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If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: When eating breakfast this morning--it was a rather dry breakfast--my mother had a coughing fit where she coughed up most of the food with mucus. Later she had half a banana with oj and had no prob...	Hi, it's possible that your mothers coughing fits account to be normal, since it was a Chat Doctor. I would advise giving her only semisolid food that will be easy on her food pipe and her gut since she is prone to hemorrhoids. It will be easier for her to swallow and digest if the food is more soft and watery. Her ag...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My name is rohan I m 21 .single. weight is 55 kg and height is 510...never had a sexual vaginal or oral inter course....masturbating from 1year and 9 months.earlier I first saw porn when Internet br...	Hi Rohan, I read you problem in detail and can understand what you are going through. Let's start with some basic facts. Masturbation is a normal physiological process and masturbating on a daily basis doesn't lead to any physical, mental or sexual weakness. However, from what you have mentioned, it seems that you are ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear doctor, I never written to any doctor, never taken any consultation through online. I know its tough for you to describe medicine. All I want a suggestion from your side, let me describe my pro...	Hello, Its seems you are very much stresses about your symptoms.It's multiplying your problems. So,first stop worrying. Symptoms as described above by you are very non-specific and could be related to your excessive worry habit. So I would suggest some relaxation techniques like meditation. A consultation with psychiat...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Dr. Henry.first i want to apologize in advance for the questions Im about to ask merely because i see how often you must get asked about problems pertaining to lymph nodes. i really am at a dead ...	Thanks for asking at Chat Doctor. I read your question and I understand your concern. Enlarged lymph nodes, hard in consistency has two possibilities 1.lymphoma as non Hodgkin lymphoma is common in your case which has very slow growth2. Immunological reaction to ART. It will be differentiated by biopsy. Mucous in stool...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi I am anna 1947...I have every symptom of lymes & feel that I contracted it when I was a young girl.my brain has scarring with neurological syptoms...also heart...eyes...this past year extreme pai...	Hello Dear. Lyme disease is related to painful rashes on armpit and thigh, but may not be related to brain scarring. Lyme disease is usually curable with antibiotics. This is so true that some authors of Lyme disease research have stated that the most common cause of lack of response of Lyme disease to antibiotics is a...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am 52 years male with height of 165cm and weight of 72 kg.My lab test results are serum creatnine 1.28 mg/dl, Uric Acid 6.5 mg/dl, Albumin 4.81g/dl, Chloride 102.6mmol/l, Bicarbonate 26.8mmol/l, ...	Hi, It is possible that you could develop a kidney issue in the future, but as now the reports which you have uploaded suggest no major issue. On the other hand, one of the easy tests to identify features of early kidney damage would be to get an estimation of urine microalbumin, preferably early in the morning. If thi...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello, I have been reading your site for a few weeks and find it to be one of the few sites that don t terrify me, but provide insight and understanding. Backstory: my dad died 2/2/17 (just a few we...	Hi, GTT is found in many parts of body, including the kidneys, liver, pancreas, intestine, spleen, heart, brain etc. So GGT alone is nonspecific Increased GGT levels can be seen in many conditions--many liver diseases, Pancreatitis, many cancers, Alcoholism, heart diseases. GGT levels may be increased due to medicatio...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear Doctor, I observed a friend who called me for help who has a history of alcoholism since age 16 who has battled this addiction off and on for 39 years. He lost his father and went through a hor...	Dear serve understand your concerns went through your details. Effector is an antidepressant of the serotonin-norepinephrine reuptake inhibitor class. This does not cause anxiety. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details po...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: my SGOT & SGPT were found high.dr desired to make it normal level.what medicine and diet are recomendable pl. ### output:	HELLO & WELCOME TO Chat Doctor FORUM ITS VERY ESSENTIAL TO MAKE SURE THAT YOU ARE SUFFERING FROM LIVER DISEASE. YOU HAVE ELEVATED GOT & SEPT WHILES GOT MAY BE ELEVATED IN DISEASE OF OTHER ORGANS, SEPT IS VERY SPECIFIC AND COMES FROM LIVER. OTHER TEST WHICH IS ALSO SPECIFIC FOR LIVER DISEASE IS GAMMA GET, YOU SHOULD GO...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Good day and greetings from Manila, Philippines! i recently had a check up with a Gulf country accredited clinic (but not ISO 9001 clinic) as a requirement for my Qatar work visa. my first thought t...	HIS UNDERSTAND YOUR CONCERNS.First I WILL SUGGEST YOU TO REPEAT YOUR ALKALINE PHOSPHATASE TEST IN A STANDARD RELIABLE LAB.IF IT IS CONFIRMED THAT YOU HAVE RAISED ALKALINE PHOSPHATASE THEN I Would SUGGEST FOLLOWING APPROACH.ALKALINE PHOSPHATASE IS PRODUCED FROM MAINLY 2 SOURCES LIVER AND BONE.LIVER CONDITIONS CAN EASILY...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: In 2007 I had a lumbar fusion L4-L5 with donor bone not my own and hardware with a laminectomy at L4 I had a MVA in 2005 and fractured my spine and spondylolisthesis. I have been having so many prob...	Hi, Thanks for writing in. MRI is an investigation of choice to study the spinal cord, intervertebral discs and nerves. It is important that you confirm that the metal hardware is MRI compatible. This is because the MRI machine is a huge magnet and if the hardware is not MRI compatible then you might have serious injur...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Six years ago I went to the er. Always been super healthy crediting hard work and healthy living. Had a blood pressure of 220/117. Had a ringing in my left ear so much so it was hard to make out wha...	Here in your major explanation you have told you have problem with your left shoulder and arm along with range restriction. Here your problem could be related to 4 things,1. It can be frozen shoulder.2. It can be soft tissue (rotator cuff) damage covering your shoulder joint.3. Furthermore, it can be something related ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have never had allergies before, up until this year (some sinus issues on and off, but nothing major). About 4 months ago I had a few episodes were my eyes got very itchy and dry on and off and a ...	Hi, Thanks for writing in. I think you should get yourself tested for an allergy to peanuts. Its unlikely that stress or hormonal issues are contributing to these allergies. I would suggest that you steer clear of peanuts for the time being as allergic reactions can be very severe at times (fatal reactions have also be...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have had a small bulge in the front of my neck for about 12 years which the doctor descdribed as a non toxic thyroid gland which he said needed to be removed to prevent it from becoming cancerous....	For cervical spondylitis use a collar in daytime, do isometric cervical exercises, take moral tab twice a day after meals, panto DSR one tab empty stomach once a day. Lyrica 75 mg and methycobalamin one each consult a spine specialist if he agrees with above treatment. A physical therapist may give cervical traction fo...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Good morning doctor, I m a MBBS student.on 7th january i finished my 2nd MB exam.i want to clear some doubts about a problem which my mother is facing for which doctor prescribed her a medicine VERT...	Hi reverting contains betahistine salt which is meant to treat chronic labyrinthine disorder I am briefing you the mechanism of action of beta histineBetahistine has two modes of action. Primarily, it has a direct stimulating (agonistic) effect on H₁ receptors located on blood vessels in the inner ear. This gives rise ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: while sleeping I will be woken with dizziness. literally the dizziness is what wakes me. and sometimes as I am falling asleep the dizziness will affect me. Usually while sleeping on my right side. i...	Hi welcome to ChatDoctorI have gone through your query regarding dizziness. Dizziness refers to a sensation of lightheadedness or weakness. When dizziness makes you feel as if you or your surroundings are spinning. It may be a symptom of a disorder that affects the whole body, or systems within the body. And may also b...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: 18 year old male weight 176 lbs. Active, works out, and plays summer AAU basketball.Woke early morning 5:30 AM June 18, 2013, with enlarged and moderately painful upper abdomen.Doctor took blood sa...	Hi dearWelcome to the Board of Chat Doctor Gone through your elaborated history and came to conclusion that you had a mild attack of hepatitis and along with that you also developed some gastritis. Hepatitis is usually self limiting disease. It subsided of its own without causing much trouble to you. All the symptoms' ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hello sir .. plz help me out .this is my father USG ABDOMEN report ...3 things mention in the report but i can t undertsnd ... 1-free fluid noted in adbomen .no pleural effusion noticed. 2-cirrhotic...	The major concern with this ultrasound is the cirrhotic liver with ascites. When the liver is badly damaged with scarring (cirrhosis), it doesn't work very well. Blood flowing through the scarred liver gets backed up and creates high pressure in the liver, which in turn results in fluid leaking in to the abdomen (ascit...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear Doctor I am a male of 24 Years working in an IT service industry in south India. I am staying alone in a mansion at my work town. I am having a height of 163cm and Weight of about 80kg.I go eve...	Dear Sarah Baby, Thank you for choosing this platform to get answer to your queries. I appreciate your ability to analyze yourself so well and being able to pinpoint the problem area. It definitely is a step towards health living when we are able to realize our difficult areas and are willing to work on them. People wo...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi! My name is Angie and I m a 30 year old single mom of 3 kids. I was in a car accident about 6 years ago where I sprained my neck and my shoulder. While that injury is not terrible, the accident a...	Hello, I am sorry to hear that you are kind of upset with what you are going through. It is sad and frustrating that the medical team is not able to help you have a good lifestyle in ADL. Coming to the point, there will be injuries due to accidents. Some will be shown that time and some will come to a later stage of li...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Sorry about this being so long, I dont know where to turn right now other than here.I have had kidney issues since I was 3 years old, that infection I remember it like it was yesterday, the pain was...	Hi and thanks for the query, early diagnosis and appropriate management is important. A careful review by a nephrologist is required. PKD predisposes to chronic kidney disease. It is therefore important as of now for you to measure serum urea and creatinine levels, as well as serum Calcium and Potassium levels. This sh...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear Dr. Two days back my Son got sudden fever, which also resulted in febril seizure Please find below the series of event before and after the fever 1. On the day of fever, we gave him enough wate...	Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question 1 : Earlier also my Son had high fever with 104 F temp but never had febrile seizure. Was that due to any drug infection (as we gave him para the whole night and suddenly in the morning gave Metal). Answer 1 :...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I started having pain on my lower right side of my back a few weeks ago. I have been tested for stones, UTIs, vaginal infections, STDs, and appendicitis, and all were normal. Because I was also havi...	Here you have told as per your past and current history you have irritable bowel syn Chat Doctor. Now recently you have started developing back pain along with muscle spasm feeling in your leg. Here your back pain can be related with multiple issues. It can be due to fibromyalgia where it is affecting your spinal musc...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, I am 27 year old female, married, working as a researcher in india, weighs 49kg and 157cm tall. I have all my periods regular and on time. Hairs and nails are growing fine but facing severe hair...	With your query, it's clearly understood that you are a straight forward person with independent character, and you want your own career that's good no problem but always remember straight tress are cut first not the bent ones. So whoever straight they always face this issue. Now coming to your family issue 1. You are ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi,Dr. Samuel Grief, I hate to bother you, but I really appreciate you, and I have a lot on my mind. It s just that, there are some decisions in my life that are simple to make. For example, I never...	Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. That was a very good history I wish that all patients are so descriptive There are lots of reasons for Bipolar disorder and Schizophrenia?. ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Dr Age: 36 Gender: Male Constant feeling of urination after abusive, lengthy masturbation and persistent mild burning in male urethea. Any nerve/tissue damage? I am having a sensation of constant...	HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusiv...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi my name is Kelli Jo...Last July I was involved in a (hit & run) accident. I was struck by a truck motorist and broke my left tibia. Underwent surgery receiving a metal plate with 8 screws. About ...	Don't worry. .this swelling is common after fracture fixation and prolonged period of immobilization of the joint. Do full laboratory investigation(CBC.liver and kidney enzymes. Blood sugar. Serum uric acid). Do X-Ray on your leg and your swollen ankle. Don't hang your leg down. Always keep them produce your physical a...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am a 37 year old female that works full time for an Internal Medicine Doctor s office. It gets very stressful at times as I am the only Clinical Nurse in the office that sees 25-40 patients a day....	Hello,1. Gallbladder with small calculi should be removed by laparoscopy as small stones bring risk of bile ducts obstruction and acute pancreatitis.2. Chronic liver parenchymal disease most likely means that you have fatty liver. You should avoid alcohol, fatty foods, spicy foods, medicines involving liver to reverse ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Doc, I am 30 years old, I had a history of right and left ovarian cysts, right adnexal cyst measures - 4.0 x 3.2 x 4.1 cm and left adnexal cyst measures - 6.9 x 5.2 x 3.4 cm (on 01/10/2011). Left...	It i there, thanks for writing in. There are few things I would like to suggest.1. When we do follicular scan we can assess ovulation by noting that the follicle has collapsed and not visible and the fluid inside the follicle can sometimes be seen in the pelvis on scan. At times the follicle gets filled with blood and ...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello, I have been dealing with a rash on hands, legs, back, arms and now bottom of my feet for the last 7yrs. I was prescribed 2 steroid creams and they have not worked for 7yrs. I asked my doctor...	Hello there! The classic presentation of a triad of fever, joint pain, and rash all points towards the lupus. So does the positive homogeneous Anyhow many of these complaints you have? Constitutional (e.g., fatigue, fever, arthralgia, weight changes)Musculoskeletal (e.g., arthralgia, arthropathy, myalgic, frank arthri...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Sequence of events: Day 1: Burning, painful urination; pink urine detected; lower abdominal tenderness and bloating and frequent urination; this is also accompanied by urgency to defecate, loose sto...	Hi, please don't be so upset. A 1.6 cm cyst in the ovary is of no clinical value we don't even call it a cyst, it may just indicate an unruptured follicle which may be painful. Even then, if this is bothering you, all you have to do is repeat an ultrasound pelvis after 6 weeks to make sure it has disappeared. All the o...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello Dr, I was addicted to masturbation and because of that i feel extremely weak, tired and suffers lack of memory. I have taken the treatment of ayurvedic medicines in year 2002. But at that time...	Hi there,First, I'd like to reassure you that your liver enzymes are only slightly elevated, and this doesn't mean that you have liver failure or your liver is in any immediately danger. I think some medications you've taken in the past are probably contributing to your elevated liver numbers, but I think they can go b...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My Grandfather is aged 82. He had blood vomit due to one of the oral antidiabetic medicine. The haemoglobin levels had dropped to 6.6 and he was transfused with 2 units of whole blood raising the le...	Hello Vishal and thanks for writing in at ChatDoctorFirst of all thanks for giving complete and detail history of the patient which is required by any physician for a better advise. I have studied your mail in detail. The cause of anemia is many, but in your case and the detail provided by you, it can be due to:1. Kidn...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Sir, I am Gopal, we are trying to have a child since 5 five years. My wife side everything looks normal(other than one cyst with size 2.6 X 2.6 in L.t overy. Last month we have done one cycle of ...	Hi Goal, Chances of conception in one cycle of GUI with multimolecular ovulation after 5 years of infertility are around 20%. Your semen analysis appears fine. Fasting has no effect on success or failure of GUI. You can safely try around 4 cycles of super ovulation with GUI for maximizing chance of pregnancy. After 4 c...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, my name is Angela and I am 33. A brief history, I have fibromyalgia, migrains, & degenerative disk disease.i also have unexplainable vision loss. I have had many head and neck traumas starting a...	hello In all probability, a neurosurgeon or neurophysician may advise an CT scan or MRI of brain, as symptoms point towards some lesion in the occipital area of the brain, either space occupying or some kind of vascular impairment, aneurysm etc., also anemia and vision loss give a clue towards that. Consultation with n...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have two types of pain, and I m not sure if one is related to the other or not, if they are a gastro- intestinal problem or a GYN problem. The first I will discuss is the lower abdominal pain . Lo...	Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have got pain in the middle of the lower central area. Hurts on sneezing, or coughing, or in sex. Periods are bulky, painfull. You got loose motions sometimes, and rectal pain. The rectal pain is so sharp like electric shock, and passes to t...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Thank You! I lost one of my kidneys at 63 years old due to a very small non-malignant tumor called an oncocytoma. Everything I read said they are slow growing and never spread, the surgeon stated th...	Hello and welcome to Chat Doctor. Well, I fully understand your concern about being on a single kidney. As a Urologist, let me assure you, there's really nothing to worry. Many child Chat Doctor. Many live-donor kidney transplants are being done daily worldwide, from kidneys of people having two normal kidneys. And th...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: iam having blood tests done ,been told iam anemic 7. something ,ihave been anemic most of my adult life as i dont eat well ,now i am worried because they are l ooking in to reason and one of the rea...	HI WELCOME TO ChatDoctorI have gone through your query about your anemia. I am anxious to know, first : Your AGE ? , Second : Gender? , Third :Your Lifestyle ? Any way, It is good the you have realized the importance of eating. 7 HE is too low. It should be 11-15 F / 13 -16 Deficiency of hemoglobin would decrease the o...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello Doctor, 36 years, married. Me and my wife have been going through a case of infedility from her end. we have had some very troubled times in the last 3 years, however the last 2 years have bee...	Hello, Thanks for writing in. Dealing Infidelity is definitely very stressful. It would measure you patience, make you angry and upset. Creates a lot of uncertainty as well. I totally appreciate the effort you have taken from your side to understand and convince your wife. It looks like you have lost hope in yourself a...
If you are a doctor, please answer the medical questions based on the patient's description.	### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am 43 years old. I have a syrinx within my spinal cord from C5-6 - T1, currently 8cm in size. It was believed to be originated from Arnold Chiari 0 due to the protrusion level of my cerebellum ton...	Hi, Thank you for posting your query. I can understand your discomfort due to the symptoms, lack of good success of spring surgery and the need to undergo three surgeries in future too. However, I would suggest that you undergo the surgeries for lumbar disc and carpal tunnel syn Chat Doctor. This is because you have a...