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task101
question_answering
If I have metastatic (stage IV) breast cancer, what are some ways to feel better in body and mind?
These mean the same thing from the standpoint of where the cancer is, and we mean that it has left the breast and the lymph nodes in the underarm and found its way to another part of the body. The treatment options that are available that are the most effective depend on the type of the breast cancer. If the time comes...
[ { "from": "human", "value": "If I have metastatic (stage IV) breast cancer, what are some ways to feel better in body and mind?" }, { "from": "gpt", "value": "These mean the same thing from the standpoint of where the cancer is, and we mean that it has left the breast and the lymph nodes in the ...
task104
question_answering
Which bacterium has the smallest genome in base pairs yet found?
Our results reveal that Nasuia-ALF has the smallest bacterial genome yet sequenced (112 kb), and that the Sulcia-ALF genome (190 kb) is smaller than that of Sulcia in other insect lineages. Both regions exhibit a significant reduction in length and gene number in B. aphidicola BCc, as it could be expected since it poss...
[ { "from": "human", "value": "Which bacterium has the smallest genome in base pairs yet found?" }, { "from": "gpt", "value": "Our results reveal that Nasuia-ALF has the smallest bacterial genome yet sequenced (112 kb), and that the Sulcia-ALF genome (190 kb) is smaller than that of Sulcia in othe...
task67
conversation
something weird happened to my body these last couple of months. last month my period didnt come but then, when december kicks in, it arrived unexpectedly and it last for a bout two weeks and now i am experiencing thse spots for about a week until now. i also started taking a birthcontrol pill and i am somewhat sexuall...
It may be due to the anemia, hormonal disturbance, etc. Still it is better to consult your gynecologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms' fluconazole, lifetime, iron preparations, till she consults her doctor. Take more of green leafy vegetables, pulses, sprouts, and p...
[ { "from": "human", "value": "something weird happened to my body these last couple of months. last month my period didnt come but then, when december kicks in, it arrived unexpectedly and it last for a bout two weeks and now i am experiencing thse spots for about a week until now. i also started taking a bi...
task101
question_answering
How is tennis elbow diagnosed?
You may also need imaging tests, such as an X-ray or MRI (magnetic resonance imaging) to diagnose tennis elbow or rule out other problems. Your doctor may recommend that you do them three to five times a day. You should also: Stretch and warm up before any sport or activity that will exercise your elbow or arm.
[ { "from": "human", "value": "How is tennis elbow diagnosed?" }, { "from": "gpt", "value": "You may also need imaging tests, such as an X-ray or MRI (magnetic resonance imaging) to diagnose tennis elbow or rule out other problems. Your doctor may recommend that you do them three to five times a d...
task67
conversation
I am 60 year old woman experiencing numbness, tingling and some cramping in my left arm, hand and fingers for about 4-5 days. Do not have history of heart disease; Mom died from strokes; dad died from cancer. But I have suffered from depression mostmy life. Quit smoking, quit drinking, taking medications (including Xan...
Hello! I read your question and understand your concern. In my opinion the troubles you have may be caused by a small stroke. I think the numbness will persist for some time. I would recommend you to do a brain CT scan to rule out stroke or any other lesion of the brain. In the meantime I would recommend you to take as...
[ { "from": "human", "value": "I am 60 year old woman experiencing numbness, tingling and some cramping in my left arm, hand and fingers for about 4-5 days. Do not have history of heart disease; Mom died from strokes; dad died from cancer. But I have suffered from depression mostmy life. Quit smoking, quit dr...
task67
conversation
My 6 month old baby has lost her voice 4 times in the last 3 months. Each time she does there seems to be no cause for it. It doesnt progress into a cold she just gets better after a couple of days. We dont let her cry herself to sleep or longer than a minute. What could be the problem?
Hi...by what you quote I feel that your kid is having laryngitis or inflammation of the voice box frequently along with cough and cold. This is common in kids who exert their voice during crying or making sounds in this age. But if the cough reflex is normal you need not worry. If the kid is unable to cough also along ...
[ { "from": "human", "value": "My 6 month old baby has lost her voice 4 times in the last 3 months. Each time she does there seems to be no cause for it. It doesnt progress into a cold she just gets better after a couple of days. We dont let her cry herself to sleep or longer than a minute. What could be the...
task67
conversation
Hi, may I answer your health queries right now ? Please type your query here...I have ESR of 60,aged 48years living rwanda.Morning i will sweat,afternoon fever and evening i feel chill. I have migrated to Africa around 15days back and since 11 days I suffer
Hello. Welcome to this medical LLM.. This is this medical LLM.. There appears to be some infection in your case. ESR alone has no meaning. It would be of great help If you have provided more test reports. It appears to be like malaria. But I suggest consulting physician and go for the following tests. 1. CBC2. Peripher...
[ { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here...I have ESR of 60,aged 48years living rwanda.Morning i will sweat,afternoon fever and evening i feel chill. I have migrated to Africa around 15days back and since 11 days I suffer" }, { "from"...
task67
conversation
For about two weeks I have had lower back pain and tingly in numbness to my RUE, mostly lateral extending from just below AC to tips of fingers. Today I have tallied over 20 episodes of this tingling/numbness. Neither the pain or tingling and numbness is debilitating, however, is concerning. I am 4 years post stage 3 b...
Thank you for asking this medical LLM.. My name is this medical LLM.. A serious side effect of AROMA SIN is bone loss over time that may increase your risk of osteoporosis and bone fractures.as there might be Mets to bone especially lumbar region back pain occurs with radiation to one of the leg along with numbness a...
[ { "from": "human", "value": "For about two weeks I have had lower back pain and tingly in numbness to my RUE, mostly lateral extending from just below AC to tips of fingers. Today I have tallied over 20 episodes of this tingling/numbness. Neither the pain or tingling and numbness is debilitating, however, i...
task57
question_answering
Question: A 28-year-old woman is brought to the emergency department after being resuscitated in the field. Her husband is with her and recalls seeing pills beside her when he was in the bathroom. He reveals she has a past medical history of depression and was recently given a prescription for smoking cessation. On phy...
The right answer is A: The patient’s husband may be appointed as her health care surrogate and may make end-of-life decisions on her behalf.
[ { "from": "human", "value": "Question: A 28-year-old woman is brought to the emergency department after being resuscitated in the field. Her husband is with her and recalls seeing pills beside her when he was in the bathroom. He reveals she has a past medical history of depression and was recently given a p...
task67
conversation
I was recently diagnosed with a pituitary tumor, after going to a neurologist his assistant informed me that it is not a pituitary tumor but it next to it by my brain...The reason I even found out about this is through an MRI I had because of vision issues that I am having (double vision) the thing is this is the third...
Hi, I had gone through your question and understand your concerns. If you had double vision, the tumor infiltrated cavernous sinus, and treatment depends on the kind of tumor. In that area three are the most probable lesions: Pituitary tumor, Meningioma and Chraniopharyngioma. If the size of tumor is small (below 3 cm)...
[ { "from": "human", "value": "I was recently diagnosed with a pituitary tumor, after going to a neurologist his assistant informed me that it is not a pituitary tumor but it next to it by my brain...The reason I even found out about this is through an MRI I had because of vision issues that I am having (doub...
task101
question_answering
Who should get additional fluoride treatment?
In addition, people with certain conditions may be at increased risk of tooth decay and would therefore benefit from additional fluoride treatment. Presence of crowns and/or bridges or braces: These treatments can put teeth at risk for decay at the point where the crown meets the underlying tooth structure or around th...
[ { "from": "human", "value": "Who should get additional fluoride treatment?" }, { "from": "gpt", "value": "In addition, people with certain conditions may be at increased risk of tooth decay and would therefore benefit from additional fluoride treatment. Presence of crowns and/or bridges or brace...
task103
question_answering
Is beta-ureidopropionase deficiency inherited ?
This condition is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but they typically do not show signs and symptoms of the condition.
[ { "from": "human", "value": "Is beta-ureidopropionase deficiency inherited ?" }, { "from": "gpt", "value": "This condition is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive con...
task67
conversation
4 days ago i woke in the morning and coughed up lots of fresh blood - went to gp who prescribed antibiotics. today i had another coughing fit and coughed up a fleshy lump which looks like it has torn off of somewhere. my throat feels better and my cough has reduced but im worried
Hi welcome to the this medical LLM. First it should be confirmed that blood is present in sputum and not in vomit... Bloody sputum cough can be from bronchitis, pneumonia consolidation or other respiratory problem It is better to consult pulmonologist for examination.... -Auscultation -CBC -x-ray chest -sputum examinat...
[ { "from": "human", "value": "4 days ago i woke in the morning and coughed up lots of fresh blood - went to gp who prescribed antibiotics. today i had another coughing fit and coughed up a fleshy lump which looks like it has torn off of somewhere. my throat feels better and my cough has reduced but im worri...
task67
conversation
My sister has stage 3b almost 4 lung cancer the last week or so she a rattle when sleeping and her stomach is extended. What is happeningIt is a very large mass behind the heart ect, she has gone threw 30 radiation &now doing chemotherapy. Is true that this might extended her life but we most likely willnt get much m...
Hi and welcome to this medical LLM.. Well, this is obviously terminal malignant disease. This mass can be tumor or lymph nodes enlargements. Whatever it is it isn't good sign. It is always hard to predict life expectancy. Statistics say 3-6 months, but it depends on form case to case and her general shape. The mots imp...
[ { "from": "human", "value": "My sister has stage 3b almost 4 lung cancer the last week or so she a rattle when sleeping and her stomach is extended. What is happeningIt is a very large mass behind the heart ect, she has gone threw 30 radiation &now doing chemotherapy. Is true that this might extended her ...
task103
question_answering
What are the symptoms of Cerebral palsy ataxic ?
What are the signs and symptoms of Cerebral palsy ataxic? The Human Phenotype Ontology provides the following list of signs and symptoms for Cerebral palsy ataxic. If the information is available, the table below includes how often the symptom is seen in people with this condition. You can use the MedlinePlus Medical D...
[ { "from": "human", "value": "What are the symptoms of Cerebral palsy ataxic ?" }, { "from": "gpt", "value": "What are the signs and symptoms of Cerebral palsy ataxic? The Human Phenotype Ontology provides the following list of signs and symptoms for Cerebral palsy ataxic. If the information is a...
task67
conversation
I am 51 years old in relatively good health, except for heart palpitations and anxieties. night before last I woke up feeling a little queasy and weak, the next morning I was belching what I had eaten the day before. I went to the bathroom 4 times successively that morning. Last night I had cramps and a slight queasy f...
Hi, Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach ...
[ { "from": "human", "value": "I am 51 years old in relatively good health, except for heart palpitations and anxieties. night before last I woke up feeling a little queasy and weak, the next morning I was belching what I had eaten the day before. I went to the bathroom 4 times successively that morning. Last...
task67
conversation
Hi I took next choice pill may 29-30 normal period was may 37-June 2 . After I took pill I spotted from June 3-6 and from June 7-12 bled like a period. Was due for reg period June 26 I m a week late. Not preg Urine said neg but now I m worried. Was my bleeding from pill? And When will I have a norm period ?
Hallow Dear, Next Choice pill contains a Progestational preparation named Levonorgestrel. After consuming the pill, some with this medical LLM.. Nothing to worry about it. Furthermore, Levonorgestrel may delay the period up to one week or so. If you had taken the pills within 72 hours of the unprotected sexual interco...
[ { "from": "human", "value": "Hi I took next choice pill may 29-30 normal period was may 37-June 2 . After I took pill I spotted from June 3-6 and from June 7-12 bled like a period. Was due for reg period June 26 I m a week late. Not preg Urine said neg but now I m worried. Was my bleeding from pill? And Whe...
task103
question_answering
What causes Causes of Diabetes ?
Other types of diabetes have a variety of possible causes. Genetic Mutations Affecting Beta Cells, Insulin, and Insulin Action Some relatively uncommon forms of diabetes known as monogenic diabetes are caused by mutations, or changes, in a single gene. These mutations are usually inher...
[ { "from": "human", "value": "What causes Causes of Diabetes ?" }, { "from": "gpt", "value": "Other types of diabetes have a variety of possible causes.\n \nGenetic Mutations Affecting Beta Cells, Insulin, and Insulin Action\n \nSome relatively uncommon forms of diab...
task101
question_answering
How can I protect myself from sexually transmitted diseases (STDs)?
Here are some basic steps that you can take to protect yourself from STDs: Consider that not having sex or sexual relations (abstinence) is the only sure way to prevent STDs. Use a latex condom every time you have sex. Limit your number of sexual partners. This means having sex with only one person. Choose your sex par...
[ { "from": "human", "value": "How can I protect myself from sexually transmitted diseases (STDs)?" }, { "from": "gpt", "value": "Here are some basic steps that you can take to protect yourself from STDs: Consider that not having sex or sexual relations (abstinence) is the only sure way to prevent...
task57
question_answering
Question: A 19-year-old woman comes to the physician because of increased sweating for the past 6 months. She experiences severe sweating that is triggered by stressful situations and speaking in public. She is failing one of her university classes because of her avoidance of public speaking. She has not had any fevers...
The right answer is D: Glycopyrrolate
[ { "from": "human", "value": "Question: A 19-year-old woman comes to the physician because of increased sweating for the past 6 months. She experiences severe sweating that is triggered by stressful situations and speaking in public. She is failing one of her university classes because of her avoidance of pu...
task104
question_answering
Albumin depletion is a common first step for proteomic analysis of CSF fluid. What is the advantage and disadvantage of this procedure?
Depletion of the high abundant protein Albumin from CSF samples is improving the detection of lower abundant proteins but may also lead to the potential loss of non-target proteins.
[ { "from": "human", "value": "Albumin depletion is a common first step for proteomic analysis of CSF fluid. What is the advantage and disadvantage of this procedure?" }, { "from": "gpt", "value": "Depletion of the high abundant protein Albumin from CSF samples is improving the detection of lower ...
task101
question_answering
Do problems with tears lead to dry eyes?
Tears evaporate too fast. If you have dry eye without allergies, there are also treatments.
[ { "from": "human", "value": "Do problems with tears lead to dry eyes?" }, { "from": "gpt", "value": "Tears evaporate too fast. If you have dry eye without allergies, there are also treatments." } ]
task103
question_answering
What is (are) Piercing and Tattoos ?
Piercings and tattoos are body decorations that go back to ancient times. Body piercing involves making a hole in the skin so that you can insert jewelry. This is often in the earlobe, but can be in other parts of the body. Tattoos are designs on the skin made with needles and colored ink. A permanent tattoo is meant t...
[ { "from": "human", "value": "What is (are) Piercing and Tattoos ?" }, { "from": "gpt", "value": "Piercings and tattoos are body decorations that go back to ancient times. Body piercing involves making a hole in the skin so that you can insert jewelry. This is often in the earlobe, but can be in ...
task67
conversation
Am 55 years of age and i have been using antoxid hc for quite sometime. My weight is 75kg and my height is 5 7 and i have a history of allergy and broncho. I have done a derma surgery on my face in February 2010 and since than i ve been taking the medicine on and off without consulting my physician. is it safe for me t...
Hi, Brief answer: In my opinion, if taken as directed, there is likely little harm in taking the Antonio HC multivitamin and mineral supplement. However, the best sources of these same vitamins and minerals is from a balanced diet rich in fruits and vegetables. Detailed answer: Antonio HC contains many vitamins and min...
[ { "from": "human", "value": "Am 55 years of age and i have been using antoxid hc for quite sometime. My weight is 75kg and my height is 5 7 and i have a history of allergy and broncho. I have done a derma surgery on my face in February 2010 and since than i ve been taking the medicine on and off without con...
task67
conversation
My son has had a rash from head to toe for the last six months and was recently diagnosed with Gianotti crosti. Nothing is working and his skin looks horrible and he is constantly itching. Is it normal for this to last this long and be all over EVERYWHERE? Are there any homeopathic remedies for this?
Hi Dear, Understanding your concern. As per your query you have symptoms of constant itchy rashes on body which seems to be due to contact dermatitis, side effects of medications, sunlight, eczema and psoriasis. Need not worry. I would suggest you to maintain proper personal hygiene and take Zyrtec one a day. You shoul...
[ { "from": "human", "value": "My son has had a rash from head to toe for the last six months and was recently diagnosed with Gianotti crosti. Nothing is working and his skin looks horrible and he is constantly itching. Is it normal for this to last this long and be all over EVERYWHERE? Are there any homeopat...
task67
conversation
Hi, i recently had sex with my wife.for the first time and during that my penis somehow got blood. It pained a lot at then, but i was desperate to have more sex and continued after keeping it in cool water for some time. from then on while passing urine my penis is having a very unbearable burning sensation and pain. c...
Hi, Thanks for writing in. It might be that you have done rough sex with your wife as it is the first time. There can be injury to the soft tissues of penis and urethra. This can cause small lacerations in the wall of urethra. When more force is exerted due to continued sex, this will cause burning and pain during pass...
[ { "from": "human", "value": "Hi, i recently had sex with my wife.for the first time and during that my penis somehow got blood. It pained a lot at then, but i was desperate to have more sex and continued after keeping it in cool water for some time. from then on while passing urine my penis is having a very...
task68
conversation
Hi doctor,I have a protruded mole on my leg (light color but it will become black if in contact with water), it lasts for about two or three years or more. I have no symptoms other than it will fall off as time pasts and grow back itself. I was wondering what would it be as I am worried if that is some kind of melanoma...
Hi, Welcome to ChatDoctor. I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed seborrheic keratosis or a mole. Do you have this mole since birth? Nothing looks like melanoma. Shave excision with the histopathological examination is a go...
[ { "from": "human", "value": "Hi doctor,I have a protruded mole on my leg (light color but it will become black if in contact with water), it lasts for about two or three years or more. I have no symptoms other than it will fall off as time pasts and grow back itself. I was wondering what would it be as I am...
task67
conversation
My father has a right side abdominal bulge for 4 months now. Every test and doctor cannot find out what the cause is. He cannot eat much, is in pain, his liver and organs are supposedly fine. The doctor said it was inflammation and gave him pills for it and that did not do anything. Alittle history on him. He is diabet...
Hi. Thanks for an elucidated history. The patient is diabetic and was uncontrolled due to an abscess in the neck, with the neurological problem in the same side upper limb indicating a damage to the cervical spine most probably by Tuberculosis. The same abscess can have an extension to the right side of the abdomen, th...
[ { "from": "human", "value": "My father has a right side abdominal bulge for 4 months now. Every test and doctor cannot find out what the cause is. He cannot eat much, is in pain, his liver and organs are supposedly fine. The doctor said it was inflammation and gave him pills for it and that did not do anyth...
task101
question_answering
What should I do if I have diabetes and go over my carbohydrate budget for the day?
Account for any food swaps in your carbohydrate budget for the day. Adjust your medications if you add sugars to your meals. If you take insulin, tweak your dose to account for the added carbs so you can keep your blood sugar under control as much as possible. Check your glucose after eating sugary foods. Read food lab...
[ { "from": "human", "value": "What should I do if I have diabetes and go over my carbohydrate budget for the day?" }, { "from": "gpt", "value": "Account for any food swaps in your carbohydrate budget for the day. Adjust your medications if you add sugars to your meals. If you take insulin, tweak ...
task67
conversation
I"m suffering from sinus that causes me a sever asuthma. Know i"m under medications, I get monthly injuctions "Xzulair" but still i get time to time difficulty in breathing and dizziness.I heard that there is a cure in india for this kind of sinkness. I would be appreciated if you could help me in this matter.yous sinc...
Hello Maximum Cartoon, Thank you for asking at this medical LLM.. I went through your history and would like to make following suggestions to you:1. Sinus and asthma are many times linked and sinus can aggravate asthma. So It is important for you to control both sinus and asthma.2. Were I treating you, I would suggest ...
[ { "from": "human", "value": "I\"m suffering from sinus that causes me a sever asuthma. Know i\"m under medications, I get monthly injuctions \"Xzulair\" but still i get time to time difficulty in breathing and dizziness.I heard that there is a cure in india for this kind of sinkness. I would be appreciated ...
task101
question_answering
How long will I have bruising after breast cancer surgery?
The area may be black and blue right after breast cancer surgery. This will go away in a few days.
[ { "from": "human", "value": "How long will I have bruising after breast cancer surgery?" }, { "from": "gpt", "value": "The area may be black and blue right after breast cancer surgery. This will go away in a few days." } ]
task67
conversation
My daughter came home from day care with what looked like a small bruise on her face. She is 18 months and it won t go away. It s not something n the surface like a scalp, but it looks like a dark spot. It s been three weeks and it s still not blending. Should I be concerned?
Hi... Thank you for consulting in this medical LLM.. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consu...
[ { "from": "human", "value": "My daughter came home from day care with what looked like a small bruise on her face. She is 18 months and it won t go away. It s not something n the surface like a scalp, but it looks like a dark spot. It s been three weeks and it s still not blending. Should I be concerned?" ...
task57
question_answering
Question: A man returns home late at night to find his 15-year-old son and 40-year-old wife unconscious in the family room. He immediately summons emergency services. In the field, pulse oximetry shows oxygen saturation at 100% for both patients. 100% yet they both appear cyanotic. Both patients are provided with 2L of...
The right answer is D: Carbon monoxide poisoning
[ { "from": "human", "value": "Question: A man returns home late at night to find his 15-year-old son and 40-year-old wife unconscious in the family room. He immediately summons emergency services. In the field, pulse oximetry shows oxygen saturation at 100% for both patients. 100% yet they both appear cyanot...
task67
conversation
I had Hodgkins Lymphoma this year and beat the cancer. Would my doctors/oncologist have tested if it was HIV-related lymphoma? I have not ever been tested for HIV, but was just curious if it would have shown up when testing and staging in the beginning.
Hi, dairy have gone through your question. I can understand your concern. Oncologist can easily detect HIV related lymphoma. If you have not tested for HIV then go for HIV testing. Take treatment of your lymphoma according to type and stage of lymphoma. Hope I have answered your question, if you have any doubts then co...
[ { "from": "human", "value": "I had Hodgkins Lymphoma this year and beat the cancer. Would my doctors/oncologist have tested if it was HIV-related lymphoma? I have not ever been tested for HIV, but was just curious if it would have shown up when testing and staging in the beginning." }, { "from": "gp...
task67
conversation
I had unprotected sex a year ago in july 2010. 4-6 months back , I used a hair removal cream on my pubic region and had allergic reaction. Little red scabies like spots developed on my pubic region and shaft of my penis. Is this dermatological disease or STI?
HI, thanks for using this medical LLM. There are different sexual transmitted infections. The most common are trachomas, chlamydia, gonorrhea, HIV, syphilis, herpes, hepatitis B. Herpes may present with a painful rash that starts as redness to the area which evolves to small water filled lesions that are also painful. ...
[ { "from": "human", "value": "I had unprotected sex a year ago in july 2010. 4-6 months back , I used a hair removal cream on my pubic region and had allergic reaction. Little red scabies like spots developed on my pubic region and shaft of my penis. Is this dermatological disease or STI?" }, { "from...
task104
question_answering
How does Hst5 (histatin 5) affect infections by Candida glabrata?
Human salivary histatins, including histatin 5 (Hst 5), are small cationic proteins that are the major source of fungicidal activity of saliva
[ { "from": "human", "value": "How does Hst5 (histatin 5) affect infections by Candida glabrata?" }, { "from": "gpt", "value": "Human salivary histatins, including histatin 5 (Hst 5), are small cationic proteins that are the major source of fungicidal activity of saliva" } ]
task57
question_answering
Question: A 47-year-old man with bipolar I disorder and hypertension comes to the physician because of a 2-week history of increased thirst, urinary frequency, and sleep disturbance. He says that he now drinks up to 30 cups of water daily. He has smoked 2 packs of cigarettes daily for the past 20 years. Examination sho...
The right answer is A: Adverse effect of a medication
[ { "from": "human", "value": "Question: A 47-year-old man with bipolar I disorder and hypertension comes to the physician because of a 2-week history of increased thirst, urinary frequency, and sleep disturbance. He says that he now drinks up to 30 cups of water daily. He has smoked 2 packs of cigarettes dai...
task67
conversation
I have a lump on my left breast in the same spot where I previously had a lump removed (benign). I am currently pre-menstrual with tender breasts. Do I need to see the doctor? Or should I wait until after I finish my period to see if the lump is still there?
HI, Dear,Thanks for the query to this medical LLM.. I understood your concerns about the shin lump. In my opinion its -benign lump still?fibroadenoma? FibroadenosiTreatment-a-Take opinion from your ER Surgeon if it remains and grows in size in next 2 MHSI would advise It E- till then. Hope this would resolve your worry...
[ { "from": "human", "value": "I have a lump on my left breast in the same spot where I previously had a lump removed (benign). I am currently pre-menstrual with tender breasts. Do I need to see the doctor? Or should I wait until after I finish my period to see if the lump is still there?" }, { "from"...
task67
conversation
8 weeks ago.. Random swelling of left side of my face and swelling of the throat. Completely irrational panic attacks and mood swings (crying, screaming..etc) for the 3 days that followed. Emergency room.. Said after swab of my throat I have some kind of virus.. No health insurance... Symptoms subside except swollen ym...
Hi ! Good evening. I am this medical LLM. answering your query. If I was your doctor, I would advise you for a thyroid function test, and a possible ultrasound of the lump in the neck along with a FNAC (fine needle aspiration cytology) of the lump to arrive at a histological diagnosis supported by a clinical examinatio...
[ { "from": "human", "value": "8 weeks ago.. Random swelling of left side of my face and swelling of the throat. Completely irrational panic attacks and mood swings (crying, screaming..etc) for the 3 days that followed. Emergency room.. Said after swab of my throat I have some kind of virus.. No health insura...
task103
question_answering
What are the symptoms of Polyneuropathy mental retardation acromicria premature menopause ?
What are the signs and symptoms of Polyneuropathy mental retardation acromicria premature menopause? The Human Phenotype Ontology provides the following list of signs and symptoms for Polyneuropathy mental retardation acromicria premature menopause. If the information is available, the table below includes how often th...
[ { "from": "human", "value": "What are the symptoms of Polyneuropathy mental retardation acromicria premature menopause ?" }, { "from": "gpt", "value": "What are the signs and symptoms of Polyneuropathy mental retardation acromicria premature menopause? The Human Phenotype Ontology provides the f...
task67
conversation
Hello, my name s Michele. I was in the hospital for three days last week with what the doctors told me was a TIA. The left side of my face was numb and I was having issues with moving the left side of my mouth and my left eyelid was drooping. They performed an MRI and a CT scan and when I was being discharged they told...
Hello, All of your symptoms can occur in Chiara malformation. Rather this constellation of symptoms would strongly suggest such malformation. Along with the Chiara malformation of the brain there may be bony abnormality of the craniovertebral junction which can cause some symptoms like neck pain. Cerebellar tonsils may...
[ { "from": "human", "value": "Hello, my name s Michele. I was in the hospital for three days last week with what the doctors told me was a TIA. The left side of my face was numb and I was having issues with moving the left side of my mouth and my left eyelid was drooping. They performed an MRI and a CT scan ...
task67
conversation
I have an eating disorder and I have been restricting a lot, I started cutting again, and I m feeling a little suicidal. I endured a sexual experience that I didn t want to be a part of and ever since then I have been experiencing visual hallucinations again. I really don t know what to do. Do I need to go back to the ...
Degree understand your concerns went through your details. I suggest you not to worry much. If you are correct about the given symptoms, you need to consult a psychiatrist. Eating disorder, Bulimia, is also a bit depressive and therefore suicidal thoughts are part of it. Hallucinations can be part of suicidal urge whic...
[ { "from": "human", "value": "I have an eating disorder and I have been restricting a lot, I started cutting again, and I m feeling a little suicidal. I endured a sexual experience that I didn t want to be a part of and ever since then I have been experiencing visual hallucinations again. I really don t know...
task103
question_answering
What are the genetic changes related to hereditary sensory and autonomic neuropathy type V ?
Mutations in the NGF gene cause HSAN5. The NGF gene provides instructions for making a protein called nerve growth factor beta (NGF) that is important in the development and survival of nerve cells (neurons), including sensory neurons. The NGF protein functions by attaching (binding) to its receptors, which are found o...
[ { "from": "human", "value": "What are the genetic changes related to hereditary sensory and autonomic neuropathy type V ?" }, { "from": "gpt", "value": "Mutations in the NGF gene cause HSAN5. The NGF gene provides instructions for making a protein called nerve growth factor beta (NGF) that is im...
task68
conversation
Hello doctor,My 36-year-old wife has a urine infection. She was diagnosed with postpartum preeclampsia after two days of delivery of a female child. She had high blood pressure at the time of delivery but now it is normal. Her average blood pressure is 110/75. She had a severe urinary infection before the birth of the ...
Hello. I would suggest you to repeat urine culture and ChatDoctor. Few bacteria which cause urinary infection in women develop resistance very easily and become difficult to treat. So I suggest you get another urine culture and sensitivity and discuss with her treating doctor a combination of antibiotics which can be...
[ { "from": "human", "value": "Hello doctor,My 36-year-old wife has a urine infection. She was diagnosed with postpartum preeclampsia after two days of delivery of a female child. She had high blood pressure at the time of delivery but now it is normal. Her average blood pressure is 110/75. She had a severe u...
task67
conversation
My chest xray says: left plueral thickening with patchy opacities of the left upper lung zone.The left hilum is elavated witChatDoctorparative volume loss of the left lung. The pulmonary vessel on the left shore a hanging down appearance. Foci of calcilification on The right upper zone. Heart size is normal.
Thanks for your question on this medical LLM.. In my opinion you should not worry much about this report. It is old lesion and must be due to old lesion. You may have old TB and due to this fibrosis occurred and long-standing fibrosis causes pleural thickening, fibrosis and calcification and volume loss. So you are hav...
[ { "from": "human", "value": "My chest xray says: left plueral thickening with patchy opacities of the left upper lung zone.The left hilum is elavated witChatDoctorparative volume loss of the left lung. The pulmonary vessel on the left shore a hanging down appearance. Foci of calcilification on The right upp...
task103
question_answering
What are the symptoms of Sakati syndrome ?
What are the signs and symptoms of Sakati syndrome? The Human Phenotype Ontology provides the following list of signs and symptoms for Sakati syndrome. If the information is available, the table below includes how often the symptom is seen in people with this condition. You can use the MedlinePlus Medical Dictionary to...
[ { "from": "human", "value": "What are the symptoms of Sakati syndrome ?" }, { "from": "gpt", "value": "What are the signs and symptoms of Sakati syndrome? The Human Phenotype Ontology provides the following list of signs and symptoms for Sakati syndrome. If the information is available, the tabl...
task103
question_answering
What are the treatments for Hereditary endotheliopathy, retinopathy, nephropathy, and stroke ?
How might hereditary endotheliopathy with retinopathy, nephropathy, and stroke (HERNS) be treated? At this time there is no effective treatment for hereditary endotheliopathy with retinopathy, nephropathy, and stroke (HERNS). Treatment of HERNS is largely palliative, which means that it is aimed at decreasing pain and ...
[ { "from": "human", "value": "What are the treatments for Hereditary endotheliopathy, retinopathy, nephropathy, and stroke ?" }, { "from": "gpt", "value": "How might hereditary endotheliopathy with retinopathy, nephropathy, and stroke (HERNS) be treated? At this time there is no effective treatme...
task101
question_answering
Does honey help colds in toddlers and babies?
But you may offer more milk than usual for coughs or colds. Give a Little Honey It soothes sore throats and eases coughs. It can make them very ill. Raise Baby's Head Have you ever slept with extra pillows when you had a stuffy nose to breathe more easily?
[ { "from": "human", "value": "Does honey help colds in toddlers and babies?" }, { "from": "gpt", "value": "But you may offer more milk than usual for coughs or colds. Give a Little Honey It soothes sore throats and eases coughs. It can make them very ill. Raise Baby's Head Have you ever slept wit...
task67
conversation
HI, My 7 year old daughter came home from school yesterday with a red ring around her eye... her actuaul eye is slightly red but what is most worrisome is the ring and swelling, it literally looks like she has a black eye, but the color is red instead. She has a history with allergies, i.e. excema and has been on an an...
Hi, Round ring around eyes, associated with swelling most likely indicates a trauma/collision there. Although this is called black eye, color can vary depending on age and depth of blood collection. Superficial bleeds will initially appear red and later change to blue and the black. If there are no complaints of severe...
[ { "from": "human", "value": "HI, My 7 year old daughter came home from school yesterday with a red ring around her eye... her actuaul eye is slightly red but what is most worrisome is the ring and swelling, it literally looks like she has a black eye, but the color is red instead. She has a history with all...
task67
conversation
had a molar removed 7 days ago. extraction was not an easy one. would not numb all the way tootChatDoctore out in pieces. still pain several days after and went back said it was dry socket put some nasty tasting paste to fill the hole top edge of gums still very sore and white spots have formed on there that are...
Dear friend. Thanks for sharing your concern. Your history suggests that you had a traumatic extraction, and post extraction it became a case of this medical LLM.. Do not worry, white spots that you are seeing is due to local application of medicament there. Gum soreness will slowly subside as it takes time in complete...
[ { "from": "human", "value": "had a molar removed 7 days ago. extraction was not an easy one. would not numb all the way tootChatDoctore out in pieces. still pain several days after and went back said it was dry socket put some nasty tasting paste to fill the hole top edge of gums still very sore and ...
task103
question_answering
What is (are) Mineral and Bone Disorder in Chronic Kidney Disease ?
Chronic kidney disease is kidney damage that occurs slowly over many years, often due to diabetes or high blood pressure. Once damaged, the kidneys cant filter blood as they should. This damage can cause wastes to build up in the body and other problems that can harm a persons health, including mineral and bone disorde...
[ { "from": "human", "value": "What is (are) Mineral and Bone Disorder in Chronic Kidney Disease ?" }, { "from": "gpt", "value": "Chronic kidney disease is kidney damage that occurs slowly over many years, often due to diabetes or high blood pressure. Once damaged, the kidneys cant filter blood as...
task104
question_answering
Has saracatinib been tested in clinical trials?
Yes, saracatinib has been tested in multiple clinical trials.
[ { "from": "human", "value": "Has saracatinib been tested in clinical trials?" }, { "from": "gpt", "value": "Yes, saracatinib has been tested in multiple clinical trials." } ]
task67
conversation
I am having fatigue and pain in my joints, mostly my hands and hips. About eight months ago I had a bout of facial muscle twitching, a severe headache behind my right eye and double vision. I did have an MRI that showed some lesions that were questionable for MS. Follow up MRI was recommended I just havent went back to...
Hi, thank you for providing the brief history of you. A thorough clinical neuromuscular and musculoskeletal assessment is advised. As you had a previous MRI, we need to understand the report and also the clinical signs and symptoms too. As you age also should give us some input. To be practical, that 90% of MRI taken w...
[ { "from": "human", "value": "I am having fatigue and pain in my joints, mostly my hands and hips. About eight months ago I had a bout of facial muscle twitching, a severe headache behind my right eye and double vision. I did have an MRI that showed some lesions that were questionable for MS. Follow up MRI w...
task101
question_answering
What are epinephrine sting kits for allergic reactions?
Do not wait to see if you are having a reaction before administering the pen because by then it may be too late. The two most common have the brand names Ana- Kit and Epi- Pen. However, these kits should not be used as a substitute for medical intervention. You should still see a doctor after being stung. Epinephrine a...
[ { "from": "human", "value": "What are epinephrine sting kits for allergic reactions?" }, { "from": "gpt", "value": "Do not wait to see if you are having a reaction before administering the pen because by then it may be too late. The two most common have the brand names Ana- Kit and Epi- Pen. How...
task66
conversation
Doctor, I've been experiencing a lot of shoulder cramps or spasms lately. What could be causing this?
It sounds like you may be experiencing symptoms of a condition called Pick disease.
[ { "from": "human", "value": "Doctor, I've been experiencing a lot of shoulder cramps or spasms lately. What could be causing this?" }, { "from": "gpt", "value": "It sounds like you may be experiencing symptoms of a condition called Pick disease." } ]
task67
conversation
my son got bitten by our dog who is already fully vaccinated against rabies. i took my son to hospital and they gave him a tetanus as well an anti rabies vaccine but after that i decided not to continue with the course. will that have any side effects on my son?
Hello, Welcome to this medical LLM., As your son was bitten by a vaccinated pet dog which has led to wound, dog is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As there was no bleeding from the site, according WHO categorization it is categorized into Cat ...
[ { "from": "human", "value": "my son got bitten by our dog who is already fully vaccinated against rabies. i took my son to hospital and they gave him a tetanus as well an anti rabies vaccine but after that i decided not to continue with the course. will that have any side effects on my son?" }, { "f...
task67
conversation
In 2010 I was diagnosed with Latent TB. Took the medication that was prescribed to me and completed. Well while taking it, I was always concerned if the 300mg Isoniazid would interfere with my sperm meaning an accidental malformation with it or a malformation should a baby come into the picture. So in short did i have ...
Hereafter reading of your query I want to tell you that INH is completely absorbed orally and penetrates all body tissues (including prostate and testis), tubercular cavities, placenta (in pregnant woman) & meninges. Metabolized in liver through ACETYLATION. The rate of ACETYLATION shows genetic variation but not inter...
[ { "from": "human", "value": "In 2010 I was diagnosed with Latent TB. Took the medication that was prescribed to me and completed. Well while taking it, I was always concerned if the 300mg Isoniazid would interfere with my sperm meaning an accidental malformation with it or a malformation should a baby come ...
task67
conversation
I took my birthcontrol pill 12 hours too late yesterday because I forgot to take it in when I left for work, and had unsafe sex with my boyfriend around midnight. I took my pill at the regular hour this morning, but only realised the risk of last night now. Is there any chance I got pregnant?
Hi, if you have taken your missed pill the next day, there is very little chance of pregnancy. That chance will be there even when you take all pills at regular intervals. So, don't worry. If your periods delay, do a urine pregnancy test at home. If positive, consult a doctor if you don't want pregnancy. If negative...
[ { "from": "human", "value": "I took my birthcontrol pill 12 hours too late yesterday because I forgot to take it in when I left for work, and had unsafe sex with my boyfriend around midnight. I took my pill at the regular hour this morning, but only realised the risk of last night now. Is there any chance I...
task67
conversation
My husband has been having issues with his knuckles. They are popping, freezing, joint getting stuck and slight swelling. He said it feels like he smashed his hand, but it is happening in both hands, especially in his middle fingers. What could be going on?
Hi, Thanks for your query. Repeated joint pains can be due to multiple causes at this age the commonest being poly arthralgia. Other causes can be rheumatoid arthritis, gout, inflammatory diseases like SHE, bursitis, fibromyalgia, etc. For proper diagnosis, some blood tests are advisable like- 1. Serum calcium levels.2...
[ { "from": "human", "value": "My husband has been having issues with his knuckles. They are popping, freezing, joint getting stuck and slight swelling. He said it feels like he smashed his hand, but it is happening in both hands, especially in his middle fingers. What could be going on?" }, { "from":...
task67
conversation
My father age 60 was hit by a massive brain haemorrhage on 31-12-2012. Since then he has been in paralyzed state.he is unable to move his right side.we have tried many medicines but nothing worked.which amway product or any other medicine should be given to him?
Hello! I read your question carefully and understand your concern. I am sorry for your father. Unfortunately there is no effective medication in this situation. The best treatment would be physiotherapy which helps move his paralyzed limbs and relieve the stiffness. Another treatment I would recommend is a good anti hy...
[ { "from": "human", "value": "My father age 60 was hit by a massive brain haemorrhage on 31-12-2012. Since then he has been in paralyzed state.he is unable to move his right side.we have tried many medicines but nothing worked.which amway product or any other medicine should be given to him?" }, { "f...
task66
conversation
Doctor, I'm experiencing lower back pain. It's been bothering me for a few weeks now and I can barely sit or stand for long periods of time.
Based on your symptoms, we need to perform a radiographic imaging procedure, specifically a plain x-ray, to assess the extent of the damage in your lower back. We might also need to do physical therapy exercises and manipulation to improve your condition. If necessary, we'll do an MRI or other therapeutic procedures li...
[ { "from": "human", "value": "Doctor, I'm experiencing lower back pain. It's been bothering me for a few weeks now and I can barely sit or stand for long periods of time." }, { "from": "gpt", "value": "Based on your symptoms, we need to perform a radiographic imaging procedure, specifically a pla...
task57
question_answering
Question: A 45-year-old man presents to a psychiatrist by his wife with recent behavioral and emotional changes. The patient’s wife says that her husband’s personality has completely changed over the last year. She also says that he often complains of unpleasant odors when actually there is no discernible odor present....
The right answer is C: Olfactory hallucinations
[ { "from": "human", "value": "Question: A 45-year-old man presents to a psychiatrist by his wife with recent behavioral and emotional changes. The patient’s wife says that her husband’s personality has completely changed over the last year. She also says that he often complains of unpleasant odors when actua...
task103
question_answering
What are the symptoms of Krabbe disease atypical due to Saposin A deficiency ?
What are the signs and symptoms of Krabbe disease atypical due to Saposin A deficiency? The Human Phenotype Ontology provides the following list of signs and symptoms for Krabbe disease atypical due to Saposin A deficiency. If the information is available, the table below includes how often the symptom is seen in peopl...
[ { "from": "human", "value": "What are the symptoms of Krabbe disease atypical due to Saposin A deficiency ?" }, { "from": "gpt", "value": "What are the signs and symptoms of Krabbe disease atypical due to Saposin A deficiency? The Human Phenotype Ontology provides the following list of signs and...
task104
question_answering
The Shingrix vaccine is used to prevent what disease?
The Shingrix vaccine is used for prevention of herpes zoster.
[ { "from": "human", "value": "The Shingrix vaccine is used to prevent what disease?" }, { "from": "gpt", "value": "The Shingrix vaccine is used for prevention of herpes zoster." } ]
task67
conversation
in front of one of my teeth on the side, I have a black hole that smells awful and tooth has separated from gum. I can get food particles out of it, but need to be careful because I can also hit a nerve if I am not careful. Afraid to go to the dentist, yet need to. Wondering if it is something that will heal on its...
Hello, Welcome Thanks for consulting this medical LLM., I have gone through your query, you have discolored tooth (blackish) separated from gum, means it your tooth is carious, as you are asking that it can get healed NO, it doesn't heal by it own you should go for proper investigations done ant then treatment, Go to d...
[ { "from": "human", "value": "in front of one of my teeth on the side, I have a black hole that smells awful and tooth has separated from gum. I can get food particles out of it, but need to be careful because I can also hit a nerve if I am not careful. Afraid to go to the dentist, yet need to. Wondering...
task67
conversation
Im 23 my back started to hurt almoat 3 weeks ago after a day I went to gym that night. It probably is my wrong form in the gym that makes me hurt my back but. Now every time I walk I can feel the pain in my lower back and in my thighs and even while sleeping. I can feel the pin more on the right side of my back but eve...
HiT hank you for asking this medical LLM.. I have gone through your query. Your problem can be due to intervertebral disc injury from heavy weight lifting or muscle strain. A physical examination with an orthopedic following by an X-ray and MRI if needed can rule out this. For such condition I advise NSAIDs like diclof...
[ { "from": "human", "value": "Im 23 my back started to hurt almoat 3 weeks ago after a day I went to gym that night. It probably is my wrong form in the gym that makes me hurt my back but. Now every time I walk I can feel the pain in my lower back and in my thighs and even while sleeping. I can feel the pin ...
task67
conversation
Pls I have a lump on my mons pubis. Came out like three days back and I thought it was the normal after shave effect. Two days later am feeling an excrutiating pain within the region that I find it difficult to walk normally. Pores have started coming out but its so painful that I can t even press it or get my wife to ...
Hi. Thanks for your query. First you should get your Blood sugar checked as the lump at the mons' pubis has developed many pores, indicating this has turned into a carbuncle occurs in diabetes. Consult a Doctor, get a clinical check-up done, get the correct antibiotic and anti-inflammatory medicines and an appointment ...
[ { "from": "human", "value": "Pls I have a lump on my mons pubis. Came out like three days back and I thought it was the normal after shave effect. Two days later am feeling an excrutiating pain within the region that I find it difficult to walk normally. Pores have started coming out but its so painful that...
task67
conversation
lump size of a small grape on my11 year old neck, 1/2 inch to the right of center neck on the top of the breast bone. it is a hard lump does not move , no redness does not hurt no fever at this time I have no health insurance so whats the best course of action do i need to worry?
Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged supraclavicular lymph node. It can be reactive lymph node, tuberculosis or lymphoma. You should go for a course of antibiotics, if patient does not respond to treatment then biopsy diagnosis is advisable. Consult your do...
[ { "from": "human", "value": "lump size of a small grape on my11 year old neck, 1/2 inch to the right of center neck on the top of the breast bone. it is a hard lump does not move , no redness does not hurt no fever at this time I have no health insurance so whats the best course of action do i need to worr...
task67
conversation
I am a 26 year old adult female who suffers from ADHD . My parents did not want to medicate me as a child, and even though I made good grades in school I was constantly struggling. After a very hard first semester at college, my doctor told me I should not worry about the stigma attached to medication and prescribed me...
Hello and welcome to this medical LLM.. Thanks for your query. Every medication, including Adderall, can have some side effects when taken for prolonged durations. The treatment decision will depend on whether the benefits of the medicine will outweigh the potential side effects. So, please consult your psychiatrist fo...
[ { "from": "human", "value": "I am a 26 year old adult female who suffers from ADHD . My parents did not want to medicate me as a child, and even though I made good grades in school I was constantly struggling. After a very hard first semester at college, my doctor told me I should not worry about the stigma...
task66
conversation
Doctor, I've been feeling really tired lately and my urine has an unusual color and odor. What could be the problem?
These symptoms could be an indication of chronic kidney disease. We'll need to do some tests to confirm, but we should start discussing treatment options right away.
[ { "from": "human", "value": "Doctor, I've been feeling really tired lately and my urine has an unusual color and odor. What could be the problem?" }, { "from": "gpt", "value": "These symptoms could be an indication of chronic kidney disease. We'll need to do some tests to confirm, but we should ...
task101
question_answering
What is a dobutamine or adenosine stress test?
Dobutamine or adenosine stress test: This is for people unable to exercise. You'll take a drug to make the heart respond as if you were exercising. This way, the doctor can still determine if there are blockages in the arteries.
[ { "from": "human", "value": "What is a dobutamine or adenosine stress test?" }, { "from": "gpt", "value": "Dobutamine or adenosine stress test: This is for people unable to exercise. You'll take a drug to make the heart respond as if you were exercising. This way, the doctor can still determine ...
task101
question_answering
How can exercise help relieve gastroesophageal (GE) junction adenocarcinoma symptoms?
It's normal to feel more tired than usual when you have cancer. Exercise is one way to give yourself more energy. Do only as much as you can -- even if you can only walk for a few minutes each day. Rest whenever you need a break.
[ { "from": "human", "value": "How can exercise help relieve gastroesophageal (GE) junction adenocarcinoma symptoms?" }, { "from": "gpt", "value": "It's normal to feel more tired than usual when you have cancer. Exercise is one way to give yourself more energy. Do only as much as you can -- even i...
task67
conversation
sir I have Khansi problem with chest pain from last two months. i used all syrup for khansi but i did not get any relief please sir suggest me good medicine for that . second is continuously sneezing 5 to 6 times with allergy my eyes also got allergic i take medicine two times from government hospital when i eat this i...
Thanks for your questions. I feel your inconvenience for these continuous cough and allergy. If I were your treating physician, I would look for details history like>Cough : Productive or not?>Smoking habit, > Allergy : dust, cold or any other particular allergens, > History of fever, >Breathlessness etc. Then I would ...
[ { "from": "human", "value": "sir I have Khansi problem with chest pain from last two months. i used all syrup for khansi but i did not get any relief please sir suggest me good medicine for that . second is continuously sneezing 5 to 6 times with allergy my eyes also got allergic i take medicine two times f...
task67
conversation
Is it o.k to take doxycycline hyclate and rifampin at the same time? I have just been diagnosed with MRSA. i HAD A TOTAL KNEE REPLACEMENT IN JANUARY BUT THE INCISION HAS NEVER HEALED. FINALLY, MY DEMATOLOGIST TOOK A CULTURE AND I JUST GOR THE RESULTS NOW.
Hi, It is not safe to take these two antibiotics together. Vitamin is one of the most powerful liver enzyme inducers which is given along with doxycycline will increase its metabolism and increase its clearance from the body thus decrease the effects of doxycycline. Contact your doctor for a dose adjustment of these me...
[ { "from": "human", "value": "Is it o.k to take doxycycline hyclate and rifampin at the same time? I have just been diagnosed with MRSA. i HAD A TOTAL KNEE REPLACEMENT IN JANUARY BUT THE INCISION HAS NEVER HEALED. FINALLY, MY DEMATOLOGIST TOOK A CULTURE AND I JUST GOR THE RESULTS NOW." }, { "from": "...
task101
question_answering
What is ginger?
!s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Ginger grows in China, India, A...
[ { "from": "human", "value": "What is ginger?" }, { "from": "gpt", "value": "!s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } e...
task67
conversation
Hi i have knee pain in my left knee for the past month at night time and when resting my knee during the day. They also crack every time i bend down. Is there something I should be worried about? I m also and active 18 yr old who likes to play sports.
Hello, As you are 18 and facing pain in knee and cracking sounds most times, I think you should try strengthening the muscles of the knee to maintain the joint space. As the joint space reduces there is friction of the bones leading to inflammation and the pain along with cracking sounds. Also, there might be some cal...
[ { "from": "human", "value": "Hi i have knee pain in my left knee for the past month at night time and when resting my knee during the day. They also crack every time i bend down. Is there something I should be worried about? I m also and active 18 yr old who likes to play sports." }, { "from": "gpt"...
task67
conversation
My 12 year old granddaughter began coughing up blood tonight and was taken to an emergency room and then taken by ambulance to Riley Children s Hospital. She has a heart condition (she only has two chambers). What could cause the coughing up of blood?
Hello dear, thanks for your question on this medical LLM.. Your granddaughter is having congenital heart disease (CHD).If these diseases, blood circulation in the body is hampered. So fluid start accumulating in lower limbs, abdomen and in lung. In lung this causes pulmonary edema. This pulmonary edema causes sever cou...
[ { "from": "human", "value": "My 12 year old granddaughter began coughing up blood tonight and was taken to an emergency room and then taken by ambulance to Riley Children s Hospital. She has a heart condition (she only has two chambers). What could cause the coughing up of blood?" }, { "from": "gpt"...
task103
question_answering
What are the symptoms of Infantile spasms broad thumbs ?
What are the signs and symptoms of Infantile spasms broad thumbs? The Human Phenotype Ontology provides the following list of signs and symptoms for Infantile spasms broad thumbs. If the information is available, the table below includes how often the symptom is seen in people with this condition. You can use the Medli...
[ { "from": "human", "value": "What are the symptoms of Infantile spasms broad thumbs ?" }, { "from": "gpt", "value": "What are the signs and symptoms of Infantile spasms broad thumbs? The Human Phenotype Ontology provides the following list of signs and symptoms for Infantile spasms broad thumbs....
task67
conversation
I had the radio frequency ablation procedure done the week before easter of this year. I have 2 what they claim is slightly bulged disks in my C vertibra. Since the radio frequency ablation procedure i still,have had no relief at all. I now since the procedure found a lump on my spine on my neck which nownhas caused my...
HI, Dear,Thanks for the query to this medical LLM.. I understood your concerns about the neck lumps after RFA. The lump after RFA with left side problems, which I feel are due to the myelopathy after RFA in cervical spinal cord. The lump-on the neck is the lump at the site of entry of the RF needle probe and mostly app...
[ { "from": "human", "value": "I had the radio frequency ablation procedure done the week before easter of this year. I have 2 what they claim is slightly bulged disks in my C vertibra. Since the radio frequency ablation procedure i still,have had no relief at all. I now since the procedure found a lump on my...
task67
conversation
I have been to the dentist about 4 weeks ago and he had to replace a loose filling & gave me anitbiotics and ever since then I have had a niggling pain (occasionally) on the right side of my mouth, then last Monday, Tues, Wed I had a nawing pain whicChatDoctore on at tea time so took painkillers and it disappeared. On ...
HELLO AND WELCOME, The decay in your filled teeth has affected pulp and periapical region, which results in pain sensation. The filling has to be removed to extirpate the infected pulp underlying. Antibiotics and analgesics will relieve pain temporarily. If periapical area is infected, root canal treatment has to be do...
[ { "from": "human", "value": "I have been to the dentist about 4 weeks ago and he had to replace a loose filling & gave me anitbiotics and ever since then I have had a niggling pain (occasionally) on the right side of my mouth, then last Monday, Tues, Wed I had a nawing pain whicChatDoctore on at tea time so...
task101
question_answering
What is a FOBT (Guaiac-Based Fecal Occult Blood Test)?
Your doctor places a thin, bendable tube through your anus and into your colon and rectum -- the lower part of your large intestine. An FOBT looks for tiny traces of this blood. Your doctor will give you a kit to collect a sample of your bowel movement at home. You'll place it onto a special card. Then you'll bring it ...
[ { "from": "human", "value": "What is a FOBT (Guaiac-Based Fecal Occult Blood Test)?" }, { "from": "gpt", "value": "Your doctor places a thin, bendable tube through your anus and into your colon and rectum -- the lower part of your large intestine. An FOBT looks for tiny traces of this blood. You...
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my 87 year old aunt just found out today she has inoperable liver cancer. She is in icu with an infection also and dr s don t know where infection is coming from. She also has fluid build up around stomach and she is listed in critical condition....we are out of state, should we be headed back home?
Thanks for asking question. According to history given by you liver cancer seems to be metastasized widespread. She also has infection. For controlling infection and monitoring of patient stay at the hospital for few days. She has to given iv antibiotic for controlling infection. In advance stage of liver cancer target...
[ { "from": "human", "value": "my 87 year old aunt just found out today she has inoperable liver cancer. She is in icu with an infection also and dr s don t know where infection is coming from. She also has fluid build up around stomach and she is listed in critical condition....we are out of state, should we...
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question_answering
Question: An otherwise healthy, exclusively breastfed 4-day-old neonate is brought to the physician because of yellowing of his skin and eyes. His urine has been clear and stools have been normal. He was born at term by vacuum-assisted delivery and weighed 4000 g (8 lb 8 oz). Pregnancy was complicated by gestational di...
The right answer is D: Phototherapy
[ { "from": "human", "value": "Question: An otherwise healthy, exclusively breastfed 4-day-old neonate is brought to the physician because of yellowing of his skin and eyes. His urine has been clear and stools have been normal. He was born at term by vacuum-assisted delivery and weighed 4000 g (8 lb 8 oz). Pr...
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conversation
Hello doctor,I am not getting the stool from three days and because of this, I am not able to eat food from three days. What is the reason behind this? Which disease symptom is that? What is the possible medical treatment for it?
Hello. You seem to be suffering from absolute constipation. If you are not even able to pass flatus, then you need evaluation for intestinal obstruction. I would advise you following: 1. To get a thyroid function test done as hypothyroidism might be the cause behind constipation that you are having. 2. To take Laxative...
[ { "from": "human", "value": "Hello doctor,I am not getting the stool from three days and because of this, I am not able to eat food from three days. What is the reason behind this? Which disease symptom is that? What is the possible medical treatment for it?" }, { "from": "gpt", "value": "Hello....
task57
question_answering
Question: A 34-year-old man presents to a clinic with complaints of abdominal discomfort and blood in the urine for 2 days. He has had similar abdominal discomfort during the past 5 years, although he does not remember passing blood in the urine. He has had hypertension for the past 2 years, for which he has been presc...
The right answer is A: Autosomal dominant polycystic kidney disease (ADPKD)
[ { "from": "human", "value": "Question: A 34-year-old man presents to a clinic with complaints of abdominal discomfort and blood in the urine for 2 days. He has had similar abdominal discomfort during the past 5 years, although he does not remember passing blood in the urine. He has had hypertension for the ...
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conversation
I have problem from 2 days before... there very small pimples on cover skin of glans penis & also on glance, coronal ridge, inner foreskin. My wife were have fungal infection she dont know when we have intercourse. And the other day she realized and told me.... she got treatment and now she is ok... but i think i have ...
Hello, Welcome to this medical LLM., The history and symptoms are suggesting me that you may be having Balanoposthitis. This type of infection are more common in patients with reduced immunity like diabetes. If you are uncircumcised you may have fibrosis which is a discharge from a fungal infection under the foreskin. ...
[ { "from": "human", "value": "I have problem from 2 days before... there very small pimples on cover skin of glans penis & also on glance, coronal ridge, inner foreskin. My wife were have fungal infection she dont know when we have intercourse. And the other day she realized and told me.... she got treatment...
task67
conversation
Hi I am 22, I noticed a small pea size little lump or even a ball of tissue perhaps it could be, under my knee by my ligament. And it does move and it is painless. It is not very palpable, I sort of have to find it to palpate it. Should I be concerned?
Hi, Dear,Welcome to this medical LLM.. Based on the facts of your query, You seem to suffer from-Patellar Bursa -which is painless soft lump, difficult to locate, which exactly fits in to your facts. Such a lump could be due to the Varicose Veins also of the Short Saphenous.USG and X-ray knee would differentiate from a...
[ { "from": "human", "value": "Hi I am 22, I noticed a small pea size little lump or even a ball of tissue perhaps it could be, under my knee by my ligament. And it does move and it is painless. It is not very palpable, I sort of have to find it to palpate it. Should I be concerned?" }, { "from": "gpt...
task57
question_answering
Question: A study looking to examine the utility of colorectal cancer screening in patients younger than 50 is currently seeking subjects to enroll. A 49-year-old man with a family history of colorectal cancer is very interested in enrolling in the study, due to his own personal concerns about developing cancer. If enr...
The right answer is C: Selection bias
[ { "from": "human", "value": "Question: A study looking to examine the utility of colorectal cancer screening in patients younger than 50 is currently seeking subjects to enroll. A 49-year-old man with a family history of colorectal cancer is very interested in enrolling in the study, due to his own personal...
task67
conversation
I have had a tightness in my groin in the left testicle area and up. This has been going on for about five months. Now I m worried because a few days ago I noticed that when I m erect my penis has a different shape to it. It is starting to curve downwards a bit with a bit of an indent on the left. I m worried and shoul...
Degree understand your concerns went through your description. I suggest you not to worry much. You are growing up as a man, and it is quite normal to have tightness in your groin and testicles area. Bend penis also is normal, and it happens to almost everyone. To make a lady happy bend penis is more useful than straig...
[ { "from": "human", "value": "I have had a tightness in my groin in the left testicle area and up. This has been going on for about five months. Now I m worried because a few days ago I noticed that when I m erect my penis has a different shape to it. It is starting to curve downwards a bit with a bit of an ...
task67
conversation
34yrs. Cerebral palsy . Epilepsy . 24hr care required. Been on tegretol cr and phenobarbitone for years to help control seizures. Neurologist prescribed keppra for 2yrs. No side effects but experienced 1-3 seizures daily. Weened off keppra and started sodium valproate . Within the first week she had experienced sedatio...
Hi, Thank you for posting your query. The side effects as experienced by the patient are known with the medications she has been given, however, they are fortunately uncommon. The only method of treatment would be to titrate the dose of medications till the desired efficacy is reached, as per the tolerance by the pati...
[ { "from": "human", "value": "34yrs. Cerebral palsy . Epilepsy . 24hr care required. Been on tegretol cr and phenobarbitone for years to help control seizures. Neurologist prescribed keppra for 2yrs. No side effects but experienced 1-3 seizures daily. Weened off keppra and started sodium valproate . Within t...
task67
conversation
Hi, My 21 year old grandson is visiting me from another state. His Mother, divorced my son 15 years ago. She calls my grandson every 10 minutes on his cell and sends even more texts. She is still calls my son a lot also. She has tried her best to alienate her children from their father. She writes terrible things a...
Hello, I understand your concern for your grandson and his difficulties in dealing with his own mother. This is a very unfortunate situation that should not have happened. I can suggest a couple of solutions.1. May a responsible elderly person can take the initiative and talk to his mother. This person may be able to f...
[ { "from": "human", "value": "Hi, My 21 year old grandson is visiting me from another state. His Mother, divorced my son 15 years ago. She calls my grandson every 10 minutes on his cell and sends even more texts. She is still calls my son a lot also. She has tried her best to alienate her children from th...
task57
question_answering
Question: A 55-year-old man comes to the emergency department because of left-sided chest pain and difficulty breathing for the past 30 minutes. His pulse is 88/min. He is pale and anxious. Serum studies show increased cardiac enzymes. An ECG shows ST-elevations in leads I, aVL, and V5-V6. A percutaneous coronary inter...
The right answer is A: Left coronary artery → left circumflex artery
[ { "from": "human", "value": "Question: A 55-year-old man comes to the emergency department because of left-sided chest pain and difficulty breathing for the past 30 minutes. His pulse is 88/min. He is pale and anxious. Serum studies show increased cardiac enzymes. An ECG shows ST-elevations in leads I, aVL,...
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