source
stringclasses 1
value | id
stringlengths 16
24
| task
stringclasses 1
value | sft
dict | meta
dict |
|---|---|---|---|---|
healthcaremagic
|
756d3ad9a213aceb
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello sir, i don t know english well so forgive my grammer mistakes. well, actually the problem that the docter prefer some tablets to my mom for some venter problems , after taking the medicine my mom feeling, like something burning in her trachea.please sir if you describe the problem we be very thankfull to you.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3381bd0860a71a09
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do?",
"output": "Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography. If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
83a0d76817a437f5
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, my names Will, im 14 years old and ive found a white sort of spot attached to my scrotum, this morning it was rubbing and began to bleed to i put a small plaster on to stop the discomfort. I havent a clue what it is and havent taken the plaster off since. What is it?",
"output": "Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots. These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
83a0d76817a437f5-aug6700
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 14-year-old male presents with a white spot attached to the scrotum that began to bleed and has been covered with a plaster since morning.",
"output": "Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots. These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
e683b4c3f2a7a1ff
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello Doctor,My Father who was alcoholic and is of 49yrs old is in hospital, He is undergoing liver treatment with below conditions: hepatomegaly with coarsened echotexture. Could you please advise if the liver can be restored for damage, if so what will be next coarse of action to stay healthy.And is this is very severe problem.what percent of chances he can be saved?Thank you.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
65e0cfc2cca01859
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello doctor,my uncle is suffering from stomach cancer .right now his check-up going on tata memorial hospital mumbai.there doctor told me first he give the kemo therapy and after that he operate my uncle. so my father is think before operate we consult 2 more doctor.so kindly suggest me 2 best doctor name & where i meet him/her.one favor me also suggest me best kemo therapy doctor in mumbai. thanks.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2c22f40b5902728c
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Daughter age 12 diagnosed with slight bronchitis and sinus infection. Doc gave her antibiotic and cough syrup. She is suppose to play in a basketball tournament tomorrow at 10:00. She will have had 3 rounds of antibiotics by then. Doc said no basketball, but I have been reading where it s ok as long as she takes regular breaks and drinks lots of liquids. No X-rays or anything and had a very slight fever, but none now. Is it ok for her to play?",
"output": "Hello, It depends largely on how she is feeling. However, if her doctor, who saw her in person for an exam and listened to her lungs, recommended for her to not play basketball, then I would follow that, as he or she has first-hand knowledge of how her health is. If you feel she is much better now, you can call her doctor to clear it with him or her. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d42fef3ea3c6c9a6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I get very bad headaches with certain smells. Mostly red onions. I work with a culture of people who don t want to take me seriously when I ask them to omit bringing onions to the office. I can eat them ok if they are cooked well but the smell causes headache and tightened throat and chest. How can I make them understand that this is hurtful when they do it.",
"output": "HI, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
b55c41344c3513b9
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 42 years old and my BP was 112/177 and I visited the doctor 30 days back. He examined my ECG and found no fault in it. Then, he suggested me to talk Nebicard SM tablet one per day in the night and revisit after 15 days. I did the same, in my second visit Doctor said your bp is 84/140 and continue the same tablet. Is it right? Can I continue to take the same tablets? ANy side effects?",
"output": "Hello, Your doctor has prescribed the right medication for you. You can compare the result of your BP before 2 weeks and after 2 weeks. Generally, it may take 2 weeks to know the benefits of BP medications in blood pressure readings. Therefore, I suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
b55c41344c3513b9-aug2442
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 42-year-old patient with a blood pressure reading of 112/177 mmHg was seen by a doctor 30 days prior. An electrocardiogram (ECG) was performed, which showed no abnormalities. The doctor prescribed Nebicard SM tablets, one per day at night, with a follow-up appointment in 15 days. At the second visit, the patient's blood pressure was 84/140 mmHg, and the doctor advised continuing the same medication. The patient inquires about the appropriateness of continuing the same treatment and potential side effects.",
"output": "Hello, Your doctor has prescribed the right medication for you. You can compare the result of your BP before 2 weeks and after 2 weeks. Generally, it may take 2 weeks to know the benefits of BP medications in blood pressure readings. Therefore, I suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
b665f8807a5b2299
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Sir, can you tell me why I feel this tightness, discomfort and bulging at the front side of my upper stomach just below ribs in the centre? It is related to alcohol, but the feeling is after the intoxication is gone, while Im not drunk. It feels very hot when I touch that area and my breath is hot too. Before at rare occasions when too over-drunk I noticed bit of blood in my stool and today I threw up all that I drank and noticed it is mixed with blood, dark red. Could you please advice me.",
"output": "Hi. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c40f7ec42837a239
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have an 8 yr old Am. Pitbull Terrier w/severe allergies. We give him Benedryl & occasionally Sudafed. He s never had any side effects. Today he has two large lumps, one on each side of his windpipe. His breathing sounds a bit labored as well but he s not outta breath or gasping. Thoughts? Thnx, Denise.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
6cefb7635f3b407f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "sir, i get marry just 5 months ago. my wife took unwanted 72 for birth control . but she got lot of problems like weight loss , headache , body pain, tiredness, n feeling too weakness. and her periods are irregular for one n half months, i mean she did not get periods for 1and half month. last time when she got periods, there were blood cloud from her vagina during periods. m worry due to this. and her body skin is going down and becoming dark. so how her body and face get the previous freshness and glowing face? what should be the diets in her meal and daily routine. plz suggest sir.....",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f74bd57f848f55dc
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 44 years old female.I experienced this 2nd time in 2 weeks that when I do my grocery shopping and i lift some thing too heavy I started pain in my chest n I become short of breath.it gives me dizziness and bit like num feelings in head.I feel very weak.I have to lay down for at least 15/20 minutes.is it some thing serious?",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2819e7d0102f4c19
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Dear doctor, i fell over the other day and landed on all 4s. I grazed my right knee quite badly and a bruise has now developed on my knee around the cut. Since the day after my fall, on standing i get a throbbing in my right knee and it is quite bad and has got worse over the last few days. Its also not too bad on walking, just when standing still. Just want to know if i should go to a doctor or wether it should resolve by itself.",
"output": "Hello welcome to ChatDoctorI am happy to help you outaccroding to your history and description of wound, I feel it's not very severe injury. If such patient comes to my clinic then I would examine knee joint for possible grave injury like ligament tear, fracture then according to finding would suggest further investigations like X-ray and prescribe some analgesic till investigation and educate him about wound Chat Doctor. Such pain may last for 7-15 days but if pain persist then I would suggest you to consult your nearby doctor for proper evaluation and treatment. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d59df4b9ff11e8f9
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "For several weeks I have had left hip pain that increases with sitting. I have abdominal pain in the pelvic region as well. Sometimes I have to use a cane to walk. The pain is in my left leg to my foot sometimes and the entire side becomes stiff sometimes. I can often walk it out but I have to be careful bending, lifting, sitting, or squatting. I have had a total hysterectomy over a year ago.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
86af5cabea119344
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am 46 years old and looking for a solution to a life long problem I have with purple mottled legs this condition gets worse when it is cold. I also have a problem with Reynauds disease. is there any herbal remadies I can take? is it an auto immune disorder? Is is connective tissue illness and if so what do i take. i suffered from recurrent miscarriages betweeen my two children.",
"output": "Hello and welcome to Chat Doctor, A history of purple mottled legs and worsening of condition when exposed to cold is suggestive of Reynolds disease. Raynauds disease is an autoimmune disease and is treated with steroids. The disease runs a chronic course with waxing and waning course. Steroids have to be taken as the disease flares up or relapses. Episodes have to be controlled with Chat Doctor. The effect of herbal medications is questionable. You need to stay in contact with your rheumatologist. The recurrent miscarriages appear to be unrelated to the Reynolds disease. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
a9e9643bdff9cdd3
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have been married since 7yrs n no baby yet..m suffering from PCOD n weight is 95kg.I have went to so many many doctors all r saying reduce ur weight first, bcoz of which I be depressed most of the time .. I tried so many medicines,diets,excercises but no result..Now my new doc has said tht IUI will work for me..I require guidance please help.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8890d6641b930bcf
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi My Name is Stephanie. I was biten by a copperhead snake on 7-6-14 around 10pm. I was taken to the ER and givin 4 viles of antivenom. I stayed in the hospital until 7-10-14. So I ve been home 5 days and the swelling has not gone done, it itches and sore to the touch. Should i go have it looked at now or wait.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
6998abaddb289de4
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i had a Cbc blood test last week and my white blood cells value is 3.49 which is low, platelet count was 139 , neutrophils 37.6 low, monocytes 14.0 high, eosinophils 5.7 high, basophils 2.6 high and absolute neutrophils 1.31 low... Also creating and bun elevate..... Worried this is something serious... Referred to a hematologist.. What tests will they order?",
"output": "Your white blood cell count is slightly low (4.00-is lower limit of normal range for an adult). Your platelet counts are almost normal - so nothing to worry about your platelets. 14% monocytes are on higher side though. I would suggest a repeat Complete blood count (CBC) WITH PERIPHERAL SMEAR EXAMINATION. This test would highlight any problems in your blood profile. You have not mentioned your BUN and creatinine values ? Do you have any previous kidney disease ?"
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
972e339041242931
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i have a broken blood vessel in my arm i know this cause I looked up pictures to find out what was on my arm. It is about 1 inch by about 1/4 of an inch big and it is slightly raised and there is a kind of a cold/dull ache and almost numb sensation. should i be worried.",
"output": "Hello, I have studied your case and I do not think that you can have a broken blood vessel in your arm. You may be having hematoma due to collection of blood in skin or subcutaneous tissue. You need to apply hot water fomentation, compression bandage and take govern tablet twice daily. If there is no decrease in size of the swelling then you can get a physician opinion. But I can assure you that it is not a broken vessel."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
fcdfab63bcaa685d
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am a cheerleader so I am flexible and do many different stretches and flexibility training daily, so today during a tryout I went into my right splits and heard three very loud pops and then very bad pain! I continued with my tryout which had several different jumps and kicks and with each I felt even more pain and now I am feeling constant pain on minimal movements. What could be going on?",
"output": "Hi... As per your narration you had injured your muscle...there could be snapping of muscle over the bone or could be a partial tear in the muscle. Nothing to worry. If I were you... I would wait for a while and.... Apply lot if ice in the injured area... frequently for every 2 hours once for 15mins... No stretching to the injured area for next 48 hours...Don't load for next couple of days. Support the injured area witChatDoctorpression bandage... Once movements becomes pain-free then do strengthening exercises for gluteus and then slowly and progressively load the injured area...like moving your leg from out to inside...etc Hope this is helpful for you... Kindly revert.in case you need any further help in this regard..."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
ccc3d6892816e0f3
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 6 year old daughters pediatrician is sending us to an endocrinologist for Clatorial Hypertrophy. When looking up research on this I am not finding to much to explain what it is or how serious it is. I would like to know what it means without all the medical terms getting in the way of understanding it.",
"output": "Hi, Welcome to Chat Doctor, Clitoris is a part of female genitals which is a regressed meaning shrunken form of male penis ( male sexual organ). Its normally seen as a small bud like thing in the upper part of female vagina. In some abnormal situation, it enlarges(hypertrophy) and looks very prominent then it's called clitoral hypertrophy. Your doctor did right by asking for endocrine consult because there can be a lot of reasons for it, and she needs a detail evaluation. Hope that clarifies your doubt as of now. Happy to help further. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1f05dde4c9166cbb
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi, my 4yr old was awake all night with a temp it has gone down since last night.but he seems very dosey + is complaning of a sore troat and stomach pains.2 nights ago he had a bit of a temp again went down with calpol but was complaning about his teeth what could be wrong with him in your opinion any help would be greatly appreciated.",
"output": "Hi, Look all these are symptoms suggesting of infection. He might be having Pharyngitis/Tonsillitis? You can do the following things: 1. Just give lukewarm water, vegetable soups. Thus maintain HY Chat Doctor. 2. Need to start giving a course of Antibiotics, Paracetamol, B-Complex Spy., Antihistamines. 3. Proper Rest & healthy diet shall be helpful. 4. Monitor temperature 4 hourly will be helpful to assess prognosis. 5. If required basis investigations: CBC, BMP, RBS can be done. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1f05dde4c9166cbb-aug2858
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 4-year-old child had a fever that lasted all night, but it has subsided since last night. However, he is now lethargic and complaining of a sore throat and abdominal pain. Two nights ago, he had another fever that resolved with calpol, but then complained of tooth pain.",
"output": "Hi, Look all these are symptoms suggesting of infection. He might be having Pharyngitis/Tonsillitis? You can do the following things: 1. Just give lukewarm water, vegetable soups. Thus maintain HY Chat Doctor. 2. Need to start giving a course of Antibiotics, Paracetamol, B-Complex Spy., Antihistamines. 3. Proper Rest & healthy diet shall be helpful. 4. Monitor temperature 4 hourly will be helpful to assess prognosis. 5. If required basis investigations: CBC, BMP, RBS can be done. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
1a1abab2e43ba094
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi I have sinusitis I m taking steroids and anitbiotic. A week prior to me starting medication I have a rash purple not spotty but in and area not itchy on inside of my thigh by my knees and just noticed on my butt also it mirrors each other bith legs both sides of my butt . My blood pressure is also elevated 140/100 I am going to get checked tomorrow but I can t see a dermatologist until Monday . I tried anti fungal cream very slight difference . I would think the steroids would take it away .",
"output": "According to your history might be you are suffering with frictional dermatitis. This type of dermatitis seen in atomic person or u have Tina infection. Confirm diagnosis can be done after seeing the lesion. Bilateral lesion on both legs n butt favor toward the dermatitis. But if u took steroid for long time Tina infection may be.You are not mentioning the duration of treatment. Soon start steroid self, first done skin scraping for KOH mount confirm the diagnosis the o ahead under supervision of dermatologist. Idont think it is related to your BLD pressure."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9f72d5756829f26e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi dr. im from nkmkab and I want to know abut PARATYPHI BH 1:80 +++ what type of fever is this ? and what is treatment we need. bcos that report is my child. age 3year and 6month im very nurves abut this plz tell me what can I do of my child. my eng is not too good plz try 2 understand my feelings.",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d55e70533b19146b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera.",
"output": "Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
038eb1371f68cd4e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I went into the hospital 3 weeks ago with gallstones and they had to put me on a potassium drip for 4 days to get my potassium levels back up. (6 bags total) My liver enzymes and heart enzymes were high but I tested negative for every test they gave me including all hepatitis. Now, it has dropped again, what could be causing it to drop?",
"output": "Hi, welcome to Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d7d8f0d08582588c
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise.",
"output": "Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement. Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor. You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling. Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
89872853761b0b1e
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Okay. I am 68, Type 2 diabetes, overweight. Have been having a lot of phlegm in my throat in the mornings for a couple of years. Over the last couple of months, I have also developed a productive caugh with upper left chest pain that is noticeable, but not severe and usually is relieved whenever I cough up sufficient phlegm. What gives?",
"output": "Hi welcome to the Chat Doctor Your main problem is excess cough... I need to know following details... 1. Do you have fever? 2.are you having chest pain and dyspnea complaint?? 3.smoking history?? It might be allergic cough, chronic infection induce cough, bronchitis, bronchiectasis etc... As far as approach is considered work up done as follows... -Above history asked first -Auscultation -Chest x-ray -CBC -if needed spirometry and sputum cytology examination According to cause I can give further comment on treatment Take care Hope your concern solved Consult pulmonologist for examination and discuss all these with him."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
abbeb5faa4ebe341
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi i am having sinusitis from last 2 months. i had antibiotics for a month... still not recovered . Now i have started taking septilin and nasollerin as per the doctors prescription. how long should i take to get actual results age:34 weigh 70kgs.",
"output": "Hello. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
5624f6e8fb48c665
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "What is wrong with me... Im tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, Im cranky and moody and I feel like I move in slow motion. People just say to get over it but I cant.",
"output": "His understand your concern. Sudden change in weight indicate metabolic changes. We have to rule out certain cause like diabetes, thyroid etc. Require certain basic investigation and proper chart of body mass index. Consult physician and do all reports. After reaching paper because we will be able to do treatment properly. Dietary control. Avoid fatty and junk foods. Follow proper diet plan from dieticians. Exercise and walking regularly. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
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healthcaremagic
|
7eda46c4ed6cd27a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Thanks a lotFew weeks back i got a mild pain on my left lower abdomenton consulting the doctor, i was told that there may be a possibility of a small stonewhich could be treated with consumption of water to 3 lts per day (min)i did follow itand now i do not have a painbut out of curosity i did take an ultrasound on my abdomentthe doctor happened to find that on my lower abdomen, there are 2 small stonesand its not obstructing as suchdo i need to undergo treatement from a urologist?or consumption of water will help to resolve this problem?Please advise.",
"output": "HelloYour findings suggests two small non obstructing calculus in left kidney. Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. Small calculus may pass spontaneously with adequate HY Chat Doctor. Initially you may need syrup like sodium and potassium citrate. You are rightly taking plenty of water. You may also need routine hologram, random blood sugar, urine RE/ME. Since size of calculus are small in your case, it is likely to be flushed out with HY."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
46cca7759d37a52b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi!!! my age is 23(Unmarried) i m facing irregular periods from the day of my maturity. i have consulted doctor they adviced me to take CYCLOREG.. from past one year if i would not consume tablet also my periods were regular. but, again now from past two months it is the same. so can u please suggest me weather this leads to infertility?? consuming tablet is good or bad?",
"output": "Irregular periods mean you are suffering from poly cystic ovarian disease or pod. Cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. The effect of the medicine can continue for some time even after discontinuation. In the longer run people with pod have problems conceiving and should plan an early pregnancy. Cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. Sadly, this is the only treatment for pod. Diet control and weight loss can help relieve the symptoms of pod."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
881913bf63df3229
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my sister has been battling cancer. First she had cervical cancer. She had radiation and surgery and was in the clear. months later the cancer had metastisized into 3 masses in her lower body near the site of the original tumor. chemotherapy has proven ineffective. the doctors have basically said there is nothing they can do. they have stopped chemo and now have her on a drug to stop blood flow to the tumors to help prolong her life. I have read that thioredoxin protects the cancer cells from chemotherapy and radiation. I have also read some publications about thioredoxin reductase as a cancer treatment. do you have any information on this subject and can you suggest any clinics specializing in thioredoxin reductase. I have also read there is a link to the gene p53 as a tumor suppressor.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
446848b385179491
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi there, i have a lump on the back of my neck, i frequently get headaches, and often these headaches are accompanied by nose bleeds, the headaches can last whole days and im getting worried, im 20 years old, medium height, weigh 65 kg and im male, please help me cheers.",
"output": "Hi, dairy have gone through your question. I can understand your concern. It needs examination first. You may have some lymph node enlargement, cystic lesion or soft tissue tumor. After examination if necessary go for fine needle aspiration cytology and then 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
|
e74efb31cfaf52eb
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hey my name is aya, i live in the states, i have more than a question, my mother had been having frequent heart pulpitations from time to time and she started to high blood sugar since my grandfather died, she had been under medication for 9 months now for her blood sugar but she stopped it because it became normal and 2 days ago she started to have high blood sugar like its level is 210 which is high for her, so what can she do ? and what does it mean to have frequent pulpitations?",
"output": "Hello, I understand your concern and would explain that the palpitations could be related to possible cardiac arrhythmia. For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). Regarding her glucose levels, she may have diabetes. For this reason, I would recommend performing HbA1C levels to check for diabetes. In case it is elevated, consulting with an endocrinologist is necessary. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
985cfc788b6d725a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Just 2 days ago I found a lump under my 1 about to be 2 year old and it got me really worried. I was wondering if i should be concern and get it lloked at?...she has a couple small lumps on her head also (the side of her head).",
"output": "Hello, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
b8998c83456e2995
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi iam 21years age now, not yet married.daily in sleeping my sperm is coming out,it is happening every day.is there any problem if it comes out daily ?and is there any problem in future with my partner in having a child ? will my sperm reduse by that time ? please give clear solution every day iam worrying abot it.",
"output": "HiT hank you for asking ChatDoctorI have gone through your query. It is normal to have ejaculation while sleeping if you don't masturbate. You don't need to worry about that. You can have regular exercise like swimming jogging etc. which may help you in decreasing those episodes. That doesn't cause any impact on your future fertility or libido. Hope this may help you. Let me know if you have any further query."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d078009fc36b343f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hello, i am a girl 14 years of age. 2 days ago i had my first panic attack. i went to my family doctor but she didnt help much. my mother often has panic attacks and she has recently been diognosed with bipoloar disorder. i went back to school today and it seemed like everything that got me upset or just generally got to me was gonna start another panic attack.. any help or advice???",
"output": "Hello and welcome to Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
a9755ead86bc11ce
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I keep having intermittent twinges in my chest the last few weeks. Under lots of stress. I have a referral to a cardiac specialist, but Im trying to decide whether to go urgent care today. the twinge was there when I woke up this afternoon (slept late) but is gone now.",
"output": "Hi and ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
0b3b739ea29b5ec7
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Ive been feeling really tired the past 8 months. I was under a lot of stress and just assumed it to be that. As times gone on Ive noticed some other symptoms. my ankles get a little swollen at work (Im not extremely over wieght or anything). My lower back started hurting. Ive also noticed over the past three months that I go to the bathroom a lot more and my urins been really clear. More recently Ive been feeling light-headed and unable to focus. I keep trying to tell myself its just stress and for the most part Ive ingnored it, Im just a little concerned because none of the symptoms have gone away.",
"output": "Dear patient Considering your case possibility can be 1. Anxiety 2. Diabetes Mellitus. I would like to advise blood testing for fasting and postprandial blood sugar levels. Get it done from reputed laboratory. If reports are normal diagnosis is anxiety disorder. If reports are showing high sugar levels its diabetes Mellitus. For DM YOU NEED TO consult diabetiologist. If you are having excessive stress and anxiety in life try meditation and yoga which are very helpful. All the best."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3fdb502e085bfe28
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I m a 5 10 female, 25 years old, 122 pounds. I have been feeling a dull and often pinching pain on my right lower abdomen. It presents a small bulge, that I can t push in. Went to 4 surgeons and they don t think its a hernia, but from a bike fall that I had 6 months ago (I did 3 MRIs and 3 ultra sounds, and nothing showed). It really hurts when I am sitting for too long, and I feel discomfort like something is pressuring my abdominal wall. Please help.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
b4b425490d5970af
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 6 year old son has been ill for over a week now with headaches, and lumps on the back of his head. Been to A&E and was told it was swollen glands and was given calpol. A few days later he was still very poorly and lumps had got bigger. Went to my GP who said it is a scalp infection and gave antibiotics and antihistamine. Finished course of medicine and lumps are still present and sore! What do i do next!!?",
"output": "HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from-Boil with lymphadenitis, with resolved nodes after antibiotics. Remaining lumps indicates Chronic Amenities with fibrotic changes in it. Reason of antibiotics not giving regression of these lumps is due to the accompanied Chronic fur uncle- lumps with its lymphadenitis.FNAC biopsy / or Excision Biopsy / or CT study -of the persistent lumps, would give the exact cause of these persistent/ non-regressive lumps. Other causes like infectious mono, or viral lymphadenitis/or TB lymphadenitis/ NHL/HL lymphoma-needs to be ruled out. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
b4b425490d5970af-aug8749
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My 6-year-old son has had persistent headaches and lumps on the back of his head for over a week. Initially, A&E diagnosed swollen glands and prescribed calpol, but the symptoms worsened. The GP later diagnosed a scalp infection and prescribed antibiotics and antihistamines, which were completed. However, the lumps remain and are painful.",
"output": "HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from-Boil with lymphadenitis, with resolved nodes after antibiotics. Remaining lumps indicates Chronic Amenities with fibrotic changes in it. Reason of antibiotics not giving regression of these lumps is due to the accompanied Chronic fur uncle- lumps with its lymphadenitis.FNAC biopsy / or Excision Biopsy / or CT study -of the persistent lumps, would give the exact cause of these persistent/ non-regressive lumps. Other causes like infectious mono, or viral lymphadenitis/or TB lymphadenitis/ NHL/HL lymphoma-needs to be ruled out. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
712960fbdb6fd241
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I am a 30 yr old female that has been experiencing an irregular heart beat brought on by possible stress of starting a new position at work. Ever since I atarted it my heart has had random episodes of quick beats to where it feels like two at a time .. Its noticeable and im wondering whats wrong. No change if anything other than my job.",
"output": "Hi, two beats which you feel in succession may be because of extra beats, the change in job and early anxiety about fitting in new place may increase the stress hormones like a Chat Doctor. Both the situation is completely benign and just some relaxation techniques would help. If it's too troublesome a 24 hour holder would be the best test to evaluate the same or and EKG during the episode. Also, for your age rule out thyroid as the cause if associated symptoms are present. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
44232d951b01f900
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Can hyperinflated lungs be normal? I got my x-ray result :Lungs are hyperinflated consistent with COPD, no other any medical problem concert. I have never had any illness. I had x-ray last year that result is normal. The doctor said I may can not work in a nursing home.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
dcc050303d0f3f26
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello, I have a 7 year old who has had a fever at about 102 and feels dizzy. She vomited about 8 times yesterday, but that has subsided, and she has this fever now. She s been taking liquids, and she s urinating regularly. The fever is persistent though. What hsould I do?",
"output": "Hello, I just read your query. The symptoms you have mentioned here persistent fever, vomiting and frequent urination are suggestive of urinary tract infection which is very common in child Chat Doctor. * So perform urine routine examination first and do visit a nearby pediatrician. Because according to urine report he will prescribe you appropriate treatment and if she further requires any investigation your doctor will let you know.* Till then for high grade fever you can give her spy. Paracetamol and can do sponging and give her only liquid and semi-solid diet.* I hope you find my answer helpful. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
14da8c2f0c50623f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello I believe I have recently developed a chest cold still early stages yet started having a hard time breathing just tonight. accompanying the pressure and congestion in my chest are chills, and a small fever 99.7 degrees. I was wondering if there were any home remedies to relieve the chest pain and congestion I do have vicks NyQuil and mucinex I am wondering if I should use either of those two over the counter meds or if there was a better remedy for chest pain/congestion/cold thanks in advance.",
"output": "Cellophane You for contacting Chat Doctor. I would suggest you following things:> Take acetaminophen thrice a day for 5 days.> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Chat Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
14da8c2f0c50623f-aug9229
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I'm experiencing early-stage symptoms of a chest cold, including difficulty breathing, chest pressure, congestion, chills, and a low-grade fever (99.7°F). I'm looking for home remedies to alleviate chest pain and congestion, and considering using Vicks NyQuil or Mucinex. Are these over-the-counter medications effective for this condition, or are there alternative remedies that might be more beneficial?",
"output": "Cellophane You for contacting Chat Doctor. I would suggest you following things:> Take acetaminophen thrice a day for 5 days.> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Chat Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
3e7ec75f8eaea4de
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Dear DoctorMy mum has congestive heart failure and has been taking as a diuretic Frusemide 40mg daily. Just recently the nurse at the heart failure clinic added in Spironolactone 12.5mg daily but the Frusemide dose is the same. Is it normal that 2 different diuretics are prescribed to be taken concurrently and also will this have any reaction with the Candesartan that she takes as well? How often must her urea & electrolyte levels be checked now?Thankyou for your help.",
"output": "Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor. It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
a28ede96221d4598
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Dear Doctor,My cousin,37 years has undergone buccal operation on 20th june 2014 followed by 33no of radiation and 5 no of chemo therapy start from 25th july and completed on 16 th sept,2014. Now he find one small tumor with pain on operated area inside the lip and biopsy found positive.He is financially not sound. Please suggest some idea about what to do now.Thanking You,Regards,D.M.Nath.",
"output": "Hi, dear I have gone through your question. I can understand your concern. He has history of buccal cancer. He took radiotherapy and chemotherapy. But there is recurrence of tumor. If it limited to that area then he should go for surgery. Then chemotherapy and radiotherapy depending on need. If some part of tumor is left then there is chance of recurrence. So complete removal is very important. 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
|
9ec14d60a81583cd
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hi doctor, i am a 21 years old female, i fell 1 month ago while i was walking,, my left leg near the ankle hearts me till now, it is not a continueous pain, just when i move it to the right.. i didnt go to a doctor because my legs color didnt change and i didnt experience any swellig.. but this pain while rotating my leg to the right i bothering me.. a week ago, the pain also reached my left knee.. i would really appreciate your help in telling me what might have happened to my leg.. and how to treat this pain. I dont know if it would be helpful to tell you that i am diagnosed with vitamin D deficiency. thanks for your time.",
"output": "Hello, As you are able to do daily activities, so it is clear that you don't have a bony injury.-Hip joint-Knee joint-Ankle jointThese are the whole body weight-bearing joints, So minor injury or major injury to these joints shouldn't be neglected, and the patient needs absolute bed rest. In your case, it's not a fracture of bone but soft tissue injury (Mostly spring ligament or bursitis). So there should be absolute bed rest with crêpe bandage application. Please see an Orthopaedician for how to apply the bandage. Take good analgesics like tablet Stretford twice daily for five days. Take tablet Circa Once daily for three weeks. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
9ec14d60a81583cd-aug1251
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 21-year-old female presents with a 1-month history of intermittent pain in the left leg near the ankle, exacerbated by rotation to the right. The pain is not constant, but has recently radiated to the left knee. She has not sought medical attention due to lack of swelling or discoloration, but is concerned about the pain. She has a pre-existing diagnosis of vitamin D deficiency.",
"output": "Hello, As you are able to do daily activities, so it is clear that you don't have a bony injury.-Hip joint-Knee joint-Ankle jointThese are the whole body weight-bearing joints, So minor injury or major injury to these joints shouldn't be neglected, and the patient needs absolute bed rest. In your case, it's not a fracture of bone but soft tissue injury (Mostly spring ligament or bursitis). So there should be absolute bed rest with crêpe bandage application. Please see an Orthopaedician for how to apply the bandage. Take good analgesics like tablet Stretford twice daily for five days. Take tablet Circa Once daily for three weeks. Hope I have answered your query. Let me know if I can assist you further."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
fc8261b828cee312
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my daughter is 16...she is having what she describes as severe pain on her left side at her ribs, about 10 inches below her armpit....it hurts when she breathes and the pain is moving down her back, butt, leg. She says it hurts all over now and she has had a headache for a few hours. I have asked her if it is time for her cycle, she says no. she tends to panic at every ache or pain, so I have suggested she try stretching and taking deep breaths to see if helps if it is a muscular thing...this has not helped.",
"output": "Hi, ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8a2adfefee1802b1
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female.",
"output": "Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
443e8a2626a65022
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi Can you help? I have a pain in my top front tooth , I went to a dentist two years ago and he said i need a small filling in this tooth and from then on I have had pain. I have been back five times to him also another two dentists and I am told there is nothing wrong. My mother passed away at the time I had the filling so one dentist said it was stress .",
"output": "Hi, if the filling was done without a proper cavity preparation, which could be by two ways-one, if the carious structure was not cleaned up properly, it leads to caries spreading underneath. Secondly if there is pulp exposure while deep cavity preparation, it leads to persistent pain after the filling. Please take a ray and go for a root canal treatment to get rid of the pain. You may need a crown also if there is discoloration. Take care!"
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f008c4b3d989ef0b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello Chetna, I am Megha (age 28yrs). I had miscarriage thrice earlier within 1-1.5months of preg. This time, I have been lucky and I am 11weeks pregnant now. My Doc has asked me to use corion 5000 from past 1.5 months and for another 2 weeks(once in 4 days) Also Sugest 200mg, thrice a day, and Glycomet 500SR once a day. Now recently doc asked me to use Duvadilan Retard 40mg as well (twice a day) I had 2 Ultra Scans till now and it was normal. Now the next scan is on 1st feb, based on the results my Doc would provide the medication. My query is: Is it normal to use all the above mentioned medicines..are there any side effects on the baby....expecting your response, thanks a lot (0000).",
"output": "Hello Ms. Mega, All these medications have been used during pregnancy with no reported untoward effects. In view of your past obstetric history, your doctor has prescribed chorionic gonadotropin injections to help sustain the pregnancy until the placenta takes over the function of hormone production. This is why progesterone supplementation also is being used. Metformin is prescribed when insulin resistance is seen as in POD to prevent abortions and gestational diabetes. Nevadian is a uterine muscle relaxant. Please do not worry, you are on the right track. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
28fe1335de65fa06
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have recently noticed that when I am concentrating, I stick out my tongue about a half inch between my lips. This is very disturbing because my mom, now 84 yrs, has always done that, but in the last 10 years, its gotten worse and when she concentrates on anything, her tongue is often sticking out by its entire length and looks creepy. I dont want to get like that. I am a very healthy 58 year old runner and triathlete.",
"output": "Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in that. Everyone has some mannerisms. When we overly indulge ourselves in some task, these mannerisms surface automatically. This happens just because we were likely aware of it and likely tried to overcome it. Here, you want to overcome it just because you do not want it to happen. Fine. The negative feeling about it itself is enough to stop it. Still as an enhancing step, Just put some chewing gum inside your mouth whenever you are doing something. Also, good for your mouth and teeth. 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 some 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
|
3e114356d6192ca6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my wife has lupus and is in extreme pain. she stopped one med because it was causing eye damage and she cant take the other one the doctor recommended because it causes osteoperosis (she is borderline already). we are becoming desperate, so i remembered i had an old prescription of Naproxen. she took a 500 mg and it really helped her - for most of the day. is this something we should ask the doctor to prescribe? she has been to numerous doctors numerous time since being diagnosed one year ago, and none of them have mentioned Naproxen.",
"output": "Sir the pain in lupus may be due to involvement of joint in the form of arthritis and muscle causing myalgic.Also, there may be associated fibromyalgia as well. For treatment of the same Naproxen may be given for few days to decrease inflammation and hence relief in pain, but it would likely cure the root cause of the disease which depends on some immunological markers. Some general measures like use of hot moist towel, sauna bath, hot shower, regular yoga exercises with mediation would be of great help in long term improvement of pain."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
8505ae4469d7a0a6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Have been experiencing some lingering symptoms that i would want to attribute to Candida or acute parasitic infection(protozoa). The symptoms are as follows: Weird bodily sensations that can be itchy, motile, slight spasms, back ache( especially in d mornings), erectile dysfunction( i do have an erection as when due but dont think i retain as long as i should), mental fogginess, digestive discomfort etc Whats your prognosis doc?",
"output": "Hi, For erectile dysfunction- get relaxed. Avoid stress and stop smoking and alcohol. Try keel exercise. Do NOT take any medicine without consulting the doctor. Get examined by doctor and do the tests as It's important to find out the cause. Take medicines only after having seen by the doctor. The problem can be related to stress, but can sometimes be because of diabetes, heart disease, hormonal problem etc. Hope I have answered your question. Let me know if I can assist you further."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
35868c140995b04f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "past few months I ve been having problems with my lips swelling my tongue swelling on different occasions different things I ve eaten also I ve had situations where like half of my upper lip or half of my lower lip or even half of my tongue not even the whole thing what s well I ve been to an allergist they found nothing I went to a dentist they found nothing I just don t know what else to do thank you very much.",
"output": "Cellophane You for contacting Chat Doctor. Such symptoms appear because of allergy to some specific thing. You need to observe that what particular food causes swelling after you eat. Then you need to avoid that. Meanwhile, I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1eeb2fd358f32d19
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, i have been taking iron tablets and i have found that it has made it harder to poo, causing me to strain. When i finished on the toilet, i noticed that my vagina was swollen (lips etc). I am also pregnant. Do you know why this happened? Please help!",
"output": "Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation:-1) Change the iron preparation- Certain iron preparations tend to cause gastritis, constipation etc. So changing the brand might be tried.2)Take adequate fluids up to 3 liters per day.3)Take high fiber diet daily.4)Take laxatives if needed. Nothing to worry. It will subside by following the above measures. Coming to vaginal lips swelling check for any infection like white discharge or itching or any high BP. The swelling can also be related to excessive straining at stools. If everything is normal the swelling might be considered physiological as some swelling of vaginal lips might be there in pregnancy and subsides after delivery. But iron preparations might not be associated with swelling of vaginal lips. Anyways nothing to worry as such. Prevention of constipation is important to avoid other problems. Hope this helps. Best ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
1eeb2fd358f32d19-aug2121
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A pregnant woman taking iron supplements reports experiencing constipation and straining during bowel movements, accompanied by vaginal swelling, particularly of the labia.",
"output": "Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation:-1) Change the iron preparation- Certain iron preparations tend to cause gastritis, constipation etc. So changing the brand might be tried.2)Take adequate fluids up to 3 liters per day.3)Take high fiber diet daily.4)Take laxatives if needed. Nothing to worry. It will subside by following the above measures. Coming to vaginal lips swelling check for any infection like white discharge or itching or any high BP. The swelling can also be related to excessive straining at stools. If everything is normal the swelling might be considered physiological as some swelling of vaginal lips might be there in pregnancy and subsides after delivery. But iron preparations might not be associated with swelling of vaginal lips. Anyways nothing to worry as such. Prevention of constipation is important to avoid other problems. Hope this helps. Best ."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
a03761e3e0f9ac56
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Sir my doughter suffering from abdominal tuberculosis. daiagation done in Asra Hospital, Hyderabad. Daily my doughter suffering from fever every day alleast three times. wamtings also done by her without pain. please sugust me to treet in best hospital in Hyderabad. My doughter age is 17 years.",
"output": "Hi. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
c8cd38feff593b78
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, they put me on cephalexin for infection that I have above my lip, got put on it yesterday 3 times a day and its 500 mg. When will i see results? And its still swollen and red in one area.And is ok to swollow the pill I hope cause they did not say like one of the pages that you should not so I hope thats ok. They said they are not sure what happen and I think maybe I got bitten or something cause there was a mark there and know like I said still a mark but red around it and I was running a temp also of 100.",
"output": "Hi. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d18a83a38bd91074
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I taught dyslexic and hyperactive children for 30 years. Late in my career I suffered multiple head tramas, seiszures, and falls. After menopause began, my memory and attention to details went to severe level. What might be a solution. This is causing marriage problems, loss of friends, total isolation. I have tried psy. and counseling. I just keep getting worse. Help.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d18a83a38bd91074-aug2646
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 30-year educator of dyslexic and hyperactive children experienced a decline in cognitive function after multiple head traumas, seizures, and falls, exacerbated by menopause, leading to significant memory and attention deficits. This has resulted in strained relationships, social isolation, and a lack of improvement despite attempts at psychotherapy and counseling.",
"output": ""
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
e16c51b1161c8eba
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello Dr, I am 45 years female.Have kidney stones due to intake of calcium. Have a hairline fracture on my arm so begun taking calcium for a few days normally I avoid taking calcium tablets.Since yesterday blood in urine but the stone passed. Today again severe pain unbearable. Taking Cital. Took a pain killer for pain. Should I continue taking cital and pain killer.",
"output": "Hi and welcome to Chat Doctor. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
80ca594bf7e6a459
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Cough for a year. Been to three specialists. Nasal wash daily, no mucus discharge either from wash of blowing. Been through all the otc medicines under the advice of these specialist. Done breathing tests,x-rays, cat scans...nothing showed according to doctors. What can I do for cough?",
"output": "Hi ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
80ca594bf7e6a459-aug1919
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A 1-year persistent cough despite consulting three specialists, daily nasal washes with no mucus discharge, and trials of various over-the-counter medications. Diagnostic tests including breathing assessments, X-rays, and CT scans have yielded normal results. Further evaluation is needed to determine the cause of the cough.",
"output": "Hi ."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
d00b733a359045f6
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have been using ring guard cream for 18 days. The infection got a little better but after 2 days red spots began to appear on the infection area. So i stopped using the ring guard. So what to do now? The skin infection is still there and severe. Its on the neck and above the thigh area.",
"output": "Hi!! According to your history it seems to be a case of ringworm infection as initially you had improvement in your skin lesion after applying ring guard. I would recommend you to take oral terminating 250 mg once daily and apply terminating cream over the affected area twice daily. This has to be continued for 4 weeks so that the infection doesn't recur after stopping the medicine. Besides this don't share your soap and towel, stay in a cool and airy environment and wear loose cotton clothes. Hope for your speedy recovery."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
875aa7dff2107e76
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my father has been going down hill health wise for the last 6 mths maybe even the last year . we took him to the hospital this last time and with in 24 hours they said he had a streap in his bloodstream and it has caused heart valve damage . what I want to know is this an infection that he had for a while or is this something that can happen in 24 hours . I just think it would take time for this to happen to the heart and being that he has be declining for a time now could he have before we took him to the hospital?",
"output": "Hello Welcome to Chat Doctor. Blood is usually sterile I.e. devoid of any bacteria or viruses. Bacteria or viruses can appear in blood after a throat infection, urine infection or lung infection. Once the bacteria enter the blood they can infect other organs including the heart. The bacteria settle on the valves of the heart and cause infection and destruction of the valves. This happens over time and cannot happen in 24 hrs. But he must have had symptoms like fever, breathlessness, shivering etc. You have not mentioned any of the symptoms. Here. The treatment of infective endocarditis is long term treatment with antibiotics and some residual damage to valve likely remains. Wishing him good health ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d8065ece62deb8fe
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Past 4 years my AST,ALT AS+bilirubin have been elevated. Lives scan showed mild diffuse fatty changes. Weight, cholesterol, etc otherwise normal. No treatment was suggested. But every time i do an LFT, the Dr ( go to different clinics/Dr each time), the Dr wants to investigate and its a waste of time because we end up not doing anything at the end of it.",
"output": "Hello and welcome to Chat Doctor, Fatty liver is a reversible condition in which liver cells are replaced by adipose tissue. This fatty change is caused by various causes, some of them are as follows:1. Alcoholism2. Starvation3. Malnutrition4. Diabetes Mellitus These are just few causes. If you have any of these risk factor, you can avoid it/ or treat it (in case of Diabetes Mellitus). There is no treatment for fatty liver disease but only prevention of the risk factors. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d129b783863c4dbf
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "i am a smoker and have had chronic nect pain especially at the base of my neck for several month.s Lately, I have notice a tight feeling in my neck/throat area and my glands seem a little swollen. At times, when I just turn my head I get a sharp pain in my neck.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d129b783863c4dbf-aug7267
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "A smoker with chronic neck pain, particularly at the base of the neck, for several months. Recent symptoms include a tight sensation in the neck/throat area, swollen lymph nodes, and sharp pain upon turning the head.",
"output": ""
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
1c95e112bc316c94
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hello doc this is Deepak,I am 24 years old, I am having pain in my back and mostly in my neck part..it happens daily.I think this is survical pain. I exercise my neck and back part regularly but it doesnt leave me..In the past I had hernia and hydercele. they have been treated...but now my digestion power is loosed.please help me.",
"output": "Welcome to Chat Doctor After going through your query I concluded that you are having chronic backache and neck pain. Cause of it is weakness and vitamin deficiencies. You are advised to do your vitamin D3 test. Treatment of it is exercises, Avionic, calcium and vitamin D3 if it is low. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
3f908ec1fa3f5040
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I have a mass at the top of my left inner thigh which extends to my right hip bone. A biopsy said, no cancer. Doctors at U.C.L.A. don t seem to know why it s there . It s deep behind the groin and they re not sure what to do about it. The biopsy technician only took a half inch of fluid in a tube, The fluid was on the outside of the mass. Would that have shown that the mass itself was non-canceous, and I don t know why he didn t take any of the mass itself. Do you know the answer to that and also what it might be? Thanks. Barbara.",
"output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It may be that mass is a cyst such as simple bone cyst and aneurysm bone cyst. Probably he was not able to get solid tissue. If tissue is proper then if biopsy shows no cancer, then it is OK. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
da0f4e617fe72c30
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hello, about 2 months ago a round red puffy and extremely itchy red circle showed up on my inner thigh. Around the time it showed up I was on antibiotics for a uti . I treated the spot with lotrimin jock itch cream which made the itch redness and puffiness go away but the place is still on my thigh although now it feels like dry skin an somewhat resembles a bruise . What could it be?",
"output": "Hi there, I would have asked you some more questions about your antibiotics that you were taking at the time?and also all other prescribed medication that you are taking at the moment? ANY painkillers?and has it occurred for the first time in your life? But according to your question it seems like you are having Fixed Chat Doctor. The good news is that the rash can be left alone if not bothering but the IMPORTANT thing to remember is to report it to your doctor who ever is taking care of you at the moment because its like a."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
cee003686ecb3aba
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi Doctor, I have been suffering from pain in right upper jaw from quite some time. Now I am having headache and pain behind ear. Last year went through series of surgeries as my lower wisdom tooth and bone next it had got infected both the sides. Later I was diagnosed with TMJ. Now I am not on any treatment. Can you please suggest.Thanks & Regards.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
cee003686ecb3aba-aug8622
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I've been experiencing pain in the right upper jaw for some time, accompanied by headaches and ear pain. Last year, I underwent multiple surgeries to address an infection in my lower wisdom tooth and surrounding bone on both sides, which was later diagnosed as TMJ. I'm currently not receiving any treatment.",
"output": ""
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
dabdbe00e230e99d
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "My son aged 15 yrs was diag on May 23,2011 for Jaundice with S/Bil Total 2.2(Dir1.0 and Indct 1.2) SGOT41,SGPT 54, Hb;11.2gm.With 7-8 days rest levels came down to normal rgs with marginal raised OT/PT. However after two wks nd till two months now, the T/Bill is back at 1.6--2.2 with Hb howering arn 11.5 or so. Othervise the boy is active nd asymptematic. Urine o/p is N. HBS Ag nd HCV both are -ve May I seek ur opinion nd further adv pls. Regards.",
"output": ""
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f6db77b77286567a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "hello doctor, i am 20 weeks pregnant and my scan report shows the followingA single, live, intra uterine fetus is seen exhibiting active movementsplacenta; posterior maturity grade. 1amniotic fluid: adequateheart;150 bpmBpd: 42mmAC: 130 mmFL :28 mmestimated gestational age: 18 w 6 daysestimated fetal weight: 0256 gmsis there any problems in this report and what about the growth ? it is 1 week lowe than the actual.",
"output": "Hi there,This is an absolutely normal findings of ultrasound scan at 20 weeks. The measurements give an estimate of weeks but, a variability from the actually calculated date can be present, as ultrasound only gives a rough estimate. So in effect the ultrasound findings can be plus or minus 1 week in first trimester; 2 weeks in second trimester; and more than two weeks in third. This variability is decreased with newer machines but can't be totally removed. So I would say that this report is absolutely reassuring, and you should not worry at all. A good fetal heart rate and a placenta which is only grade 1 maturity indicates that everything is as it should be at this stage. Do not worry. Hope this helps. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
4e348a73b08aec2b
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "my blood test report confirm that i have SGOT 44u/l n SGPT 80u/l...and i have done two test earlier in the period of 6 months n the value keeps fluctuating...and i have a history of jaudice...how do i get it to be normal?what diet should i follow?what will be the complications?",
"output": "HelloElevated SGPT and GOT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, complete liver function test, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You may need to take few more medicines after complete investigations. Try to avoid saturated fat. Get well soon. Take Care Chat Doctor."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
e50dc67fbb6c70bb
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, My name is Courtney and im 20 years old. Recently i have had a tight chest and sometimes a burning sensation in my upper right quadrent. Every time i cough i get a metal taste in my mouth like im holding quarters on my tounge. I could use some help im lost. Thanks.",
"output": "Hello hope the answer helps you. As far I am getting you are having trouble with burning pain with unexplained metallic taste of mouth, how about your weight are you obese and addiction of alcohol and smoking as your symptoms are suggestive of GOOD. You must avoid smoking, excess alcohol and coffee after food donor lie down immediately. And in sleeping slight head elevation will prevent burning to metallic taste along with spicy food abstinence. Also start Spy Davison 10ml three times along with Santa or Gases for regular 15 days hope it will help if not then be needing Castro consult."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
03da02e979a5a02d
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Every morning when i wake up i have a painful erection. It slowly goes away after i urinate but sometimes that ishard to get started. Its been going on about a month. I have psoreatic arthritis in my knees and have been taking Humira. Could the Humira be causing it?",
"output": "Hello, There is no such side effect of Humor causing such a symptom. If you are taking certain antidepressants, it can cause ED or painful erection. Sometimes, when there is UTI, it can cause painful erections. You are suggested to visit a GP, get physically examined. You will have to get Urinalysis (R/E & C/S) done. Furthermore, you may have to get some blood tests done. If sexually active, get STD tests done. Get assessed & treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f8444d2513212a79
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I ve been experiencing bouts of severe abdominal pain over the past 7 months and admitted to the hospital four times. I ve been given different diagnoses of diverticulitis , irritable bowel , typhlitis and colities. The pain initially presented on my right side and also intermittently included back pain. The stomach pain on a scale of 1-10 is usually 7-8. I ve had an ultrasound, a abdominal CT scan with and without contrast, an EGD, a HIDA scan and most recently a colonoscopy and I m scheduled for a CT scan with and without contrast with a pancreatic window. My History: 49 year old African American female, 5 2 , 220lbs (lost 30 pounds in the last 6 months). I currently take cardizem cd 120mg, losartan 50mg, ferrous sulfate 325 twice a day, protonix 40mg, singulair at night and just finished 500mg of levoquin after my last hospital stay July 21-23. I had H Pylori back in 1989, had my gall bladder removed in 2006, had ovarian masses/tumors removed in 2008 along with a complete historectomy. I also have a mass and cysts on my right kidney (which I was informed was perfectly harmless--been there since 2008). My last 2 hospital stays were because of hypertension, heart palpitations, tightness in my chest, headaches, sweats, pains in the left arm, lightheaded/dizziness. Tests showed a normal EKG, but some tachycardia. The EGD showed a hiatal hernia and a growth that was sent out for a biopsy. Lab reports showed among other things, anemia. The ct scan showed typhlitis , whatever that is. The colonoscopy showed stenotic ileocecal valve. The doctors have come to a concensus...they don t know what it is. Here are the majority of the pieces of the puzzle, any light you can shed would be greatly appreciated.",
"output": "Hi MEANS, Welcome to Chat Doctor ! Your problem is really very complex. So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100 mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!"
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f0c39b76862654d9
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi I am 16 and have been experiencing panic attacks daily for the past 2 years. However recently more physical symptoms have come on ect. chest tightness, swelled throat, fast heart rate and dizziness. Are these all still panic attacks or could there actually be something seriously wrong?",
"output": "Degree understand your concerns went through your details. I suggest you not to worry much. Hopefully you visited a physician to clarify your condition. If not, please do it now. Even though I am sure that all these symptoms are related to anxiety and panic attacks, you need to be sure for yourself. After you be sure about your physical condition (leave no stone unturned) you should make sure that you believe it. Then know what is anxiety and panic attack. Then start relaxation and psychotherapy to overcome the problem. I shall help you for sure. First visit a physician. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
67a9689e5050ed4a
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I have a hole in the bottom of my mouth near the front very tiny hole but painful ... however my daughter and I were playing and her nail did hurt the inside of my mouth ... this has happened before but never for this long without going to the dentist what can I do?",
"output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury caused by nail there has been torn of mucosa leading to formation of a painful traumatic ulcer. Due to inflammation there is pain. I would suggest you to start applying a numbing gel containing Lidocaine or Choline Salicylate to relieve pain. You can apply steroid ointment containing Escort or Triamcinolone Acetone to reduce inflammation. You can take anti-inflammatory painkiller like Ibuprofen. You can also take vitamin B complex daily. Suck ice popsicles or do cool water rinses. Avoid hard and spicy food to prevent further irritation and injury. Hope this information helps. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d9740ff868b837fa
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, I am on my CD 58 and 26 days period overdue. I tested on 6th, 7th, 14th day of missed period on HPT. but all negative. Went to a gyn and took a test again in her clinic. Again negative. But she still asked me to test the next day with early morning urine to be sure. And only then start Primolut-N 5mg tabs for 3 days thrice a day. The next test was also negative taken on preganews. Now its been 3 days have stopped the tab and no sign of periods. We are TTC for past 4 months. So what could be the reason for delayed periods and also is it possible that the HPTs are negative but I am still pregnant. Thanks in advance.",
"output": "Hi and ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
7ee5587e9cd8d2d3
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "I was given amoxicillin for an tooth infection , I took it for three days then stop taken it as the pain went away. Now I believe I have what appears to be a bladder infection(frequent and painful urination). will I be able to take the medicine again? I am a 68 year old male.",
"output": "Hello! ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
bd606a10d73c97a2
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "About a year ago I came down with an upper respitory infection which caused fluid in my right ear. I was put on several rounds of anitbiotics which got ride to most of it but still had the feeling that something was in my eustation tube in my ear because it wants to stay closed all the time. About 2 weeks ago I again was sick and I got two mucus plugs out of my throat. First on the left side and then about 2 hours later with one on the right side. The one on the left side was white in color and about the size of a quarter. The one on the right side was bigger about the size of a 50 cent piece with blood in it. It still feels as if there is something in my throat. I have been to so many doctors with 2 CAT scans done and nothing shows up. Can you give some ideas on what is happening as I am so miserable. Thanks.",
"output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have upper respiratory tract infection which is causing pain in ear as well is due to Eustachian tube dysfunction. Sometimes when upper respiratory track infection when left untreated or when occur again and again spread to ear through Eustachian tube and causing pain. I would suggest you to consult ENT specialist for proper diagnosis Doctor may prescribe antibiotics like Amoxiclav at least for 10 days along with decongestant and anti-inflammatory. For relieve of infection take levocetrizine. Doctor may order throat swab test, viral culture test and allergy test to confirm the diagnosis. For now do warm saline gargles, take steam twice a day and apply warm Chat Doctor. You can apply warm compressors on cheek side near ear as well to relieve pressure. You should take steam and blow cheeks with nose closed. Hope your concern has been resolved. Get Well Soon. Best Wishes,."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
f8531f36561b5260
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "sir me any my mother have allergy problem,after allergy faces become red and red red pimples appeared.me and my mother too much suffering in this problem. i checked many specialist doctor but diseases is increasing.please suggest treatment for us. thanks and regards.",
"output": "Cellophane You for contacting Chat Doctor. Your description is telling that you have chronic allergy problem. You did not mention your age. If I were your treating doctor then I would suggest you following things:> First and most important thing is that you need to find the cause of allergy. On your part it can be achieved by looking closely at your daily routine. You need to observe what particular thing, food, etc. is causing the allergy to start. Once you find it, you née to prevent it.> In the meanwhile take Montelukast once daily for 1 month. Research has shown that it decreases sensitivity to allergy.> Cetirizine one at night for 1 week in case of allergic response.> try to avoid dust would also suggest you to undergo allergy testing at allergy clinic which will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2ce9528fd63d5a43
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Hi, 3 weeks ago I fell in my wrist & was told I d probably fractured my scaphoid bone. It was put in a Velcro cast for 10 days & told to come back to fracture clinic for it re xraying & they would decide the course if treatment from there. When I attended clinic I was told I wouldn t need an X-ray as they were certain from my original X-ray that I hadn t broken anything, to take my cast off & get it moving again. I mentioned I had a numbness and pins & needles in my thumb but that was put down to the cast I d had on. One week later, I still have a numbness/pins & needles in my thumb & my wrist continues to ache/throb. Is this normal or do I need to go back & be seen again? I don t want to waste anyone s time.",
"output": "Dear patient, a needles and pins sensation is generally due to a nerve compression/irritation. If it wasn't due to the cast (that's a possibility), probably your trauma provoked a hematoma pressing on a nerve (median nerve? Collateral nerve of the thumb? It depends on numbness distribution). I propose to wait a month from the trauma. If this sensation persist, get an electromyography/electroneurography to objective the nerve injury. If positive, do an RMN of wrist and hand to understand the cause (i.e. hematoma) and project its possible removal. Concerning instead your doubt about a scaphoid fracture, I don't know which X-ray projections you did (scaphoid fractures are hard to be seen in standard X-rays). However, if your wrist remained very painful for 10-15 days after the trauma, a scaphoid X-ray projection or, better, a wrist CT, would solve your doubts."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
2ce9528fd63d5a43-aug9138
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Three weeks ago, I fell on my wrist and was suspected of fracturing my scaphoid bone. I was casted for 10 days and told to follow up for a re-evaluation. At the clinic, I was informed that an X-ray was not necessary as the initial X-ray showed no fracture, and I was advised to remove the cast and start moving my wrist. However, I still experience numbness and tingling in my thumb, as well as persistent wrist pain and throbbing, which I had mentioned initially. Is this normal or should I be re-evaluated?",
"output": "Dear patient, a needles and pins sensation is generally due to a nerve compression/irritation. If it wasn't due to the cast (that's a possibility), probably your trauma provoked a hematoma pressing on a nerve (median nerve? Collateral nerve of the thumb? It depends on numbness distribution). I propose to wait a month from the trauma. If this sensation persist, get an electromyography/electroneurography to objective the nerve injury. If positive, do an RMN of wrist and hand to understand the cause (i.e. hematoma) and project its possible removal. Concerning instead your doubt about a scaphoid fracture, I don't know which X-ray projections you did (scaphoid fractures are hard to be seen in standard X-rays). However, if your wrist remained very painful for 10-15 days after the trauma, a scaphoid X-ray projection or, better, a wrist CT, would solve your doubts."
}
|
{
"augmentations": [
"paraphrase_input"
]
}
|
healthcaremagic
|
8f8fcaac17346ac4
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "What causes hyper aggregation, Doc? Is that hereditary factor? I am a male, 46 yeras old, office worker, so far having normal blood pressure, as well as all healthy tcholesterol functions. But my latest laboratory check showed that my ADP and Colagen are hyper aggregattion, while the Ephinephrine is normal. Any suggested diet other than medication can be suggested. Does sport exercise help to improve my blood condition from that hyper aggregation? I was advised by a friend to take thromboaspilet 100mg a day for life. I am worried with the side effect of that long term medication. Look forward to receiving your advice. Thanks, Minarto.",
"output": "Hi You do not mentioned any clinical condition, are you a normal person ? Do you have some hereditary related disability ? Look, ADP & collagen, are molecules in side the living being has got their complex role right from metabolism to body building work, now aggregation or hyper aggregation is consequences of certain kind of collagen disease or endocrine disorders, or hematological entity, it is not single area of concern, so the way you have asked is not valid at this stage this could be an academic question & need very lengthy discussion which may be beyond your understanding, have nice day."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
d06efdae0ae93331
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Lets say the dog that bit me is positive with rabies. If I am not mistaken i need to get a shot immediately of anti rabies which is followed by 6 shots within 28 days. do i need to have anti tetanus?.. how many shots? is it okay to have shot the same time with anti rabies? thank you.",
"output": "Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. If you are bitten by a suspected rabid dog, according to WHO categories it is categorized into Cat III, which requires following treatment1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound.4. In TT, 0.5 ml, I'm. ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
5aa155a07d8eade7
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "iam 52 years old ,85 kg weight 176cm height.i suffer cervical spondylosis in c5-c6.every day 1 have shortness in breathing and severe pain in left chest near the heart with pulseand burn in chest bones near the neck and stifness in shoulderssome doctors dignosed my case(angina pictoris)although i have no problems in heart and lungs.please help and advice. subhi siddiq-iraq.",
"output": "Hi Dear !! ."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
healthcaremagic
|
32cf229656b34a6f
|
medical_dialogue
|
{
"instruction": "If you are a doctor, please answer the medical questions based on the patient's description.",
"input": "Theres a sort of ticking sensation in the bottom front of my mouth. Its the bottom front teeth and the gums below them. About a week ago i had a root canal done on the top right side of my mouth (On the right but close to the front of my mouth) Is this normal? And also is there any way to stop this? It is very uncomfortable.",
"output": "Hello and welcome to Chat Doctor forum, I would like to inform you that tickling sensation after completion of root canal is sometimes normal and occurs due to the filling material, but if it is associated with pain or swelling that it might need your dentists' attention, I would have really appreciated if you had attached an X-ray of your tooth with your query, anyway start chewing soft food with your treated tooth to check if its normal, also you must be aware that getting your treated tooth crowned is really important to avoid any fractures. Start using antibacterial mouth wash for a week at least, to resolve symptoms, if tickling sensation still persists then kindly visit your dentist or forward me your X-rays so that I can guide you further, i wish you good health."
}
|
{
"augmentations": [
"base",
"style_standardize"
]
}
|
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