source
stringclasses 1
value | id
stringlengths 16
24
| task
stringclasses 1
value | sft
dict | meta
dict |
|---|---|---|---|---|
healthcaremagic
|
5fc81ae7ba84a4ca
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello. I found a lump on the left side of my lower back about 2.5 months ago. It is the size of a dime and is not visible and can only be felt when pressure is applied to the skin. It hasnt grown or changed and is painless to the touch. However, I do have back and leg pain. I am a 22 yr old female. I dont smoke or drink and am relatively healthy. No history of cancer in my family.",
"output": "Respected user, hi I evaluated your query thoroughly.* According to the narration, it is most likely to be Lipoma (accumulation of subcutaneous fat) which can give rise to local discomfort but not leg pain which seems to be separate entity than this. Hope this clears your query. Welcome for any further assistance. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
15f8c83e9d365661
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my boyfriends semen is normal looking but has chunky pieces in it jello-like in texture and they stay jello-like they dont melt or anything i know he used to do a lot of drugs before we started dating is it just side effects from smoking crack? (hes been clean for a year and half now) or is it infertility? does he have an STD? cause before we started dating i made him get checked out considering his past and he turned up clean on the tests. he says that his semen has had chunks in it for quite awhile but it kinda conserns me like i dont want to catch anything and i do want to have a child someday.",
"output": "Hi and welcome to Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1a6bdf5f32a8294a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Can i nebulize my child 5 year old with clenil compositum and atem together?? I used to nebulize him with simple clenil compositum and normal saline every winter season .. but now his coughing is not going.. he recently started penecillin day before yesterday because his chest infection was not going.",
"output": "Hello, Short answer: Detailed answer: You can use clinic composite together with item. Scientific studies show that when clinic composite (containing albuterol) is given together with item (containing ipratropium bromide), the results are better compared to clinic composite alone. Therefore, you can give both preparations together, 2-4 times a day because they will not harm your baby but at the contrary, will help him. Also, you should find a solution for the chest infection, by changing the type of antibiotic for example, in close contact with your doctor, because it is a cause of your babies cough. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
401057739813b79c
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My mother is diabetic, has a mitral valve which needs replaced buy she is not healthy enough for the replacement. She has a pacemaker which she, per examine, is working 89% of the time. For the last three weeks she has been dizzy, very weak and has short term memory loss. Her primary care doctor says to let her be. Am I over reacting.",
"output": "Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that her symptoms could be related to low blood flow to the brain. A stroke or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with her attending doctor for a careful physical exam. Some tests are needed to investigate for the possible underlying causes: - a brain CT scan-complete blood count for anemia-fasting glucose and HbA1C levels-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to closely monitor her blood pressure values to exclude possible low blood pressure. Hope to have been helpful! Wishing good health,."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
401057739813b79c-aug9821
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My mother has diabetes and a mitral valve that requires replacement, but her overall health is not suitable for surgery. She has a pacemaker that functions at 89% efficiency. Recently, she has experienced dizziness, weakness, and short-term memory loss over the past three weeks. Her primary care physician recommends monitoring her condition, but I'm concerned about her symptoms.",
"output": "Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that her symptoms could be related to low blood flow to the brain. A stroke or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with her attending doctor for a careful physical exam. Some tests are needed to investigate for the possible underlying causes: - a brain CT scan-complete blood count for anemia-fasting glucose and HbA1C levels-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to closely monitor her blood pressure values to exclude possible low blood pressure. Hope to have been helpful! Wishing good health,."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
d2078cd94c919ee3
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have been dealing with kidney stones since 1979. Recently I was in the emergency for pain from a kidney stone blockage. The ER doc ordered a CT scan to confirm the stone. When the results came back he informed me that I had stones in my liver and my spleen . My questions are: What causes spleen and liver stones; and is any treatment advised?",
"output": "Hi Linda, Welcome to Chat Doctor. Since you have stones in the kidney, liver and spleen, you will need to do thyroid function tests to rule out hypercalcinosis, which is a condition in which there is above normal levels of calcium in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, then it will need to be treated. Liver and spleen stones don't need to be treated. If there are stones in the Gall Bladder and if they are causing problem, then surgical removal of gall bladder is required. Wish you all the best."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1403e8ebb6d6e5ec
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "sir,i was effected abdomen TB last Two years , I complete course and last one years i feel ok not any problem and no medician. Now i feel that my abdomen are large size and tight after food but i have no any symtom like no fever, no pain, no lose wts. I dought for again abdomen TB.",
"output": "Hi. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
01e18016a3c40bee
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, may I answer your health queries right now ? Please type your qHi Doctor I am shri 25 years running. I am 3 years married. My problem is i am unable to get pregnant. Last Year i was pregnant but i had aborrtion in the month of 2.5 , after that i am unable to get pregnant. I have all tests like TORCH TEST (IGGM, IGM), Glucose test, Menstrual blood test taht all ate normal. I a test i have PCOD problem for this problem doc, advised me TABLET BIGOMET SR 500 for 3 months i am taking this tablet and this is my last month for taking this tablet, with this i am taking FOLIC ACID tablets also. please doctor advise me what should i do for get pregnant as soon as possible. Regards shri XXXXXXXXXXuery here...",
"output": "Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. The problem in PCs is with ovulation. So, you have to take medicines for ovulation. Bigoted alone will not help. Hope I have answered your question. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1a140528ba653533
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have a friend that has MS and has to take shots. He took a shot and there was a lot of blood that followed after he took the needle out. I was thinking his blood was too thin. (I take warfarine and this is why I was concerned) He drinks a lot of Red Bulls drinks too.",
"output": "Hi, dear. I have gone through your question. I can understand your concern. You are taking warfarin. It is oral anticoagulant Chat Doctor. It prevents clotting of blood. So it leads to bleeding. You should test your PT and INR. Hope I have answered your question, if you have doubt then I will be happy to answer. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
6705eac2de816c22
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "On Friday I started getting the chills and noticed I had a fever of 102+. I took Theraflu thinking it was a flu coming on. However, I kept getting a fever every few hours. On Saturday, I started getting watery diarrhea. Later that night, my fever spiked to 103.3. I still have diarrhea and have to use the bathroom every 2-3 hours. I took a tylenol last night and the fever has not come back yet. However, I still have to keep using the bathroom and it does not seem to be getting better. Is there anything I can do to stop this?",
"output": "I warmly Welcome you! ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1020863bb7f2b3d6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My baby is of two weeks. First week breast feeding was good enough for him however from last couple of days it has reduced a lot. Hence we started feeding lactogen but he vomits it out very frequently. What we are supposed to do to ensure he is being feed properly?",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c6b67692d87eaea1
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I am a 34 year old women, I got sick in December just before Christmas. I went to the doctor 4 times. He told me that I had bronchitus and gave me meds. The cough got better and o did my chest, but I have had a heavy feeling in my chest for about a month now. When I lie down it feels like I have a lump in my Throat. I dont smoke, never have and am not overweight. Can I have Lung cancer? I am really worried.",
"output": "Hi.it is best if you consult with a doctor if you are experiencing symptoms. The possibilities based from just your description are varied. Most common causes of lung cancer are history of smoking, occupational exposure to chemicals or inhalation agents that could be deposited in lungs, hereditary. Diagnostic studies such as chest x-ray, ct-scan of neck and chest area could easily rule-out if you have lesions. Hope this helps. Good day!!~ Chat Doctor."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
373d949efcf19d0b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello Dr. I have been having depression and intrusive thoughts for five years now. Tried Zoloft for two weeks and was very ill with it. Stomach cramps etc. I am afraid of side effects of meds like tolerance after a whole and other issues. I am now quite tired of dealing with this condition naturally. What help can you suggest.",
"output": "Hi, I can understand your concern about side effects after using Zoloft (Sertraline). Loose motions, stomach cramps, headache, abdominal discomfort, sleep disturbance are common side effects in initial weeks of treatment with Sertraline. Other better alternatives are reducing the dose of Sertraline or switching to Tablet Mirtazapine or Tablet Venlafaxine with Clonazepam. Kindly discuss with your treating psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Wish you rapid recovery."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
20d55911c47d6a2b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "from since a young age i always had irregular heart beats. eg i was playing football when all of a sudden my heart started beating alot faster than usual, with chest pains on the right and short of breath. i ocassional suffer these attacks even when i sit down. now i regularly get irregular beats, where my chest hurts and at times short of breath from lying down...",
"output": "Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1dff06d8f0c41e96
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lympthnodes removed, they were negative. I have clear margins. Pathology report states I am in Low recurrence catagory returning and the cancer is confined to the left breast only. It was at 1:00. I am currently taking 33 Radiation. Im on # 17 with 16 more treatments to go. I went to F/up with my Oncologist today. He prescribed Anastrozole for me to start taking. Possibably for the next 5 to 10 years. I am 73 yrs old, in good health and very actice. With all the side effects stated for the medication prescribed, I don t want to take it. My PET showed I had no cancer elseware in my body. My qustion is, If I choose not to take this medication what are my chances of recurrence and would it be ok if I choose not to?",
"output": "Hayes with Chat Doctor. Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as history of heart attack), bone loss (osteoporosis), liver disease, high blood pressure, blood clots. I will advise you to take one anastrozole tablet per day for 5 years. Its side effects can be managed symptomatically, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3ced6c700142d714
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi,I had Spinal Fusion surgery in 2001. From then on I maybe 2-3x a year I would get burning pain and inflammation in my feet and hands. Lately in about last 5 mos. the occurrences have become more often and in the past month my feet especially have been in pain... standing, seating or even laying in bed( if any part of my feet would be touching the mattress). They would feel best raised but I could still feel slight burning and stiffness. I dont know if I should go see my back Doctor because that was a on the job injury or my family Doc.Please help....thank you for your assistance.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
efdaf2429670c56b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Recently we moved from S. Fla. to NC and my husband and I have been waking up every day stiff, achy, and barely able to move. Even my hands and feet hurt. We live in a new log home, so it can t be lead paint or old house issues. Any ideas? Wierd that it affects both of us the same way.",
"output": "Hello, Sometimes, neurotransmitters in body act differently with changes of places. This may be due to temperature or weather difference of places. Sometimes this can also occur due to excessive fatigue, deny Chat Doctor. If it is a recent issue then there is no need to worry. Take some times adjust yourself with new place, take adequate fluid and sun exposure. It will go away in 5-7 days. Meanwhile, you may do warm fomentation to relieve stiffness. If there is intolerable pain then you may have Tylenol for relief. Hope I have answered your question. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
07f675c17a4b6f1b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 16 year old son has a swollen lymph node behind his ear and recently noticed a lump in his pectoral muscle near the nipple. He also has said he has experienced fatigue during the last few weeks. He is active in baseball so it is difficult to assume if this is all related.",
"output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. The most common cause of the swollen lymph node in India is the tuberculosis. I also suspect the same in your child. For the confirmation of the diagnosis it is necessary that you should do FNAC and ZN staining from the material received. If the test is positive you should also do the TB testing by Inexpert, It is also diagnosed the common resistance pattern and can help you in treatment part. TB treatment have many side effects, please do not discontinue the treatment as it can create resistance pattern in the bacilli. Complete treatment only cures you but also prevents future relapse. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2ef2e156697a569b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time.",
"output": "Hello, Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply Silver Mini cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
5d4502ac38b6e9ca
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have high blood pressure and I was told that my potassium level was low so I bought some potassium gluconate pills today they are 595 mg and I am scared to take them after reading about the side effects. What should I do I have an appt. to see a cardioligist next monday?",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
253b737dba0aa646
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hello any OBGYNE doctors or other doctors knows this question pls answer me thanks.. what is the success rate of to prevent pregnancy when using Nordette as ECP ? when took 4pcs within 60 hrs of unprotected sex then 4pcs after 12 hrs of the 1st dosage. thanks.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
4c00ae0c6d396dbe
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have had a cold or virus for 10 days now. I have had a bad cough and alot of sinus problems. I was coughing up yellowish flim and I called my Dr. and she perscribed antibotics for me I have been on the antibotics for 6 days. My sinuses seem better but still have a cough but not as bad. I do smoke maybe 5/day. How long will my cough last?",
"output": "Hi ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
ac16e8848c926125
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I m trying to conceive and I have been taking ovulation tests and last week I got a positive (smiley face) ovulation test, then negative the next day, then positive the day after that, and today (1 week later) I got a positive again! what does that mean? why could that be hapenning?",
"output": "Hallow Dear, This dilemma seems to be either due to error in the kits or personal error. Delayed positive test could be due to exceptional additional delayed ovulation from the other ovary. In such confusion, I would advise you to take the help of ultrasonography. Ultrasonographic ovulation monitoring has an edge over the kit:1. It gives visual evidence of ovulation.2. It informs us about the size of the follicle when it ruptured to release egg. Follicles between 18 mm to 21 mm size give best results of pregnancy. 3. It informs about the endometrial thickness also. For successful implantation, at least 10 mm thick endometrium is lucrative. I hope this helps you."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
e7a61260d8bee213
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Family memeber, 85 and living alone, stopped her dialysis; did not have it on scheduled Saturday, talked to her son, Monday evening, then was found she had died in bed later that evening. Blood appeared in and around her mouth. Could you tell me why the blood? I understand she went peacefully.",
"output": "Sorry to hear about the demise. In patients undergoing dialysis and having stopped there could be multiple reasons for bleeding. These patients have bleeding tendencies, so she might have bled from any ulcer in stomach or esophagus. Or if due to stopping of the dialysis, she might have developed pulmonary hypertension due to accumulation of excessive fluids in lungs and cause bleeding through lungs which might have surfaced during excessive bought of cough containing blood. These could be the main reasons that I think of from what you have told me in your question. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3d38daf1949c6c16
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, my dad (84) has been diagnosed with another bleed on the left side of his brain. He had an annuryism in the same spot 20 years ago and he had surgery to correct the bleed then. He was left paralyzed on the left side. Because of his age we have opted not to have any surgery as he has been through so much in the last 20 years. He has spent 15 yrs in a nursing home. The ER doctor who saw him told us of this second bleed and also that he will die and that all they can do is keep him comfortable. How long do you think my dad will lie like this? The bleed was found on Wednesday of last week. I just do not want him to suffer and he seems to be resting peacefully and even ackowledging us with a nod of his head occassionally. He is holding his own as far as his lungs and heart goes and is passing the fluids that they are giving him now. The only symptom he had to alert us something was wrong was is low oxygen levels and this is why we had him taken to the hospital. Any info you can give us will be greatly appreciated.",
"output": "Hello, You have most of the information that you should know, and you also have absorbed it the way it should have been. Beyond the present supportive care, there is nothing much that may be required for him. A major part of brain his not functioning for him and at such an old age when organ systems start giving in one by one, one can only try to give him peaceful and comfortable existence as long as he pulls on. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3d38daf1949c6c16-aug4848
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "An 84-year-old man with a history of left-sided intracranial aneurysm rupture 20 years ago, resulting in left-sided paralysis, has developed a new intracranial bleed in the same location. Due to his advanced age and prior complications, surgical intervention is not being considered. The patient is currently in a stable condition, with controlled fluid balance and stable lung and heart function, but is expected to succumb to his condition. The estimated prognosis is uncertain, but the patient's current comfort and occasional acknowledgement of family members suggest a potentially prolonged but terminal course.",
"output": "Hello, You have most of the information that you should know, and you also have absorbed it the way it should have been. Beyond the present supportive care, there is nothing much that may be required for him. A major part of brain his not functioning for him and at such an old age when organ systems start giving in one by one, one can only try to give him peaceful and comfortable existence as long as he pulls on. Good luck."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
cfadf7f046e471a3
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 86 years old and having good health till 4 months back. I got psoriatic Arthratis but it was diagonised late. I lost 4 months and got treated by the doctor with Saaz. But I found it not suitable for me. I lost 2 month for treatment. Now I have been treated with folitrax 15 mg injection and I found it is ok for me. Pl advise how to get strength as I am bed ridden and could not walk properly without support. Also my back joints L4 L5 etc are giving lot of pain. Pl advise remedy.",
"output": "Hello, Low back pain in psoriasis arthritis have different origin. This pain is mostly due to increase in inflammation. In your case two factors are playing role one is your disease & other is your inactivity with your age. In my opinion if you are facing severe problem with low back pain then you may ask from your doctor about intermittent course of low dose steroid. This is very helpful in such cases. Your doctor is the sole person to decide its pros and cons in your age. You should continue or start calcium & vitamin D therapy. Hope I have answered your query. Let me know if I can assist you further. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9d19d5b6cd598535
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi my lft report range are as follow .Iam bit confused regarding the range serum bilirubin(diazo method)..... .93 mg/dldirect .50indirect .43sgot ifcc method 93.8 iu/lsgpt 148.5 iu/l.",
"output": "Hellhole me explain to you that, what is got Sept. In your case serum bilirubin level is normal so need not worry. The aminotransferase is sensitive indicators of LIVER CELL INJURY and are most helpful in recognizing acute hepatocellular disease such as HEPATITIS. They include the aspartame aminotransferase (GOT) and the alpine aminotransfearse (Sept). Sgot is found in liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes in DECREASING disorder of concentration. Sgpt is mainly found in the liver. I want to explain to you that any mild disease or any injury to above-mentioned organs may be responsible for high level of GOT. While primarily Sept is in liver, so any cell injury to liver cells may be responsible for liver disease. But this level is not so high so at present need not worry, if you didn't have any other symptoms. Keep regular watch over liver function tests and symptoms. Besides avoid wine, Chat Doctor. Still if you have any doubt get in MRI and ultrasound of liver. Consult a physician and get his opinion as physical examination is also important. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9d19d5b6cd598535-aug5011
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My LFT report shows: \nSerum bilirubin (diazo method): 93 mg/dL (direct 0.50, indirect 0.43)\nSGOT (IFCC method): 93.8 IU/L\nSGPT (IFCC method): 148.5 IU/L.",
"output": "Hellhole me explain to you that, what is got Sept. In your case serum bilirubin level is normal so need not worry. The aminotransferase is sensitive indicators of LIVER CELL INJURY and are most helpful in recognizing acute hepatocellular disease such as HEPATITIS. They include the aspartame aminotransferase (GOT) and the alpine aminotransfearse (Sept). Sgot is found in liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes in DECREASING disorder of concentration. Sgpt is mainly found in the liver. I want to explain to you that any mild disease or any injury to above-mentioned organs may be responsible for high level of GOT. While primarily Sept is in liver, so any cell injury to liver cells may be responsible for liver disease. But this level is not so high so at present need not worry, if you didn't have any other symptoms. Keep regular watch over liver function tests and symptoms. Besides avoid wine, Chat Doctor. Still if you have any doubt get in MRI and ultrasound of liver. Consult a physician and get his opinion as physical examination is also important. Good luck."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
777902ffd678bba5
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello Doc. I am currently taking meloxicam, and was wondering, can I take tylenol for my muscle pain? I take a half of my meloxicam as needed and the last time I took one was this morning. I ve been having muscle pain on my left side about a week now and I am trying determine my pain level. Arlene.",
"output": "Hello, I have studied your case. Yes you can take Tylenol for muscle pain. Be aware of side effects of Tylenol. Side effects such as dizziness, Chat Doctor. You can take other opioid analgesic if pain persist for few days. Opioids may have other side effects. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
29682aea5f519b5f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Me and my gf were fooling around i had gotten cum on my to stop from cuming in her after i pulled out. After i washed my hands with soap and water. About an our later we fooled around again. Could she get pregnant even after i washed the cum my hands?",
"output": "Hi their have understood your concern. If you had this unprotected sex act in the fertile period of her cycle then she should take emergency contraceptive pills within 72 hours of unprotected sex act. As you might be aware that pre ejaculation fluid contains sperms enough to cause pregnancy. And it gets deposited without you noticing it. So even if you pull out before ejaculation, it is not a safe sex. It is not due to washed hands but due to pull out method, she stands chance to get pregnant. I hope this answer helps you. Thansk."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
6c60b34265254732
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication??",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
2b310c30499a180b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I m on sprintec for few months. I never missed a pill and I always take it on time?But the other day I missed then I took two pills yesterday with one hour in between. Today I took my dose about 2 hours and 10 minutes late. I had sex tonight. Is there any chance to be pregnant? WWW.WWWW.WW.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
92549db9b244f79e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i am taking glycomate sr igram at night before meal. my fasting sugar was[REDACTED_PHONE] range before medication and PP was[REDACTED_PHONE]. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is[REDACTED_PHONE] anf PP is[REDACTED_PHONE]. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine.D .mitra age 55 ,male,kolkata india.",
"output": "Hi Mr. Mira, As you have not mentioned the duration of your Diabetes specifically, let by your narration my interpretation is you have recently detected Diabetes diabetes approximately one and half month back. You have started on Glycogen Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all these efforts your blood sugar levels are fairly controlled. I would like to advise_1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycogen Sr 1gm after dinner. In fact, you can increase the dose up to 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is lifelong disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120 days. Urinary protein creatinine ratio, Endoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also, regular BP checking."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
84fe945477426d13
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My mother is having lightheadiness and heart palpitations and sometimes her hear races. This has been over the last few days. She just checked her blood pressure and it is normal and her pulse rate is 72. Could she still have a heart attack with normal blood pressure and pulse rate? Thanks, Kelli.",
"output": "Hi, Lightheadedness associated with palpitations can be caused by irregularities in heart rhythm. Heart rate and blood pressure can be normal in these cases, but it is important to know what her heart rhythm is, and what is usually done is an ECG which documents the electrical activity of the heart. It may not be a \"heart attack\" per se, but it is noteworthy that she may undergo tests as part of the work-up. And I would suggest a consult with a doctor to be able to check other causes of dizziness such as a musculoskeletal problem in the neck, as well as problems in the eyes and ears which may cause dizziness, apart from a problem in the heart. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d5d21997438112e2
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 27 years old female. I am having right lower abdominal pain for past 2 years. The pain goes away after taking a course of antibiotics but reoccurs after some time. In the beginning the frequency of reoccurance was after 4 to 6 months, but now its occuring again and again within 15 to 20 days. I have the following symptoms. C1)fatigue, Feeling discomfort and tired always2)nausea always. Sensation is more after few minutes of food intake3)severe pain in lower right abdomen4)feeling burning pain in all over the abdomenal area5)Getting constipation for few days and then loose motion for few days Have done abdomincal scan and showed results as1)Left renal stone2)Minimal fluid in cul de sac Have done blood, urine and stool tests and reports showed these1)Haemoglobin is low2)ESR is high - 343)Showed pus cells in stool, occassional and stool is brown in color.4)showed 1-2 leucocytes and 2-3 epithelial cells in urineMenstrual periods regular(30-32.",
"output": "Hi ! Good morning. I am Chat Doctor answering your query. From your history, and ultrasound report of fluid in the cul-de-sac, I would suspect you to be having a PID (pelvic inflammatory disease) which might also be associated with a UTI (urinary tract infection), which had to be ruled out by a culture and sensitivity test. If I were your doctor, I after a general physical examination of yours would advise you to get yourself assessed by a gynecologist of your area to rule this out specially if you are sexually active. Till then, I would advise you for a course of broad spectrum antibiotics along with an anti inflammatory and a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
e6a72f29d442da50
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Respected Sir,My name is Nishanth singh gurung. I have undergone a root canal treatment 8 months back. One of my teeths in the bottom section is growing at 70% angle outwards. It is causing a problem in the gums. I always feel some sensitivity there and not able to study properly. Please tell me what i have to do. Its urgent.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
a17f7f511e01e927
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I m 38 years old and due to a gun shot through the roof of my mouth.I have worn a partial for years. I m 5 1 amd 91 lbs always been very small child like. I had full dentures put in yesterday and they huge! I m gagging,cant close my mouth,color is very dark,and teeth are like hores teeth. I m horrified. I have called him and he said the will fit when I grow into them. I don t think I m going to be doing anymore of that. What to do? He pulled what 10 teeth I had left now nothing and owe him over 5,000$. Help PLEASE.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
dc544278be9ac0b4
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I had surgery to fuse L4,L5 and S1 9 moths ago and I am experiencing pain in my lower back right side radiating around and into my groin. I had 3 steroid injections in my hip because a recent mri showed a tear in my hip socket. My orthopedist said it was nothing more than burcitis and that the pain I was having was to do with my back. My neuro surgeon say the fusion is fine and healing well. What would you advise.",
"output": "Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discuss, which can be confirmed by MRI with contrast or CT pyelogram. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
0082613ce53ae5e8
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I m using shades like lipsticks , gloss, lips balm for more than 5 yrs,....but for past one year, m getting allergie to those products...I seriouly don t know the reason which is making my lips itch & irritate...now-a-days whenever m using lip shades, it will automatically cause my lips & lipline - dry , itch and irritates....so stop to use lipshades and switch on to use lip balm, since lips became very dry if m not applying any mositure on it ..[ Using products are Lakme & Lotus ]...Previously i don t have this kind of problem...Only recently it is causing....Can anyone assist me the cause of my problem... Thanks.",
"output": "Hi, welcome to the Chat Doctor forum, the complaints which you mentioned is called as contact dermatitis or chemical irritant dermatitis, it has an allergic component, since you are getting this for the past 1 year it signifies that your immunity which prevents from getting this kind of allergies is getting down to lower levels, I suspect you are under some kind of tremendous stress either financial or mental which is causing this type of hypersensitivity in you, this is absolutely curable with special homeopatChatDoctoredicines.... get well soon ! You can contact me on Chat Doctor. Com."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
0f62e82e5cee751e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi sir,my daughter is 4 yrs old and we have been to india last year for christmas and came back on january 13th 2011,right from then my child started spiking a fever. it happens about every three weeks to 1 month. she will be fine in the day, playing, going to school, the only thing is she says her belly is sore but doesn t complain too much. then when it comes to about 5pm she deteriorates very quickly. becomes very lethargic, sleeping, crying but not knowing whats wrong, shivering. her temperature goes up. this usually only lasts that one night and by the next day she s almost as normal...for another few weeks.",
"output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of frequent fever and shivering which seems to be due to poor immunity of body which making your child susceptible to infections. Well this is something you should be concerned about as it could be due to underlying systemic pathology. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should go for complete blood count and urinalysis done to detect level of infection and find out any systemic pathology. Start treatment after proper diagnosis. Till then take Ibuprofen/ Acetaminophen. Chat Doctor. You should do tepid sponging if fever is of high intensity. Take diet rich in multivitamins. Hope your concern has been resolved. Get Well Soon. Best Wishes,."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2b66411c97d780b2
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go.",
"output": "Degree understand your concerns went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also lose your TODAY. I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
a4cbaec7e5e1e8d0
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have heel blisters, that I am trying to let reabsorb, there are white floating objects underneath, what are these? Also, prior to the blisters, I have been having numbness and pain at the back of the heels, it started with a mal fitting pair of sneakers, but that was months ago and I only wore them once.",
"output": "Hi I did understand your concern. Your lesion may be a reaction to the new shoes and that can cause such problems. The blisters will slowly heal on their own. You can apply Luke warm fomentation on it with a clean cloth and if they burst apply an antibiotic Chat Doctor. In view of severe pain please consult doctor. Numbness and pain over heel can be due to diabetes, electrolyte imbalance or due to nutritional deficiency or Achilles tendinitis and planter fasciitis would recommend you to get evaluated for these lesions step by step as each have different treatment.I hope this yellowish you all the best ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
e88048c406b40528
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I just had an MRI on thursday, Ive had many MRIs in the last 10 years but this was my first experience in a 3.0 Tesla imaging unit. I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug, I have tested positive for the JC virus {papovavirus} and so my MRIs are to watch out for possible signs of PML. My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
e0742f181fa4c746
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "this is the first day of root canal, after coming back from doctors clinic once the initial sensation started i have unbearable pain , i have taken Katrol DT and dic+paracetamol tab together but no releif kindly suggest its 2 AM night and i dont know what to do.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
5123fd234ed98596
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My father in law whois 84yrs of age was rushed into hospital with pains in his abdomen last week, he is being treated for gallstones. When we visited he had a drain attached. he was discharging fluid which was a dark brown? He now has the nor virus so we cannot visit. Is this serious? Thank you.",
"output": "Hello welcome to ChatDoctornoro virus infections are not so serious as you think. These infections occur mostly in crowded places like hospitals, nursing homes, schools. In most of the patients it gets cured unless it has complications like severe deny Chat Doctor. It is highly contagious infection. Close contact with patient can also spread the infection. Hope I have answered your question, if you have further questions I will be happy to help."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
94ef4463fd62d86f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hifenac mr tablet was taken by my wife age 29 due to the pain in her lower waist , the reason is i suppose body cramp due to a massage by a proffesional.now she is suffering a severe pain in her waist and could not able to move and walk. should i go for a injection,pain killer or any spray pain relief ?",
"output": "Hello, As you are already taking tablet Higher MR still she has severe pain and not able to walk, so I think you should consult with orthopedic for detailed examination. I will advise you today to do x-ray lower back and hip joint after orthopedic opinion. Now, along with Higher MR, you can use Voting spray or apply diclofenac gel. If still symptoms not relieved, I will advise MRI after Orthopedic consultation. I think you are suffering from severe muscle spasm or may possibility of nerve injury, but we have to confirm that. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
fc932a87d7afb075
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help!",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
45aedbfe54f3e64d
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi I have noticed a sizeable but painless lump on my right calf muscle, I have been suffering a lot with restless legs lately and put it down to my recent pregnancy but now I have noticed this lump and I feel generally tired and just not myself? Any ideas what this could be? I am 29, 5 7 and 12 and a half stone, I smoke and have used the contraceptive pill since I was 15.",
"output": "Hi, dear You have lump on calf muscle. It can be ganglion cyst or some soft tissue tumor. You should go for ultrasound study to know exact location and origin of lump. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8b85e33a660d4205
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as thats what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
d5ed1cbae1947493
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my 4 year old daughter has had a low grade fever which has spiked usually in the afternoons for 4 days, reaching only 100.5 so our doctor wouldn t see us. She has also had loose stools, some cramping in her stomach, congestion both in her chest and in her nose and a runny nose. Today I noticed a small blister in the corner of her mouth that looks like Herpes. A friend of hers has outbreaks on her mouth all the time that look like Herpes, but all over her mouth and I work very hard to monitor their play. This also seems to be symptoms of hand foot mouth disease except she doesn t have the rash on her feet and hands, only the blister on her mouth. Any thoughts as to what may be going on? There has been no change in appetite or energy level.",
"output": "Hi... ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
53d848d6faf0ad30
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have sciatica pain from a hip reconstruction I had in 2002. Now Im experiencing weakness when lifting my arms. FAcial numbess, mostly on left side but feel a little on right. Legs are almost numb from knee down, it does travel up my left leg. Feet numb and tingling too. My head is almost kinda numb and I cant think straight. Dizzy on and off. I feel sick to my stomach. Please help.Thank you, Nancy.",
"output": "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. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at [REDACTED_URL]."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
0659c4e7c7a88db1
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me.",
"output": "Hello."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
eed3c5fb166b4583
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I take effexor XR 75 mg once a day. I have no appetite ever. Sometimes i go days without eating and don t even realize it. When i eat, i never want to be eating. Its like im just doing it because i have to. Food never sounds good. Also, i ve noticed i feel almost no emotion. Im always in a generally good mood... but when something tragic happens its like im completely immune to it. I feel no sadness. I feel no fear, no worry. When it comes to relationships.... i can take it or leave it. When me and my girlfriend of four years broke up.... She was devastated. Crying, saying how hard it was emotionally. I felt nothing. I haven t cried or even came close to crying in a very long time. Why is this happening? Is this normal?",
"output": "Hi Cablejm2 ! You are taking Effector for your depression. Now this medicine give you depression. If you're taking this medicine for long time, do ask for change, cause like other psychotic Chat Doctor. This medicine made you emotionless, so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
eed3c5fb166b4583-aug7275
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am taking effexor XR 75 mg daily, but experience persistent anorexia, with periods of days without eating. Meals are unappealing, and I feel emotionally numb, with reduced emotional reactivity. I exhibit a flat affect, with minimal emotional response to significant events, including relationship breakups. I have not experienced crying or emotional distress in a long time.",
"output": "Hi Cablejm2 ! You are taking Effector for your depression. Now this medicine give you depression. If you're taking this medicine for long time, do ask for change, cause like other psychotic Chat Doctor. This medicine made you emotionless, so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
17a6a7f826acd958
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I m 33 weeks pregnant, and have been feeling really unconfortable. Sometimes when I sit down it hurts or when I try to stand. It even hurts sometimes when I m laying down and go to roll over. It like sharp jabs of pain along my sides and under my belly. Is this normal?",
"output": "Hello dear, I understand your concern. In my opinion the pain abdomen can be due to various reasons like preterm pains, muscle cramps etc. It needs physical examination to rule out the cause. In case of any preterm pains there can be cervical changes. You might need complete urine examination to rule out any infection. Nothing to worry. It will subside with spontaneous treatment. Avoid stress. Take adequate fluids up to 2-3 liters per day. Best ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
0e5eda6982b76e42
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my 14 year old son fainted at school on Monday and afterwards he couldnt move his arms initially he had been watching a documentary on blood vessels in Science when this happened taken to dr who wasn t overly concerned should I be taking him to see someone else.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
0e5eda6982b76e42-aug9890
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 14-year-old son fainted at school on Monday after watching a documentary on blood vessels in Science class. Initially, he was unable to move his arms. The doctor we saw wasn't overly concerned, but I'm wondering if I should seek a second opinion.",
"output": ""
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
be6dd6c98747a7e5
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Why do I wake up with my arm or arms in the air? sometimes they fall and I hit my husband who gets mad. Is this a neurological issue as Ive had 7 operations on my neck and back? Is it due to med I take for pain or depression? Stress induced? Any ideas to stop this behavior? Thank you so very much for any input you may have.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
be6dd6c98747a7e5-aug7883
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A person experiences nocturnal limb dystonia, characterized by involuntary arm elevation during sleep, potentially leading to falls and injury. This condition may be related to previous neck and back surgeries, medication side effects, or stress. Possible causes include: \n\n* Neurological issues stemming from previous spinal surgeries\n* Medication side effects from pain or depression management\n* Stress-induced movement disorder.",
"output": "Hello, ."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
b9dff57d253b76a9
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I had a small tumor removed from my bladder yesterday at a hospital 60 miles away. This afternoon I started having blood in my urine. Late today i had another bladder full of blood and after urinating, followed by a warm flush sensation which took an hour to diminish. I estimate I have bleed about 3 or 4 ounces of blood. Waiting to see if it is less or more next time or should I be calling 911 now to take me to the local ER where there isnt a qualified Urologist available... e-mail YYYY@YYYY.",
"output": "NamasteWelcome to ChatDoctorGreetings of the dayroom the description given by you, you seem to have clot retention in bladder, bladder is not able to completely evacuate and bleeding from the tumor site may be going on. Would suggest you to call up your emergency number, you require a bladder wash which help solve your problem. A qualified physician is capable of attending to it. I hope it helped back to me if you have any other overtake dis."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
99ccb392be513d90
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my mom takes spironolactone med due to her current heart problem. This med was priscriber by MD in Ethiopia and she is hear in USA. The Dr. here is doing a lot of test but in the mean time she is running out of this med. So if she stop this med what is the risk?",
"output": "Brief Answer:There are no risks from the interruption of Spironolactone, while her blood pressure values are normal. Detailed Answer:Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
99ccb392be513d90-aug7232
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My mother is taking spironolactone for a heart condition, which was prescribed by a doctor in Ethiopia. She is now in the US, where a new doctor is conducting tests. However, she is running out of the medication. If she stops taking spironolactone, what are the potential risks?",
"output": "Brief Answer:There are no risks from the interruption of Spironolactone, while her blood pressure values are normal. Detailed Answer:Hello, ."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
3c7a5003102aa49b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Woke up with a discoloration on my left hand and some swelling around my middle finger . Now it looks like I have a huge bruise on my hand from knuckle on my middle finger to whole back of hand to the wrist . I do not remember hitting it on anything. I was lifting a canoe while I was camping a few days ago. I am on blood pressure medication and one half of a water pill plus baby aspirin .This is because I only have one functioning kidney due to chemo damage to my left kidney.",
"output": "Hi, Please get the renal function tests done and if it is normal you need not worry about having single kidney. Usually the remaining kidney compensate for the other non-functioning kidney. The bruise might be because of aspirin. However you have to consult your physician for definitive diagnosis. Take care not to take too many analgesics without prescription as they will have adverse effect on kidneys. Regularly monitor your kidney function. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f76550532fa1c9ed
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": ":) hey i got a question .. so yeah i had a root canal on one tooth and being lazy i forgot to get the permanent filling and as time passed my tooth fell out .. so my question is .. Can i still get infection there even if i had a root canal and forgot to get the filling and my tooth fell out ??",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
258cf7f770db6118
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f3c28c1d06577247
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I was just diagnosed with multiple organ cancer...nodules in peritoneum cavity, liver, bowel,uterus,lung, pelvis. We do not know the primary cancer. Do you recommend going to MD Anderson, Sloan Kettering or the like. I am a 79 year old female who I thought was in good health.",
"output": "Hello, Knowing the primary site is essential for treatment. Treatment varies from organ to organ. Site can be known by doing a biopsy from any of the nodules and doing immunohistochemistry (IOC) on that biopsy material. Both MD Anderson and Sloan Kettering are nice hospitals. Please consult a good oncologist in good hospital. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8febc1a35bffd05d
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi i ave tb i on medication but now i found a lump in the back of my neckjust at the top of my spine will they take fuilod from it because i dont want them to i had it done on my lung and it was very painful thank u my age is 54 5 foot 8 ins and iam a diabetic.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3c690bb868c1cf81
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello, my friend recently just had food poisoning. He has vomited twice since. Now he is saying he feels cold inside, has a headache, whole body aches and its sore to touch, muscle and joints hurt, gets dizzy if standing to long, and has been falling asleep on and off all day.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9a4ad5188f3822b8
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.",
"output": "Hi. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3df770bea7f4701f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello my name is Penny. I got home from work I took my shoes and sock off, changed clothes. I sat down and my toe was hurting, I tried to figure if I hit the toe on something or dropped something on top if the toe but it hadn t happened. I tried to ignore it but in a few minutes I took a good look at the toe, it felt warm, looked to see if I could find if it looked like I had some type of bite but didn t find anything, that s when I noticed a red ring around the big toe.I googled ring around the nail and the first thing I did was soak in warm epson salt and it said to do it 3 to 4 times a day. Will this heal the toe in a few days and it s all healed,.",
"output": "This should be looked at by a foot and ankle specialist. You didn't mention your age or vascular status. In the worst case scenario this can be a gangrenous situation setting it. Assuming you are young and healthy that should not be the case. If your nails are too long they can bang into the front of your shoe causing a separation of the nail from the nail bed or bleeding under the nail which causes pressure and pain. If there is blood under the nail the blood would need to be released to relieve the pain. Another cause of a ring on the toe is ringworm which is a fungal infection-though, that is usually not severely painful as you describe."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
6912598a18bf6033
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "sir my mother is 54 and is not feeling well these days, she had been a depression patient. is suffereing from ortho has undergone surgery for utrerous removal she is complaining for some pain and unconsiousness these days i got her to delhi for a complete health check up the most worry i have is that in my maternal history many of the family members are cancer patients i want to know what should i do.",
"output": "Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your mother is normal in the population of females whose uterus is removed. This depression could also be related to the depression of menopause. The negative thinking and loss of self-esteem and self-respect during this period results in mild to moderate depression. Motivation is what she needs and provide her with abundant amount of motivation. She shall be alright within around two months. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
ff27fc711268614a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have started to have little blisters on my ankle after I had an external fracture of the malleolus. I have kept my leg raised above my heart for hours but the swelling does not appear to be going down and teeny blisters have started showing up. What is the significance of these blisters and what more can I do to get rid of them?",
"output": "Howell come to ChatDoctorThank for asking I really appreciate your concern, soft tissue inflammation if happens due to fracture of bone then it may give rise to soft tissue as well as tissue inflammation which causes the blister formation, inflammation actually increases the local temperature of the skin superficial as well as internal which is high enough to form the blister, if the inflammation being controlled well then such blister formation can be prevented, underlying cause (Here the fracture bone needs to be surgically managed as early as possible to prevent further tissue damage) till keep the leg elevated hope this information helps."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
29bd335554b2b795
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I just received my blood results, because I am always a bit low on iron. Iron is 16 ( 10 - 250?), but also RDW is a bit high - 14.9 (max. 14.5). I take iron daily, is not helping all that much. Should I be pursuing this with my doctor? How? Many thanks.",
"output": "Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency. You should take iron supplements. If oral iron is not helpful then you should go for injectable iron therapy. Because you may malabsorption. Your RDW is slightly high and It's due to iron deficiency. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
16be32abe1a243c6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have been tested for heredity hematochromosis and it came back negative, I have high sugar level from my my diabeties, checked me for hepatisis and it came back negative. I am tire, joints trobs, muscles tingle and numb. blood preassure is fine. I have a fatty liver. high level of iron in liver. now it is to the point they want to do a liver bioposy.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9168e9cbe3e9c838
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi I am a 25 year old healthy male, since monday 24 jan 2011 I cant swallow anything I find it really hard to drink aswell and each day it has got worse. Pain killers not helping at all and now Im findind it very hard to swallow my serliver. My throat is not swollen on the out side but I cant open my mouth fully wide. I have not eaten In 4 days.",
"output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have difficulty in swallowing which could be due to stiffness of jaw joints as you not able to open mouth, and it could be due to raised pressure in lower end of esophagus. Need not panic much. I would suggest you to visit gastroenterologist once and get it examined. You should go for endoscopy as well. You can go for surgery of lower end of esophageal sphincter if pressure is really high. Till then, you should maintain proper oral hygiene. Take antibiotic and do mouth stretching exercises. You should start treatment after proper prescription from doctor. Take diet rich in soft food and Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes,."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9168e9cbe3e9c838-aug8564
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 25-year-old healthy male has been experiencing difficulty swallowing since January 24, 2011, with symptoms worsening daily. He has tried painkillers without relief and is now struggling to swallow his saliva. He has not eaten in 4 days and has limited mouth opening.",
"output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have difficulty in swallowing which could be due to stiffness of jaw joints as you not able to open mouth, and it could be due to raised pressure in lower end of esophagus. Need not panic much. I would suggest you to visit gastroenterologist once and get it examined. You should go for endoscopy as well. You can go for surgery of lower end of esophageal sphincter if pressure is really high. Till then, you should maintain proper oral hygiene. Take antibiotic and do mouth stretching exercises. You should start treatment after proper prescription from doctor. Take diet rich in soft food and Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes,."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
6876e0b962c0a420
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "help me doctor, 2d, echo, carrotid and several more test were done to me but yielded negative results, my bp rises up, my doctor said io developed nerbyos means im nervuos, she gave me maintenance for the bp, but stlii goes up, help me doctor what is this in exact, and remedy copuld you giv ts been 3 months of suffering, thank u sir may you act on this immidiately, alan de roxas.",
"output": "Hello and ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c56104267f531071
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello and thank you in advance. Woke up to a horrible itch on my arm - looked at it - it is swollen, red about three inches around, very warm to the touch, and now bumpy. Looks like a spider bite... two tiny red marks in the center. I cleaned it and sprayed bactine over area. Is there anything else I can do or be concerned about?",
"output": "Hi, Welcome to Chat Doctor, It seems that you might have some poisonous insect bite giving allergic rash with severe itching. Due to bad itching nail scratches might produce some infection on the part. Go for short course of antibiotic to clear infection. Take anti-histamine like Cetirizine or Levo-cetrizine as and when required. Apply some local triple acting cream. Keep that part Chat Doctor. Ok and bye."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
5c9f2dd1c7a96e50
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi there. Ive been having significant drops in my H&H. I dont have my print out with me, but I am reticing. My Iron saturation is 4. Im going to assume I have fibriods? Each month my CBC values have been declining. My question is : Will I need a transfusion if I postpone getting my fibriods removed?",
"output": "Based on your query my opinion is1. Yes, fibroid can cause a fall in hemoglobin values and parameters related to RBC.2. This is explained by the effect of sub mucosal fibroid which can cause increased bleeding, so blood loss results in decrease RBC counts and Hemoglobin.3. You need to get it removed if it is a large fibroid and sub mucosal in location.4. Transfusion requirements depend on how much your Hemoglobin is. If it's less than 7, you will require transfusion, if not it can be corrected by parenteral iron therapy. Hope this helps."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
df43027cc4502802
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My son is 3.4 years old and weight is 13 Kg. He is having cough from past 10 days along with fever and cold. Fever is down and he is having light cold. We had given ventryl 4.5 ml dose 3 times per days for 3 days. Still the cough is not reduced. Could you please prescribe best medicine for cough?",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
86c9f9600d9667de
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Lately my body feels swollen like I am retaining water, more than what I normally do and both my hands fall asleep at night to the point where I cant feel them when I wake up. What could be causing this? I take a pill for over active bladder could this be the cause or perhaps it is damaging my kidneys, Ive been on this medication for two years now.",
"output": "Hi, Nephropathy that is kidney disease has to be ruled out first. For that investigate with serum urea, creatinine, EFR estimation. I also suggest you to investigate with serum protein estimation, serum TSH estimation, SGPT and GOT estimation. I suggest you to consult physician for examination. Kindly mention you are on which medication. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3bd24718211d0e01
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, my baby boy is 7 months old, he has had a high fever for the last 36 hours, I took him to GP yesterday she gave me ibuprofen and pamol for him - so far it has been working well, tonight however he is burning up again but still has freezing cold hands and feet - what does this mean and what should i do??",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
63e175c205bb3e23
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have had a bad cough for about 5 months. I have also chronic migraines, I have sleep apnea and I also have hypothyroidism . Lately every time I cough I pee heavenly in my pants :( I have night sweats and also my hands and feet have been sweating a lot. What do I do?",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
63e175c205bb3e23-aug4673
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have experienced a persistent cough for approximately 5 months, accompanied by chronic migraines, sleep apnea, and hypothyroidism. Recently, I have noticed incontinence upon coughing, as well as nocturnal sweating and excessive sweating in my hands and feet.",
"output": ""
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
e03f7284aacaf8b8
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my fiances penis all of a sudden went numb today, he was playing a board game and felt very weird..like his penis started hurting and then slightly going numb. He wants to know if this is caused by excessive weed smoking or excessive smoking in general...",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3638b35e28fbc163
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, i experienced anticipatory anxiety this week due to knowing i might have to take an elevator after foot surgery (today). I m Claustrophobic in a big way. I took .5mg of Lorazepan before bed last night (Thurs) and slept fine. Since I had extreme anxiety Mon, Tues, Wed, and Thurs., couldn t eat or sleep well, my question is, can I take another .5mg Lor. tonight without becoming addicted? Also, since this is situational anxiety, brought on by the thought of the elevator, could my anxiety subside on its own now, since surgery is over? bty, they let me walk down the stairs! :).",
"output": "Dear serve understand your concerns went through your details. One dose of Lorazepam 0.5 mg usually do not have any addictive properties. For addiction, you need to take it continuously. I see your case as actual anxiety disorder which happened after the traumatic event of your surgery. I suggest counseling and if needed therapy. If you require more of my help in this aspect, please use this URL. [REDACTED_URL] Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9bbab62b5c47033a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I recently had a 9mm Kidney Stone laser blasted in July. My CT showed smaller stones in both my kidneys. A week after the surgery I had the stent removed. Later that night I passed a 3mm stone. A recent x-ray showed a stone in my right kidney and minute stone in my left kidney. The stone that was blasted was analyzed. The results were 100% Carbonate Apatite.My doctor gave me a diet to follow to reduce the possibility of new stones and keep the stones currently in my kidneys from getting bigger. I researched Carbonate Apatite stones online and now Im confused. The information I found said most of these types of stones are caused by some kind of infection, most common UTI, but also kidney. Also, any stones should be removed from the kidneys. They called the stones, infection stones.Should I get a second opinion? Im concerned I am not receiving the appropriate treatment. I am female - 51 years oldI do not have a UTI, and my urine is clear. I have never had a kidney stone prior to last month. Thank you for your assistance.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8d7ef4e5cc4615f6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I recently got very sick. At first I felt like I had a bladder infection, because it was uncomfortable to urinate. An hour later, I noticed blood clots in my urine and the discomfort continue to worsen. Within 2 hours my urine went from being normal color to solid red and I was in excruciating pain during urination. The doctor put me on antibiotics and sent the sample for a culture/sensitivity test. It tested positive for ecoli. I am wondering if even though I am feeling much better, do I need to seek follow up care to ensure there isnt damage to my kidney, etc.",
"output": "Hello, It is likely good to follow up, and I don't think you will much to worry after the visit. It is just a reassuring visit as your infection has already been resolved, and well treated in time. Yes, E. coli is one of the main culprits of urinary tract infections. It causes bleeding in urine too, along with other symptoms of infection like pain and urgency to urinate. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8d7ef4e5cc4615f6-aug3068
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I experienced severe urinary discomfort, initially suspecting a bladder infection, but it rapidly progressed to hematuria (blood in urine) and intense pain during urination. The urine turned from normal to solid red within 2 hours. A urine culture revealed E. coli infection. I'm concerned about potential kidney damage despite feeling better after antibiotic treatment and am considering follow-up care.",
"output": "Hello, It is likely good to follow up, and I don't think you will much to worry after the visit. It is just a reassuring visit as your infection has already been resolved, and well treated in time. Yes, E. coli is one of the main culprits of urinary tract infections. It causes bleeding in urine too, along with other symptoms of infection like pain and urgency to urinate. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
1619aa013a518757
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi Doctor, I have got some skin infection since 6 months. I have some allergy sort of on my neck and chest. Itching is there only when sweating. I visited near by dermatologist. She told me that its a fungal infection called sobi and prescribed some medicine. what are the causes of sobi? Is sobi completely curable . if so how long it may take ? do i need to take any precautions?",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c93e1f74388be6a5
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My dad, 73, has been diagnosed with Esophagel cancer stage 4 he also has pneumonia and a feeding tube to the stomach, plus a fistula eso/traq. He had a heart attack 30 years ago. Dr has said that cant do anything for him. No chemo, radiation, anything. That chemo wd kill him in a week. Do you agree. What is the time frame?",
"output": "Hi, dairy have gone through your question. I can understand your concern. Your dad has esophageal cancer stage 4. No surgery will help. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains poor. Life expectancy is not good. He has not good health, so chemotherapy side effects leads to worsening of life. There is no major difference between life expectancy with or without chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2946e7c4d2bf0e80
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I started off with a bad cold about a month ago. I seemed to get better about a week or so after I first initially started to feel ill. After a few days it came back and was worse than before. Now 4 weeks later, the only symptom I still have is the severe coughing spells that will sometimes lead to vomiting.",
"output": "Hi there, Welcome to Chat Doctor. I understand your situation. Your symptom might also accompany a runny or stuffy nose, a feeling of liquid running down the back of your throat, frequent throat clearing and sore throat, hoarseness,wheezing and shortness of breath. You might be having allergic rhinitis or Gastroesophageal reflux disease. Try taking tablet containing montelukast + levocetirizine, cough suppressant syrup before bed at night and pantoprazole 40 mg empty stomach in the morning. If your cough doe snot subside by this you should see a doctor and get a chest X-ray done to get a confirmed diagnosis. In the meantime stop smoking, avoid allergens and reduce acid reflux. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. Hope this helps you. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c4e758281e933a13
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, My youngest son was sick for two days with a fever. I took both boys to the doctor yesterday and my oldest son got a tb test. He is now running a high fever[REDACTED_PHONE]. Should I rush him to the hospital? Normally I wouldn t go to the hospital unless the fever reaches 104 but I m just concern because he had a TB done yesterday.",
"output": "Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3483fae39d896e65
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "good pm just want to asko if godex ds is good for fatty liver. because my husband took godex ds for 2 weeks but instead of lowering the sgpt result the fatty liver doubled... in ultrasound my husband liver seems to be normal... what like to be the problem.",
"output": "Hi and welcome to Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9b1652ebcdee2925
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3dbb157dcbb8ff44
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i get difficulties in breathing when i inhale fumes and dust and when humidity is very high.what is the possible treatment and the cause.am 57 n i have no treatment.",
"output": "Hiwelcome to Chat Doctor forum Allergic asthma or bronchitis is caused due to allergy to some particular substance as u have mentioned as dust or fumes or anything else. The inhalation of these substances causes narrowing of respiratory passage which causes difficulty in breathing and gradually a persons respiratory system is damaged. So first thing is to prevent this inhalation whenever you're in such environment. By covering mouth and nose. Second most important thing is treatment which is best in Homeopathy. So please consult a physician .take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f6f322246eb0d0fb
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi Doc, I hv problem of blemishes on my face n my skin specialist hs suggested Melacare but I don t know for how long should I use it so it won t give me bad effects. I hv pigmentation on some parts of my face so can I use iy there to get flawless skin?",
"output": "Hello, Welcome to Chat Doctor. From your history, the blemishes on your face could be due to plasma, freckles or even post inflammatory hyperpigmentation. Melacare contains a steroid as one of its components which over long term use can cause side effects like skin thinning, redness and whitish discoloration. It should be used only under the guidance of your dermatologist. You could also benefit from using a broad spectrum sunscreen with SPF 30and above every 4 hours even indoors and in cloudy weather. You could use a lightening cream containing 2 % comic acid, licorice, albumin and niacin amide which is safer and devoid of steroidal side effects. You could also get glycol peels done by a qualified dermatologist. Hope this helps you. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3efcec0c97659825
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 45, had a vasectomy 6 years ago, 6 1 300 lbs, and had an extremely low T level in May 2013 (120), have periodic bouts of ED. My doctor has me on testosterone injections every 2 weeks 1ML. I take Lisinopril 20 mg 2X daily, Atenolol 100 mg 2X daily, and Amlodipine 5 mg 2 X Daily, for hypertension. Other than that, no other meds. I have noticed that from time to time my seminal discharge is yellow and clumpy (similar to gelatin). Is this normal, or is there something I need to be concerned about. This most often occurs during prostate stimulation not normal ejaculation.",
"output": "Hello."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
4948e383d1357f1e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My father met with a road accident on 4th June , 11. He is still in the hospital. CT scan report on 7th June: large acute haemorrhagic contusion with perilesional oedema in the lft frontal para-saggital location. Acute bleed along the posterior aspect of inerhemispheric fissure. Undisplaced fracture of the left temporal bone. He can t talk much. talking very slowly. and has some sense.",
"output": "Ct scan post-traumatic brain injury may show - extra rural or sub rural or intro cerebral hematoma. Wat u have mentioned was intro cerebral indicating with injury with in the brain parenchymal. Associated to that there is surrounding isogenic edema in response to injury. Concerning the site regarding front parietal region centers for speech are located. Services which deals witChatDoctorprehension. And Broad which is motor component which deals with speech production. As there is isogenic edema & contusions located at centers of speech there is difficulty in speaking. As the contusions n edema decreases he will recover to a normal tone which might take was to months."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
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