex and today also i had unprotected sex and after sex immediately took ipill again approximately within one hour is there any chance that i will be pregnant right now we are not planning to have a child so i am worried i had a normal cycle of to days so i am expecting my this month period on could you please tell me that is there any chance to be pregnant
### Response: there was no apparent need of taking the second ipill the first would have sufficed for next hrs as well |
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### Instruction: If you are a doctor, please answer the medical questions based on the patient's description.
### Input: i drank a lot of strawberry mojitos and they were really dark red drinks now my ejaculate is in strawberry color it was nice and white in color before the day and there are no other symptoms
### Response: the pigments in your urineurethra can change the color of your semen the other possibility is blood in the semen which again without symptoms is not a cause for concern i would advise you to wait for a few days if it is due to |